Advanced Sedation Services at Blank Children's Hospital | Des Moines

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Blank Children's Hospital

Sedation Services

The Blank Children's Hospital pediatric sedation team is a group of specially-trained pediatric doctors, nurses and child life specialists who work together to help children sleep through potentially stressful or painful procedures or tests. Providers may request sedation for children during procedures that may take a long time or require a child to stay completely still.

Scheduling a Sedation

  • Call the outpatient scheduling department at (515) 241-6111 to schedule a procedure with a sedation.
  • A child needs to have a history and physical completed within 30 days of the scheduled procedure.
  • This H&P needs to be faxed with the order to outpatient scheduling at (515) 241-5117.
  • Please have available the insurance authorization number prior to scheduling the procedure.

Guidelines

Because young infants may have problems with some of the sedation medications, the following guidelines have been established. If a child does not meet the minimum age requirement, they may need to be admitted following sedation.

Gestational Age     Minimum Age Requirements
28 weeks 32 weeks or 8 months old
30 weeks 30 weeks or 7.5 months old
32 weeks 28 weeks or 7 months old
34 weeks 26 weeks or 6.5 months old
36 weeks 24 weeks or 6 months old
>37 weeks 4 weeks or 1 month old

Children with a chronic illnesses may need to be assessed prior to the procedure to determine if they are a good candidates for sedation. If not, these children may be referred to general anesthesia. Children with a fever, cold, vomiting, diarrhea or wheezing the day prior to the sedation may need to be re-scheduled when they are healthy.

Medications

The type of sedation used is based on a child's age, weight, allergies and the procedure being performed. Please know we do not give inhaled  nitrous oxide prior to an IV insertion. We do use LMX to numb the area of the IV insertion when appropriate.