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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1995-12-14
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pubmed:abstractText |
To assess the safety and efficacy of intravenous sedation in pediatric upper endoscopy, all elective outpatient procedures performed during a 2-year period (January 1, 1991 through December 31, 1992) were retrospectively reviewed. Of 614 children, 553 received intravenous meperidine and midazolam; 61 received fentanyl and midazolam. The mean dose of meperidine was 1.5 +/- 0.7 mg/kg and of fentanyl 0.0031 +/- 0.0014 mg/kg. Less midazolam was needed for children receiving fentanyl than for those receiving meperidine (0.05 +/- 0.03 mg/kg versus 0.08 +/- 0.05 mg/kg, p < 002). Recovery time (minutes) was shorter for those receiving fentanyl (74.7 +/- 22.8 versus 95.1 +/- 23.0, p < .003). Side effects occurred in 117 patients (19.1%), of which the majority were mild (83%); all were transient with no residual sequelae. Inability to complete the procedure occurred in fewer than 1%. We conclude that both combinations of medication are safe and effective for children of all ages. The use of fentanyl/midazolam results in a shorter recovery time and a lower dose of midazolam.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0016-5107
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
156-60
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7590052-Adjuvants, Anesthesia,
pubmed-meshheading:7590052-Adolescent,
pubmed-meshheading:7590052-Age Distribution,
pubmed-meshheading:7590052-Child,
pubmed-meshheading:7590052-Child, Preschool,
pubmed-meshheading:7590052-Conscious Sedation,
pubmed-meshheading:7590052-Endoscopy, Digestive System,
pubmed-meshheading:7590052-Fentanyl,
pubmed-meshheading:7590052-Humans,
pubmed-meshheading:7590052-Infant,
pubmed-meshheading:7590052-Injections, Intravenous,
pubmed-meshheading:7590052-Meperidine,
pubmed-meshheading:7590052-Midazolam,
pubmed-meshheading:7590052-Retrospective Studies
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pubmed:year |
1995
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pubmed:articleTitle |
Intravenous sedation in pediatric upper gastrointestinal endoscopy.
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pubmed:affiliation |
Division of Gastroenterology and Nutrition, Children's Hospital of Philadelphia, University of Pennsylvania Medical School 19104, USA.
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pubmed:publicationType |
Journal Article
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