We encourage the ED provider to give pain medication prior to the patient going to the radiology suite, usually fentanyl. Full procedural sedation is not usually provided.
Kathleen Goetz, MD
Medical Director, Swedish Pediatric Emergency Services
Swedish FH ED
Seattle, WA 98122-4307
Ofc: 206-386-3313 FH ED: 206-386-2573 Fax: 206-386-2577 Cell: 253-370-7571
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From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Giora Weiser
Sent: Monday, May 12, 2014 9:02 AM
To: [log in to unmask]
Subject: Intussusception and sedation
I am trying to find out what is the common practice in the big world...
Here in Israel, when a child is diagnosed with an intussusception he will go to the radiology department for an air enema. There is a wide range of opinions whether sedation should be given for this procedure. The latest article that actually comes from Israel showed success with sedation.
I was wondering what is accepted in the bigger medical centers? Is sedation used? Is it given by the EM people? A sedation service? Anesthisiology?
Anyone know of good literature on the subject...?
Thanks for the info,
Shaare Zedek Medical Center
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