Episode 76 Pediatric Procedural Sedation
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Feb 9, 2016 Dr. Amy Drendel, a leader in pediatric pain management from the Children's Hospital of Wisconsin, shares her expertise on managing procedural sedation in kids. She covers pain relief strategies for emergency scenarios like fractures and scans, emphasizing the use of intranasal fentanyl and nitrous oxide. Dr. Drendel discusses the advantages of IV Ketamine over IM and the importance of family presence during sedation. She also explores advancements like ketofol and highlights safety considerations, ensuring pain-free experiences for young patients.
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Airway Preparation for Kids
- Prepare thoroughly for airway management considering children’s anatomy and risk of airway obstruction.
- Have suction and oxygen ready and position yourself to intervene promptly if airway issues arise.
Fasting Before Pediatric Sedation
- Pediatric fasting guidelines align with adult literature showing minimal benefit in prolonged fasting before sedation.
- In emergencies, do not delay sedation regardless of fasting status, balancing risk pragmatically.
Preventing Vomiting in Ketamine Sedation
- Use ketamine for procedural sedation but add ondansetron to reduce vomiting risk, especially in adolescents.
- Avoid benzodiazepines for emesis prevention when effective antiemetics like ondansetron are available.