Risks of sedating infants

Conscious sedation requires patience, skill, time, and in many circumstances the child has to cooperate during the procedure.Provided the sedation failure rate is sufficiently small, the time investment may be worthwhile and anaesthesia resources can be saved.When a child will not cooperate, it is tempting to increase the dose.

The examination should identify any physical abnormalities, particularly those of the airway.The pain of some procedures may be brief and patients may be vulnerable to delayed respiratory depressant effects of potent opioids.The type of drug that can be used safely by non-anaesthetists is controversial.Four common scenarios, listed in Table 2, require specific sedation techniques.Children who refuse to undergo a procedure ‘awake’ are difficult to sedate to the moderate or conscious level.

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