Speakers
Dr. Rowena LEE
Hong Kong
Rowena is an experienced paediatric anaesthesiologist with wide range interests. After completing her fellowship at the Children's Hospital in Westmead, Sydney, she joined Hong Kong Children's Hospital (HKCH) in 2019. Her areas of expertise include paediatric cardiac anaesthesia, paediatric airway and thoracic surgery. She has been collaborating with an allergist on perioperative anaphylaxis investigations and achieved the world's first neuromuscular blocking agent desensitization.
Rowena provides sedation services at HKCH where she accumulated her experience in presedation. She is an instructor for adult and paediatric sedation courses and has contributed to a book chapter on pediatric sedation. Currently, she is writing a case series on procedural sedation for paediatric anterior mediastinal mass. In the presentation, she will share her pearls and pain in presedation.
IV cannulation is a crucial aspect of anesthesia and procedural sedation, yet it can be intimidating for both patients and healthcare providers. The fear and discomfort associated with IV cannulation may discourage patients from seeking future medical care. Moreover, anxiety can hinder patient cooperation, resulting in movement that can lead to dislodged or difficult IV placements. Sedation before IV cannulation is often suggested as a compassionate approach, but implementing it effectively can be challenging. IV cannulation is a painful procedure, necessitates additional analgesia. In emergency situations, the need for sedation may remain, and techniques with a rapid onset are desirable. When spontaneous respiration is preferred, it is important to consider the potential respiratory depressive effects of sedatives. The question arises as to whether premedication can be administered without the patient's consent or knowledge, or if patient restraint is permissible for the purpose of premedication. These topics are subject to ongoing discussion and ethical considerations. Balancing patient autonomy, safety, and the need for optimal procedural conditions is essential.
