title: Conscious sedation of pediatric oncology patients for painful procedures: development and implementation of a clinical practice protocol.
abstract: Pain during treatment procedures is often identified as the most distressing aspect of the entire cancer experience for a child with cancer. The use of conscious sedation may reduce this procedure-related pain and distress. A clinical practice protocol is necessary to maximize the efficacy and safety of conscious sedation use. In this article, the processes of developing and implementing a conscious sedation protocol for pediatric oncology patients undergoing painful procedures are presented. The protocol itself is included. A review of the literature on conscious sedation is presented, and implications for pediatric oncology nursing practice are discussed.
authors.affiliation: Department of Pediatric Hematology/Oncology, Children's Hospital of Western Ontario, London, Canada.
authors.forename: C F
authors.initials: CF
authors.lastname: Macpherson
authors.forename: L A
authors.initials: LA
authors.lastname: Lundblad
mesh_terms: D000293:Adolescent; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D016292:Procedural Sedation; D006801:Humans; D007223:Infant; D009369:Neoplasms / Q000150:complications / Q000451:nursing* / Q000628:therapy; D010146:Pain / Q000188:drug therapy*
chemical_list: D000701:Analgesics, Opioid; D001569:Benzodiazepines