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Sedation for invasive procedures in paediatrics
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Introduction |
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It is inappropriate to subject children to distressing procedures if this can be avoided. Moreover, many procedures may be difficult or unsafe in the uncooperative child. The number of valuable but invasive techniques in use has increased steadily over the years, and to facilitate these, sedative agents are often given. Such use of sedation is generally supervised by non-anaesthetists. Despite the obvious benefits associated with this practice, there are unresolved concerns about its efficacy and safety.
The ideal sedative regimen would act predictably and rapidly and would induce a level and duration of sedation appropriate to the procedure being performed. In practice, few regimens are truly satisfactory in these terms. General anaesthesia may therefore be preferred, but for many procedures (for example, liver biopsy) this might seem inappropriate. Widespread use of general anaesthesia for these purposes would also have substantial resource implications for paediatric departments.
The use of sedation in
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