Procedural Sedation for Children With Special Health Care Needs

Abstract

Children with special health care needs represent a growing percentage of pediatric patients treated in all emergency departments. Substantial literature exists concerning the medical treatment of these patients, but there is little written describing the management of procedural sedation or analgesia in this population. This article examines the unique anatomic and physiologic implications of procedural sedation or analgesia management in children with special health care needs.

Sedation for Pediatric CT Scanning

“…[1][2][3][4][5][6] The need for pharmacologic restrains in these patients is more a function of the duration of the procedure and not necessarily the sophistication of the radiograph attempted. [1][2][3][4][5][6] The need for pharmacologic restrains in these patients is more a function of the duration of the procedure and not necessarily the sophistication of the radiograph attempted.…”

“…[1][2][3][4][5][6] With the introduction of spiral and helical scanning techniques, the time required to complete computerized tomog-raphy (CT) studies has been reduced from minutes to seconds for some diagnostic examinations. [1][2][3][4][5][6] With the introduction of spiral and helical scanning techniques, the time required to complete computerized tomog-raphy (CT) studies has been reduced from minutes to seconds for some diagnostic examinations.…”

Perspectives on pain and intellectual disability

“…The variability in analgesic response may, in part, be a function of whether the individual is, in a very real sense, a ‘good’ or ‘poor’ metaboliser (Taddio & Oberlander 2006). As an example, Sacchetti et al. (2003) reported on the reduced clearance of lorazepam in individuals with Gilbert syndrome.…”