Skip to content. Sedation Today, physicians have many ways to make sure their patients are as comfortable as possible during surgery or procedures for diagnosing medical conditions. How do sedation and analgesia work? What are the levels of sedation? Although your child's eyes may be open, she will be in a trance-like state. She will not be aware of her surroundings or what is going on, and won't respond if spoken to. She will not feel the procedure, and will have no memory of it afterwards.
We acknowledge the input of RCH consumers and carers. To donate, visit www. This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. The Royal Children's Hospital Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts.
Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout. The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout. The Royal Children's Hospital Melbourne. Sedation for procedures. Sedation for procedures Sedation is when a type of medicine called a sedative is given to children to help them feel calm or sleepy.
Types of sedation medicine The following medicines are the most common sedatives used in children. Nitrous oxide gas Nitrous oxide has been used in dental clinics, during childbirth and in hospital emergency departments for many years. Nitrous oxide makes your child sleepy and provides pain relief. It is a gas that your child breathes in through a mask or a mouthpiece. Different flavours can be put on the mask to hide the taste of the gas.
The gas works quickly and wears off quickly. Your child may not remember the procedure. Ketamine Ketamine is a strong sedative and pain reliever commonly used in Australian hospitals for sedation and pain relief in children. It is given by injection.
It may be given by injection in to the muscle IM or in to the vein IV. Your child may have their eyes open, but they won't be aware of what is going on. Your child will not feel any pain and will not remember the procedure. Your child may move and need someone to hold them still. Your child may drool.
Midazolam Midazolam is a benzodiazepine medication. Midazolam will make your child sleepy but does not provide pain relief. It can be given as a drink, a squirt up the nose or directly into a vein through a drip IV. Sometimes your child may need pain relief as well. Some children may become hyperactive instead of relaxed after they have the midazolam. If this happens, a different drug may be needed or the procedure will need to be rescheduled.
Conscious sedation helps reduce anxiety, discomfort, and pain during certain procedures. This is accomplished with medications and sometimes local anesthesia to induce relaxation.
Conscious sedation is commonly used in dentistry for people who feel anxious or panicked during complex procedures like fillings, root canals , or routine cleanings. Conscious sedation is now usually referred to by medical professionals as procedural sedation and analgesia. Conscious sedation is known to be effective, but medical professionals still debate its safety and efficacy because of its effects on your breathing and heart rate.
You may need to request conscious sedation in order to receive it, especially during dental procedures like fillings, root canals, or crown replacements. Some procedures, such as colonoscopies , may include conscious sedation without a request, but you can ask for different levels of sedation.
Sedation can also be given as an alternative to general anesthesia if your risk of complications from anesthesia is too high. Sedation effects differ from person to person. The most common feelings are drowsiness and relaxation. Once the sedative takes effect, negative emotions, stress, or anxiety may also gradually disappear. You may feel a tingling sensation throughout your body, especially in your arms, legs, hands, and feet.
This may be accompanied by a heaviness or sluggishness that makes it feel harder to lift or move your limbs. You may find that the world around you slows down. Your reflexes are delayed, and you may respond or react more slowly to physical stimuli or to conversation.
You may even start smiling or laughing without an obvious cause. Plan to have someone stay with you for at least a few hours. Depending on the reason for your sedation, you may receive more directions. For example, you may need to keep the area of a surgical incision elevated. Side effects like headache and nausea often go away quickly. But tell your healthcare provider if they persist. Depending on the type of procedure you had, you may need to take pain medicine.
You can usually go back to a normal diet and most of your regular activities soon after the procedure. Be sure to follow all after-care instructions. Also take any medicine as directed. Depending on your procedure, you may need more treatments or follow-up procedures.
Health Home Treatments, Tests and Therapies. Why might I need procedural sedation? Some procedures that use this type of sedation include: Bone or joint realignment to fix a broken bone or dislocated joint Breast biopsy to evaluate a lump in the breast Bronchoscopy to evaluate lung conditions Dental surgery Electrical cardioversion to restore a normal heart rhythm Endoscopy for gastrointestinal problems Lumbar puncture to check for neurological disease Minor foot or skin surgery What are the risks for procedural sedation?
Some possible side effects are: Changes in heart rate and blood pressure rare Decreased rate of breathing Headache Inhalation of stomach contents into your lungs rare Nausea and vomiting Unpleasant memory of the experience Side effects are usually not serious. How do I prepare for procedural sedation? Beforehand, let your healthcare provider know about the following: Your medical history Any past problems with sedation or anesthesia Any recent symptoms, such as a sudden fever Any medicine you are taking, including over-the-counter drugs, such as aspirin If needed, you should stop smoking before your procedure.
These might include: Basic blood work to check for anemia and infection Chest X-ray to view your heart and lungs ECG or EKG to check your heart rhythm What happens during procedural sedation? In general, you can expect the following: You will be given medicine through an IV line often through a vein in your arm. Or you may receive a shot.
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