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Desaturation in procedural sedation for children with long bone fractures: Does weight status matter?
Hirsch, Danielle G; Tyo, John; Wrotniak, Brian H.
Affiliation
  • Hirsch DG; Women and Children's Hospital of Buffalo, University Pediatric Associates, Division of Pediatric Emergency Medicine, 219 Bryant Street, Buffalo, NY 14222, USA; Women and Children's Hospital of Buffalo, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 3435 Main Street, Buffalo, NY 14214, USA. Electronic address: hirsch-danielle@cooperhealth.edu.
  • Tyo J; Women and Children's Hospital of Buffalo, University Pediatric Associates, Division of Pediatric Emergency Medicine, 219 Bryant Street, Buffalo, NY 14222, USA; Women and Children's Hospital of Buffalo, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 3435 Main Street, Buffalo, NY 14214, USA.
  • Wrotniak BH; Women and Children's Hospital of Buffalo, University Pediatric Associates, Division of Pediatric Emergency Medicine, 219 Bryant Street, Buffalo, NY 14222, USA; Women and Children's Hospital of Buffalo, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 3435 Main Street, Buffalo, NY 14214, USA.
Am J Emerg Med ; 35(8): 1060-1063, 2017 Aug.
Article in En | MEDLINE | ID: mdl-28245939
INTRODUCTION: Childhood obesity remains a serious problem in the United States. Significant associated adverse incidents have been reported with sedation of children with obesity, namely hypoxemia. The objective of our study was to determine if overweight and obesity were associated with increased desaturations during procedural sedation compared with patients of healthy weight. METHODS: This was a single-center retrospective chart review of data from a three-year period of patient's age 2-17years. Of the 1700 charts reviewed 823 of these patients received procedural sedation and met the study inclusion criteria. Weight status was classified based on age and gender specific body mass index (BMI) percentiles: underweight, healthy weight, overweight, obese. RESULTS: Among all weight categories there was no statistical significance, however children with obesity had greater desaturation rates (9.9%) compared with children of underweight, healthy weight, or overweight combined (5.4%), χ2=4.46, p=0.035. DISCUSSION: The results indicate that children with obesity are almost twice as likely to have a desaturation related to procedural sedation compared with children of other weight status. Providers should be aware that children with obesity may be more likely to desaturate than other children, and therefore be skilled at recognizing this.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tibial Fractures / Conscious Sedation / Emergency Service, Hospital / Femoral Fractures / Pediatric Obesity / Humeral Fractures / Hypoxia Type of study: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Am J Emerg Med Year: 2017 Document type: Article Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tibial Fractures / Conscious Sedation / Emergency Service, Hospital / Femoral Fractures / Pediatric Obesity / Humeral Fractures / Hypoxia Type of study: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Am J Emerg Med Year: 2017 Document type: Article Country of publication: Estados Unidos