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. 2024 Apr 1;40(4):e23-e29.
doi: 10.1097/PEC.0000000000003053. Epub 2023 Sep 19.

Actions to Avoid in Pain Management and Sedoanalgesia Procedures in Pediatric Emergencies

Parisá Khodayar-Pardo, María Concepción Miguez-Navarro, Irene Martín Espín; Analgesia and Sedation Working Group of the Spanish Society of Pediatric Emergency Medicine
Collaborators

Actions to Avoid in Pain Management and Sedoanalgesia Procedures in Pediatric Emergencies

Parisá Khodayar-Pardo et al. Pediatr Emerg Care. .

Abstract

Objectives: The aim of this study was to show the process of elaboration and the results obtained of the list of "do not do" recommendations for pain management and sedoanalgesia procedures in pediatric patients within the Working Group on Analgesia and Sedation of the Spanish Society of Pediatric Emergencies (Grupo de Trabajo de Analgesia y Sedación de la Sociedad Española de Urgencias de Pediatría [GTAS-SEUP]).

Methods: The process of drawing up the list was carried out in 3 phases: (1) "brainstorming," open to all members of the GTAS-SEUP; (2) selection of recommendations, after a modified Delphi methodology; and (3) drafting and consensus of the final document.

Results: Initially, 57 proposed recommendations were obtained, which were reduced to 39 by unifying those that were similar. Of the 14 "do not do" in pain management, 6 were accepted: 3 in the first round and 3 in the second round. Of the 25 "do not do" recommendations for sedoanalgesia procedures, 6 were accepted: 4 in the first round and 2 in the second round. The final text consisted of 12 actions to avoid, 6 referring to pain management and 6 to sedoanalgesia procedures.

Conclusions: The list of "do not do" recommendations for pain management and sedoanalgesia procedures in the pediatric patient is a consensual tool, within the GTAS-SEUP. These recommendations promote an improvement in the quality of care offered to these patients, based on avoiding unnecessary measures, which can sometimes be harmful.

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Conflict of interest statement

Disclosure: The authors declare no conflict of interest.

References

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