Tripathi Sandeep, Raju Venkedesh, Horack Kimberly A, Bronson Donna L, Deshpande Girish G
Division of Cardiac Critical Care, Lurie Children's Hospital, Chicago, Illinois, United States.
Pediatric Sedation and Analgesia Team, Children's Hospital of Illinois, Peoria, Illinois, United States.
J Pediatr Intensive Care. 2018 Sep;7(3):129-134. doi: 10.1055/s-0038-1624570. Epub 2018 Jan 28.
Pediatric residency graduates are increasingly asked to provide procedural sedations. Currently, most programs provide minimal exposure to residents outside of PICU for procedural sedations. We describe the pediatric sedation and analgesia (PSA) evolution and resident experience over the past 6 years at our institution (fiscal year 2010-2015). Administrative database of the PSA team and resident evaluations obtained by respective residency programs were analyzed and presented with standard descriptive analysis. Commutative or where appropriate year-by-year data were analyzed. Over the past 6 years, 100 residents performed 1,742 sedations with 17 ± 6.4 sedations per resident. Lumbar puncture and MRI were the most frequent procedures for sedations performed by residents. There was no statistical difference in complication rates in sedations performed by residents (28.6 ± 16.6) versus those by attending only (36.2 ± 31.2). Overall, residents were satisfied with the educational experience with an average score of 6.1 ± 0.17 out of maximum 7. Resident involvement in PSA is well liked by residents and does not lead to an increase in sedation-related complications.
儿科住院医师毕业生越来越多地被要求实施程序性镇静。目前，大多数项目在重症监护病房（PICU）之外为住院医师提供的程序性镇静接触极少。我们描述了过去6年（2010 - 2015财年）我院儿科镇静与镇痛（PSA）的发展情况以及住院医师的经历。对PSA团队的管理数据库和各住院医师培训项目获得的住院医师评估进行了分析，并采用标准描述性分析方法呈现结果。对可交换的数据或在适当情况下逐年的数据进行了分析。在过去6年中，100名住院医师实施了1742例镇静，每名住院医师平均实施17±6.4例镇静。腰椎穿刺和磁共振成像（MRI）是住院医师实施镇静最常见的操作。住院医师实施镇静的并发症发生率（28.6±16.6）与仅由主治医生实施镇静的并发症发生率（36.2±31.2）相比，无统计学差异。总体而言，住院医师对教育经历感到满意，平均得分为6.1±0.17（满分7分）。住院医师参与PSA受到住院医师的欢迎，并且不会导致镇静相关并发症增加。
