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“Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals"
To date, pain and anxiety are the most common symptoms reported by children who refer to pediatric emergency department. Despite it is well known that the undertreatment of this condition has some negative consequences in a short term and long term of time, gaps in the management of pain in this set...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933247/ https://www.ncbi.nlm.nih.gov/pubmed/36793117 http://dx.doi.org/10.1186/s13052-023-01426-7 |
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author | Bevacqua, Martina Sforzi, Idanna Bressan, Silvia Barbi, Egidio Sahyoun, Cyril |
author_facet | Bevacqua, Martina Sforzi, Idanna Bressan, Silvia Barbi, Egidio Sahyoun, Cyril |
author_sort | Bevacqua, Martina |
collection | PubMed |
description | To date, pain and anxiety are the most common symptoms reported by children who refer to pediatric emergency department. Despite it is well known that the undertreatment of this condition has some negative consequences in a short term and long term of time, gaps in the management of pain in this setting still persist. This subgroup analysis aims to describe the current state of art of pediatric sedation and analgesia in Italian emergency departments and to identify existing gaps to solve. This is a subgroup analysis of a cross-sectional European survey of pediatric emergency departments sedation and analgesia practice undertaken between November 2019 and March 2020. The survey proposed a case vignette and questions addressing several domains, like the management of pain, availability of medications, protocols and safety aspects, staff training and availability of human resources around procedural sedation and analgesia. Italian sites responding to the survey were identified and their data were isolated and checked for completeness. Eighteen Italian sites participated to the study, the 66% of which was represented University Hospitals and/or Tertiary Care Centers. The most concerning results were an inadequate sedation to 27% of patients, lack of availability of certain medications like nitrous oxide, the lack of use of intranasal fentanyl and topical anesthetics at the triage, the rare use of safety protocols and preprocedural checklists, lack of staff training and lack of space. Furthermore, the unavailability of Child Life Specialists and hypnosis emerged. Despite procedural sedation and analgesia in Italian pediatric emergency departments is progressively more used than previously, several aspects still require an implementation. Our subgroup analysis could be a starter point for further studies and to improve and make the current Italian recommendations more homogeneous. |
format | Online Article Text |
id | pubmed-9933247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99332472023-02-17 “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" Bevacqua, Martina Sforzi, Idanna Bressan, Silvia Barbi, Egidio Sahyoun, Cyril Ital J Pediatr Review To date, pain and anxiety are the most common symptoms reported by children who refer to pediatric emergency department. Despite it is well known that the undertreatment of this condition has some negative consequences in a short term and long term of time, gaps in the management of pain in this setting still persist. This subgroup analysis aims to describe the current state of art of pediatric sedation and analgesia in Italian emergency departments and to identify existing gaps to solve. This is a subgroup analysis of a cross-sectional European survey of pediatric emergency departments sedation and analgesia practice undertaken between November 2019 and March 2020. The survey proposed a case vignette and questions addressing several domains, like the management of pain, availability of medications, protocols and safety aspects, staff training and availability of human resources around procedural sedation and analgesia. Italian sites responding to the survey were identified and their data were isolated and checked for completeness. Eighteen Italian sites participated to the study, the 66% of which was represented University Hospitals and/or Tertiary Care Centers. The most concerning results were an inadequate sedation to 27% of patients, lack of availability of certain medications like nitrous oxide, the lack of use of intranasal fentanyl and topical anesthetics at the triage, the rare use of safety protocols and preprocedural checklists, lack of staff training and lack of space. Furthermore, the unavailability of Child Life Specialists and hypnosis emerged. Despite procedural sedation and analgesia in Italian pediatric emergency departments is progressively more used than previously, several aspects still require an implementation. Our subgroup analysis could be a starter point for further studies and to improve and make the current Italian recommendations more homogeneous. BioMed Central 2023-02-15 /pmc/articles/PMC9933247/ /pubmed/36793117 http://dx.doi.org/10.1186/s13052-023-01426-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Review Bevacqua, Martina Sforzi, Idanna Bressan, Silvia Barbi, Egidio Sahyoun, Cyril “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title | “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title_full | “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title_fullStr | “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title_full_unstemmed | “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title_short | “Procedural sedation and analgesia in Italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
title_sort | “procedural sedation and analgesia in italian pediatric emergency departments: a subgroup analysis in italian hospitals" |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933247/ https://www.ncbi.nlm.nih.gov/pubmed/36793117 http://dx.doi.org/10.1186/s13052-023-01426-7 |
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