Pediatric anesthesia & critical care

Safety of pediatric sedation and analgesia during burn dressing changes by pediatric residents

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

The implemented protocol in the pediatric wards was found to be feasible and with a low incidence of adverse events.

Study context

Population
Children sedated by pediatric residents for burn dressing changes in the pediatric wards1,130 sedations
Participants
272 children
Outcome
Successful procedure completion and safety
Methodological detailssingle-centre, Median age 2.5 years (IQR 1.3-9.1); 62% (695/1130) male; 84% (955/1130) burns <20%; 91% (1030/1130) ASA 1
  • Single-centre
  • Median age 2.5 years (IQR 1.3-9.1); 62% (695/1130) male; 84% (955/1130) burns <20%; 91% (1030/1130) ASA 1

Main finding

As reported in the abstract

Adverse events

Adverse events (per sedation)

4.3%

49/1130

Serious adverse events (per sedation)

1.3%

15/1130

Observational data: associations, not effects.

Further findings

Patient characteristics vs adverse events

No statistically significant differences in gender, age, ASA, or burn degree between patients with or without adverse events

Safety

Adverse events
4.3% (49/1130)
Serious adverse events
1.3% (15/1130)

Original publication

Safety of pediatric sedation and analgesia during burn dressing changes by pediatric residents. Paediatr Anaesth. Published 3 April 2023. doi:10.1111/pan.14652

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