Effectiveness of nitrous oxide sedation for otolaryngologic examination in the outpatient clinic in uncooperative children

Autor: Elin Brathen, An Boudewyns, Stijn Verhulst, Ann Roete, Joris Verlooy, Nathalie van Meerbeeck, Olivier Vanderveken, Nicolien van der Poel
Rok vydání: 2022
Předmět:
Zdroj: International journal of pediatric otorhinolaryngology
ISSN: 1872-8464
0165-5876
Popis: Objectives: The aim of this study is to investigate the efficacy of equimolar mixture of 50% nitrous oxide and oxygen (EMONO) to obtain conscious sedation for otolaryngologic examinations and minor Ear-Nose-Throat (ENT) procedures in children with or without comorbidities.Methods: Retrospective analysis of patient records from all children who were uncooperative during routine ENT examination, and therefore underwent otomicroscopic examinations and/or minor ENT procedures sedated with EMONO in the outpatient ENT clinic. The following data were collected: patients characteristics, sedative effect, analgesic effect and adverse effects. Patients were divided into three subgroups: 1) no relevant comorbidities, 2) Down Syndrome and 3) other causes of behavioural problems or developmental delay.Results: Data were analyzed for 99 patients (170 procedures). Seven procedures failed. A good to excellent sedative and analgesic effect was obtained in most patients without a difference between subgroups. Minor and transient side effects were encountered in one third (34%) of the patients.Conclusions: EMONO is an effective agent to achieve conscious sedation and to perform ENT examinations or minor procedures in otherwise uncooperative children with or without developmental delay.
Databáze: OpenAIRE
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