>Does anyone have any experience with low dose IM ketamine? We have
>been using 1-1.5 mg/kg with a great deal of success; the child is usually
>well sedated in 5-10 minutes. The sedation lasts about 30 minutes and the
>children are up and drinking in less than an hour.
>Our experience with oral Versed has not been rewarding. Has anyone been
We have begun to acquire some experience with IM ketamine in doses up to
4.0 mg/kg. Although sedation has been satisfactory in most cases we have
encountered prolonged sedation (at the higher doses) and an occasional
We have also had mixed success with the Nitronox machine in children aged 5
years and older. For many, the main hurdle has been acceptance of the face
mask. Even then, introduction of a painful procedure (e.g., hematoma block)
has met with variable reaction.
James G. Linakis, Ph.D., M.D.
Division of Pediatric Emergency Medicine
Hasbro Children's Hospital/Rhode Island Hospital
(401) 444-4307 (fax)
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