Procedural sedation in non-intubated children with severe trauma - A single center study

Neta Bar Am, Nir Samuel, Hen Ben-Lulu, Hany Bahouth, Itai Shavit*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Non-intubated children frequently undergo emergent procedures in the trauma-bay. This study evaluates whether patients treated with procedural sedation have an increased risk for severe adverse events. Methods: Retrospective analysis of 1182 children with an injury severity score (ISS) of greater than 15. Results: Of the 565 patients who were spontaneously breathing on arrival, 455 were hemodynamically stable with a Glasgow Coma Score of 15, 201 of whom were treated with sedation; 144 (71.6%) had computerized tomography scan, 35 (17.5%) wound debridement, and 22 (10.9%) fracture reduction. Sedation patients had an ISS of 20 (interquartile range 17–25). There were no death cases, no cases of cardiopulmonary resuscitation, and no cases of neurologic sequelae on hospital discharge. There were 2 (1%) cases of unanticipated endotracheal intubation. Conclusions: Non-intubated patients who were hemodynamically stable with a Glasgow Coma Score of 15 had a low risk for severe adverse events due to sedation.

Original languageEnglish
Pages (from-to)95-99
Number of pages5
JournalAmerican Journal of Surgery
Volume218
Issue number1
DOIs
StatePublished - Jul 2019
Externally publishedYes

Keywords

  • Injury severity
  • Non-intubated
  • Pediatric trauma
  • Procedure
  • Sedation

Fingerprint

Dive into the research topics of 'Procedural sedation in non-intubated children with severe trauma - A single center study'. Together they form a unique fingerprint.

Cite this