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Clinical Practice Guidelines

  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    Intranasal fentanyl …Clinical Practice Guidelines : Intranasal fentanyl …   >   Health Professionals   >   Clinical Practice Guidelines   >   Intranasal fentanyl In this section About …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    . The PICHFORK (Pain in Children Fentanyl or Ketamine) trial: a randomized controlled trial comparing intranasal … Controlled Feasibility Trial of Intranasal Ketamine Compared to Intranasal Fentanyl for Analgesia in Children … ketamine and fentanyl for the relief of moderate to severe pain in children with limb injuries.  Annals …
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    discharge Agent failure No analgesic effect Intranasal fentanyl Synergistic with nitrous oxide Reduces need … hydrate # Oral  Narrow therapeutic index  No analgesic effect Midazolam # Oral, intranasal, buccal, IM … fentanyl may be required for painful procedures when using these drugs * Ketamine and propofol should only …
  • Cyanotic Episodes in Congenital Heart Disease
    www.rch.org.au/clinicalguide/guideline_index/Cyanotic_Episodes_in_Congenital_Heart_Disease/
    in Congenital Heart Disease PIC Endorsed See also Intranasal fentanyl Recognition of the seriously unwell …
  • Burns - Post Acute Care and Dressings
    www.rch.org.au/clinicalguide/guideline_index/Burns_-_Post_Acute_Care_and_Dressings/
    analgesia may be indicated. Consider nitrous oxide or intranasal fentanyl Nutrition Children with burns have …
  • Acute pain management
    www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
    Intranasal fentanyl Minimising distress in healthcare settings Pain assessment and measurement Procedural … be used in hospital settings Fentanyl Intra-nasal >12 months: 1.5 microg/kg (max 100 microg) for first … or retrieval service Renal impairment See renal dosing guidelines for impaired renal function Prefer fentanyl …
  • Intussusception
    www.rch.org.au/clinicalguide/guideline_index/Intussusception/
    hypovolaemic shock with IV boluses of 20 mL/kg normal saline Give adequate analgesia (usually intranasal … fentanyl or IV morphine). See Acute pain management Involve the surgical team early Keep nil orally Pass …
  • Peripheral extravasation injuries: Initial management and washout procedure
    www.rch.org.au/clinicalguide/guideline_index/Peripheral_extravasation_injuries__Initial_management_and_washout_procedure/
    . Avoid local anaesthetic with adrenaline Intranasal fentanyl or ketamine Inhaled nitrous oxide IV/IM … Ceftazidime Ceftriaxone Cefuroxime Clindamycin Glucose <10% Fentanyl Fosphenytoin Furosemide Gentamicin …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    resuscitation may be required (see Intravenous fluids ) Provide adequate analgesia. IV morphine or intranasal … fentanyl may be required as initial analgesia in severe pain (see  Acute pain management ) Consider fasting …
  • Burns - Acute Management
    www.rch.org.au/clinicalguide/guideline_index/Burns/
    intranasal fentanyl or IV morphine Initial investigations Major burn (≥10% TBSA) Haemoglobin, electrolytes …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.