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Ketamine for procedural sedation and analgesia in pediatric emergency medicine: a UK perspective.

Procedural sedation and analgesia (PSA) techniques for pediatrics are developing rapidly (1,2) but there are still tensions amongst specialties with regard to safe implementation, autonomy, and limits of practice, competences, training and credentialing. Practice varies around the world and even within countries, and an important factor is availability of pediatric anesthesiology services to undertake large numbers of cases under anesthesia. In the United Kingdom (UK), some regions have these services well organized and the demand for pediatric PSA is quite limited. Other regions or individual centers have a relative shortage of pediatric anesthesiology provision or hotspots of high demand, for example for diagnostic imaging, and this can only be met by introducing a pediatric PSA service. An example from the UK is the nurse-led pediatric sedation service at Great Ormond Street Hospital (3,4).

作 者:
Morton,NS
刊 名:
Paediatric Anaesthesia 
年,卷(期):
2008vol.18(no.1) 
分类号:
 
关键词:
Analgesia  Anesthetics, Dissociative  Child  Conscious Sedation  Emergency Medical Services  镇痛  麻醉药, 离解  儿童  清醒镇静  急救医疗服务  兴奋性氨基酸拮抗剂  大不列颠
正文语种:
eng 
基金项目:
 
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