Annals of Emergency Medicine
Volume 44, Issue 5 , Pages 460-471, November 2004

Clinical practice guideline for emergency department ketamine dissociative sedation in children

  • Steven M. Green, MD

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Steven M. Green, MD, Loma Linda University Medical Center A-108, 11234 Anderson Street, Loma Linda, CA 92354; 805-969-2144, fax 775-307-4121
    • ,
  • Baruch Krauss, MD, EdM

From the Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA (Green); and the Division of Emergency Medicine, Children's Hospital and Harvard Medical School, Boston, MA (Krauss).

Received 23 April 2004; received in revised form 8 June 2004; accepted 14 June 2004. published online 16 September 2004.

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.

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 Dr. Krauss is a paid consultant for Oridion Medical Inc., a capnography manufacturer.

 Reprints not available from the authors.

PII: S0196-0644(04)00636-5

doi:10.1016/j.annemergmed.2004.06.006

Annals of Emergency Medicine
Volume 44, Issue 5 , Pages 460-471, November 2004

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