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

Regional Analgesia: Neuraxial Blocks

• Spinal or epidural/ caudal analgesia
• Uncommon and often contraindicated in emergent pediatric trauma due to patients’ preexisting hypovolemia and coagulopathy
• May be excellent options for non-emergent trauma analgesia after appropriate resuscitation
• Often used for open thoracic or abdominal procedures, rib fractures, or large or bilateral lower extremity procedures
• Risks: hypotension, epidural abscess, post-dural puncture headache, nerve injury, urinary retention, lower extremity motor blockade, intravascular injection

Module 6: Pediatric Trauma Analgesia and Sedation

Regional Analgesia: Peripheral Nerve Blocks

Patient-controlled Analgesia (PCA)