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Clinical practice guideline for emergency department ketamine dissociative sedation in children

Steven M Green1, Baruch Krauss

  • 1Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA 92354, USA. stevegreen@tarascon.com

Annals of Emergency Medicine
|November 3, 2004
PubMed

Insights

This guideline provides evidence-based recommendations for using ketamine for pediatric procedural sedation in emergency departments. It updates 1990 guidelines with current research on safe and effective administration.

Area of Science:

  • Emergency Medicine
  • Pediatric Anesthesiology
  • Clinical Pharmacology

Background:

  • Outdated 1990 guidelines for pediatric procedural sedation require revision due to recent advancements.
  • Ketamine is a dissociative agent frequently used for sedation and analgesia in pediatric emergency care.
  • Evidence-based practice necessitates updated recommendations for ketamine administration.

Framework:

  • This guideline provides a comprehensive framework for ketamine use in pediatric procedural sedation.
  • It addresses critical aspects including indications, contraindications, and personnel requirements.
  • The framework emphasizes safe and effective patient management throughout the sedation process.

Implementation:

  • Discusses optimal dosing strategies and necessary coadministered medications for ketamine sedation.
  • Outlines essential monitoring parameters during and after ketamine administration.
  • Details recovery considerations and potential adverse events associated with ketamine use.

Implications:

  • Facilitates standardized and safe administration of ketamine for pediatric procedural sedation.
  • Aims to improve patient outcomes and reduce adverse events in emergency settings.
  • Identifies key areas for future research to further optimize ketamine sedation practices.

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