a conscious sedation protocol for videolaryngostroboscopy in pediatric patients一个有意识的镇静协议videolaryngostroboscopy儿科患者.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2010, Article ID 643123, 4 pages doi:10.1155/2010/643123 Clinical Study A Conscious Sedation Protocol for Videolaryngostroboscopy in Pediatric Patients Samantha Anne,1, 2 Lawrence M. Borland,3 Laura Haibeck,4 and Joseph E. Dohar1, 2 1 Department of Pediatric Otolaryngology, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA 2 Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15260, USA 3 Department of Pediatric Anesthesiology, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA 4 Department of Speech and Language Pathology, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA Correspondence should be addressed to Joseph E. Dohar, dohaje@ Received 4 June 2010; Revised 13 September 2010; Accepted 28 September 2010 Academic Editor: P. H. Dejonckere Copyright © 2010 Samantha Anne et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. To determine best sedation protocol for videolaryngostroboscopy in children unable to tolerate non-sedated evaluation. Materials and Methods. Consecutive case series of 10 children with voice disturbances, unable to tolerate nonsedated videolaryngostroboscopy at an academic tertiary care children’s hospital. Flexible fiberoptic videolaryngostroboscopy was performed and interpreted by pediatric otolaryngologist and speech and language pathologist. Sedation was administered with newly described protocol that allowed functional portion of evaluation. Main Outcome Measures: abili