Clinical practice guideline for emergency department ketamine dissociative sedation in children
Child; Humans; Age Factors; Anesthetics; Emergency Service; Preschool; infant; Hospital; Emergency Medicine/methods; Pediatrics/methods; Dissociative/administration & dosage/contraindications; Ketamine/administration & dosage/contraindications
We present an evidence-based clinical practice guideline for the administration of the dissociative agent ketamine for emergency department pediatric procedural sedation and analgesia. Substantial research in recent years has necessitated updates and revisions to the widely disseminated 1990 recommendations. We critically discuss indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, recovery issues, and future research questions for dissociative sedation.
2004
Green SM; Krauss B
Annals Of Emergency Medicine
2004
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1016/S0196064404006365" target="_blank" rel="noreferrer">10.1016/S0196064404006365</a>
Procedural sedation and analgesia in children
Child; Humans; Health Status; Preschool; PedPal Lit; infant; Pediatrics/standards; Practice Guidelines; Analgesia/classification; Analgesics/administration & dosage/classification/pharmacology; Conscious Sedation/classification; Hypnotics and Sedatives/administration &; dosage/classification/pharmacology
Procedural sedation and analgesia for children--the use of sedative, analgesic, or dissociative drugs to relieve anxiety and pain associated with diagnostic and therapeutic procedures--is now widely practised by a diverse group of specialists outside the operating theatre. We review the principles underlying safe and effective procedural sedation and analgesia and the spectrum of procedures for which it is currently done. We discuss the decision-making process used to determine appropriate drug selection, dosing, and sedation endpoint. We detail the pharmacopoeia for procedural sedation and analgesia, reviewing the pharmacology and adverse effects of these drugs. International differences in practice are described along with current areas of controversy and future directions.
2006
Krauss B; Green SM
Lancet
2006
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article