Sedating children on flights
Chloral hydrate Chloral hydrate, a hypnotic agent that preceded the advent of barbiturates and benzodiazepines.
It has been the ‘go to’ agent for oral sedation for many years with quoted doses ranging from 75-100mg per kilogram.
Using intravenous medication for MRI sedation pushes the child into the realms of general anaesthesia with need for much more rigorous physiological monitoring.
This should only be done in conjunction with the anaesthetic department.
Australian Prescriber has a great review on motion sickness in children Remember that sedating antihistamines are not benign drugs and there have been case reports of fatalities when OTC antihistamines have been used to treat colds and snuffly noses. An Emergency Physician with a special interest in education and lifelong learning.
In Australia and New Zealand they require a prescription for use in children under 2 years of age. Traveling with infants and young children part I: anticipatory guidance: travel preparation and preventive health advice. When not drinking coffee and reading Batman comics he is playing with his children.
If your hospital does not have a paediatric surgeon then the six year old with possible appendicitis may have to travel some distance down the road to receive their definitive care. Whilst we can counter the emetogenic effects of a lot things we do, it can be hard to offset the near universal nausea induced by car journeys.
Impact of psychological interventions on reducing anxiety, fear and the need for sedation in children undergoing magnetic resonance imaging. Pentobarbital vs chloral hydrate for sedation of children undergoing MRI: efficacy and recovery characteristics.
Don’t panic- here are some tips to get you through the first hurdle of your vacation, and hopefully get you to your destination in a fit state to enjoy it.
Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes†. Magnetic resonance imaging of children without sedation: preparation with simulation. High-dose chloral hydrate sedation for children undergoing MR imaging: safety and efficacy in relation to age.
Journal of the American Academy of Child & Adolescent Psychiatry. Viggiano MP, Giganti F, Rossi A, Di Feo D, Vagnoli L, Calcagno G, Defilippi C. Malviya S, Voepel‐Lewis T, Tait AR, Reynolds PI, Gujar SK, Gebarski SS, Petter Eldevik O.
It may also cause nausea and vomiting (4%) as well as mild respiratory depression (4%).