Sedation and analgesia in the pediatric patient

Gastrointest Endosc Clin N Am. 2004 Apr;14(2):385-99. doi: 10.1016/j.giec.2004.01.004.

Abstract

The administration of sedation and analgesia for pediatric gastrointestinal procedures has become routine but is not standardized. For the most part, pediatric endoscopists are encouraged to use their clinical judgment to select between using intravenous (IV) sedation or general anesthesia on an individual patient basis. Commonly administered IV sedation regimens in children combine benzodiazepines with narcotics, but anesthesiologist administered propofol sedation is gaining acceptance among pediatric gastroenterologists. Guidelines for patient monitoring and new technologic advances may help to ensure patient safety for children undergoing endoscopic procedures, no matter what sedation regimen is used.

Publication types

  • Review

MeSH terms

  • Analgesia / methods*
  • Analgesics / pharmacology
  • Conscious Sedation / methods*
  • Endoscopy, Gastrointestinal*
  • Humans
  • Hypnotics and Sedatives / pharmacology
  • Monitoring, Physiologic / methods
  • Pediatrics*

Substances

  • Analgesics
  • Hypnotics and Sedatives