Babl of the department of emergency medicine at the Royal Children's Hospital in Victoria, Australia, presented these findings in poster format at the annual meeting of the Pediatric Academic Societies.
Babl and his colleagues studied 762 patients treated at a tertiary pediatric ED for orthopedic repair procedures, laceration repair, foreign body removal or other procedures; [N.sub.2]O 70% was administered in 72% of patients, [N.sub.2]O 50% was given in 13%, and the remainder received other percentages of [N.sub.2]O.
The prevalence of children's pain in the emergency department is well documented (Alexander & Manno, 2003; Drendel, Brousseau, & Gorelick, 2006; Herd, Babl, Gilhotra, & Huckson, 2009).
The FLACC scale has 98% sensitivity and 88% specificity in assessing pain levels (Crellin, Sullivan, Babl, O'Sullivan, & Hutchinson, 2007).
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A few limitations noted in some studies were 1) not addressing adverse reactions or safety (Macfadyen, 2005), 2) using subjective pain scores (Bolt, Barnett, Babl, & Sharwood, 2008), 3) lack of reporting statistical support (Dohar et al., 2006), or 4) addressing only chronic otitis media instead of AOM (Couzos, Culbong, Lea, Mueller, & Murray, 2003).
Bolt, P., Barnett, P., Babl, F., & Sharwood, L.
New information argued against the need for strict fasting guidelines for nitrous oxide sedation (AAPD, 2005; Babl
, Puspitadewi, Barnett, Oakley, & Spicer, 2005).