Reducing children's fear when undergoing painful procedures.

Taiwo, Babafemi; Flowers, Mary E.D.; Zoltie, N

doi:10.1136/emj.9.3.306

Cited by 12 publications

(4 citation statements)

References 5 publications

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“…There have been numerous calls for better management of children's pain while in the ED 10,23-27 as well as a broader approach to its management. 16,28,29 The findings here support those positions. This study goes beyond previous reports, however, in providing information about the impact of the pain children experience in the ED and can serve to alert staff working there to the more global effect that acute pain may have on children.…”

Section: Discussionsupporting

confidence: 87%

Self-Reported Pain Intensity and Associated Distress in Children Aged 4-18 Years on Admission, Discharge, and One-Week Follow Up to Emergency Department

Johnston¹,

Bournaki²,

Gagnon³

et al. 2005

Pediatric Emergency Care

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A greater proportion of children report high intensity of distress from pain than of pain intensity itself when in the ED. Only a small proportion of children received analgesics during the visit to the ED and only slightly more on discharge. Although pain seems to resolve by 1 week, distress is less likely to have resolved. More attention needs to be paid both to pain children are experiencing in the ED and equally to the accompanying distress.

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Section: Discussionsupporting

confidence: 87%

Self-Reported Pain Intensity and Associated Distress in Children Aged 4-18 Years on Admission, Discharge, and One-Week Follow Up to Emergency Department

Johnston¹,

Bournaki²,

Gagnon³

et al. 2005

Pediatric Emergency Care

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“…Midazolam, a benzodiazepine that provides amnesia, muscle relaxation and anxiolysis, was shown to be better than placebo for procedural sedation 1 2. However, the reported efficacy of oral midazolam is only 60–76%,1 3 meaning, that up to 40% of children who were treated with midazolam alone, stayed awake and active, and required intravenous sedation or the use of restraining techniques.…”

Section: Introductionmentioning

confidence: 99%

“…However, the reported efficacy of oral midazolam is only 60–76%,1 3 meaning, that up to 40% of children who were treated with midazolam alone, stayed awake and active, and required intravenous sedation or the use of restraining techniques. Adverse effects of oral midazolam, such as agitation and respiratory depression resulting in oxygen desaturation, are rare 2 4 – 7. These reactions have been shown to be dose dependent.…”

Section: Introductionmentioning

confidence: 99%

A double-blind, randomised, placebo-controlled trial of oral midazolam plus oral ketamine for sedation of children during laceration repair

et al. 2013

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“…The hypnotic agents produce somnolence and facilitate the onset and maintenance of a state of natural sleep in its electroencephalographic parameters from which the patient can be easily awakened and respond appropriately to physical stimulation and verbal command . Oral midazolam, a benzodiazepine, has been used successfully in accident and emergency medicine since 1992, and there are numerous studies on its use as premedication . Indications for conscious sedation include moderate mental and psychological disorders, such as DS, and it is often indicated for children undergoing dental treatment …”

Section: Discussionmentioning

confidence: 99%

Psychoprophylaxis for oral conscious sedation for dental care in Down syndrome adults with behavioral disorder

Ferrary

Ratto

Martínez

et al. 2019

Special Care in Dentistry

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Down syndrome (DS) presents with prevalent diseases in the oral cavity and the need of constant dental care and follow‐up. The use of conscious sedation (CS) for dental care in adult DS with behavioral disorders is poorly documented. The aim of this study was to evaluate the effectiveness and safety of CS procedures with oral midazolam using previous psychoprophylaxis sessions in DS adult patients with behavioral disorders. Methods: Twenty‐nine DS adults with behavioral disorders. The patients were managed with psychoprophylaxis followed by oral CS using 15 or 30 mg midazolam. Vital parameters were monitored. The Houpt and Brietkopf and Buttner scales were used. Results: Patients under CS received an initial dose of 15 mg midazolam; however, 51.72% needed a 30 mg dose at the following sessions. Results showed that 71.4% treated with the 15 mg dose had Houpt scale overall behavior scores of 4 or 5, while 93.33% of those receiving 30 mg had scores of 5 or 6 (chi‐square = 15.95 p < .01). Conclusion: Psychoprophylaxis sessions followed by CS procedures using oral midazolam in adult DS with behavioral disorders were shown to be a useful strategy to perform routine dental treatment safely. Midazolam produces anterograde amnesia, and participants were more cooperative in the following visits.

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Reducing children's fear when undergoing painful procedures.

Cited by 12 publications

References 5 publications

Self-Reported Pain Intensity and Associated Distress in Children Aged 4-18 Years on Admission, Discharge, and One-Week Follow Up to Emergency Department

Self-Reported Pain Intensity and Associated Distress in Children Aged 4-18 Years on Admission, Discharge, and One-Week Follow Up to Emergency Department

A double-blind, randomised, placebo-controlled trial of oral midazolam plus oral ketamine for sedation of children during laceration repair

Psychoprophylaxis for oral conscious sedation for dental care in Down syndrome adults with behavioral disorder

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