Current practices for paediatric procedural sedation and analgesia in emergency departments: results of a nationwide survey in Korea

Seo, Jun Seok; Kim, Do Kyun; Kang, Youngjoon; Kyong, Yeon Young; Kim, Jin Joo; Ahn, Ji Yun; Lee, Jisook; Jang, Hye Young; Jung, Jin Hee; Choi, Yoon Hee; Han, Seung Baik; Lee, Jin Hee

doi:10.1136/emermed-2011-200997

Cited by 14 publications

(13 citation statements)

References 15 publications

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“…. 임상 연구 또한 국제적인 저널에 발표되는 성과도 점차 증가하고 있는데, 현재까지의 주 연 구 분야는 소아의 소생술 관련된 연구와 함께 진정 및 진 통에 대한 역학 및 임상 연구에 집중되고 있다 [14][15][16]19) .…”

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Current Status and Future Direction of Pediatric Emergency Medicine in Korea

Kwak¹

2014

Pediatr Emerg Med J

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This review provides the current status of pediatric emergency medicine (PEM) in Korea. The three aspects of PEM, such as emergency department (ED) preparedness, educational programs, and research achievement in Korea are presented in accordance to the recently published literatures. For the quality of ED preparedness, there is a significant lack of children-dedicated facilities, equipments, and personnels. A national report on the educational programs for resident physicians showed suboptimal quantity and quality of training. Although in recent years we witnessed a fast growing research activity in the PEM field, prospective and large-scale studies are needed to improve the outcome of pediatric patients. The improvement of the three PEM components will play a critical role to establish PEM as a new subspecialty in Korea. This review also presents some policy suggestions to PEM specialists and Korean Society of Pediatric Emergency Medicine (KSPEM) to enhance future perspective. First, two-level EDs with carefully designed regionalization strategy should be established nationwide. Second, time-sensitive effort to acquire well-prepared intensive care units for critically-ill or injured children is recommended. Third, collaboration with the Government to obtain political and financial support is critically needed to advance PEM in Korea.

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Current Status and Future Direction of Pediatric Emergency Medicine in Korea

Kwak¹

2014

Pediatr Emerg Med J

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“…In the study by Hodkinson et al, only 15.3% of ECs had written protocols [5] , whilst another similar but later study that was also conducted in Cape Town, reported that 87.5% of private-sector and 37.5% of public-sector emergency centres had written protocols [27] . In a Korean study, institutional guidelines and protocols were only available in 20% of centres [28] .…”

Section: Discussionmentioning

confidence: 99%

Procedural sedation and analgesia practices in the emergency centre

Wood-Thompson

Enyuma

Laher

2019

African Journal of Emergency Medicine

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Introduction Procedural sedation and analgesia allows the clinician to safely and efficiently administer sedation, analgesia, anxiolysis and sometimes amnesia to facilitate the performance of various procedures in the emergency centre. The aim of this study is to determine current sedation practices, common indications and major obstacles in selected emergency centres across Southern Gauteng, South Africa, with a view to improving future standards and practices. Methods This was a prospective, questionnaire based, cross-sectional interview of emergency centre managers or their designee of selected private-sector and public-sector hospitals in Southern Gauteng. Results Overall, 17 hospitals completed the interview, nine (53%) public-sector and eight (47%) private-sector hospitals, with 36% of hospitals being aligned to an academic institute. All hospitals performed procedural sedation in their emergency centre. Forty seven percent of managers had between ten and 19 years of clinical experience post internship. Although eleven (64.7%) managers achieved a postgraduate qualification in emergency medicine, only seven (41%) were accredited with a Fellowship of the College of Emergency Medicine (FCEM) qualification and only three (17.7%) centres employed three or more specialists. The majority of centres (52.3%) performed between ten and 30 procedures per month requiring sedation. Staff training in the practice of procedural sedation was mostly obtained internally (52.9%), from in-house seniors. Essential drugs, procedure monitors, resuscitation equipment and protocols were all available in 70.6% of centres. Conclusion Although the safe practice and awareness of procedural sedation and analgesia in both public-sector and private-sector emergency centres in Southern Gauteng appears to be on the increase, there is still a need to enhance practitioner training and promote awareness of current local and international trends, protocols and recommendations.

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“…M OST GUIDELINES RECOMMEND evaluating and assessing patients carefully before performing PSA to improve patient comfort and reduce AEs. 6,8,9,13 First, they recommend that EPs assess the patients' needs for analgesia, anxiolysis, immobility, or some combination of the three.…”

Section: Evaluation and Assessmentmentioning

confidence: 99%

“…The availability and common use of sedative and analgesic agents differ depending on region or country. 2,6 As a result, emergency medicine societies in some countries have published different policy statements and guidelines specific to the ED practices in their respective countries. 1,7,8 The European Society of Anesthesiology and European Board of Anesthesiology also published PSA guidelines for adults.…”

Section: Introductionmentioning

confidence: 99%