Procedural sedation in non-intubated children with severe trauma - A single center study
| Autor: | Neta Bar Am, Itai Shavit, Hen Ben-Lulu, Hany Bahouth, Nir Samuel |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Adolescent Sedation medicine.medical_treatment Conscious Sedation Single Center 03 medical and health sciences 0302 clinical medicine Injury Severity Score Interquartile range Intubation Intratracheal Medicine Humans Glasgow Coma Scale Cardiopulmonary resuscitation Adverse effect Child Retrospective Studies business.industry Hemodynamics Infant Newborn Infant 030208 emergency & critical care medicine General Medicine medicine.disease Anesthesia Child Preschool Wounds and Injuries Surgery Female medicine.symptom business Emergency Service Hospital 030217 neurology & neurosurgery Pediatric trauma |
| Zdroj: | American journal of surgery. 218(1) |
| ISSN: | 1879-1883 |
| Popis: | Background Non-intubated children frequently undergo emergent procedures in the trauma-bay. This study evaluates whether patients treated with procedural sedation have an increased risk for severe adverse events. Methods Retrospective analysis of 1182 children with an injury severity score (ISS) of greater than 15. Results Of the 565 patients who were spontaneously breathing on arrival, 455 were hemodynamically stable with a Glasgow Coma Score of 15, 201 of whom were treated with sedation; 144 (71.6%) had computerized tomography scan, 35 (17.5%) wound debridement, and 22 (10.9%) fracture reduction. Sedation patients had an ISS of 20 (interquartile range 17–25). There were no death cases, no cases of cardiopulmonary resuscitation, and no cases of neurologic sequelae on hospital discharge. There were 2 (1%) cases of unanticipated endotracheal intubation. Conclusions Non-intubated patients who were hemodynamically stable with a Glasgow Coma Score of 15 had a low risk for severe adverse events due to sedation. |
| Databáze: | OpenAIRE |
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