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Previous Volume 342:938-945 March 30, 2000 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The management of acute pain and anxiety in children undergoing therapeutic and diagnostic procedures outside the operating room has developed substantially in the past 15 years. The widespread availability of noninvasive monitoring, short-acting opioids and sedatives, and specific opioid and benzodiazepine antagonists has enabled clinicians to administer sedation safely for procedures in diverse settings. The goal of procedural sedation is the safe and effective control of pain, anxiety, and motion so as to allow a necessary procedure to be performed and to provide an appropriate degree of memory loss or decreased awareness. This article reviews the current status of sedation . . . [Full Text of this Article]

Terminology and Guidelines

The Continuum of Sedation

Guidelines for Sedation

Patient Care before and after the Procedure

Skills and Training of Personnel

Evaluation and Preparation of the Patient before Sedation

Monitoring

Discharge

Pharmacopeia

Sedative–Hypnotic Agents

            Chloral Hydrate

            Benzodiazepines

            Barbiturates

Analgesic Agents

            Topical Agents

            Transmucosal Agents

            Systemic Agents

Ketamine

Nitrous Oxide

Antagonists

Ultra-Short-Acting Agents

Future Directions

Source Information

From the Division of Emergency Medicine, Children's Hospital and Harvard Medical School, Boston (B.K.); and the Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital and Loma Linda University School of Medicine, Loma Linda, Calif. (S.M.G.).

Address reprint requests to Dr. Krauss at the Division of Emergency Medicine, Children's Hospital, 300 Longwood Ave., Boston, MA 02115, or at krauss@a1.tch.harvard.edu.

References

Related Letters:

Sedation and Analgesia for Procedures in Children
McClain B. C., Bell C., Kain Z. N., Nazziola E., Sharma A. N., Hoffman R. S., Binder D. S., Krauss B., Green S. M.
Extract | Full Text  
N Engl J Med 2000; 343:302-303, Jul 27, 2000. Correspondence

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