열상 봉합이 필요한 소아환자에서 클로랄수화물 용량에 따른 진정 결과 비교
Comparison of sedation outcome according to the dose of chloral hydrate in children requiring laceration repair
서보경, 김아름, 정현민, 김아진, 한승백,
소속 상세정보
서보경 ( Seo Bo-Kyeong )
인하대학교 의과대학 응급의학교실
김아름 ( Kim A-Reum )
인하대학교 의과대학 응급의학교실
정현민 ( Jung Hyun-Min )
인하대학교 의과대학 응급의학교실
김아진 ( Kim Ah-Jin )
인하대학교 의과대학 응급의학교실
한승백 ( Han Seung-Baik )
인하대학교 의과대학 응급의학교실
Abstract
Purpose: To compare the sedation outcome according to the dose of per os chloral hydrate in children who underwent laceration repair in the emergency department (ED).
Methods: This retrospective study was performed to the children who underwent sedation using chloral hydrate for laceration repair in the ED from January 2015 through November 2015. A total of 370 children aged younger than 6 years underwent the sedation. We compared the induction time, duration of sedation, and ED length of stay (EDLOS) between the single dose (50 mg/kg) and additional dose (plus 25 mg/kg) groups.
Results: Of 370 children, 335 (90.5%) were sedated successfully, 284 (76.8%) were sedated with initial dose (the single dose group), and 51 (13.8%) were sedated with additional dose (the additional dose group). The induction time and EDLOS were longer in the additional dose group (induction time: 31.0 ± 17.2 minutes vs. 96.2 ± 25.4 minutes, P < 0.001; EDLOS: 137.2 ± 35.5 minutes vs. 193.0 ± 36.0 minutes, P < 0.001). The duration of sedation showed no difference between the 2 groups (44.4 ± 24.0 minutes vs. 42.0 ± 20.8 minutes; P = 0.500). No one had serious adverse reactions.
Conclusion: Additional dose of chloral hydrate can increase the induction time and EDLOS without increasing the duration of sedation and causing serious adverse reactions. This information may improve the efficiency of ED workflow when shared with parents of the children.
키워드
Child; Chloral Hydrate; Conscious Sedation; Lacerations; Length of Stay
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