Sedation practices for Australian and New Zealand paediatric oncology patients.


OBJECTIVES:Paediatric oncology patients often require repeated bone marrow aspirates and lumbar punctures. These procedures commonly require sedation and analgesia. The Australian and New Zealand College of Anaesthetists and the American Academy of Pediatrics have published guidelines that provide recommendations on monitoring and staffing requirements during sedation of paediatric patients. A survey was conducted of the oncology units in Australia and New Zealand in order to compare current practices with published guidelines. METHODS:Telephone interviews were conducted with nursing or medical staff members. RESULTS:Fourteen oncology units collectively perform approximately 130 procedures each week, of which 74% are performed under general anaesthesia. Of the remainder, most are performed using conscious sedation. Most units adhere to published recommendations regarding equipment and staffing during procedures performed under sedation. Only a minority of units follow guidelines regarding documentation; fasting requirements; observation and documentation of vital signs during and after the procedure; and obtaining informed consent for procedures performed using sedation. CONCLUSION:Sedation practices among paediatric oncology units in Australia and New Zealand vary. None of the units fully adhere to published guidelines on childhood sedation. Paediatric oncology units should be familiar with the content of these guidelines and make an informed decision as to their usefulness, both in directing best clinical practice, and in supporting current practice in the event of medico-legal challenge.


Barnes C,Downie P,Chalkiadis G,Camilleri S,Monagle P,Waters K





Has Abstract


2002-04-01 00:00:00














  • Early post-traumatic seizures in children: clinical and radiological aspects of injury.

    abstract:OBJECTIVE:To determine the type and outcome of early post-traumatic seizures in children and the factors associated with it. METHODOLOGY:A prospective observational study on all consecutive children with head injuries at the General Hospital Kuala Lumpur between November 1993 and December 1994. The onset, type and fre...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Ong LC,Dhillon MK,Selladurai BM,Maimunah A,Lye MS

    更新日期:1996-04-01 00:00:00

  • Shopping trolley-related injuries to children in New Zealand, 1988-97.

    abstract:OBJECTIVE:To describe the epidemiology of shopping trolley related injuries (fatalities and hospitalizations) to children in New Zealand prior to the introduction of a voluntary standard for shopping trolleys. METHODOLOGY:To identify cases, a key word search was conducted of national mortality and hospitalization data...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Parry ML,Morrison LG,Chalmers DJ,Wright CS

    更新日期:2002-02-01 00:00:00

  • Medical retrieval and needs of infants with bronchiolitis: an analysis by gestational age.

    abstract:AIM:Viral bronchiolitis is the most common lower respiratory tract infection in children less than 12 months of age. Prematurity is an independent risk factor for disease severity. Many infected infants require hospitalisation and those living in regional centres frequently require transfer to metropolitan hospitals ca...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Fleming PF,Richards S,Waterman K,Davis PG,Kamlin CO,Stewart M,Sokol J

    更新日期:2013-03-01 00:00:00

  • How is care provided for patients with paediatric trauma and their families in Australia? A mixed-method study.

    abstract:AIM:This study describes clinical staff opinions on the availability and suitability of resources to provide trauma care to children and their families and any perceived strengths, gaps and potential interventions to strengthen care. METHODS:A mixed-method study was conducted in five Australian paediatric trauma centr...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Curtis K,Foster K,Mitchell R,Van C

    更新日期:2016-08-01 00:00:00

  • Gene therapy: progress in childhood disease.

    abstract::The recent sequencing of the human genome combined with the development of massively high throughput genetic analysis technologies is driving unprecedented growth in our knowledge of the molecular basis of disease. While this has already had a major impact on our diagnostic power, the therapeutic benefits remain large...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审


    authors: Ginn SL,Alexander IE

    更新日期:2012-06-01 00:00:00

  • A home respiratory support programme for children by parents and layperson carers.

    abstract:AIM:To describe a respiratory support programme for children at home by parents and layperson carers. METHODS:Analysis of records of children with long-term mechanical respiratory support at home. RESULTS:From 1979 to 2008 the programme managed 168 children (median age 7 years, range 3 weeks-19 years) with obstructiv...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Tibballs J,Henning R,Robertson CF,Massie J,Hochmann M,Carter B,Osborne A,Stephens RA,Scoble M,Jones SE,White J,Bryan D

    更新日期:2010-01-01 00:00:00

  • The prevalence of hepatitis C in survivors of paediatric malignancy.

    abstract:OBJECTIVE:To assess the prevalence of hepatitis C in 200 patients with paediatric malignancies, surviving in remission more than 5 years from diagnosis, who had received blood product transfusions before 1990 when routine screening of blood products for hepatitis C began. METHOD:The second and third generation Abbott ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Carter TL,Cole CH,Mews CF,Price PJ,Baker DL

    更新日期:1997-06-01 00:00:00

  • Early case conferences shorten length of stay in children admitted to hospital with suspected child abuse.

    abstract:OBJECTIVE:To compare the outcomes of two models for the management of children admitted to hospital with suspected child abuse: routine early case conferencing versus standard evaluation. METHODS:Between March 2001 and February 2002 professionals from the Royal Children's Hospital, Melbourne, Victoria Police and Child...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,随机对照试验


    authors: Smith JA,Efron D

    更新日期:2005-09-01 00:00:00

  • X-linked agammaglobulinaemia and the underlying genetics in two kindreds.

    abstract:OBJECTIVE:Molecular analysis of the Bruton's tyrosine kinase (Btk) gene in two unrelated families, with a combined total of seven boys, affected by X-linked agammaglobulinaemia (XLA). METHODS:Protein electrophoresis and western blotting were used for the examination of Btk protein synthesis in blood leucocytes. Isolat...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Pienaar S,Eley B,Beatty DW,Henderson HE

    更新日期:2000-10-01 00:00:00

  • Neonatal self-inflating bags: achieving titrated oxygen delivery using low flows: an experimental study.

    abstract:AIM:To determine delivered O2 concentration (dFiO2) during manual inflations using neonatal self-inflating resuscitation bags (SIBs) at oxygen (O2) flow rates <1 L/min. METHODS:This experimental study, determined dFiO2 during 216 sets of manual inflations at different O2 flow rate (L/min; 0.2, 0.4, 0.6, 0.8, 1.0 and 5...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Sasi A,Chandrakumar N,Deorari A,Paul VK,Shankar J,Sreenivas V,Agarwal R

    更新日期:2013-08-01 00:00:00

  • Neonatal subgaleal haematoma: associated risk factors, complications and outcome.

    abstract:OBJECTIVE:To describe the obstetric and perinatal factors, in particular the method of delivery, associated with development of a subgaleal haematoma (SGH) and to determine the outcome of survivors with this type of birth trauma. METHODOLOGY:Perinatal and obstetric data were retrospectively reviewed for 37 infants adm...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Chadwick LM,Pemberton PJ,Kurinczuk JJ

    更新日期:1996-06-01 00:00:00

  • Addicted schoolchildren: prevalence and characteristics of areca nut chewers among primary school children in Karachi, Pakistan.

    abstract:OBJECTIVES:To evaluate the habits of betel quid use and areca nut chewing among school-aged children in Karachi, Pakistan. Areca nut (betel nut) is chewed by itself, in various scented preparations, and in betel quid (containing betel leaf, areca nut, slaked lime, condiments, sweeteners and sometimes tobacco) in variou...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Shah SM,Merchant AT,Luby SP,Chotani RA

    更新日期:2002-10-01 00:00:00

  • Renal length nomogram in Hong Kong Asian children: sonographic measurement and multivariable approach.

    abstract:AIM:The purpose of our study was to build a multiple renal length nomogram for Hong Kong Asian children based on normal renal ultrasonography. METHODS:All children below the age of 13 years, who underwent ultrasonography in a local Hospital in Hong Kong from 23 September 2008 to 31 January 2009 due to melamine exposur...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Luk WH,Lo AX,Au-Yeung AW,Liu KK,Woo YH,Chiang CC,Lo KK

    更新日期:2010-06-01 00:00:00

  • What has happened in the last 50 years in immunology.

    abstract::Fifty years ago, in 1964, our understanding of the immune system was very rudimentary. Gell and Coombs had just described classes of hypersensitivity reactions, and Bruton had described and commenced immunoglobulin replacement in agammaglobulinaemia. The distinction between T and B cells was not identified and charact...

    journal_title:Journal of paediatrics and child health

    pub_type: 历史文章,杂志文章,评审


    authors: Wong M

    更新日期:2015-02-01 00:00:00

  • Peer review of rural and tertiary Queensland paediatric diabetes services: A pilot project from the National Health Service.

    abstract:AIM:Peer review is one component of the improvement of diabetes care delivered by the National Health Service (NHS) in England and Wales. Queensland has a decentralised model of service provision with an established state diabetes network. METHODS:The NHS scheme was adapted for use in Australia, and seven trained revi...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Wales J,Yates J

    更新日期:2019-06-01 00:00:00

  • Use of complementary and alternative medicine in children: too important to ignore.

    abstract::There is evidence that complementary and alternative medicine (CAM) is commonly being used for Australian children, however, at the same time, many doctors have little interest or understanding of the topic. Just as with mainstream treatments, CAM therapies have significant potential for adverse effects and drug inter...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: South M,Lim A

    更新日期:2003-11-01 00:00:00

  • Attitudes of Level II obstetricians towards the care of the extremely premature infant: a national survey.

    abstract:OBJECTIVE:To explore the opinions of non-tertiary obstetricians towards the care and outcome of extremely premature infants. METHODS:A structured questionnaire was mailed nationally to 232 obstetricians affiliated to maternity facilities with Level II nurseries. RESULTS:The overall response rate was 75% (n = 174) aft...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Gooi A,Oei J,Lui K

    更新日期:2003-08-01 00:00:00

  • Maternal water intoxication as a cause of neonatal seizures.

    abstract::A term infant was admitted at 6 h of age with seizures related to hyponatraemia. During the last hours of labour the infant's mother had drunk 3 L of water. After delivery the serum sodium was 121 mmol/L in the mother and 126 mmol/L in the infant. Both resolved spontaneously. We discuss this case and the impact of mat...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: West CR,Harding JE

    更新日期:2004-12-01 00:00:00

  • A review of venovenous haemofiltration in seriously ill infants.

    abstract::Between April 1989 and October 1991, 13 severely ill infants, median age 13 days (range 1-180 days), median weight 3.5 kg (range 2.5-4.8 kg), received continuous venovenous haemofiltration (CVVH) for a median duration of 39 h (range 5-234 h). Filtration was performed through a double lumen catheter inserted into a cen...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Reeves JH,Butt WB,Sathe AS

    更新日期:1994-02-01 00:00:00

  • Sun protection behaviours and the predictors of sunburn in young children.

    abstract:OBJECTIVE:To explore the use of sun protection behaviours and the experience of sunburn in a sample of parents and their children in New Zealand. METHODOLOGY:Information was collected from 887 parents using postal questionnaires at the beginning of and during the summer. RESULTS:Thirty per cent of the parents believe...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Morris J,McGee R,Bandaranayake M

    更新日期:1998-12-01 00:00:00

  • Transgender adolescents and legal reform: How improved access to healthcare was achieved through medical, legal and community collaboration.

    abstract::Transgender children and adolescents face hardships in all domains of their lives, with many experiencing family rejection, social exclusion, discrimination, bullying and assaults. The mental health implications of these experiences include high rates of depression, anxiety, self-harm and attempted suicide. Gender-aff...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Telfer M,Kelly F,Feldman D,Stone G,Robertson R,Poulakis Z

    更新日期:2018-10-01 00:00:00

  • Post-natal corticosteroids are associated with reduced expiratory flows in children born very preterm.

    abstract:AIM:Infants born very prematurely often received corticosteroids to minimise the risk of developing bronchopulmonary dysplasia (BPD) but their long term impact on lung function at school age is unclear. METHODS:A cross-sectional study of 105 children [mean gestation of 27 weeks] was undertaken. Lung function assessmen...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Smith LJ,van Asperen PP,McKay KO,Selvadurai H,Fitzgerald DA

    更新日期:2011-07-01 00:00:00

  • Sudden infant death syndrome and infant mortality in aboriginal and non-aboriginal infants.

    abstract::The aim of this study was to investigate sudden infant death syndrome (SIDS) in the context of total infant mortality for Aboriginal and non-Aboriginal infants. Deaths for infants born in Western Australia from 1980 to 1988 inclusive were ascertained from a total population data base. Infant mortality rates and rates ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Alessandri LM,Read AW,Stanley FJ,Burton PR,Dawes VP

    更新日期:1994-06-01 00:00:00

  • Increased prevalence of constipation in pre-school children is attributable to under-consumption of plant foods: A community-based study.

    abstract:AIM:To evaluate consumption of foods rich in dietary fibre and its relation to the prevalence of constipation in pre-school children. METHODS:In total, 368 children aged 3-5 years were randomly selected from kindergartens in Hong Kong. Constipation was confirmed by Rome-criteria. Children with normal bowel habits serv...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Lee WT,Ip KS,Chan JS,Lui NW,Young BW

    更新日期:2008-04-01 00:00:00

  • Putting harm reduction into an adolescent context.

    abstract::Drug use is now widespread amongst Australian youth. Substance abuse and dependence are becoming increasingly significant health problems. Approximately 50% of 17-year-old Australians report regular consumption of alcohol and nearly 30% report tobacco smoking. The age of onset of substance use is reported to be decrea...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Bonomo Y,Bowes G

    更新日期:2001-02-01 00:00:00

  • Risk of hospitalisation after early-revisit in the emergency department.

    abstract:AIM:Early-revisits are frequent in the paediatric emergency department (ED) setting, but few data are available about early-revisited patients. The aim of this study was to investigate the hospitalisation rate of a population of early-revisited patients and to detect if an early-revisited patient was at risk of a more ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Cozzi G,Ghirardo S,Fiorese I,Proietti I,Monasta L,Minute M,Barbi E,Calligaris L

    更新日期:2017-09-01 00:00:00

  • Trends in paediatric practice in Australia: 2008 and 2013 national audits from the Australian Paediatric Research Network.

    abstract:AIM:In adult medicine, rates of investigation and prescribing appear to be increasing. Such information is lacking for paediatrics. We audited Australian paediatricians' practices in 2013 to determine changes since 2008 in: (i) conditions seen; (ii) consultation duration; (iii) imaging and pathology ordered; and (iv) p...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Hiscock H,Danchin MH,Efron D,Gulenc A,Hearps S,Freed GL,Perera P,Wake M

    更新日期:2017-01-01 00:00:00

  • Rare presentation of shock and acute mesenteric ischaemia secondary to acute adrenal insufficiency in an 11-year-old male.

    abstract::An 11-year-old Caucasian male with history of abdominal pain, diarrhoea, fatigue, emesis and fever on the previous days presented with dehydratation, shock and acute mesenteric ischaemia. Final diagnosis of Addison's disease was made. ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章


    authors: Roldan-Martin MB,Rodriguez-Ogando A,Sanchez-Galindo AC,Parente-Hernandez A,Luengo-Herrero V,Sanchez-Sanchez C

    更新日期:2013-06-01 00:00:00

  • Lysosomal storage disorders: A review of the musculoskeletal features.

    abstract::The lysosomal storage disorders are a collection of progressive, multisystem disorders that frequently present in childhood. Their timely diagnosis is paramount as they are becoming increasingly treatable. Musculoskeletal manifestations often occur early in the disease course, hence are useful as diagnostics clues. No...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审


    authors: James RA,Singh-Grewal D,Lee SJ,McGill J,Adib N,Australian Paediatric Rheumatology Group.

    更新日期:2016-03-01 00:00:00

  • Antiepileptic drugs: Role in paediatric poisoning.

    abstract::Intoxications, both accidental and intentional, are common in children and adolescents and often require hospitalisation and intensive treatment. Antiepileptic drugs are a possible cause of poisoning and intoxications because this category of medications has shown a rising trend in recent years. They might be responsi...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审


    authors: Ferranti S,Grande E,Gaggiano C,Grosso S

    更新日期:2018-05-01 00:00:00