Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department

Adam A Vukovic; Elizabeth Keiner; Holly R Hanson

doi:10.1177/2374373519846659

Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department

J Patient Exp. 2020 Jun;7(3):311-315. doi: 10.1177/2374373519846659. Epub 2019 May 2.

Authors

Adam A Vukovic^{1

2

3}, Elizabeth Keiner³, Holly R Hanson³

Affiliations

¹ Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, OH, USA.
² Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
³ Division of Pediatric Emergency Medicine, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.

Abstract

Objective: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries.

Methods: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. Interrater reliability and descriptive statistics were calculated.

Results: A total of 189 patients were included. Co-abstracted data demonstrated excellent agreement. The median time to PS and length of stay (LOS) were 214 (interquartile range [IQR]: 160-282) and 320 (IQR: 257-402) minutes, respectively.

Conclusion: Patients with orthopedic injuries requiring PS experience prolonged PED visits. Interventions should target safely reducing the time to PS and LOS.

Keywords: orthopedic injury; pediatric; procedural sedation.

Grants and funding

UL1 TR000445/TR/NCATS NIH HHS/United States