Efficacy of the Sequential Administration of Melatonin, Hydroxyzine, and Chloral Hydrate for Recording Sleep EEGs in Children
| Autor: | Maher Arabi, Jawad Melhem, Maya Dirani, Ahmad Beydoun, Wassim Nasreddine |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Polysomnography Sedation Chloral hydrate Conscious Sedation Electroencephalography Sensitivity and Specificity Drug Administration Schedule Melatonin 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Hypnotics and Sedatives Chloral Hydrate Child Hydroxyzine medicine.diagnostic_test business.industry Central Nervous System Depressants Infant Reproducibility of Results General Medicine Treatment Outcome Neurology Child Preschool Anesthesia Drug Therapy Combination Female Neurology (clinical) Sleep (system call) Sleep onset medicine.symptom Sleep business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Clinical EEG and Neuroscience. 48:41-47 |
| ISSN: | 2169-5202 1550-0594 |
| DOI: | 10.1177/1550059415621830 |
| Popis: | Sedation of children for electroencephalography (EEG) recordings is often required. Chloral hydrate (CH) requires medical clearance and continuous monitoring. To try to reduce personnel and time resources associated with CH administration, a new sedation policy was formulated. This study included all children who underwent an EEG during a consecutive 3-month period following the implementation of the new sedation policy, which consists of the sequential administration of melatonin, hydroxyzine (if needed), and CH (if needed). The comparator group included all children with a recorded EEG during a consecutive 3-month period when the sedation policy consisted of the sole administration of CH. A total of 803 children with a mean age of 7.9 years (SD = 5.1, range = 0.5-17.7 years) were included. Sleep EEG recordings were obtained in 364 of 385 children (94.6%) using the old sedation policy and in 409 of 418 children (97.9%) using the new one. With the new sedation policy, the percentage of children requiring CH dropped from 37.1% to 6.7% ( P < .001). Time to sleep onset and duration of sleep were not significantly different between the 2 policies. The new sedation policy was very well tolerated. The new sedation policy is very safe, is highly efficacious in obtaining sleep EEG recordings, and will result in substantial saving of time and personnel resources. |
| Databáze: | OpenAIRE |
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