Low dose of rectal thiopental sodium for pediatric sedation in spiral computed tomography study
- PMID: 17532841
- DOI: 10.1111/j.1442-200X.2007.02372.x
Low dose of rectal thiopental sodium for pediatric sedation in spiral computed tomography study
Abstract
Background: The aim of this study was to determine the effectiveness of reduced new dose in rectal sedation by thiopental sodium for computed tomography (CT) diagnostic imaging.
Methods: A total of 90 children (mean age, 24.21 month +/- 13.63 [standard deviation]) underwent spiral CT study after rectal administration of thiopental sodium injection solution. The new dose ranged from 15 to 25 mg/kg with a total dose of 350 mg. The percentage of success and adverse reaction were evaluated.
Results: Sedation was successful in 98% of infants and children with an average time of 8.04 min +/- 6.87 (standard deviation). One of the cases found desaturation, two experienced vomiting, 14 found rectal defecation, and two experienced hyperactivity. No prolonged sedation was observed.
Conclusion: Rectal administration of thiopental sodium for pediatric CT imaging is safe and effective even for hyperextend position by new reduced dose of the drug. This procedure could be easily done in the CT department under supervision of the radiologist.
Similar articles
-
Pediatric imaging: sedation with an injection formulation modified for rectal administration.Radiology. 2001 Dec;221(3):760-2. doi: 10.1148/radiol.2213010236. Radiology. 2001. PMID: 11719673
-
Rectal thiopental sodium for sedation of pediatric patients undergoing MR and other imaging studies.AJNR Am J Neuroradiol. 1995 Jan;16(1):111-4. AJNR Am J Neuroradiol. 1995. PMID: 7900578 Free PMC article.
-
Efficacy and safety of rectal thiopental, intramuscular cocktail and rectal midazolam for sedation in children undergoing neuroimaging.Pediatr Int. 2002 Dec;44(6):628-34. doi: 10.1046/j.1442-200x.2002.01629.x. Pediatr Int. 2002. PMID: 12421260
-
The safety and efficacy of chloral hydrate sedation for pediatric ophthalmic procedures: a retrospective review.J Pediatr Ophthalmol Strabismus. 2014 May-Jun;51(3):154-9. doi: 10.3928/01913913-20140311-01. Epub 2014 Mar 18. J Pediatr Ophthalmol Strabismus. 2014. PMID: 24627951 Review.
-
Sedation for radiological imaging.Arch Dis Child Educ Pract Ed. 2011 Jun;96(3):101-6. doi: 10.1136/adc.2008.153072. Epub 2010 Jul 30. Arch Dis Child Educ Pract Ed. 2011. PMID: 20675522 Review. No abstract available.
Cited by
-
Oral Chloral Hydrate Compare with Rectal Thiopental in Pediatric Procedural Sedation and Analgesia; a Randomized Clinical Trial.Emerg (Tehran). 2014 Spring;2(2):85-9. Emerg (Tehran). 2014. PMID: 26495353 Free PMC article.
-
Systolic Compression of a Myocardial Bridged Coronary Artery and its Morphologic Characteristics: A Combination Study of Computed Tomography Angiography and Invasive Angiography.Iran J Radiol. 2016 Jun 22;13(4):e31647. doi: 10.5812/iranjradiol.31647. eCollection 2016 Oct. Iran J Radiol. 2016. PMID: 27895870 Free PMC article.
-
Efficacy and safety of intravenous thiopental for sedation during magnetic resonance imaging in pediatric patients: A retrospective analysis.Saudi J Anaesth. 2017 Apr-Jun;11(2):185-189. doi: 10.4103/1658-354X.203086. Saudi J Anaesth. 2017. PMID: 28442957 Free PMC article.
-
Sedation and analgesia in children with developmental disabilities and neurologic disorders.Int J Pediatr. 2010;2010:189142. doi: 10.1155/2010/189142. Epub 2010 Jul 20. Int J Pediatr. 2010. PMID: 20706547 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources