Chloral hydrate sedation for pediatric echocardiography: Physiologic responses, adverse events, and risk factors

Pediatrics

Volumn 117, Issue 3, 2006, Pages

  Heistein, Lisa C ^a   Ramaciotti, Claudio ^a   Scott, William A ^a   Coursey, Melanie ^a   Sheeran, Paul W ^a,b   Lemler, Matthew S ^a  

^a CHILDREN S MEDICAL CENTER   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Adverse events; Chloral hydrate; Echocardiography; Risk factors; Safety; Sedation

Indexed keywords

AMOXICILLIN; CAPTOPRIL; CHLORAL HYDRATE; DIAZEPAM; DIGOXIN; DIPHENHYDRAMINE; FLUTICASONE; FUROSEMIDE; METHADONE; MIDAZOLAM; RANITIDINE; SALMETEROL; SPIRONOLACTONE; HYPNOTIC SEDATIVE AGENT;

ADOLESCENT; ADULT; AIRWAY OBSTRUCTION; ANESTHESIST; AORTA COARCTATION; APNEA; ARTICLE; ASTHMA; BACTEREMIA; BLOOD PRESSURE; BRADYCARDIA; CHILD; COMORBIDITY; CONTROLLED STUDY; CYANOSIS; DEMOGRAPHY; DIET RESTRICTION; ECHOCARDIOGRAPHY; FALLOT TETRALOGY; FEVER; GASTROESOPHAGEAL REFLUX; HEALTH CENTER; HEART ATRIUM SEPTUM DEFECT; HEART DISEASE; HEART RATE; HEART RIGHT VENTRICLE DOUBLE OUTLET; HEART VENTRICLE SEPTUM DEFECT; HEMODYNAMICS; HOSPITALIZATION; HUMAN; HYPERCAPNIA; HYPOTENSION; HYPOXIA; INTERVENTION STUDY; LUNG ATRESIA; MAJOR CLINICAL STUDY; MEDICAL SOCIETY; MITRAL VALVE STENOSIS; MULTIVARIATE ANALYSIS; OXYGEN CONSUMPTION; OXYGEN SATURATION; PATENT DUCTUS ARTERIOSUS; PERFUSION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SEDATION; TRISOMY 21; VITAL SIGN; VOMITING; CONGENITAL HEART MALFORMATION; CONSCIOUS SEDATION; DRUG CONTRAINDICATION; ECHOGRAPHY; INFANT; MONITORING; PRESCHOOL CHILD;

BLOOD PRESSURE; CHILD, PRESCHOOL; CHLORAL HYDRATE; CONSCIOUS SEDATION; ECHOCARDIOGRAPHY; HEART DEFECTS, CONGENITAL; HEART RATE; HUMANS; HYPNOTICS AND SEDATIVES; INFANT; MONITORING, PHYSIOLOGIC; RISK FACTORS;

EID: 33645033770     PISSN: 00314005     EISSN: 02105721     Source Type: Journal    
DOI: 10.1542/peds.2005-1445     Document Type: Article

References (45)

1. Zellers TM, Zehr R, Weinstein E, Leonard S, Ring WS, Nikaidoh H. Two dimensional and Doppler echocardiography alone can adequately define preoperative anatomy and hemodynamic status before repair of complete atrioventricular septal defect in infants < 1 year old. J Am Coll Cardiol. 1995;24:574-575
2. Minich L, Snider AR, Bove EL, Lupinetti FM, Vermilion RP. Echocardiographic evaluation of atrioventricular orifice anatomy in children with atrioventricular septal defect. J Am Coll Cardiol. 1992;19:149-153
3. Levine JC, Geva T. Echocardiographic assessment of common atrioventricular canal. Prog Pediatr Cardiol. 1999;10:137-151
4. Need LR, Powell AJ, del Nido P, Geva T. Coronary echocardiography in tetralogy of Fallot: diagnostic accuracy resource utilization and surgical implications over 13 years. J Am Coll Cardiol. 2000;36:1371-1377
5. Pasquini L, Sanders SP, Parness IA, et al. Coronary echocardiography in 406 patients with d-loop transposition of the great arteries. J Am Coll Cardiol. 1994;24:763-768
6. Silverman NH. Pediatric Echocardiography. Baltimore, MD: Williams & Wilkins; 1993:1
7. Snider AR, Serwer GA, Ritter SB. Echocardiography in Pediatric Heart Disease. 2nd ed. St Louis, MO: Mosby-Year Book, Inc; 1997:23
8. American Academy of Pediatrics, Committee on Drugs. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Pediatrics. 1992;89:1110-1115
9. Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2:281-284
10. Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth. 1995;7:89-91
11. Zaritsky AL, Nadkarni VM, Hickey RW, et al, eds. PALS Provider Manual. Dallas, TX: American Heart Association and American Academy of Pediatrics; 2002;33-35
12. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: a working group report from the National High Blood Pressure Education Program. Pediatrics. 1996;98:649-658
13. Martin TW, Stoner JM. The Pediatric Patient in Clinical Anesthesia Practice. 2nd ed. Philadelphia, PA: WB Saunders Co; 2002:1089-1125
14. Portman RJ. While you were sleeping. J Pediatr. 2003;142:93-95
15. Gellermann J, Kraft S, Ehrich JHH. Twenty-four-hour ambulatory blood pressure monitoring in young children. Pediatr Nephrol. 1997;11:707-710
16. Soergel M, Kirschstein M, Busch C, et al. Oscillometric twenty-four-hour ambulatory blood pressure values in healthy children and adolescents: a multicenter trial including 1141 subjects. J Pediatr. 1997;130:178-184
17. Profant J, Dimsdale JE. Race and diurnal blood pressure patterns. A review and meta-analysis. Hypertension. 1999;33:1109-1104
18. Khoury AF, Sunderajan P, Kaplan NM. The early morning rise in blood pressure is related mainly to ambulation. Am J Hypertens. 1992;5(pt 1):339-344
19. Pickering TG. Ambulatory Monitoring and Blood Pressure Variability. London, United Kingdom: Science Press Ltd; 1991:5.1-5.15
20. Lowrie L, Weiss AH, Lacombe C. The pediatric sedation unit: a mechanism for pediatric sedation. Pediatrics. 1998;102(3). Available at: www.pediatrics.org/cgi/content/full/102/3/e30
21. Pitetti RD, Singh S, Pierce MC. Safe and efficacious use of procedural sedation and analgesia by nonanesthesiologists in a pediatric emergency department. Arch Pediatr Adolesc Med. 2003;157:1090-1096
22. Agrawal D, Manzi SF, Gupta R, Krauss B. Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department. Ann Emerg Med. 2003;42:636-646
23. Malviya S, Voepel-Lewis T, Tait AR. Adverse events and risk factors associated with the sedation of children by nonanesthesiologists. Anesth Analg. 1997;85:1207-1213
24. Myers GR, Maestrello CL, Mourino AP, Best AM. Effect of submucosal midazolam on behavior and physiologic response when combined with oral chloral hydrate and nitrous oxide sedation. Pediatr Dent. 2004;26:37-43
25. Pena BMG, Krauss B. Adverse events of procedural sedation and analgesia in a pediatric emergency department. Ann Emerg Med. 1999;34:483-491
26. Barbi E, Gerarduzzi T, Marchetti F, et al. Deep sedation with propofol by nonanesthesiologists. Arch Pediatr Adolesc Med. 2003;157:1097-1103
27. Wheeler DS, Jensen RA, Poss WB. A randomized, blinded comparison of chloral hydrate and midazolam sedation in children undergoing echocardiography. Clin Pediatr (Phila). 2001;40:381-387
28. D'Agostino J, Terndrup TE. Chloral hydrate versus midazolam for sedation of children for neuroimaging: a randomized clinical trial. Pediatr Emerg Care. 2000;16:1-4
29. Mehta UC, Patel I, Castello FV. EEG sedation for children with autism. J Dev Behav Pediatr. 2004;25:102-104
30. Napoli KL, Ingall CG, Martin GR. Safety and efficacy of chloral hydrate sedation in children undergoing echocardiography. J Pediatr. 1996;129:287-291
31. Stevenson JG, Kawabori I, French JW. Doppler pressure gradient estimation in children. Accuracy, effect of activity and exercise, and the need for sedation during examination. Acta Paediatr Scand Suppl. 1986;329:78-86
32. An updated report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-anesthesiologists. Practice guidelines for sedation and analgesia by nonanesthesiologists. Anesthesiology. 2002;96:1004-1017
33. Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Sedation and Anesthesia Care Standards. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1997
34. Malviya S, Voepel-Lewis T, Prochaska G, Tait AR. Prolonged recovery and delayed side effects of sedation for diagnostic imaging studies in children. Pediatrics. 2000;105(3). Available at: www.pediatrics.org/cgi/content/ full/105/3/e42
35. Olson DM, Sheehan MG, Thompson W, Hall PT, Hahn J. Sedation of children for electroencephalograms. Pediatrics. 2001;108:163-165
36. Egelhoff JC, Ball WS, Koch BL, Parks TD. Safety and efficacy of sedation in children using a structured sedation program. AJR Am J Roentgenol. 1997;168:1259-1262
37. Mason KP, Sanborn P, Zurakowski D, et al. Superiority of pentobarbital for sedation in infants during imaging. Radiology. 2004;230:537-542
38. Meyer S, Aliani S, Graf N, Reinhard H, Gottschling S. Sedation with midazolam and ketamine for invasive procedures in children with malignancies and hematological disorders: a prospective study with reference to the sympathomimetic properties of ketamine. Pediatr Hematol Oncol. 2003;20:291-301
39. Guenther E, Pribble CG, Junkins EP Jr, Kadish HA, Bassett KE, Nelson DS. Propofol sedation by emergency physicians for elective pediatric outpatient procedures. Ann Emerg Med. 2003;42:783-791
40. Okutan V, Lenk MK, Sarici SU, Dundaroz R, Akin R, Gokcay E. Efficacy and safety of rectal thiopental sedation in outpatient echocardiographic examination of children. Acta Paediatr. 2000;89:1340-1343
41. Lema MJ. Using the ASA Physical Status Classification may be risky business. ASA Newslett. 2002;66(9):1-2
42. Ghaffar S, Haverland C, Ramaciotti C, Scott WA, Lemler MS. Sedation for pediatric echocardiography: evaluation of preprocedure fasting guidelines. J Am Soc Echocardiogr. 2002;15:980-983
43. Roback MG, Bajaj L, Wathen JE, Bothner J. Preprocedural fasting and adverse events in procedural sedation and analgesia in a pediatric emergency department: are they related? Ann Emerg Med. 2004;44:454-459
44. Hoffman GM, Nowakowski R, Troshynski TJ, Berens RJ, Weisman SJ. Risk reduction in pediatric procedural sedation by application of an American Academy of Pediatrics/American Society of Anesthesiologists process model. Pediatrics. 2002;109:236-243
45. Cote CJ, Karl HW, Notterman DA, Weinberg JA, McCloskey C. Adverse sedation events in pediatrics: analysis of medications used for sedation. Pediatrics. 2000;106:633-634