Procedural Sedation and Analgesia in Children — Board-Style Questions

What this deck covers

Procedural Sedation and Analgesia in Children in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Forty minutes since the crisps
2. How far she might have to follow
3. Three people, one job each
4. Eleven days after the drain
5. Nine o’clock, round at eleven
6. One dose in, still guarding
7. Eighteen kilograms, and a full syringe
8. Waking into the wrong room
9. He moved, so give more
10. Ninety minutes, and keen to leave
11. What his colleague was taught
12. One chart for the whole department
13. Nine years of watching her
14. Still sore through the evening
15. What her mother can do
16. The form was signed for the stitches
17. Something from the cupboard
18. Counting the time before the needle

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Waiting two hours, To reverse the agent promptly, The point at, That two hours have passed, An oral opioid instead of the paracetamol, To hold the limb still, Withhold all analgesia for six hours.

Clinical pearls from this deck

• Fasting time is not a safety measure in procedural sedation. Urgency is.
• Plan for one level deeper than you intend. Children do not read the plan.
• One person watches the child and does nothing else. That person is not the operator.
• Trapped gas anywhere: no nitrous oxide.
• Topical anaesthetic is a decision made on arrival, not at the bedside.
• A femoral shaft fracture is a block, not a bigger opioid dose.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all emergency and critical care case decks · pediatric reference values.