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19–22 APRIL, 2017, BARCELONA, SPAIN
S4: MISCELLANEOUS 2
Moderators: Anka Nieuwhof (Netherlands), Kelly van der Cruyssen (Belgium)
ESPU-Nurses Meeting on Friday 21, April 2017, 09:50–10:30
09:50–10:00
S4-1 (LO)
ORAL SEDATION FOR CATHETER PLACEMENT BEFORE
CYSTOGRAPHY – MORE OR LESS
Rachel MILKH
1
, Iris BRAUN
2
, Ana BABAYEV
1
, Sara BITAN
3
, Bezalel SIVAN
2
,
Roy MORAG
1
and David BEN MEIR
1
1) Schneider, Pediatric Urology Unit, Petach Tikva, ISRAEL - 2) Schneider, Pediatric Urology Unit, Petach Tikva, ISRAEL
- 3) Schneider, Nursing Research, Petach Tikva, ISRAEL
PURPOSE
Urological procedures such as catheter placement involve pain and anxiety to patient and car-
egivers. Using Midazolam to attain conscious sedation alleviates these feelings and increases the
child’s cooperation. Monitoring is done due to potential side effects including respiratory depression,
drowsiness and confusion. The recommended oral dose of Midazolam to achieve conscious seda-
tion in children, is 0.25-0.5 mg/kg.
Purpose: Comparison of two doses of Midazolam with regard to quality of sedation, recovery time
and family satisfaction.
MATERIAL AND METHODS
Sedation prior to catheter placement for Cystography was performed in 48 children aged 1-6 years.
The procedures were performed between 2015-2016. Oral Midazolam was given at 0.3mg/kg
(low dose group-LDG) versus 0.5mg/kg (high dose group-HDG). Data was collected from a family
reported questionnaire and from the nurse report. The quality of sedation was graded 0-poor, 1-fair
and 2-good.
RESULTS
The LDG included 27 children, the HDG 21. No demographic differences were present. The qual-
ity of sedation was slightly better in the HDG-1.95 versus LDG -1.81, but was not of statistical
significance. Average recovery time was 11 minutes longer in HDG. Caregiver’s satisfaction did not
differ significantly between the groups.
CONCLUSIONS
Both 0.3mg/kg and 0.5mg/kg of Midazolam attain good sedation and similar caregiver satisfaction.
The recovery time was shorter in the LDG. Therefore it seems sufficient to use the lower dose of
Midazolam, to attain a safe and efficient sedation, for catheter placement in young children.