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Pediatric Sedation: The South American Approach

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Pediatric Sedation Outside of the Operating Room

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Abstract

South America is comprised of 13 countries and a population of approximately 350 million people. It has an area of 6,890,000 mile2 (17,840,000 km2) and in 2005 its population was estimated at around 371,090,000. The languages of South America are mainly Castilian Spanish and Portuguese. A variety of social, political, and economic factors make this region very heterogeneous. In the medical field, specifically in the area of sedation, the heterogeneity continues. The diverse development of the varied region makes it possible to find profound backwardness adjacent to technological developments that are at the forefront of medicine. This incongruity is especially apparent in Brazil, Venezuela, Colombia, and Peru.

This chapter will explore the sedation practices within the various regions of South America.

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Notes

  1. 1.

    www.clasa-anestesia.org

  2. 2.

    http://www.anestesia.org.ar/

  3. 3.

    www.sachile.cl

References

  1. Lester T. Putting America on the map. Smithsonian. 2009;40(9):78–96.

    Google Scholar 

  2. Jacob R, Coté CJ, Thirlwell J, editors. Entendiendo la anestesia pediatrica. 2nd ed. New Delhi: B.I. publications. 2010. Available at: http://www.clasa-anestesia.org/site/version/index.php?pagina=libro.php

  3. Campos G. Actualizando TIVA con expertos—TIVA en pediatria. Available at: http://www.ararosario.com.ar/ver.php?xlg=1&publicacion=292

  4. Costa PS, Valadao Jr WJ, Costa LR. Dental sedation by dentists: a view from anesthesiologists working in central Western Brazil. Anesth Analg. 2010;110(1):110–4.

    Article  PubMed  Google Scholar 

  5. Daher A, Hanna RP, Costa LR, Leles CR. Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil. BMC Oral Health. 2012;12:21.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Wilson S, Alcaino EA. Survey on sedation in paediatric dentistry: a global perspective. Int J Paediatr Dent. 2011;21(5):321–32.

    Article  PubMed  Google Scholar 

  7. Herlich A. How do we bridge the gap? Anesth Analg. 2010;110(1):11–2.

    Article  PubMed  Google Scholar 

  8. Bastos Neto AS. [Policy for sedation by non-medical anesthesiologists]. Hospital Israelita Albert Einstein. 2009. Avaiable at: http://medsv1.einstein.br/diretrizes/anestesia/sedacao-para-nao-anestesiologistas.pdf

  9. Silva MAD. Pediatric anesthesia—the outpatient limits—children are different. In: Cavalcanti IL, Cunha LBP, Abrão MA, Sarmento RFO, editors. Topics on anaesthesia and pain. Rio de Janeiro, Brazil: SAERJ—Society of Anesthesia; 2011. p. 492.

    Google Scholar 

  10. Anestesia fuera de pabellón: recomendaciones de la Sociedad de Anestesiología de Chile. Available at: http://www.sachile.cl/medicos/recomendaciones/fuera_pabellon/presentacion.php

  11. Cortínez LI, Anderson BJ, Penna A, Olivares L, Muñoz HR, Holford NH, Struys MM, Sepulveda P. Influence of obesity on propofol pharmacokinetics: derivation of a pharmacokinetic model. Br J Anaesth. 2010;105(4):448–56.

    Article  PubMed  Google Scholar 

  12. Sepúlveda P, Cortínez LI, Sáez C, Penna A, Solari S, Guerra I, Absalom AR. Performance evaluation of paediatric propofol pharmacokinetic models in healthy young children. Br J Anaesth. 2011;107(4):593–600.

    Article  PubMed  Google Scholar 

  13. Ibarra P, Galindo M, Molano A, et al. Sedation and analgesia recommendations for non-anesthesiologist physicians and dentists in patients over 12 years old. Colomb J Anesth. 2012;40(1):67–74.

    Google Scholar 

  14. Navarro A, Llanos JP, Mendoza C, et al. Experience in flexible bronchoscopy in pediatric patients in two hospitals from Lima-Peru. Eur Respir J. 2005;26 Suppl 49:629s.

    Google Scholar 

  15. Navarro AAR. Bronchoscopy in children in South America. Paediatr Respir Rev. 2006;7(4):288–92.

    Article  Google Scholar 

  16. Vargas-Machuca MV, Urbina SR. [Conscious sedation in pediatric dentistry]. Rev Estomatol Herediana. 2002;12(1–2):49–52.

    Google Scholar 

  17. Granting privileges for deep sedation to non-anesthesiologist sedation practitioners. (Approved by the ASA House of Delegates on 20 October 2010). http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx

  18. Gallardo F, Cornejo G, Borie R. Oral midazolam as premedication for the apprehensive child before dental treatment. J Clin Pediatr Dent. 1994;18(2):123–7.

    PubMed  CAS  Google Scholar 

  19. Lopez MEB, Lopez IS, Troncoso LA, et al. [Chloral hydrate or midazolam to induce sleep for electroencephalographic records]. Rev Chil Pediatr. 1995;66(4):204–8.

    Article  Google Scholar 

  20. Riva J, Lejbusiewicz G, Papa M, Lauber C, Kohn W, Da Fonte M, Burgstaller H, Comellas C, Ayala W. Oral premedication with midazolam in paediatric anaesthesia. Effects on sedation and gastric contents. Paediatr Anaesth. 1997;7(3):191–6.

    Article  PubMed  CAS  Google Scholar 

  21. Brunow de Carvalho W, Lucas da Silva PS, Paulo CS, Fonseca MM, Belli LA. Comparison between the Comfort and Hartwig sedation scales in pediatric patients undergoing mechanical lung ventilation. Sao Paulo Med J. 1999;117(5):192–6.

    PubMed  CAS  Google Scholar 

  22. Ronco RM, Castillo AM, Carrasco J, et al. [Sedation and analgesia during procedures affecting children outside the operating room]. Rev Chil Pediatr. 2003;74(2):171–8.

    Article  Google Scholar 

  23. Lima AR, Costa LR, Costa PS. A randomized, controlled, crossover trial of oral midazolam and hydroxyzine for pediatric dental sedation. Pesqui Odontol Bras. 2003;17(3):206–11.

    Article  PubMed  Google Scholar 

  24. Saitua F, Acuña R, Herrera P. Percutaneous endoscopic gastrostomy: the technique of choice? J Pediatr Surg. 2003;38(10):1512–5.

    Article  PubMed  CAS  Google Scholar 

  25. Martínez CR, Sossa MP. [Factors associated with complications caused by bronchoscopy in pediatric patients]. Arch Bronconeumol. 2003;39(11):501–6.

    Google Scholar 

  26. Sfoggia A, Fontela PS, Moraes A, da Silva F, Sober RB, Noer RB, Bruno F, Einloft P, Garcia PC, Piva JP. Sedation and analgesia in children submitted to mechanical ventilation could be overestimated? J Pediatr (Rio J). 2003;79(4):343–8.

    Article  Google Scholar 

  27. Gana AJC, Glenz AC, Marchant AP, Vaca ZC, García RX, Larraín BF, Harris DP. Prospective evaluation of the safety and tolerance of colonoscopy in children. Rev Med Chil. 2006;134(5):613–22.

    Article  Google Scholar 

  28. Claro MC, Podestá MC, Rosales A. [Sedation and analgesia for diagnostic and therapeutic procedures in the pediatric patient]. Arch Argent Pediatr. 2006;104(6):512–9.

    Google Scholar 

  29. Muñoz HR, Cortínez LI, Ibacache ME, León PJ. Effect site concentrations of propofol producing hypnosis in children and adults: comparison using the bispectral index. Acta Anaesthesiol Scand. 2006;50(7):882–7.

    Article  PubMed  Google Scholar 

  30. da Silva LPS, Iglesias OSB, Leão FV, Aguiar VE, Brunow de Carvalho W. Procedural sedation for insertion of central venous catheters in children: comparison of midazolam/fentanyl with midazolam/ketamine. Paediatr Anaesth. 2007;17(4):358–63.

    Article  Google Scholar 

  31. Schmidt AP, Valinetti EA, Bandeira D, Bertacchi MF, Simões CM, Auler Jr JO. Effects of preanesthetic administration of midazolam, clonidine, or dexmedetomidine on postoperative pain and anxiety in children. Paediatr Anaesth. 2007;17(7):667–74.

    Article  PubMed  Google Scholar 

  32. Kantovitz KR, Puppin-Rontani RM, Gaviao MB. Sedative effect of oral diazepam and chloral hydrate in the dental treatment of children. J Indian Soc Pedod Prev Dent. 2007;25(2):69–75.

    Article  PubMed  Google Scholar 

  33. Costa LR, Costa PS, Lima AR. A randomized double-blinded trial of chloral hydrate with or without hydroxyzine versus placebo for pediatric dental sedation. Braz Dent J. 2007;18(4):334–40.

    Article  PubMed  Google Scholar 

  34. Martinbiancho JK, Carvalho PR, Trotta Ede A, Schweiger AP, Rau R, Moreira LB. Evidence of safety of chloral hydrate for prolonged sedation in PICU in a tertiary teaching hospital in southern Brazil. Eur J Clin Pharmacol. 2009;65(12):1253–8.

    Article  PubMed  Google Scholar 

  35. Riera FC, González CCF, Vaca CZ, et al. [Sedation, safety and usefulness of upper gastrointestinal endoscopy in pediatrics]. Rev Chil Pediatr. 2010;81(1):37–45.

    Article  Google Scholar 

  36. Capp PL, de Faria ME, Siqueira SR, Cillo MT, Prado EG, de Siqueira JT. Special care dentistry: midazolam conscious sedation for patients with neurological diseases. Eur J Paediatr Dent. 2010;11(4):162–4.

    PubMed  CAS  Google Scholar 

  37. Oliveira CA, de Paula VA, Portela MB, Primo LS, Castro GF. Bruxism control in a child with cerebral palsy. ISRN Dent. 2011;2011:146915.

    PubMed  PubMed Central  Google Scholar 

  38. da Silva PS, de Aguiar VE, Waisberg DR, Passos RM, Park MV. Use of ketofol for procedural sedation and analgesia in children with hematological diseases. Pediatr Int. 2011;53(1):62–7.

    Article  PubMed  Google Scholar 

  39. Costa LR, Costa PS, Brasileiro SV, Bendo CB, Viegas CM, Paiva SM. Post-discharge adverse events following pediatric sedation with high doses of oral medication. J Pediatr. 2012;160(5):807–13.

    Article  PubMed  Google Scholar 

  40. Agudelo SC, Mencía S, Faro A, Escudero V, Sanavia E, López-Herce J. Continuous propofol perfusion in critically ill children. Med Intensiva. 2012;36(6):410–5.

    Article  PubMed  CAS  Google Scholar 

  41. Moreira TA, Costa PS, Costa LR, Jesus-França CM, Antunes DE, Gomes HS, Neto OA. Combined oral midazolam-ketamine better than midazolam alone for sedation of young children: a randomized controlled trial. Int J Paediatr Dent. 2013;23(3):207–15.

    Article  PubMed  Google Scholar 

  42. Godoy LM, Pino PA, Córdova GL, et al. Sedation and analgesia in children undergoing invasive procedures. Arch Argent Pediatr. 2013;111(1):22–8.

    Google Scholar 

  43. Gómez LMB, Ocampo FA, Orozco JAA. Efficacy of anesthetic premedication in pediatric patients using oral midazolam and acetaminophen. Rev Colomb Anestesiol. 2013;41(1):4–9.

    Article  Google Scholar 

  44. Coté CJ, Wilson S; American Academy of Pediatrics; American Academy of Pediatric Dentistry; Work Group on Sedation. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics. 2006;118(6):2587–602.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Federal University of Goiás, Goiania, Goias, Brazil

    Paulo Sérgio Sucasas da Costa D.D.S., M.S., Ph.D.

  2. Servicio de Anestesia, Clinica Alemana Santiago Chile, Santiago, Chile

    Pablo Sepúlveda Voullième Dr. Med.

Authors
  1. Paulo Sérgio Sucasas da Costa D.D.S., M.S., Ph.D.
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  2. Pablo Sepúlveda Voullième Dr. Med.
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Corresponding author

Correspondence to Pablo Sepúlveda Voullième Dr. Med. .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Harvard Medical School, Boston, Massachusetts, USA

    Keira P. Mason

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da Costa, P.S.S., Voullième, P.S. (2015). Pediatric Sedation: The South American Approach. In: Mason, K. (eds) Pediatric Sedation Outside of the Operating Room. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1390-9_22

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  • DOI: https://doi.org/10.1007/978-1-4939-1390-9_22

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  • Publisher Name: Springer, New York, NY

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