Sedating babies

Posted by / 23-Dec-2019 18:09

Several aspects of Down syndrome must be considered when planning safe anesthesia experiences.Prior to administration of sedation or anesthesia, in-depth review of current developmental and medical issues, allergies and medications, and medical and surgical history (including anesthesia history) are necessary.Direct consultation with an anesthesiologist well before a planned procedure may be necessary if medical or behavioral histories are complicated.40-60% of infants born with Down syndrome have significant cardiac anomalies, most of which require early surgical intervention.compared the effectiveness and safety of oral pentobarbital and oral chloral hydrate for sedation in infants younger than 1 year of age during MRI and CT scans.The results demonstrated that both medications were equally effective in providing successful sedation (50 mg/kg chloral hydrate and 4 mg/kg pentobarbital).

A review of the recent literature may help inform opinions.Complications of anesthesia (sedation during surgery) occur in all patient populations, including those with Down syndrome.It just so happens that some anesthesia complications are more likely to occur in individuals with Down syndrome than their peers without Down syndrome.They concluded that etomidate was more effective and efficient than pentobarbital for sedating children for head CT scans.The cited literature demonstrated that pentobarbital performed better then chloral hydrate (less adverse effects), midazolam (better success rate), and propofol (less adverse effects).

sedating babies-14sedating babies-77sedating babies-32

The study authors concluded that IV pentobarbital was more effective than IV midazolam for sedation of children requiring CT imaging. The researchers compared the incidence of adverse respiratory events and the recovery time of propofol sedation with similar data from a retrospective review of sedation with pentobarbital in patients who underwent CT imaging.

One thought on “sedating babies”