<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902020000400037</article-id>
<article-id pub-id-type="doi">10.29193/rmu.36.4.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en sedoanalgesia vinculada a procedimientos en un departamento de emergencia pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in procedural sedation and analgesia in a pediatrics emergency unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Experiência em sedação e analgesia ligada a procedimentos em um departamento de emergência pediátrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Más Gómez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarillo Martínez]]></surname>
<given-names><![CDATA[Paloma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tórtora]]></surname>
<given-names><![CDATA[María Soledad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dall&#8217;Orso]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prego Petit]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Emergencia Pediátrica. Centro Hospitalario Pereira Rossell]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Emergencia Pediátrica. Centro Hospitalario Pereira Rossell]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Emergencia Pediátrica. Centro Hospitalario Pereira Rossell]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Emergencia Pediátrica. Centro Hospitalario Pereira Rossell]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Emergencia Pediátrica. Centro Hospitalario Pereira Rossell]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<fpage>37</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902020000400037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902020000400037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902020000400037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la realización de procedimientos dolorosos es cada vez más frecuente en el área de urgencias pediátricas. El control del dolor, mitigar el temor y la ansiedad es una pieza clave en la atención del paciente pediátrico y una de las prioridades del médico emergencista.  Objetivo: describir la experiencia en sedoanalgesia con ketamina y fentanilo como único fármaco o asociados a otros para procedimientos dolorosos en el Departamento de Emergencia Pediátrica (DEP) del Centro Hospitalario Pereira Rossell (CHPR).  Material y método:  estudio descriptivo, retrospectivo. Período: enero de 2011 a julio de 2016. Población: todos los pacientes que recibieron sedoanalgesia con ketamina o fentanilo (solos o asociado a otros fármacos) para realización de procedimientos dolorosos en el DEP-CHPR. Base de datos: historias clínicas. Se midió la eficacia mediante el éxito del procedimiento y la seguridad por la presencia de efectos adversos vinculados a la misma.  Resultados:  n=352, menores de 15 años; 96 recibieron ketamina y 256 recibieron fentanilo. Media de edad: 7 años, sexo masculino: 245. Dosis media de ketamina 1 mg/kg. Dosis media de fentanilo 1 &#612;/kg. Principales indicaciones de sedoanalgesia: procedimientos ortopédicos (264), toracocentesis (62). Procedimiento con éxito: 352 pacientes. Monitorización cardiovascular y saturometría durante el procedimiento: 100%. Efectos adversos: seis (no requiriendo maniobras de soporte vital avanzado). Ningún paciente cambió su destino final.  Conclusiones: la utilización de sedoanalgesia resultó eficaz y segura realizada por el pediatra emergencista capacitado en el manejo farmacológico y de soporte vital avanzado. La monitorización del procedimiento durante y luego de éste es necesaria para pesquisar y resolver precozmente las complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  painful procedures are gradually increasing frequency in pediatrics emergency units. Controlling pain and mitigating fear and anxiety are of the essence when assisting pediatric patients and one of the priorities of emergency doctors.  Objective: to describe using sedoanalgesia with ketamine and fentanyl as the only drug or associated with other drugs during painful procedures, at the Pediatrics Emergency Unit, of the Pereira Rossell Hospital Center.  Method:  descriptive, retrospective study from January 2011 to July 2016. Population: all patients who received sedoanalgesia with ketamine and fentanyl (as the only drug or associated with other drugs) during painful procedures at the Pediatrics Emergency Unit, of the Pereira Rossell Hospital Center. Database: medical records. Effectiveness was measured by success of the procedure and safety in terms of adverse effects in connection with it.  Results:  N=352 children younger than 15 years old. 96 received ketamine and 256 received fentanyl. Average age was 7 years old and 245 of them were boys. Average dose of ketamine was 1 mg/kg, average dose of fentanyl was 1 &#612;/kg. Main indications for sedoanalgesia included: orthopaedic procedures (264), thoracentesis (62). Procedures were successful in 352 patients. 100% of cases involved cardiovascular monitoring and blood oxygen saturation meter. Adverse effects: 6 (no advanced life support manoeuvres required). No patient changed final destination.  Conclusions: the use of sedoanalgesia was effective and safe, when applied by emergengy pediatricians qualified in the handling of drugs and advanced life support. Monitoring during and after procedure is required to determine and solve complications at an early stage.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  a realização de procedimentos dolorosos é cada vez mais frequente na área de emergência pediátrica. Controlar a dor, mitigar o medo e a ansiedade é um elemento-chave no atendimento ao paciente pediátrico e uma das prioridades do médico de emergência.  Objetivo: descrever a experiência em sedação e analgesia com ketamina e fentanil como fármaco único ou associado a outros para procedimentos dolorosos, no Serviço de Emergência Pediátrica (DEP) do Centro Hospitalar Pereira Rossell (CHPR)  Material e métodos: estudo descritivo retrospectivo. Período: janeiro de 2011 a julho de 2016. População: todos os pacientes que receberam sedação e analgesia com ketamina ou fentanil (isoladamente ou em combinação com outras drogas) para realização de procedimentos dolorosos no DEP-CHPR. Banco de dados: prontuários médicos. A eficácia foi medida pelo sucesso do procedimento e a segurança pela presença de efeitos adversos associados.  Resultados: n = 352 crianças menores de 15 anos. 96 receberam ketamina e 256 receberam fentanil. Idade média: 7 anos, sexo masculino: 245. Dose média de ketamina 1 mg / kg. Dose média de fentanil 1 &#612;/kg. Principais indicações para sedação e analgesia: procedimentos ortopédicos (264), toracocentese (62). Procedimento com sucesso: 352 pacientes. Monitorização cardiovascular e oximetria durante o procedimento: 100%. Efeitos adversos: 6 (não requer manobras de suporte avançado de vida). Nenhum paciente mudou seu destino final.  Conclusões: o uso da sedação e analgesia foi eficaz e seguro realizado por pediatra de emergência capacitado em manejo farmacológico e suporte avançado de vida. O monitoramento do procedimento durante e após é necessário para investigar e resolver precocemente as complicações.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Manejo del dolor]]></kwd>
<kwd lng="es"><![CDATA[Analgesia]]></kwd>
<kwd lng="es"><![CDATA[Servicio de urgencia en hospital]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="es"><![CDATA[Analgésicos]]></kwd>
<kwd lng="es"><![CDATA[Ketamina]]></kwd>
<kwd lng="es"><![CDATA[Fentanilo]]></kwd>
<kwd lng="en"><![CDATA[Pain management]]></kwd>
<kwd lng="en"><![CDATA[Analgesia]]></kwd>
<kwd lng="en"><![CDATA[Emergency service, hospital]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Analgesics]]></kwd>
<kwd lng="en"><![CDATA[Ketamine]]></kwd>
<kwd lng="en"><![CDATA[Fentanyl]]></kwd>
<kwd lng="pt"><![CDATA[Manejo da dor]]></kwd>
<kwd lng="pt"><![CDATA[Analgesia]]></kwd>
<kwd lng="pt"><![CDATA[Serviço hospitalar de emergência]]></kwd>
<kwd lng="pt"><![CDATA[Analgésicos]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[Ketamina]]></kwd>
<kwd lng="pt"><![CDATA[Fentanila]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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