Paediatric Sedation Flashcards
what are the key points of sedation
remains conscious
retains protective reflexes
understands and responds to verbal commands
what is the guidance for sedation
all staff trained and experienced
appropriate equipment and facilities
thorough patient assessment
recognition and immediate management of complications
what is part of the paediatric patient assessment
history
patient factors
goals
treatment plan
what is taken during the history
pain
nature of anxiety
dental history
medical history
what is noted while assessing patient factors
understanding
co-operation
coping style
what is the score of MCDASF if a child has no anxiety
9
what is used with local anaesthesia for children
behavioural management
hypnosis
relaxation techniques
CBT
wand system
how do you conduct IHS on a child
agree the patient will reply by nodding or thumbs up/down
continued behavioural management
ensure they avoid mouth breathing
when do you know you have given the maximum sedation on a child
when they report tingling or start giggling and get over-excited
when do you stop sedating a child
if they have ringing ears or sore head
when is propofol used in IV sedation
for very long and very short procedures
