Nurses’ Perceptions of the Quality of Procedural Sedation in Children Comparing Different Pharmacological Regimens

Bibliographic Data

ID15712944
AuthorsAntonietta Curatola (0000-0002-2430-9876, Università Cattolica del Sacro Cuore), Martina D’Agostin (0000-0002-7801-2883, University of Trieste, corresponding author), Elena Favaretto (0000-0002-1385-9493, University of Trieste), Giada Vittori (IRCCS Materno Infantile Burlo Garofolo), Viviana Vidonis (IRCCS Materno Infantile Burlo Garofolo), Tamara Strajn (IRCCS Materno Infantile Burlo Garofolo), Nicole De Vita (IRCCS Materno Infantile Burlo Garofolo), Alessia Saccari (IRCCS Materno Infantile Burlo Garofolo), Egidio Barbi (0000-0002-6343-846X, IRCCS Materno Infantile Burlo Garofolo), Luisa Cortellazzo Wiel (0000-0003-0069-560X, IRCCS Materno Infantile Burlo Garofolo)
Year2022
Volume9
Issue7
Pages1068-1068
Publication date2022-07-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9071068
PMID35884052
OpenAlexW4285727045
LanguageEN
References cited13

Nurses play a pivotal role during pediatric procedural sedation and their perspective is an important indicator for the quality of care. The aim of this study is to examine nurses' satisfaction comparing four different pharmacological regimens used for pediatric sedation outside of the operating room. A prospective observational study was conducted in a third-level pediatric teaching hospital, involving all the nurses with experience in the field of pediatric procedural sedation. A 13-item survey was used to assess the level of nurses' satisfaction for the quality of sedation with four different analgesic-sedative drugs. Fifty-one questionnaires were completed by pediatric nurses, with a median length of experience of 10 years. Regarding the overall quality of the sedation, the highest median satisfaction scores were observed for propofol (8, IQR 7-9), dexmedetomidine (8, IQR 6-8) and midazolam (8, IQR 7-9). Ketamine (5, IQR 3-7) displayed the lowest score. When asked to rate their level of perceived safety, nurses gave high scores to all the four drugs studied, with no statistically significant difference between them. Non-pharmacological techniques during procedural sedation were judged as important by 38 (74.5%) nurses. According to this sample of pediatric nurses, the best quality of procedural sedation in children outside of the operating room is obtained with propofol, dexmedetomidine and midazolam. During procedural sedation, nurses feel safe overall, regardless of the pharmacological regimen used. Moreover, they highlighted the relevance on non-pharmacological approaches in the preparation of the child for the procedure

Anesthesia · Dexmedetomidine · Ketamine · Midazolam · Observational study · Patient satisfaction · Propofol · Sedation · Sedative · Anesthesia and Neurotoxicity Research · Anesthesia and Sedative Agents · Intensive Care Unit Cognitive Disorders · Medicine · Nursing · Internal Medicine

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