Sedation in pediatric CT: national survey of current practice.
Sedation in pediatric CT: national survey of current practice.
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儿科 CT 镇静：目前实践的全国调查。
DOI：
10.1148/radiology.175.3.2343126
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发表时间：
1990
期刊：
影响因子：
19.7
通讯作者：
M. A. Hartenberg
中科院分区：
文献类型：
--
作者：
S. Keeter;R. Benator;S. Weinberg;M. A. Hartenberg
为了记录儿童计算机断层扫描 (CT) 检查中当前的镇静实践，我们向美国 2,000 家配备 CT 扫描仪的医院随机抽取了一份调查问卷。收到了 834 家医院（42%）的答复。据报道，其中 450 人在使用镇静剂的情况下进行了儿科 CT 扫描。大约一半的检查是在儿科医院或医学院进行的。大多数医院不需要签署轻度镇静 CT 同意书，即使使用静脉或口服造影剂也是如此。 62% 的医院需要签署深度镇静 CT 同意书。镇静 CT 期间的监测技术和人员存在很大差异，使用口服造影剂或不使用造影剂进行检查的口服摄入方案也存在很大差异。 CT 期间使用口服造影剂插管的情况很少见。在大多数类型的 CT 研究中，口服水合氯醛是最常用的一线镇静药物。实践中的巨大差异表明儿科诊断检查期间缺乏固定的镇静标准。报道的许多使用镇静剂的儿科 CT 程序与美国儿科学会的建议不一致。
To document current sedation practices in computed tomographic (CT) examination of children, a questionnaire was sent to a random sample of 2,000 hospitals with CT scanners in the United States. Responses were received from 834 hospitals (42%). Of these, 450 were reported to conduct pediatric CT with sedation. Approximately one-half of the examinations were conducted in pediatric hospitals or medical schools. Most hospitals did not require signed consent for CT with light sedation, even when intravenously or orally administered contrast medium was used. Signed consent for CT with deep sedation was required in 62% of hospitals. Monitoring techniques and personnel present during CT with sedation varied greatly, as did oral intake protocols for examinations with oral contrast material or no contrast material. Use of intubation during CT with oral contrast medium was rare. Orally administered chloral hydrate was the most frequently used first-line drug for sedation in most types of CT studies. The great variation in practices indicates a lack of settled standards for sedation during pediatric diagnostic examinations. Many procedures reported for pediatric CT with sedation are at variance with recommendations of the American Academy of Pediatrics.