Читать книгу Practical Pediatric Gastrointestinal Endoscopy - Группа авторов - Страница 44

The child who has received moderate or deep sedation must be monitored in an appropriate environment which includes vital signs and pulse oximetry until they are awake. The period of wakefulness should be sustainable, as children emerging from sedation often drift between states of sleep and consciousness as the drugs are metabolized. The recovery area should include qualified staff to continuously record vital signs every 15 minutes, suction apparatus, and oxygen delivery devices including BVM. Patients who have received medications with a long half‐life, or reversal agents such as naloxone or flumazenil, should be monitored for a longer period of time due to the risk of resedation.

The following are recommended discharge criteria.

 Cardiovascular function and airway patency are adequate and stable.

 The patient is easily arousable and protective reflexes are intact.

 The patient can talk (if age appropriate).

 The patient can sit up without assistance (if age appropriate).

 For patients who are very young or developmentally delayed, the presedation level of responsiveness or a level as close as possible for that child should be achieved.

 The state of hydration is adequate.