Sedatie en/of analgesie (PSA) bij kinderen - Nederlandse ...
Sedatie en/of analgesie (PSA) bij kinderen - Nederlandse ...
Sedatie en/of analgesie (PSA) bij kinderen - Nederlandse ...
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C. Specifieke aanbeveling<strong>en</strong> t<strong>en</strong> aanzi<strong>en</strong> van de compet<strong>en</strong>ties <strong>bij</strong> lichte sedatieTijd<strong>en</strong>s e<strong>en</strong> <strong>PSA</strong> waar<strong>bij</strong> sprake is van lichte sedatie <strong>en</strong> tijd<strong>en</strong>s de ontwaakfasedaarop volg<strong>en</strong>d moet e<strong>en</strong> pr<strong>of</strong>essional aanwezig zijn die ook nog aan de volg<strong>en</strong>decompet<strong>en</strong>ties, skills <strong>en</strong> voorwaard<strong>en</strong> voldoet1. De sedatiediepte kunn<strong>en</strong> beoordel<strong>en</strong> <strong>en</strong> interpreter<strong>en</strong>2. Continu verbaal contact met de patiënt behoud<strong>en</strong> indi<strong>en</strong> er ge<strong>en</strong> andere vorm vanmonitoring wordt gebruikt3. Het door middel van e<strong>en</strong> specifieke opleiding k<strong>en</strong>n<strong>en</strong> <strong>en</strong> door middel van e<strong>en</strong>herhaalde training (dat wil zegg<strong>en</strong> t<strong>en</strong>minste één maal per jaar) beheers<strong>en</strong> op BasicLife Support (BLS) niveau van:(1) techniek<strong>en</strong> bedoeld om e<strong>en</strong> op<strong>en</strong> luchtweg te garander<strong>en</strong>(2) techniek<strong>en</strong> te beadem<strong>en</strong>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>1. Barbi E, Gerarduzzi T, Marchetti F, Neri E, Verucci E, Bruno I, et al. Deep sedation withprop<strong>of</strong>ol by nonanesthesiologists. Arch pediatr adolesc med 2003;157:1097-1103.32. Cheuk DK, Wong WH, Ma E, Lee TL, Ha SY, Lau YL, et al. Use <strong>of</strong> midazolam and ketamine assedation for childr<strong>en</strong> undergoing minor operative procedures. Support Care Cancer 2005Dec;13(12):1001-9.3. Coté C, Notterman D, Karl H, Weinberg J , McCloskey C. Adverse sedation ev<strong>en</strong>ts inpediatrics: a critical incid<strong>en</strong>t analysis <strong>of</strong> contributing factors. Pediatrics 2000;105;805-8144. Coté C, Discharge criteria for childr<strong>en</strong> sedated by nonanesthesiologists: is "safe" really safe<strong>en</strong>ough? Anesthesiology. 2004 Feb;100(2):207-9. (editorial)5. Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; PediatricSedation Research Consortium. Incid<strong>en</strong>ce and nature <strong>of</strong> adverse ev<strong>en</strong>ts during pediatricsedation/anesthesia for procedures outside the operating room: report from the PediatricSedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96.6. Dalal, D. Murray, T Cox, J. McAllister, R. Snider. Sedation and Anesthesia Protocols Used forMagnetic Resonance Imaging Studies in Infants: Provider and Pharmacologic Considerations.Anesth Analg 2006;103:863-368.Richtlijn <strong>Sedatie</strong> <strong>en</strong>/<strong>of</strong> <strong>analgesie</strong> (<strong>PSA</strong>)<strong>bij</strong> kinder<strong>en</strong> op locaties buit<strong>en</strong> de OK, 2010 83
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