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Sedatie en/of analgesie (PSA) bij kinderen - Nederlandse ...

Sedatie en/of analgesie (PSA) bij kinderen - Nederlandse ...

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• Speltherapeutische voorbereiding.• Aanwezigheid <strong>en</strong> betrokk<strong>en</strong>heid van de ouders.• Kindgerichte omstandighed<strong>en</strong> <strong>en</strong> pr<strong>of</strong>essionals• Het toepass<strong>en</strong> van afleidingstechniek<strong>en</strong>.• Het toepass<strong>en</strong> van hypnose- Het k<strong>en</strong>n<strong>en</strong> <strong>en</strong> beheers<strong>en</strong> <strong>of</strong> kunn<strong>en</strong> deleger<strong>en</strong> van niet-farmacologische techniek<strong>en</strong>moet e<strong>en</strong> ess<strong>en</strong>tiële compet<strong>en</strong>tie zijn voor e<strong>en</strong> pr<strong>of</strong>essional die verantwoordelijk isvoor e<strong>en</strong> <strong>PSA</strong> <strong>bij</strong> e<strong>en</strong> kind.-- Bij kinder<strong>en</strong> met e<strong>en</strong> verstandelijke beperking moet zorgvuldig word<strong>en</strong> nagegaanwelke procedures beter onder <strong>PSA</strong> <strong>en</strong> welke onder algehele anesthesie moet<strong>en</strong>plaatsvind<strong>en</strong>. Het is van belang om zo nauwkeurig mogelijk in te schatt<strong>en</strong> op welkniveau het kind cognitief <strong>en</strong> emotioneel functioneert zodat aangepaste nietfarmacologischetechniek<strong>en</strong> kunn<strong>en</strong> word<strong>en</strong> gebruikt. Ouders/begeleiders k<strong>en</strong>n<strong>en</strong> hetkind het beste <strong>en</strong> hun informatie/ervaring is dan ook van zeer groot belang.51015202530LiteratuurGepubliceerde Guidelines over <strong>PSA</strong>1. American Academy <strong>of</strong> Pediatrics guideline 2006: Guidelines for monitoring and managem<strong>en</strong>t <strong>of</strong>pediatric pati<strong>en</strong>ts during and after sedation for diagnostic and therapeutic procedures: anupdate.Pediatrics. 2006 Dec;118(6):2587-6022. American Society <strong>of</strong> Anesthesiologists guideline 2002: Practice guidelines for sedation andanalgesia by non-anesthesiologists: An update report by the american society <strong>of</strong>anesthesiologists task force on sedation and analgesia by non-anesthesiologists.Anesthesiology 2002;4:1004-1017.3. Royal Australasian College <strong>of</strong> Physicians guideline 2006: Paediatrics & Child Health Division,The Royal Australian College <strong>of</strong> Physicians. Managem<strong>en</strong>t <strong>of</strong> procedure-related pain in childr<strong>en</strong>and adolesc<strong>en</strong>ts. Journal <strong>of</strong> Paediatrics and Child Health 42 (2006)S1-S29, 20064. Scottish Intercollegiate Guideline Network 2004 – www.sign.ac.ukOverige artikel<strong>en</strong>5. Awogbemi T, Watson AR, Hiley D, Clarke L. Preparing childr<strong>en</strong> for day case nuclear medicineprocedures. Nucl.Med Commun. 26[10], 881-884. 20056. Bishop P, Nowicki M, May W, Elkin D, Parker P. Unsedated upper <strong>en</strong>doscopy in childr<strong>en</strong>.Gastrointest. Endosc 2002;55:624-6307. Butler L, Symons B, H<strong>en</strong>derson S, Shortliffe L, Spiegel D. Hypnosis reduces distress andduration <strong>of</strong> invasive medical procedure in childr<strong>en</strong>. Pediatrics 2005;115: e77-e85.8. Calipel S, Lucas-Polomi M, Wodey E, Ec<strong>of</strong>fey C. Premedication in childr<strong>en</strong>:hypnosis versusmidazolam. Pediatric Anesthesia 2005;15:275-2819. Cline R, Harper F, P<strong>en</strong>ner L, Peterson A, Taub J, Albrecht T. Par<strong>en</strong>t communication and childpain and distress during painful pediatric cancer treatm<strong>en</strong>ts. Social Sci<strong>en</strong>ce&Medicine2006;63:883-89810. Coh<strong>en</strong> L, Blount R, Panopoulos G. Nurse coaching and cartoon distraction: an effective andpractical interv<strong>en</strong>tion to reduce child, par<strong>en</strong>t and nurse distress during immunization. Journa l <strong>of</strong>pediatric psychology 1997;22:355-370.11. De Amorim e Silva C, Mack<strong>en</strong>zie A, Hallowell L, Stewart S, Ditchfield M. Practice MRI: reducingthe need for sedation and g<strong>en</strong>eral anaesthesia in childr<strong>en</strong> undergoing MRI. Australas Radiol2006;50:319-323.Conceptrichtlijn <strong>Sedatie</strong> <strong>en</strong>/<strong>of</strong> <strong>analgesie</strong> (<strong>PSA</strong>)136 <strong>bij</strong> kinder<strong>en</strong> op locaties buit<strong>en</strong> de OK, 2009

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