In choosing a medication, general pharmacologic principles should be followed. Antipsychotic use in children and adolescents: minimizing adverse effects to maximize outcomes. 1: 5–108; quiz 110–2Sorrentino A. Epub 2013 Sep 24.Cochrane Database Syst Rev. South Med J 2003 Jul; 96(7): 699–701Abilify®: US full prescribing information [online]. Epub 2015 Dec 31.Kumar A, Datta SS, Wright SD, Furtado VA, Russell PS.Cochrane Database Syst Rev.
Citation counts are provided from Web of Science and CrossRef. in the 74Altmetric calculates a score based on the online attention an article receives. Sometimes it is obvious that a patient is extremely agitated and needs to be taken down imminently in order to protect the department staff and the patient themselves.
Psychopharmacology and aggression: I. Psychotropic practice patterns for youth: a 10-year perspective. This list highlights individual mainstream news articles and blogs that cite the article. Acute agitation is a symptom — look for the cause while keeping everyone safe. Clinical manual of pediatric psychosomatic medicine. doi: 10.1002/14651858.CD009377.pub2.Acad Emerg Med.
thread in the circle represents a different type of online attention. Goals, risks, and benefits of medication use will be reviewed. COVID-19 is an emerging, rapidly evolving situation.Disclosure The authors declare no conflicts or financial interest in any product or service mentioned in the manuscript, including grants, equipment, medications, employment, gifts, and honoraria. is the Altmetric score. J Am Acad Child Adolesc Psychiatry 2002 Mar; 41(3): 253–61Schur SB, Sikich L, Findling RL, et al. Paediatr Anaesth 2004 Oct; 14(10): 831–7Cheng-Shannon J, McGough JJ, Pataki C, et al. Medical evaluation and triage of the agitated patient: consensus statement of the american association for emergency psychiatry project Beta medical evaluation workgroup. 9th ed. N Engl J Med 2002 Dec 5; 347(23): 1890–1; author reply 1891Hatta K, Kawabata T, Yoshida K, et al. J Psychiatr Pract 2005 Nov; 11Suppl. Psychiatr Bull 2002; 26: 460–2Dorfman D. The use of physical and chemical restraints in the pediatric emergency department. Cambridge, UK: Cambridge University Press; 2011:185-199. Altmetric are responsible for the curation of You can also search for this author in Chemical restraints for the agitated, violent, or psychotic pediatric patient in the emergency department: controversies and recommendations. Available from URL: Barzman DH, Delbello MP. J Child Adolesc Psychopharmacol 2006 Dec; 16(6): 671–7Barzman DH, DelBello MP, Forrester JJ, et al. Medication should be selected based on the underlying cause in conjunction with weighing the risks, benefits, and side effects of medications. Philadelphia (PA): Lippincott, Williams and Wilkins, 2003Dorfman DH, Kastner B. Diagnostic considerations regarding pediatric delirium: a review and a proposal for an algorithm for pediatric intensive care units. Agitation treatment for pediatric emergency patients.
Nordstrom K, Zun LS, Wilson MP, et al. Intramuscular ziprasidone in youth: a retrospective chart review. Neuroleptic malignant syndrome in children and adolescents. The authors had full access to all data and take responsibility for the integrity and accuracy of the data analysis. A guide for managing acute aggressive behavior of youths in residential and inpatient treatment facilities. A review. Based on response to Sonnier, L., Barzman, D. Pharmacologic Management of Acutely Agitated Pediatric Patients. Droperidol for perioperative sedation causes a transient prolongation of the QTc time in children under volatile anesthesia. New York: American Psychiatric Publishing, 2009Currier GW, Chou JC, Feifel D, et al. J Child Adolesc Psychopharmacol 2007 Dec; 17(6): 871–2Hilt RJ, Woodward TA. Hopper AB, Vilke GM, Castillo EM, Campillo A, Davie T, Wilson MP.J Emerg Med. Pediatrics 2006 Oct; 118(4): 1764–7Schieveld JN, van der Valk JA, Smeets I. Efficacy and safety of intramuscular aripiprazole in patients with acute agitation: a randomized, double-blind, placebo-controlled trial. Adult guidelines for acute agitation in the emergency department. The most concerning short-term side effects of antipsychotics are their adverse neurologic effects, neuroleptic malignant syndrome, and prolonged corrected QT interval. Although environmental and de-escalation strategies can be very effective, many times, acutely agitated or psychotic patients will require some form of pharmacologic intervention.
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