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Sedating a child
Most children, however, are able to resume their normal activity within a few hours after the procedure.
Depending on the sedative medication used, children may continue to be sleepy and unsteady on their feet for a few hours after the procedure.
Some children may experience prolonged or excessive sedation and in some, sedation may fail requiring the procedure to be rescheduled with general anesthesia.
This paper will focus on children with developmental disabilities and neurologic injury, and will highlight the risks involved with these patients, and the effects of common sedatives and analgesic agents on the central nervous system.
The purpose of this paper is to provide the pediatrician and pediatric subspecialist a better understanding on the neurologic effects of different sedative and analgesic medications so that rational and safe choices can be used in children with developmental disabilities and neurologic disorders without causing further “neurologic” compromise.
Therefore, it is often hard to predict how sedated or sleepy the child will remain after the procedure.
Some children may continue to need monitoring and observation in the recovery room until they are awake.
With advances in health care, many children with developmental disabilities and neurologic disorders are living longer lives, and increasingly require diagnostic and therapeutic interventions.
Pediatricians and pediatric subspecialists are increasing being called upon to safely sedate and provide analgesia for these children for diagnostic procedures (CT, MRI, angiogram, endoscopy, and bronchoscopy) and for therapeutic interventions (interventional radiology, intracranial injury, and emergency stabilization).
This may present a scary and claustrophobic (closed-in) environment for most young children and even some adults.
Scans last for 45 minutes to 2 hours depending on the areas to be scanned.
Depending on the sedative medication used and the child's response, some children may be awake at the end of the procedure and ready to go home soon thereafter once specific discharge criteria are met.
Children, however, exhibit varied responses to sedatives.