Ketamine dosing for procedural sedation
[DOC File]EMERGENCY MEDICINE GUIDELINES for ACE the ACEM - Home
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Zier, J. L. & Liu, M. (2011). Safety of High-Concentration Nitrous Oxide by Nasal Mask for Pediatric Procedural Sedation: Experience With 7802 Cases. Pediatric Emergency Care, 27(12), 1107-1112. doi: 10.1097/PEC.0b013e31823aff6d. Learning Guide for Procedural Sedation Last updated 30/12/15 2
[DOC File]ICU SEDATION GUIDELINES
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Dosing. Use 100mcg/2ml strength fentanyl solution for intravenous use. Initial dose - 1.5 mcg / kg . A second dose of . 0.75 - 1.5mcg/kg. may be administered 10 minutes after the first to provide further analgesia if required. If further analgesia is required after second dose, consider alternative or additional analgesia. Preparation and Administration
[DOCX File]Ketamine for Analgesia
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Rather than displaying the dose-response continuum observed with all other procedural sedation and analgesia agents, ketamine dissociation appears at a . dosing threshold . of approximately 1.0 to 1.5 mg/kg intravenously (IV) or 3 to 4 mg/kg intramuscularly (IM). In smaller doses, ketamine exhibits analgesia and disorientation.
Dosing ketamine for pediatric procedural sedation in the emergenc…
Dosing for adult procedural sedation should include a bolus dose (administered by a physician) with either a supplemental bolus dose or a continuous infusion for the duration of the procedure. Suggested initial dosing: ketamine 0.5 mg/kg IV over at least 1 minute followed by either a repeat in dose in 5-15 minutes or a continuous infusion of 5-20 mcg/kg/minute (2,5,6-9).
[DOC File]APPENDIX A: KETAMINE
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Ketamine is a potent analgesic at sub-dissociative doses ranging from 0.1-0.5 mg/kg when used for bolus dosing (8,9). Administration of continuous infusion ketamine for analgesia ranges …
Paediatric procedural sedation
Additional incremental doses of ketamine may be given (0.5 mg/kg) if initial sedation is inadequate, or if repeated doses are necessary to accomplish a longer procedure. Repeat doses of atropine are generally unnecessary. Ketamine administration – IM route. Ketamine 4-5 …
[DOC File]Ketamine
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A blinded, randomized controlled trial to evaluate ketamine/propofol versus ketamine alone for procedural sedation in children. Ann Emerg Med 2011;57:425–33. Andolfatto G, Willman E. A prospective case series of pediatric procedural sedation and analgesia in the emergency department using single-syringe ketamine-propofol combination (ketofol).
[DOC File]Community Hospital And Health Center
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Its most common use is in the care of burn victims during wound debridement and skin-staple removal.6 Both iv and oral ketamine have been used successfully for years to treat procedural pain in children.3, 8 Ketamine is considered ideal at subanesthetic doses for procedural pain in children with congenital heart disease, asthma, trauma ...
[DOC File](Pain Control)
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Combination of propofol with ketamine in a 1:1 mix “ketafol” or as combination therapy is also becoming popular for use in procedural sedation in emergency. Preliminary studies appear to show reduction of overall dose required when the drugs are used in combination with minimal adverse events. 31,32 At this stage this combination should ...
[DOCX File]Ketamine dosage for paediatric procedural sedation
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Ketamine 4-5 mg/kg IM, with atropine mixed in the same syringe. Repeat ketamine dose (full or half dose IM without additional atropine) if sedation is inadequate after 5-10 minutes (unusual) or if additional doses required. Pharmacodynamics – Duration of action following a single dose. Unconsciousness: 10-15 minutes. Analgesia: 30-40 minutes
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