25 Nov 2017
“Ophthalmologists are examining young children under anesthesia. According to our research paper published in 2012, repeated examinations under anesthesia are not only unnecessary but hazardous to the growth and development of babies and young children. A complete eye examination can easily be done by sedating children in clinic with Chloral Hydrate Syrup.”
- Waste of a surgeon’s time.
- Waste of anesthetist’s time.
- Clog operating theatre lists.
- Anesthetic risk to babies.
- It was introduced into medical use by Liebreich in 1869 as the first non-barbiturate, synthetic sedative-hypnotic.
- Since 1894, it is being used in children as a sedative.
- Unlike opioids, it produces sedation without significant adverse effects on cardiovascular or respiratory function at therapeutic doses
- Children < 3 years of age were more successfully sedated than older children
- Dose=125 mg/kg. Effective sedation achieved in 98% (397) children. Two percent (8 cases) failed to achieve sedation.
- Vomiting due to gastric irritation = 62 cases (1.77%)
- Repeat dosage, same visit= 52 cases (1.48%)
- Repeat sedation, next visit= 10 cases (0.28%)
- Needed EUA 8 cases (0.22%)
- Effective sedation in 90 to 95% of patients.
- Complete Ophthalmological Examination performed easily.
- Easy availability: syrup, suppositories
- Relatively mild adverse effect profile.
- Makes it an ideal oral sedative in Ophthalmic OPDs.