Annals of Emergency Medicine
Volume 19, Issue 9 , Pages 1033-1046, September 1990

Ketamine sedation for pediatric procedures: Part 2, review and implications

    MD
  • Steven M Green

      Affiliations

    • Department of Emergency Medicine, Riverside General Hospital, Riverside, California, USA
    • California Emergency Physicians Medical Group, Oakland, California, USA
    • Corresponding Author InformationAddress for reprints: Steven M Green, MD, Department of Emergency Medicine, Riverside General Hospital, 9851 Magnolia Avenue, Riverside, California 92503.
  • , MD, MPH, FACEP
  • N Eric Johnson

      Affiliations

    • California Emergency Physicians Medical Group, Oakland, California, USA

Received 1 May 1989; received in revised form 7 September 1989 and 9 April 1990; accepted 2 May 1990.

Summary 

Ketamine produces rapid and consistent pediatric sedation with a predictable onset and recovery time. A wide margin of safety is afforded without the respiratory and cardiovascular depression commonly seen with alternative agents. The efficacy of ketamine is well established in anesthesia and dentistry and has extensive applications in other specialties. Ketamine sedation facilitates superior technical and cosmetic results while minimizing emotional trauma to distraught children. The much-feared complications of aspiration and laryngospasm are extremely rare when ketamine is used with proper precautions. Ketamine deserves increased use in the ED, and we advocate additional clinical investigation in this setting.

ketamine

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PII: S0196-0644(05)82569-7

Annals of Emergency Medicine
Volume 19, Issue 9 , Pages 1033-1046, September 1990