Premium
A survey of pentobarbital sedation for children undergoing abdominal CT scans after oral contrast medium
Author(s) -
SANDERSON PETER MARK
Publication year - 1997
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1997.d01-91.x
Subject(s) - medicine , sedation , midazolam , sedative , anesthesia , pentobarbital , vomiting , fentanyl , droperidol
Radiologists have traditionally been responsible for the sedation of children undergoing radiological investigations. Anaesthetists are becoming increasingly involved in providing sedation and/or anaesthesia in this environment. The sedation of a child for a CT scan who has recently been given oral contrast medium (OCM) may pose anaesthetists a number of dilemmas. This is a retrospective survey of 149 intravenous pentobarbital sedations administered by radiologists to children (age range three months to seven years three months, weight range 5 kg to 28.9 kg) undergoing upper abdominal CT after recent ingestion of OCM. The average patient received pentobarbital 4.6 mg·kg −1 . 141 patients (94.6%) received pentobarbital as the only sedative agent, whereas eight patients (5·4%) required supplementary sedation (midazolam±fentanyl). There were no failed sedations. 36 complications occurred during 22 sedations (14·7% of total), with the most common being desaturation, vomiting, airway secretions, airway obstruction, coughing and bronchospasm.