>I am interested in everyone's opinion about the following protocol
>and any experience you have had with this medication. Thanks
Our group has had very good experience with low dose IM ketamine. We will
use 1-1.5 mg/kg IM, along with 0.02 mg/kg of atropine. Midazolam 0.05-0.1
mg/kg is added for children over 3 years of age. These patient are placed on
a CR monitor, have continuous pulse oximetry and vital signs checked frequently.
Good sedation is usuually seen within 10 minutes and lasts up to 1 hour.
Patients are generally fully awake, tolerating clear liquids and ambulating
within 2 hours from the time the mediciation was given.
I agree with Dale Steel's comments (except IV vs IM) about some of the finer
points of your "guidelines" (I was always taught that protocols were for
people who couldn't think).
Jeff Linzer, MD, MICP
Egleston and Hughes Spalding Children's Hospitals
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