Arch Pediat Adol Med
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Arch Pediat Adol Med · Nov 2003
Safe and efficacious use of procedural sedation and analgesia by nonanesthesiologists in a pediatric emergency department.
Children often require relief of pain and anxiety when undergoing diagnostic or therapeutic procedures in the emergency department (ED). Procedural sedation and analgesia (PSA) has become standard practice in the outpatient setting for such procedures. Few studies have looked at the overall success and incidence of complications of PSA as performed by nonanesthesiologists. ⋯ Complications related to PSA occurred in 17.9% of patients, but most commonly consisted of hypoxia that was easily treated. Sedation was successful in 98.6% of patients. Procedural sedation and analgesia can be safely and effectively provided by nonanesthesiologists in a pediatric ED.
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Arch Pediat Adol Med · Nov 2003
Randomized Controlled Trial Clinical TrialEffective pain reduction for multiple immunization injections in young infants.
Infants experience undue pain with multiple immunization injections. ⋯ Combining sucrose, oral tactile stimulation, and parental holding was associated with significantly reduced crying in infants receiving multiple immunization injections. Parents stated a strong preference for future use of this method, and nurses found the intervention injection technique easy to apply.