Sedation and analgesia in the pediatric patient.
The administration of sedation and analgesia for pediatric gastrointestinal procedures has become routine but is not standardized. For the most part, pediatric endoscopists are encouraged to use their clinical judgment to select between using intravenous (IV) sedation or general anesthesia on an individual patient basis. Commonly administered IV sedation regimens in children combine benzodiazepines with narcotics, but anesthesiologist administered propofol sedation is gaining acceptance among pediatric gastroenterologists. Guidelines for patient monitoring and new technologic advances may help to ensure patient safety for children undergoing endoscopic procedures, no matter what sedation regimen is used.
Lightdale
Jenifer R
JR
Division of Gastroenterology and Nutrition, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA. jenifer.lightdale@tch.harvard.edu
D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000494:pharmacology; D016292:Procedural Sedation / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D006993:Hypnotics and Sedatives / Q000494:pharmacology; D008991:Monitoring, Physiologic / Q000379:methods; D010372:Pediatrics
D000700:Analgesics; D006993:Hypnotics and Sedatives