The treatment of acute pain and anxiety in children undergoing therapeutic and diagnostic procedures in the emergency department has improved dramatically over the last few years. The availability of noninvasive monitoring devices and the use of short-acting sedative and analgesic medications enable physicians to conduct safe and effective sedation and analgesia treatment. In today's practice of pediatric emergency medicine, sedation and analgesia has been considered as the standard of care for procedural pain. The following article describes the basic principles of pediatric procedural sedation and analgesia in the emergency department.
aDepartment of Pediatric Emergency, Meyer Children's Hospital, Rambam Medical Center, Haifa
bUnit of Pediatric Anesthesiology
cDepartment of Pediatric Emergency, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel
Correspondence and requests for reprints to Dr Itai Shavit, Meyer Children's Hospital, Rambam Medical Center, P.O. Box 9602, Haifa, 31096, Israel
Tel: +972 4 8542522; fax: +972 4 8543109; cell: +972 50 2063239; e-mail: email@example.com
Received 14 July 2005; Revised 12 April 2006