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A survey of post-discharge side effects of conscious sedation using chloral hydrate in pediatric CT and MR imaging.
Pediatr Radiol 1999; 29(4):287-90PR

Abstract

BACKGROUND

Limited information is available on post-discharge side effects of chloral hydrate sedation in pediatric imaging.

OBJECTIVE

To prospectively study the post-discharge side effects of chloral hydrate sedation in pediatric CT and MR imaging.

MATERIALS AND METHODS

A total of 119 children undergoing CT and MRI were sedated using chloral hydrate with 89 % success (mean initial dose, 72 mg/kg body weight) and 98 % success after augmentation (mean total, 78 mg/kg body weight). The frequency of each post-discharge side effect was correlated with other side effects and 12 patient/technical parameters.

RESULTS

The survey was completed in 80 children. Sleepiness lasted for > 4 h in 28 %. Unsteadiness occurred in 68 % and hyperactivity in 29 %. Appetite became poor in 14 % and vomiting occurred in 15 %. Normal activity was resumed after > 4 h in 54 %. Sleep deprivation did not result in increased success or earlier onset of sedation and might be associated with hyperactivity. A higher dose did not result in an increased success rate or earlier onset of sedation within the dose range used in this study.

CONCLUSION

Data on the post-discharge side effects of chloral hydrate sedation will be useful to radiologists, technologists, and nurses explaining to parents about sedation using this agent.

Authors+Show Affiliations

Department of Radiology, 3894 JPP, The University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10199909

Citation

Kao, S C., et al. "A Survey of Post-discharge Side Effects of Conscious Sedation Using Chloral Hydrate in Pediatric CT and MR Imaging." Pediatric Radiology, vol. 29, no. 4, 1999, pp. 287-90.
Kao SC, Adamson SD, Tatman LH, et al. A survey of post-discharge side effects of conscious sedation using chloral hydrate in pediatric CT and MR imaging. Pediatr Radiol. 1999;29(4):287-90.
Kao, S. C., Adamson, S. D., Tatman, L. H., & Berbaum, K. S. (1999). A survey of post-discharge side effects of conscious sedation using chloral hydrate in pediatric CT and MR imaging. Pediatric Radiology, 29(4), pp. 287-90.
Kao SC, et al. A Survey of Post-discharge Side Effects of Conscious Sedation Using Chloral Hydrate in Pediatric CT and MR Imaging. Pediatr Radiol. 1999;29(4):287-90. PubMed PMID: 10199909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A survey of post-discharge side effects of conscious sedation using chloral hydrate in pediatric CT and MR imaging. AU - Kao,S C, AU - Adamson,S D, AU - Tatman,L H, AU - Berbaum,K S, PY - 1999/4/13/pubmed PY - 1999/4/13/medline PY - 1999/4/13/entrez SP - 287 EP - 90 JF - Pediatric radiology JO - Pediatr Radiol VL - 29 IS - 4 N2 - BACKGROUND: Limited information is available on post-discharge side effects of chloral hydrate sedation in pediatric imaging. OBJECTIVE: To prospectively study the post-discharge side effects of chloral hydrate sedation in pediatric CT and MR imaging. MATERIALS AND METHODS: A total of 119 children undergoing CT and MRI were sedated using chloral hydrate with 89 % success (mean initial dose, 72 mg/kg body weight) and 98 % success after augmentation (mean total, 78 mg/kg body weight). The frequency of each post-discharge side effect was correlated with other side effects and 12 patient/technical parameters. RESULTS: The survey was completed in 80 children. Sleepiness lasted for > 4 h in 28 %. Unsteadiness occurred in 68 % and hyperactivity in 29 %. Appetite became poor in 14 % and vomiting occurred in 15 %. Normal activity was resumed after > 4 h in 54 %. Sleep deprivation did not result in increased success or earlier onset of sedation and might be associated with hyperactivity. A higher dose did not result in an increased success rate or earlier onset of sedation within the dose range used in this study. CONCLUSION: Data on the post-discharge side effects of chloral hydrate sedation will be useful to radiologists, technologists, and nurses explaining to parents about sedation using this agent. SN - 0301-0449 UR - https://www.unboundmedicine.com/medline/citation/10199909/A_survey_of_post_discharge_side_effects_of_conscious_sedation_using_chloral_hydrate_in_pediatric_CT_and_MR_imaging_ L2 - https://dx.doi.org/10.1007/s002470050590 DB - PRIME DP - Unbound Medicine ER -