Why not use lido with epi? I do that often with adults and anecdotally it
seems to help prevent excess RBCs in the LP?
On Mon, Jan 19, 2009 at 2:51 PM, Martin Herman, M.D. <
[log in to unmask]> wrote:
> Ketamine is contraindicated in a baby that age, I think. We have had lots
> 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
> 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
> 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
> experienced that?
> 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
> > target. Whaddya think? whaddya do? would everyone have done a
> > work up? we got cbc,crp and ua/cxr which were normal and the cx was
> > of course.
> > don
> > 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
> 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:
D. Scott Moore, D.O., M.S., F.A.A.E.M.
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: