University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Pediatric Critical Care Intensivist, Sanford Children's Specialty Clinic, Sioux Falls, South Dakota.
S D Med. 2022 Mar;75(3):109-113.
The use of minimal and moderate sedation in the pediatric population allows for the successful completion of many procedures in both hospital and outpatient settings without the risks involved with general anesthesia. Sanford Children's outpatient sedation clinic had been using oral midazolam for minimal sedation but began using inhaled nitrous oxide in January 2019. The current study examines patient experience and parent/guardian satisfaction with use of inhaled nitrous oxide for minimal sedation.
DESIGN/METHODS: A survey was designed to evaluate parent/guardian satisfaction with nitrous oxide for pediatric sedation in various outpatient procedures. Parents'/ guardians' understanding of the sedation and procedural logistics were surveyed as well as their satisfaction with the child's comfort, recovery time, and overall satisfaction were assessed.
Thirty-seven surveys completed by parents/guardians of patients ages 1-16 years were collected. Average age of the patient was 6 years old, with 22 female and 15 male patients. Outpatient procedures for which the nitrous oxide sedation was used included 30 botulinum toxin injections, 5 VCUG, 1 vaccine administration, and 1 IV placement. Mean survey results were 9.6 (95 percent CI, 9.3-9.9) for satisfaction of recovery time, 8.5 (95 percent CI, 7.7-9.3) for control of discomfort, and 9.1 (95 percent CI, 8.5-9.7) for overall satisfaction.
When evaluating nitrous oxide as an agent for minimal sedation in pediatric procedures, parents/guardians were most satisfied with the recovery time and least satisfied with its ability to control discomfort. Overall, we concluded that nitrous oxide is a moderately good agent for pediatric patients receiving minimal sedation.
在儿科人群中使用最小和中度镇静，可以在不涉及全身麻醉风险的情况下，成功完成医院和门诊环境中的许多操作。桑福德儿童医院门诊镇静诊所一直使用口服咪达唑仑进行最小镇静，但在 2019 年 1 月开始使用吸入一氧化二氮。本研究检查了使用吸入一氧化二氮进行最小镇静的患者体验和家长/监护人的满意度。
设计/方法：设计了一项调查，以评估家长/监护人对儿科镇静中吸入一氧化二氮的满意度，调查了各种门诊操作。调查了家长/监护人对镇静和程序流程的理解，以及他们对孩子舒适度、恢复时间和整体满意度的满意度。
收集了 37 名年龄在 1-16 岁的患者的父母/监护人完成的调查。患者的平均年龄为 6 岁，女性 22 例，男性 15 例。使用一氧化二氮镇静的门诊程序包括 30 例肉毒杆菌毒素注射、5 例 VCUG、1 例疫苗接种和 1 例静脉置管。平均调查结果为恢复时间满意度为 9.6（95%置信区间，9.3-9.9）、舒适度控制满意度为 8.5（95%置信区间，7.7-9.3）和总体满意度为 9.1（95%置信区间，8.5-9.7）。
在评估一氧化二氮作为儿科手术中最小镇静剂时，家长/监护人对恢复时间最满意，对控制舒适度最不满意。总的来说，我们得出结论，一氧化二氮是接受最小镇静的儿科患者的一种中等良好的药物。
