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President's Message

From the Editor

Literature Reviews

Do children with high 
body mass indices have a higher incidence of emesis when undergoing ketamine sedation?

Etomidate for short pediatric procedures in the emergency department

Intranasal fentanyl and
high-concentration inhaled nitrous oxide for procedural sedation: A prospective observational pilot study of adverse events and depth of sedation


SPS and Vanderbilt University School of Medicine launch partnership to develop online CME for physicians

Meeting Preview

Looking forward to the 2013 Society for Pediatric Sedation Conference

Topics of Interest

Resident and Fellow Corner

Quality Corner

Recent Topics of Interest

Current Topics for the Pediatric Sedation Nurse

Child Life Corner

Child Life Corner

Tips and Techniques: The Face Mask and Applications for Nitrous Oxide

Kris MurrayBy Kris Murray, CCLS
Section Editor

Nitrous oxide is a great addition to sedation programs to help kids with their medical procedures.  When it works, it works!  However, there are times when kids don't like the mask.  It could be they've had a negative experience in the past, they may have sensory issues to touch or smell or it's a new experience. 

The first step is to assess if there are issues with a mask and from there an approach can be determined.  If there are sensory issues to smell or touch, nitrous may not be an option for that child. Explore the degree of their sensitivity with the parent and child and the probability of accepting the mask.  

It will be important to give the child control by using medical play and a slow approach.  This could make a difference in their acceptance of the mask.  

Below are some techniques to use when introducing the mask:

The Use of Nitrous Oxide

If the child still doesn't like the mask and they will be returning, send a mask home for them to play with at home.  

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