Thanks to all,
Medazolam is good to keep child sedated but there is the risk of paradoxical
excitation and decrease respiratory efforts after procedure.
ketamine has analgesic and amnesic effect.
Having no problem with doing the procedure doesn't mean the child and
parents are satisfied about it.
We had instance of parents refusing to continue the procedure because of
child's continous crying.
ketamine will be the drug of choice to keep everybody happy.
In Advanced PEM conference in NY last year there was a talk that argued
about the scientific basis of not using ketamine for head injury pt.
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