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Sedation for emergent diagnostic imaging studies in pediatric patients

Rutman, Maia S

Current Opinion in Pediatrics: June 2009 - Volume 21 - Issue 3 - p 306–312
doi: 10.1097/MOP.0b013e32832b10f6
Emergency and critical care medicine: Edited by Jean Klig

Purpose of review: To review and summarize current literature regarding sedation for imaging studies in pediatric patients in the Emergency Department and acute care setting.

Recent findings: Multiple guidelines about preparation, monitoring, and appropriate training of personnel administering pediatric sedation have been published. Recommendations for fasting prior to sedation remain in flux. Agents such as chloral hydrate, barbiturates, and benzodiazepines that have been used for pediatric sedation for many years continue to be studied. These agents are compared with newer agents such as etomidate, propofol, and dexmedetomidine.

Summary: Although avoiding sedation for diagnostic imaging studies is optimal, there are multiple agents with reasonable safety profiles that can be utilized by personnel trained in pediatric airway management in order to obtain adequate emergent imaging studies.

Department of Pediatrics and Section of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA

Correspondence to Maia S. Rutman, MD, Emergency Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA Tel: +1 603 650 0481; e-mail: Maia.S.Rutman@hitchcock.org

© 2009 Lippincott Williams & Wilkins, Inc.