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Procedural Sedation In Mukundapur, Kolkata - Manipal Hospitals

Procedural Sedation

Procedural Sedation in Mukundapur, Kolkata

The term "paediatric procedural sedation" (PPS) describes methods and medications used to reduce anxiety and discomfort during painful or uncomfortable procedures. PPS is a combination of pharmacological, psychological, and physical therapies to reduce pain and suffering during procedures that cannot be avoided. It is associated with significant, painful procedures that require deeper levels of anaesthesia in paediatric patients. Common procedures that might cause substantial pain or discomfort in paediatric patients include IV Cannulation, Venipuncture, Urethral Catheterisation, and Lumbar Punctures. Not only anaesthesia practitioners are capable of performing PPS effectively in a variety of settings, but other experts, including emergency and critical care physicians and several nurse specialities, are also regularly performing Procedural Sedation in Mukundapur, Kolkata. 

FAQ's

Healthcare professionals may employ sedation in the following ways, depending on the patient's age, condition, and the procedure:

  • Minimal: The patient is at ease and capable of responding to enquiries

  • Moderate: The patient is extremely drowsy and might not recall the surgery

  • Deep: The patient is sound unconscious and won't recall much, if anything, of the surgery. However, the patient is frequently able to breathe on their own, unlike when under general anaesthesia

In the Emergency Department, common surgical (therapeutic) techniques carried out under anaesthesia include toileting and suturing, manipulation and reduction of fractures and dislocations, burn treatment, foreign body removal, incision and drainage of abscesses, and dental treatments. Additionally, sedation is used during diagnostic procedures like computerised tomography (CT) imaging, primarily for patients who are uncooperative and do not otherwise have a compromised heart or lungs. 
 

Children are susceptible to adverse reactions. Therefore, sedation is mostly contraindicated in conditions like: 

  • Abnormal airway

  • Increased intracranial pressure

  • Brainstem tumours

  • The depressed state of consciousness

  • A history of sleep apnoea

  • Respiratory failure

  • Cardiac failure

  • Neuromuscular conditions

  • Obstruction of the bowel (raising the risk of vomiting and pulmonary aspiration)  

  • Known allergy or adverse reaction to medications 

Medication used for paediatric sedation frequently includes propofol, ketamine, and midazolam.

  • The benzodiazepine midazolam has amnesia, anxiolysis, and sedative effects.

  • Ketamine is a dissociative anaesthetic that sedates while keeping airway reflexes and respiratory drive intact.

  • Propofol, a hypnotic substance, generates fast drowsiness and has a swift recovery profile.

Each medicine has specific dose considerations and possible adverse effects. During paediatric sedation procedures, careful monitoring of vital signs, sedation level, and airway patency is necessary.

Every patient undergoing anaesthesia has specialised equipment attached to them that tracks their heart rate and other essential bodily processes. Young patients undergoing general anaesthesia will remain asleep during the entire process, under the close supervision of a qualified anaesthesiologist. Children are typically given sedatives via a peripheral IV catheter. When the catheter is implanted, they could experience a tiny squeeze or severe pressure. Oral medicines can be used to sedate some children under two years of age.
 

After the surgery, children who were given low or moderate sedation should be able to return home. Patients who are given general anaesthesia or strong sedation should stay in the recovery area until they are completely awake.

Children react to anaesthesia and sedatives in different ways. During or after sedation, some kids may have anxiety, inconsolability, or restlessness. For the rest of the day, other kids could still feel drowsy and weak on their feet. In six to eight hours, most paediatric patients can return to their regular activities after being sedated. Children need continuous supervision for proper care throughout the day for any late complications.
 

The following paediatric imaging tests could need to be sedated:

  • Interventional radiology 

  • CT scan 

  • MRI scan

  • Nuclear medicine

  • Contrast-enhanced voiding ultrasonography

Most individuals find sedation to be extremely safe. Sedation occasionally causes issues like irregular heartbeats, difficulty breathing, or medication allergies. Researchers are investigating the potential effects of sedation or anaesthesia on young children's brain development. A child is probably not at risk if they are sedated or anaesthetised for a brief period during a single surgery or treatment. Concerning potential hazards for their child, parents need to discuss them with their healthcare professional.
 

When performing any painful surgery on a child, procedural sedation is a safe and essential part before commencing surgery. During a procedure, doctors usually administer the least amount of sedatives for the shortest amount of time necessary to make sure the child is calm and pain-free. Their vital signs are continuously monitored until the child is steady and completely awake. This is done both during and after the procedure. If sedation goes deeper than anticipated, the emergency room is also equipped with the tools needed to help with breathing and drugs to counteract the effects of the anaesthesia. 
 

After returning home from the hospital, kids could fall back asleep, even if it's earlier than usual. Let them sleep. There's no need to worry. This is typically a result of the sedative medication's after-effects as well as the tension and excitement of being at a hospital. Spend the initial night checking on your child. If they seem to be sleeping oddly or heavily, gently wake them. Call an ambulance and get back to the hospital right away if you are unable to wake them up or if there appears to be a serious problem with their appearance or breathing. 
 

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