Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Allergies; n (%) | 11 (4.8) |
Medical conditions; n (%) | 20 (8.8) |
| 3 (1.3) |
| 6 (2.6) |
| 1 (0.4) |
| 1 (0.4) |
| 2 (0.9) |
| 2 (0.9) |
| 2 (0.9) |
| 1 (0.4) |
| 1 (0.4) |
| 1 (0.4) |
Chronic treatment; n (%) | 9 (4) |
ASA classification; n (%) | |
| 208 (91.6) |
| 19 (8.4) |
| 0 |
Mallampati class III–IV; n (%) | 10 (4.4) |
Recent respiratory infection; n (%) | 31 (13.7) |
Type of burn, n (%) | |
| 225 (99.2) |
| 157 (69.2) |
| 80 (51.0) |
| 18 (11.5) |
| 17 (10.8) |
| 10 (6.4) |
| 12 (7.6) |
| 15 (9.6) |
| 5 (3.2) |
| 68 (30.8) |
| 7 (10.3) |
| 10 (14.7) |
| 5 (7.4) |
| 8 (11.8) |
| 8 (11.8) |
| 6 (8.8) |
| 7 (10.3) |
| 3 (4.4) |
| 5 (7.4) |
| 3 (4.4) |
| 2 (2.9) |
| 1 (1.5) |
| 3 (4.4) |
| 1 (0.4) |
| 1 (0.4) |
Depth; n (%) | |
| 124 (54.6) |
| 103 (45.4) |
TBSA * burned (%); median (Q1–Q3) | 4 (2–6) |
Burn location; n (%) | |
| 69 (30.4) |
| 54 (23.8) |
| 47 (20.7) |
| 43 (18.9) |
| 14 (6.2) |
Type of treatment; n (%) | |
| 157 (69.1) |
| 27 (11.9) |
| 26 (11.5) |
| 17 (7.5) |
Type of Sedoanalgesia used, n (%) | |
| 24 (10.6) |
| 10 (4.4) |
| 325. (14.1) |
| 81 (35.7) |
| 35 (15.4) |
| 27 (11.9) |
| 18 (7.9) |
Sedation effectiveness according to UMSS scale, n (%) | |
| 162 (71.3) |
| 56 (24.7) |
| 9 (4) |
Adverse events, n (%) | 53 (23.3) |
Type of adverse event, n (%) | |
| 39 (17.2) |
| 6 (2.6) |
| 2 (1.4%) |
| 3 (2.1%) |
| 3 (1.3) |
| 3 (1.3) |
| 2 (0.9) |
High (0–3 Points) | Moderate (4–6 Points) | Low (7–10 Points) | |
---|---|---|---|
IN Fentanyl | 12.5% | 75% | 12.5% |
IN Fentanyl + nitrous oxide | 100% | - | - |
IN Fentanyl + IN Midazolam | 25% | 75% | - |
IV Ketamine | 85.3% | 14.7% | - |
IV Ketamine + IV Midazolam | 85.8% | 12.1% | 2.1% |
IN Ketamine + IN Midazolam | 60% | 40% | - |
IN Ketamine + IN Dexmedetomidine | 61.5% | 30.8% | 7.7% |
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© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Delgado-Miguel, C.; Miguel-Ferrero, M.; Ezquerra, A.; Díaz, M.; De Ceano-Vivas, M.; López-Gutiérrez, J.C. Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe? Children 2023, 10, 1137. https://doi.org/10.3390/children10071137
Delgado-Miguel C, Miguel-Ferrero M, Ezquerra A, Díaz M, De Ceano-Vivas M, López-Gutiérrez JC. Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe? Children. 2023; 10(7):1137. https://doi.org/10.3390/children10071137
Chicago/Turabian StyleDelgado-Miguel, Carlos, Miriam Miguel-Ferrero, Andrea Ezquerra, Mercedes Díaz, María De Ceano-Vivas, and Juan Carlos López-Gutiérrez. 2023. "Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?" Children 10, no. 7: 1137. https://doi.org/10.3390/children10071137