[Which sedation for minor trauma surgery in children?].
Children under 6 often show marked anxiety and physical pain during laceration repair. If locally infiltrated anesthetics usually give a good control of physical pain, they have no effect on anxiety and restlessness for which several medications are available for conscious sedation. Continuous nitrous oxide, intramuscular sedative "cocktail" with meperidine-promethazine-chlorpromazine or intravenous fentanyl have various inconveniences and therefore are not ideal for this purpose. By contrast, Midazolam, a short acting watersoluble benzodiazepine with anxiolitic, hypnotic and anterograde amnestic effect, appears to be a safe and effective treatment when given orally or intranasally for alleviating anxiety in under 6 year-old out-patient in emergency department; its rectal administration appears less effective and needs further studies before to be routinely used.
Service accueil-urgences, CHG, Strasbourg, France.
G
G
De Guio
J C
JC
Bartier
D001569:Benzodiazepines; D002675:Child, Preschool; D016292:Procedural Sedation / Q000379:methods*; D006801:Humans; D006993:Hypnotics and Sedatives; D007223:Infant; D013511:Minor Surgical Procedures / Q000379:methods*; D009609:Nitrous Oxide; D014947:Wounds and Injuries / Q000628:therapy*
D006993:Hypnotics and Sedatives; D001569:Benzodiazepines; D009609:Nitrous Oxide
Quelle sédation pour la petite chirurgie traumatique chez l'enfant?