PMID- 25343735
OWN - NLM
STAT- MEDLINE
DCOM- 20150723
LR  - 20220316
IS  - 1535-1815 (Electronic)
IS  - 0749-5161 (Linking)
VI  - 30
IP  - 11
DP  - 2014 Nov
TI  - Sedation for children with intraoral injuries in the emergency department: a 
      case-control study.
PG  - 805-7
LID - 10.1097/PEC.0000000000000263 [doi]
AB  - OBJECTIVE: Intraoral procedures (IOPs) are performed within the oral cavity of a 
      spontaneously breathing, deeply sedated child. The objective of this study was to 
      retrospectively evaluate the safety of sedation for IOP in a pediatric emergency 
      department. METHODS: An unmatched, case-control study was conducted. The records 
      of patients who had an IOP between January 1, 2012, and December 31, 2012, were 
      analyzed. We evaluated the rate of serious adverse events during sedation (SAEDS) 
      in patients who had an IOP (case subjects) and in patients who had a closed 
      reduction of a forearm fracture (controls) and compared the 2 cohorts. RESULTS: 
      Forty-one study subjects and 38 controls had complete records. Demographic 
      characteristics were similar for both groups. Cases and controls were treated 
      with the combination of propofol-ketamine for most of the cases (30/41 [73.2%] 
      and 32/38 [84.2%]), and doses were similar between the groups. Study subjects had 
      5 hypoxic events and 2 apneic events; controls had 4 hypoxic events and 2 apneic 
      events. No aspiration events were recorded. There were no statistically 
      significant differences in the rate of SAEDS between the 2 groups (P = 0.55 and P 
      = 0.54, respectively). All SAEDS were successfully managed in the emergency 
      department, and no patient required hospitalization due to an adverse reaction. 
      CONCLUSIONS: Findings of this study suggest that when performed by a skilled 
      provider, sedation for an IOP is as safe as sedation for a fracture reduction.
FAU - Shavit, Itai
AU  - Shavit I
AD  - From the *Pediatric Emergency Department, Rambam Health Care Campus; daggerRappaport 
      Faculty of Medicine, Technion-Institute of Technology; double daggerDepartment of 
      Anesthesiology, Rambam Health Care Campus, Haifa, Israel; and  section signFaculty of 
      Medicine, University of Alberta, Edmonton, Alberta, Canada.
FAU - Bar-Yaakov, Noam
AU  - Bar-Yaakov N
FAU - Grossman, Lelah
AU  - Grossman L
FAU - Weiser, Giora
AU  - Weiser G
FAU - Edry, Ruth
AU  - Edry R
FAU - Steiner, Ivan P
AU  - Steiner IP
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Pediatr Emerg Care
JT  - Pediatric emergency care
JID - 8507560
SB  - IM
MH  - Case-Control Studies
MH  - Child
MH  - *Deep Sedation/adverse effects
MH  - Emergency Service, Hospital
MH  - *Emergency Treatment
MH  - Female
MH  - Humans
MH  - Male
MH  - Mouth/*injuries/*surgery
MH  - Retrospective Studies
EDAT- 2014/10/25 06:00
MHDA- 2015/07/24 06:00
CRDT- 2014/10/25 06:00
PHST- 2014/10/25 06:00 [entrez]
PHST- 2014/10/25 06:00 [pubmed]
PHST- 2015/07/24 06:00 [medline]
AID - 10.1097/PEC.0000000000000263 [doi]
PST - ppublish
SO  - Pediatr Emerg Care. 2014 Nov;30(11):805-7. doi: 10.1097/PEC.0000000000000263.