Page 562 - Manual de Urgencias Pediatría Virgen del Rocío
P. 562
Partes 425-584 4/7/07 11:02 Página 547
Sedación y analgesia en procedimientos realizados en Urgencias 547
Dolor severo
Consideramos: grandes quemados, politraumatismos, post-cirugía mayor, onco-
lógicos:
• Fármacos opioides: tramadol, fentanilo, mórfico.
• Ketamina.
• Asociar analgésico puro (no AINE) con opiodes o ketamina.
BIBLIOGRAFÍA
1. Alexander J, Manno M. Underuse of analgesia in very young pediatric patientes with isolated painful
injuries.Ann Emerg Med 2003;41(5):617-22.
2. Beale JP,Oglesby AJ,Jones A,Clancy J,Beattie TF:Comparison of oral and intravenous morphine follo-
wing acute injury in children. Eur J Emerg Med 2001;8(4):271-4.
3. Becker BM, Helfrich S, Baker E, Lovgren K, Minugh Pa, Machan JT. Ultrasound with topical anesthesic
rapidly decreases pain of intravenous cannulation.Acad Emerg Med 2005;12(4): 289-95.
4. Borland ML,Jacobs I,Geelhoed G.Intranasal fentanyl reduces acute pain in children in the emergency
department: a safety and efficacy study. Emerg Med (fremantle) 2002;14(3):275-80.
5. Boyd RJ, Stuart P.The efficacy of structured assessment and analgesia provision in the pediatric emer-
gency department. Emerg Med J 2005; 22(1):30-2.
6. Cimpello LB, Khine H,Avner JR. Practice patterns of pediatric versus general emergency physicians
for pain management of fractures in pediatric patients. Ped Emerg Care 2004;20(4):228-32.
7. Keim SM, Erstad BL,Sakles JC,Davis V.Etodmidate for procedural sedation in the emergency depart-
ment. Pharmacotherapy 2002;22(5):586-92.
8. Kennedy RM,Luhmann JD,Ludham SJ.Emergency department management of pain and anxiety rela-
ted to orthopedic fracture car: a guide to analgesic tecniques and procedural sedation in children.
Paediatric Drugs 2004;6(1):11-31.
9. McCarty EC, Mencio GA,Walker LA, Green NE. Ketamine sedation for the reduction of children’s
fractures in the emergency department. J Bone Surg Am 2000;82-A(7):912-8.
10. Neighbor ML, Honner S, Kohn MA. Factors affecting emergency department opioid administration
to severe injured patients.Acad Emerg Med 2004;11(12):1290-6.
11. Reinoso-Barbero F. Protocolos de Dolor Agudo. Servicio de Anestesiología-Reanimación-Tratamien-
to del Dolor. Hospital Universitario Infantil “La Paz”.
12. Rothermel LK. Newr pharmacologic agents for procedural sedation of children in the emergency
department-etomidate and propofol. Curr Opin Pediatr 2003;15(2): 200-3.
13. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004; 43(4):
504-6.
14. Young KD. Pediatric procedural pain.Ann Emerg Med. 2005;45(2):160-71.
15. Zempshy WT,Cravero JP,and the Committee on Pediatric Mergency Medicine and Section on Anes-
thesiology and Pain Medicine. Relief of Pain and Anxiety in Pediatric Patientes in Emergency Medi-
cal Systems. Pediatrics 2004;114(5):1348-56.
Sedación y analgesia en procedimientos realizados en Urgencias 547
Dolor severo
Consideramos: grandes quemados, politraumatismos, post-cirugía mayor, onco-
lógicos:
• Fármacos opioides: tramadol, fentanilo, mórfico.
• Ketamina.
• Asociar analgésico puro (no AINE) con opiodes o ketamina.
BIBLIOGRAFÍA
1. Alexander J, Manno M. Underuse of analgesia in very young pediatric patientes with isolated painful
injuries.Ann Emerg Med 2003;41(5):617-22.
2. Beale JP,Oglesby AJ,Jones A,Clancy J,Beattie TF:Comparison of oral and intravenous morphine follo-
wing acute injury in children. Eur J Emerg Med 2001;8(4):271-4.
3. Becker BM, Helfrich S, Baker E, Lovgren K, Minugh Pa, Machan JT. Ultrasound with topical anesthesic
rapidly decreases pain of intravenous cannulation.Acad Emerg Med 2005;12(4): 289-95.
4. Borland ML,Jacobs I,Geelhoed G.Intranasal fentanyl reduces acute pain in children in the emergency
department: a safety and efficacy study. Emerg Med (fremantle) 2002;14(3):275-80.
5. Boyd RJ, Stuart P.The efficacy of structured assessment and analgesia provision in the pediatric emer-
gency department. Emerg Med J 2005; 22(1):30-2.
6. Cimpello LB, Khine H,Avner JR. Practice patterns of pediatric versus general emergency physicians
for pain management of fractures in pediatric patients. Ped Emerg Care 2004;20(4):228-32.
7. Keim SM, Erstad BL,Sakles JC,Davis V.Etodmidate for procedural sedation in the emergency depart-
ment. Pharmacotherapy 2002;22(5):586-92.
8. Kennedy RM,Luhmann JD,Ludham SJ.Emergency department management of pain and anxiety rela-
ted to orthopedic fracture car: a guide to analgesic tecniques and procedural sedation in children.
Paediatric Drugs 2004;6(1):11-31.
9. McCarty EC, Mencio GA,Walker LA, Green NE. Ketamine sedation for the reduction of children’s
fractures in the emergency department. J Bone Surg Am 2000;82-A(7):912-8.
10. Neighbor ML, Honner S, Kohn MA. Factors affecting emergency department opioid administration
to severe injured patients.Acad Emerg Med 2004;11(12):1290-6.
11. Reinoso-Barbero F. Protocolos de Dolor Agudo. Servicio de Anestesiología-Reanimación-Tratamien-
to del Dolor. Hospital Universitario Infantil “La Paz”.
12. Rothermel LK. Newr pharmacologic agents for procedural sedation of children in the emergency
department-etomidate and propofol. Curr Opin Pediatr 2003;15(2): 200-3.
13. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004; 43(4):
504-6.
14. Young KD. Pediatric procedural pain.Ann Emerg Med. 2005;45(2):160-71.
15. Zempshy WT,Cravero JP,and the Committee on Pediatric Mergency Medicine and Section on Anes-
thesiology and Pain Medicine. Relief of Pain and Anxiety in Pediatric Patientes in Emergency Medi-
cal Systems. Pediatrics 2004;114(5):1348-56.
