Assessing sedation in children is different than in adults. A modification of an adult sedation scoring system can be used to evaluate premedication in children prior to anesthesia.
|
Parameter |
Finding |
Score |
|---|---|---|
|
subjective response in reception area |
apprehensive |
0 |
|
|
fully awake |
1 |
|
|
drowsy |
2 |
|
subjective response during transfer from reception area to operating room |
cry or struggle |
0 |
|
|
apprehensive |
1 |
|
|
deterioration from drowsy or wake state |
1 |
|
|
no change from drowsy or awake state |
2 |
|
change in heart rate during transfer from reception area to operating room |
rise > 30 per minute |
0 |
|
|
rise 15-30 per minute |
1 |
|
|
no change |
2 |
|
change in blood pressure during transfer from reception area to operating room |
rise > 20 mm Hg |
0 |
|
|
rise 10-20 mm Hg |
1 |
|
|
no change |
2 |
|
change in respiration during transfer from reception area to operating room |
grossly irregular |
0 |
|
|
rise > 4 per minute |
1 |
|
|
no change |
2 |
|
reaction to injection |
cry or struggle |
0 |
|
|
wince or vocalisation |
1 |
|
|
none |
2 |
Interpretation:
• minimum score: 0
• maximum score: 12
• good sedation: score 8-12
• fair sedation: score 6-7
• poor sedation: scores 0-5
Purpose: To assess sedation in a child preoperatively by using a modified scoring system.
Specialty: Anesthesiology, Pedatrics, Critical Care, Emergency Medicine, Surgery, general
Objective: severity, prognosis, stage, response to therapy, disease progression, complication detection, comorbid conditions
ICD-10: A00-B99, C00-D49, D50-D89, I00-I99, J00-J99, K00-K95, M00-M99, S00-T88,
