지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 92 - 96 (5page)
- DOI
- https://doi.org/10.22470/pemj.2017.00024
이용수
초록· 키워드
오류제보하기
Purpose
To compare the sedation outcome according to the dose of per os chloral hydrate in children who underwent laceration repair in the emergency department (ED).
Methods
This retrospective study was performed to the children who underwent sedation using chloral hydrate for laceration repair in the ED from January 2015 through November 2015. A total of 370 children aged younger than 6 years underwent the sedation. We compared the induction time, duration of sedation, and ED length of stay (EDLOS) between the single dose (50 mg/kg) and additional dose (plus 25 mg/kg) groups.
Results
Of 370 children, 335 (90.5%) were sedated successfully, 284 (76.8%) were sedated with initial dose (the single dose group), and 51 (13.8%) were sedated with additional dose (the additional dose group). The induction time and EDLOS were longer in the additional dose group (induction time: 31.0 ± 17.2 minutes vs. 96.2 ± 25.4 minutes, P < 0.001; EDLOS: 137.2 ± 35.5 minutes vs. 193.0 ± 36.0 minutes, P < 0.001). The duration of sedation showed no difference between the 2 groups (44.4 ± 24.0 minutes vs. 42.0 ± 20.8 minutes; P = 0.500). No one had serious adverse reactions.
Conclusion
Additional dose of chloral hydrate can increase the induction time and EDLOS without increasing the duration of sedation and causing serious adverse reactions. This information may improve the efficiency of ED workflow when shared with parents of the children.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Crystal CS / 2007 / Anesthetic and procedural sedation techniques for wound management / Emerg Med Clin North Am 25:41~71
Min JH / 2006 / The comparison of sedative efficacy and safety of oral chloral hydrate and intramuscular ketamine in children for primary repair in emergency department / J Korean Soc Emerg Med 17:623~629
장혜영 / 2012 / 소아의 술기를 위한 진정 및 진통 - 한국형 지침 / 대한응급의학회지 23(3):303~314
Mace SE / 2008 / Clinical policy: critical issues in the sedation of pediatric patients in the emergency department / J Emerg Nurs 34:e33~e107
Rumm PD / 1990 / Efficacy of sedation of children with chloral hydrate / South Med J 83:1040~1043
Min JH / 2006 / The comparison of sedative efficacy and safety of oral chloral hydrate and intramuscular ketamine in children for primary repair in emergency department / J Korean Soc Emerg Med 17:623~629
장혜영 / 2012 / 소아의 술기를 위한 진정 및 진통 - 한국형 지침 / 대한응급의학회지 23(3):303~314
Mace SE / 2008 / Clinical policy: critical issues in the sedation of pediatric patients in the emergency department / J Emerg Nurs 34:e33~e107
Rumm PD / 1990 / Efficacy of sedation of children with chloral hydrate / South Med J 83:1040~1043
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