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

Anxiolysis: Commonly Used Medications

Drug	Dosage	Effects	Duration	Pros	Cons
Midazolam (Versed)	PO: 0.25-0.5 mg/kg PR: 0.25-0.5 mg/kg IN: 0.2 mg/kg IV: 0.1 mg/kg	Anxiolysis, amnesia, sedation/ hypnosis	45-60 min	Commonly used for treatment of anxiety and agitation. Multiple routes. Rapid onset. Hemodynamically stable	Hypoventilation, rare paradoxical reactions
Dexmedetomidine (Precedex)	Buccal: 1-2 MCG/kg IN: 1-2 MCG/kg	Anxiolysis, sedation	40-135 min	Multiple routes. No respiratory depression	Bradycardia
Ketamine	PO: 5-8 mg/kg IM: 4-5 mg/kg IV: 1-2 mg/kg	Anxiolysis, sedation, analgesia	3 h (PO)	Rapid onset. Multiple routes. Hemodynamically stable. No respiratory depression	Salivation (consider co-administration with glycopyrrolate or atropine), hallucinations
Clonidine	PO: 4 MCG/kg	Anxiolysis	45-90 min	Tasteless	Bradycardia, hypotension

Module 6: Pediatric Trauma Analgesia and Sedation

Anxiolysis: Non-pharmacologic Strategies

Analgesia: Non-Pharmacologic Strategies