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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

RONCO M., Ricardo et al. Sedation and analgesia during procedures affecting children outside the operating room. Rev. chil. pediatr. [online]. 2003, vol.74, n.2, pp.171-178. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062003000200005.

There are an increasing number of children requiring sedation and analgesia for invasive procedures, the majority of which are performed in the operating room (OR). Objectives: We prospectively studied the efficacy, safety and costs involved in the sedation and analgesia of different invasive procedures in children performed outside  the OR. Hypothesis: the use of short acting sedatives allows the performance of invasive procedures outside of the OR in a safe and cost effective manner. Patients and methods: We included children older than 1 month, outside of the ITU who required sedation for invasive procedures. Propofol was used alone or with other sedatives. Dose, side-effects, quality of sedation and cost were compared with that in the OR. Results: In 51 procedures carried out on 51 children, in 30/51 patients propofol was the only sedative used. The average total dose of propofol was 3.6 mg/kg, there were no differences in propofol dose when used alone or with other sedatives. The median recovery time was 20 min, range 4-45 min. Using a 1-10 scale, the quality of sedation was assessed, with a median of 10, range 7-10. 16 untoward  effects occurred in 13 patients, the commonest was respiratory depression in 8, these events were self limited and of short duration. The cost of the procedure was 6 times lower ($ 14 000) as compared to using the OR and recovery room ($ 90 000), and the overall time for the procedure performed was shorter 40 minutes vs 3 hours. Conclusions: the use of sedation and analgesia to permit the use of procedures outside the OR is safe and effective, decreasing costs and hospital time. Propofol was a good alternative as a sedative drug in these patients

Palabras clave : sedation; analgesia; procedures; propofol.

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