Cargando…

Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?

Background: The routine use of sedoanalgesia has increased the number of potential minor surgical procedures that can be performed in the Emergency Department (ED) without requiring general anesthesia and, thus, hospital admission. Our aim is to analyze the effectiveness and safety of the use of sed...

Descripción completa

Detalles Bibliográficos
Autores principales: Delgado-Miguel, Carlos, Miguel-Ferrero, Miriam, Ezquerra, Andrea, Díaz, Mercedes, De Ceano-Vivas, María, López-Gutiérrez, Juan Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378088/
https://www.ncbi.nlm.nih.gov/pubmed/37508633
http://dx.doi.org/10.3390/children10071137
_version_ 1785079679567265792
author Delgado-Miguel, Carlos
Miguel-Ferrero, Miriam
Ezquerra, Andrea
Díaz, Mercedes
De Ceano-Vivas, María
López-Gutiérrez, Juan Carlos
author_facet Delgado-Miguel, Carlos
Miguel-Ferrero, Miriam
Ezquerra, Andrea
Díaz, Mercedes
De Ceano-Vivas, María
López-Gutiérrez, Juan Carlos
author_sort Delgado-Miguel, Carlos
collection PubMed
description Background: The routine use of sedoanalgesia has increased the number of potential minor surgical procedures that can be performed in the Emergency Department (ED) without requiring general anesthesia and, thus, hospital admission. Our aim is to analyze the effectiveness and safety of the use of sedoanalgesia in childhood burns treated in the ED. Methods: A retrospective study was conducted in burned children in whom burn debridement was performed under sedoanalgesia in the ED between 2017 and 2021 in a tertiary referral center for burns. We collected demographic variables, burn features and the type of sedoanalgesia performed in each case, including its effectiveness and associated adverse effects. Results: A total of 227 patients (118 males, 109 females) were included, with a median age of 25 months. In total, 99.2% of the burns were thermal (69.2% scald burns), with a mean total body surface area (TBSA) burned of 4%. The most commonly used drugs were intravenous ketamine (35.7%), intravenous ketamine + midazolam (15.4%), intranasal fentanyl + midazolam (14.1%) and intranasal fentanyl (10.6%). The effectiveness of sedoanalgesia was considered satisfactory in 95.2% of the cases, with an adverse effect rate of 7.5%, without severe adverse effects reported. Conclusions: The use of sedoanalgesia in the ED in the early treatment of childhood burns achieves high effectiveness and safety. It is postulated as a quality indicator; thus, it should be known by all pediatric healthcare practitioners.
format Online
Article
Text
id pubmed-10378088
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103780882023-07-29 Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe? Delgado-Miguel, Carlos Miguel-Ferrero, Miriam Ezquerra, Andrea Díaz, Mercedes De Ceano-Vivas, María López-Gutiérrez, Juan Carlos Children (Basel) Article Background: The routine use of sedoanalgesia has increased the number of potential minor surgical procedures that can be performed in the Emergency Department (ED) without requiring general anesthesia and, thus, hospital admission. Our aim is to analyze the effectiveness and safety of the use of sedoanalgesia in childhood burns treated in the ED. Methods: A retrospective study was conducted in burned children in whom burn debridement was performed under sedoanalgesia in the ED between 2017 and 2021 in a tertiary referral center for burns. We collected demographic variables, burn features and the type of sedoanalgesia performed in each case, including its effectiveness and associated adverse effects. Results: A total of 227 patients (118 males, 109 females) were included, with a median age of 25 months. In total, 99.2% of the burns were thermal (69.2% scald burns), with a mean total body surface area (TBSA) burned of 4%. The most commonly used drugs were intravenous ketamine (35.7%), intravenous ketamine + midazolam (15.4%), intranasal fentanyl + midazolam (14.1%) and intranasal fentanyl (10.6%). The effectiveness of sedoanalgesia was considered satisfactory in 95.2% of the cases, with an adverse effect rate of 7.5%, without severe adverse effects reported. Conclusions: The use of sedoanalgesia in the ED in the early treatment of childhood burns achieves high effectiveness and safety. It is postulated as a quality indicator; thus, it should be known by all pediatric healthcare practitioners. MDPI 2023-06-30 /pmc/articles/PMC10378088/ /pubmed/37508633 http://dx.doi.org/10.3390/children10071137 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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/).
spellingShingle Article
Delgado-Miguel, Carlos
Miguel-Ferrero, Miriam
Ezquerra, Andrea
Díaz, Mercedes
De Ceano-Vivas, María
López-Gutiérrez, Juan Carlos
Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title_full Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title_fullStr Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title_full_unstemmed Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title_short Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?
title_sort sedoanalgesia in the debridement of pediatric burns in the emergency department: is it effective and safe?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378088/
https://www.ncbi.nlm.nih.gov/pubmed/37508633
http://dx.doi.org/10.3390/children10071137
work_keys_str_mv AT delgadomiguelcarlos sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe
AT miguelferreromiriam sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe
AT ezquerraandrea sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe
AT diazmercedes sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe
AT deceanovivasmaria sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe
AT lopezgutierrezjuancarlos sedoanalgesiainthedebridementofpediatricburnsintheemergencydepartmentisiteffectiveandsafe