Curious what others are doing regarding monitoring (i.e., pulse ox,
BP, monitor) during pediatric sedation. Are people doing the same
amount of monitoring during IM Ketamine and PO/Nasal Versed, for
example, as they are during IV sedation?
At our hospital a lot of the infant/young child lacerations, for
example, are done in Fast Track where we have but one RN, one tech,
and one doctor and can't do typical conscious sedation monitoring.
Would this preclude the use of IM Ketamine or PO/Nasal Versed?
Are others sending these younger patients who clearly would benefit
from sedation (as would the doctor!) strictly through the main ED?
Daniel E. Kates, M.D.
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Thunderbird Samaritan Medical Center
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