To my knowledge there is no difference in safety and I can't see why duration would differ, either.
Some points for IV: Can give IVF to those who have been NPO for awhile or were injured during sports and may be dehydrated. Also can give IV zofran for persistent vomiting after, if needed. Can co-administer Toradol, which some orthopods like. An IV always makes me feel better in case things were to entirely go down the drain, though (knock on wood) I've never had a need for it in probably 500 cases.
Nice to not need the IV, though, when using it IM.
James Reingold, M.D.
> Date: Fri, 30 Jan 2009 08:00:58 -0500> From: [log in to unmask]> Subject: Ketamine IV/IM Paediatric procedural sedation in ED> To: [log in to unmask]> > I think most of the places Ketamine it is done IM for procedural > sedation in ED.I worked in places where it is done IV and IM and i think IM has > got longer duration of sedation. > What are your experinces with each/both of them and is there > any evidence to support that one is better/safe than the other?> > Arvind> > 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:> http://listserv.brown.edu/ped-em-l.html
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