| Intravenous thiamylal and local anesthetic infiltration for pediatric facial repair procedures performed in emergency departments. | |
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MedLine Citation:
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PMID: 20434100 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Thiamylal is widely used for procedural sedation in emergency departments (ED); however, there are limited safety data for doses of thiamylal > 5 mg/kg in children. We investigated whether intravenous thiamylal in combination with local anesthetics is safe and effective for pediatric procedural sedation in the ED and to identify the association between increasing doses thiamylal and adverse events. Between July 2004 and June 2008, 227 children who underwent procedural sedation met the inclusion criteria, including 105 males (46.3%) and 122 females (53.7%). Facial laceration was the most common indication for procedural sedation. All children received an intravenous injection of thiamylal, with a loading dose of 5 mg/kg. Eighty-one children (35.7%) received a supplemental dose of 2.5 mg/kg thiamylal because of inadequate sedation. Of these, 27 (11.9%) received a second supplemental dose of 2.5 mg/kg because of inadequate sedation. Sixty-six patients (29.1%) experienced 75 mild and self-resolving adverse events, and most of which (15/75; 20%) were drowsiness. Four (1.8%) patients experienced oxygen saturation below 96%, which was related to the supplemental dose of thiamylal (p = 0.002). No children suffered from any lasting or potentially serious complications. Our results indicate that intravenous thiamylal in combination with local anesthetic infiltration is a well tolerated for therapeutic procedures in the ED. Thiamylal offers rapid onset of sedation without compromising the patient's cardiorespiratory function during pediatric procedural sedation. |
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Authors:
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Ching-Kuo Lin; Yu-Wa Lau; Hon-Man Chan; Fu-Yuan Wang; Tzeng-Jih Lin; Kuang-I Cheng; Yu-Tung Feng; Chung-Long Hung |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Kaohsiung journal of medical sciences Volume: 26 ISSN: 1607-551X ISO Abbreviation: Kaohsiung J. Med. Sci. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-05-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100960562 Medline TA: Kaohsiung J Med Sci Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 192-9 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier. Published by Elsevier B.V. All rights reserved. |
Affiliation:
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Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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