Ketamine is contraindicated in a baby that age, I think. We have had lots of
discussions on sedation for radiology and most of my group cuts off at 2
months. Other than for intubation, we try not to sedate these very young
I have to agree with others that IN midazolam works well, I have used it for
CT scanning in other infants > 2 months. I also have used sucrose pacifiers
and it does help.
My one concern about using lidocaine for LP in the very young has to do with
the number of times the lidocaine injection results in RBCs in an otherwise
pristine tap. It occurs even if a use a "z" type approach. Has anyone else
On Sun, Jan 18, 2009 at 6:51 PM, don zweig <[log in to unmask]> wrote:
> Do any of you sedate kids to get a septic wu done? I had a 4 week old
> (today he was 4weeks) with fever of 38.6 who looked quite good , feeding
> bottle avidly, had hx cough and was rsv neg. no one could get iv (nicu
> nurses tried eight times) and i could not get lp due to xs squirming. It
> would seem to be so much easier for me and prob for kid to give i m
> ketamine, get a line (groin if needed or ej) and do the lp on a stationary
> target. Whaddya think? whaddya do? would everyone have done a complete
> work up? we got cbc,crp and ua/cxr which were normal and the cx was pending
> of course.
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
Martin Herman, M.D.
Pediatric Emergency Specialists, P.C.
Lebonheur Children's Medical Center
Memphis Tn 38103
901 287 5986 ( ED office)
901 287 6226 ( ED fax)
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: