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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
) Ensure adequate analgesia and monitor for combined effects of sedation and opiate analgesia Choice … therapy, distraction and other non-pharmacological strategies Provide analgesia for potentially painful … Choice of sedative agent Choice of agent depends on the aims of sedation (eg reduce movement, analgesia …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
Provide analgesia while assessing the child but be cautious with opioid prescription Admission may … identifiable causes Provide adequate analgesia Caution with opioid use in children with cerebral palsy due …, consider trial of medication if unable to identify cause eg Empiric analgesia with paracetamol or NSAIDs …
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Spider Bite – Redback Spider
www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_–_Redback_Spider/
pain and adequate analgesia is a priority Redback spiders rarely cause significant envenoming … is not controlled by simple analgesia Risk Assessment History Diagnosis is made on the basis of a typical history … Management First aid: Ice pack Pressure immobilisation is NOT used Treatment Adequate analgesia is a priority …
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Burns - Post Acute Care and Dressings
www.rch.org.au/clinicalguide/guideline_index/Burns_-_Post_Acute_Care_and_Dressings/
infection Promote healing Optimise nutrition Prevent complications Analgesia Manage pain using multimodal … analgesia Control itch with non-sedating antihistamines Mitigate stress and anxiety with techniques … such as distraction and therapeutic play Additional analgesia and sedation should be used prior to dressing care …
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Thoracocentesis and chest drain insertion
www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
undergoing thoracocentesis should receive analgesia both pre- and post-procedure. Nitrous oxide should … transparent adhesive dressing x 2 Analgesia, Anaesthesia, Sedation Analgesia and local anaesthesia … oral and/or parenteral analgesia both pre- and post-procedure Procedure Establish patient …
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Clavicle fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
for opinion Give parent fracture of the clavicle (collarbone) fact sheet . Advise to give regular analgesia … are easily managed with a sling and analgesia. Indications for prompt consultation include: Severely … comfortable No evidence to support Figure of 8 bandage or brace Regular analgesia as required Lateral third …
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Intranasal fentanyl
www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
of vomiting when fentanyl and nitrous oxide are used in combination. Indications Initial analgesia for any … further sets of observations at 5-minute intervals should be completed The effectiveness of the analgesia … adequate analgesia Second dose: 0.75-1.5 microg/kg (max 75-100 microg) After second dose, review …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
ambulating with mild or no discomfort with simple analgesia a working diagnosis and/or a plan for review … diagnosis Simple analgesia (paracetamol and NSAID) and child-directed limitation of activity. Need … for escalation of analgesia should prompt reassessment If concern for infection, see bone and joint infection …
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HSV Gingivostomatitis
www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
resolves without complications Management is focused on ensuring adequate hydration and analgesia Aciclovir … is mainly supportive (analgesia and hydration) although antiviral treatment should be considered in some … children Analgesia Consider in all children with oral HSV Pain relief options include Simple oral analgesia …
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Acute Knee Injuries - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_Knee_Injuries_-_Emergency_Department/
it is often not possible to adequately examine the knee, even with good analgesia. Thus, making an accurate … after adequate analgesia has been arranged – which may include opioids or nitrous. The joint should … defect – requires admission and arthoscopic removal 5. Emergency Department Management Early Analgesia …