Ketamine pediatric dose
Background and objectives:
A number of clinical trials provide evidence that the perioperative use of subanesthetic doses of ketamine reduces pain and opioid requirements in some surgical procedures, but the effect of prolonged perioperative low-dose ketamine infusion in patients undergoing posterior spinal fusion for pediatric scoliosis surgery is unknown.
[DOC File]Practice Guidelines for Sedation and Analgesia by Non ...
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Green SM, Rothrock SG, Lynch EL, Ho M, Harris T, Hestdalen R, Hopkins GA, Garrett W, Westcott K: Intramuscular ketamine for pediatric sedation in the emergency department: safety profile in 1,022 cases. Ann Emerg Med 31:688-697, 1998. Gremse DA, Kumar S, Sacks AI: Conscious sedation with high-dose midazolam for pediatric gastrointestinal endoscopy.
[DOC File]APPENDIX A: KETAMINE
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Ketamine produces a condition called a “dissociative state.” This agent may be utilized for treatment of children who are about to undergo potentially painful procedures in the Emergency Department, Cardiac Catheterization Laboratory, Pediatric Intensive Care Unit, and Burn Intensive Care Unit.
Paediatric procedural sedation
The recommended ketamine dosing for IV injection is the initial dose of 1 mg/kg slowly over one minute followed by further doses of 0.5 mg/kg as required to a maximum total dose of 5 mg/kg.9,15 For IM injection the dose is 4 mg/kg.
[DOC File]ICU SEDATION GUIDELINES
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Ketamine (concentration ketamine 400mg / atropine 0.6mg) was administered by an anesthesiologist. Their protocol consisted of an induction dose of ketamine 2mg/kg IV followed by ketamine 4mg/kg IM. Subsequent IM doses of ketamine were administered when the patient made purposeful movements or nystagmus reappeared.
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