Module 6: Pediatric Trauma Analgesia and Sedation

Slide 1 - Learning ObjectivesSlide 2 - Evaluation of Pediatric PainSlide 3 - Anxiolysis: Non-pharmacologic StrategiesSlide 4 - Anxiolysis: Commonly Used MedicationsSlide 5 - Analgesia: Non-Pharmacologic StrategiesSlide 6 - Analgesia: Non-sedating MedicationsSlide 7 - Analgesia: Sedating MedicationsSlide 8 - Regional Analgesia in TraumaSlide 9 - Regional Analgesia: Peripheral Nerve BlocksSlide 10 - Regional Analgesia: Neuraxial BlocksSlide 11 - Patient-controlled Analgesia (PCA)Slide 12 - Sedation: OverviewSlide 13 - Sedation: PreparationSlide 14 - Sedation: PreparationSlide 15 - Sedation: Commonly Used MedicationsSlide 16 - Prepare Child for ProceduresSlide 17 - Practice CasesSlide 18 - Acknowledgments of 18

Sedation: Preparation

1. Consider using a standardized pre-sedation checklist
2. Self-inflating bag mask connected to full oxygen supply and available; apply supplemental O2 via NC or face mask if patient tolerates
3. Suction connected and turned on to full vacuum
4. Monitors: ECG, BP, and SpO2; EtCO2. Reference normal vital signs for patient’s age group.
5. Age/ size appropriate advanced airway equipment available
6. Establish appropriate vascular access if indicated
7. Sedation medications drawn up and labelled in appropriately sized syringes; PALS emergency and reversal medications available

• Coté CJ, Wilson S; American academy of pediatrics; American academy of pediatric dentistry. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatrics. 2016;138(1):e2016121
• Committee on Economics. ASA Physical Status Classifcation System. ASA. Accessed April 27, 2021.
  https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system 

 

Module 6: Pediatric Trauma Analgesia and Sedation

Sedation: Preparation

Sedation: Commonly Used Medications