AI Article Synopsis
- Endoscopic procedures for the gastrointestinal tract have been used in pediatric medicine since the 1970s and have significantly improved diagnosis and treatment for children with gastrointestinal issues.
- These procedures typically require procedural sedation, and awareness of the unique anatomical and psychological aspects of children is essential for ensuring safety during the process.
- While pediatricians can perform sedation for healthy children, those with serious health concerns need an anesthesiologist to manage the process properly, especially when using certain anesthetics.
Article Abstract
Endoscopic procedures of the gastrointestinal tract were successfully introduced into paediatric practice in the 1970s. Recent expansive development has become useful for improvement of both diagnosis and treatment in many children with gastrointestinal diseases. Most of these procedures are performed under procedural sedation (PSA) knowing anatomical, physiological and psychological differences and requiring good experience from the paediatrician and anaesthesiologist. These principles help to provide the procedure safely and minimise adverse events, which are greater the smaller the child is. Procedural sedation and analgesia in healthy children can be performed by a paediatrician, but children with congenital defects and serious coexisting diseases (ASA ≥ III) and also during the usage of anaesthetics (e.g. propofol), should be managed by an anaesthesiologist.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4108748 | PMC |
| http://dx.doi.org/10.5114/pg.2014.42501 | DOI Listing |
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