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Agree, is a bit extreme to me as well.  Need to consider risk benefit to child, I think little benefit and lots of risk.

GJ

>>> <[log in to unmask]> 2009/01/18 9:01 PM >>>
seems quite extreme to me...
TZ
 
 
 
In a message dated 1/18/2009 7:11:46 P.M. Central Standard Time,  
[log in to unmask] writes:

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 stationary target.  Whaddya think?   whaddya do?   would everyone  
have done a complete work  up?  we got cbc,crp and ua/cxr which were  
normal and the cx was  pending of course.

don

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