A systematic review of interventions for reducing pain and distress in children undergoing voiding cystourethrography
| Autor: | Jia Rao, Simon Aaron Cohen, Sean E. Kennedy, Andrew R. Rosenberg |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Sedation Psychological intervention General Medicine medicine.disease Vesicoureteral reflux law.invention Contrast medium Distress Randomized controlled trial law Anesthesia Pediatrics Perinatology and Child Health medicine Midazolam Anxiety medicine.symptom business medicine.drug |
| Zdroj: | Acta Paediatrica. 101:224-229 |
| ISSN: | 0803-5253 |
| DOI: | 10.1111/j.1651-2227.2011.02482.x |
| Popis: | UNLABELLED Voiding cystourethrography (VCUG) is commonly performed to screen for vesicoureteric reflux or other urological anomalies but has a potential to provoke distress in infants and children. We performed a systematic review of randomized controlled trials of interventions to reduce distress, pain or anxiety during VCUG. Eight trials (591 participants) met the inclusion criteria. CONCLUSION Conscious sedation with midazolam effectively alleviates the distress of VCUG in children older than 1 year of age. Psychological preparation and warmed contrast medium may also be effective. Nitrous oxide 50% may be an alternative to midazolam, but further evidence is needed. |
| Databáze: | OpenAIRE |
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