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Peds Sickle Cell Crisis

Please be aware of the following recommendations for Pediatric pain control, in particular for our sickle cell patients, discussed at the most recent pain meeting:

Anesthesia pain team can now be called at any time to begin management of a pediatric sickle cell patient who is in pain. This team may begin a PCA pump for the patient.
If the physician covering the anesthesia consult service (resident) is resistant to the addition of a basal rate, and the patient has a history of requiring one, the physician requesting the consult may ask to speak to the fellow.
Once the patient is admitted to P4, the team managing the PCA/analgesia will be decided on a case by case basis (heme/onc vs pediatrics vs anesthesia)

As per Jeff Glassberg ,who attended:
The Chief of Anesthesia expects that the response to our consultation request be immediate and that the fellow or resident actually appear in person in our ED within 15 minutes of being called. Consultation recommendations over the phone are to be discouraged.

Please note that the goal is adequate pain control not only for those pts that are being admitted but also for those who are in the ED in pain, so that they may have the possibility of being discharged to home.



Written by phil

February 5th, 2013 at 9:54 pm

Posted in Peds,Sickle Cell

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