Ketamine is still safe without concurrent midazolam and atropine for pediatric procedures in the emergency department

Autor:	Oktay Eray, Hayri Bozan, Yildiray Cete, Cem Oktay
Rok vydání:	2005
Předmět:	business.industry Sedation medicine.medical_treatment Emergency department Atropine Anesthesiology and Pain Medicine Procedural sedation and analgesia Anesthesia medicine Midazolam Ketamine Neurology (clinical) medicine.symptom business Adverse effect Prospective cohort study medicine.drug
Zdroj:	The Pain Clinic. 17:255-264
ISSN:	1568-5691 0169-1112
DOI:	10.1163/1568569054729517
Popis:	Aim. Although the safety of ketamine for pediatric procedural sedation and analgesia is well established, use of concurrent benzodiazepines and atropine to diminish the adverse events is still controversial. We wanted to determine whether the adjunctive midazolam reduces the recovery agitation and to compare the incidence of adverse events with those reported in the literature. In particular, we wanted to assess whether adjunctive atropine can diminish salivation in order not to cause compromise of the airways. Methods. This prospective study was conducted in the Emergency Department of Akdeniz University Hospital. A detailed conscious sedation protocol was developed, and emergency physicians and nurses were educated regarding its contents. All patients who underwent procedural sedation and analgesia were evaluated by using a standardized conscious sedation form. Patients presenting with any trauma who were aged 15 or younger and requiring sedation and analgesia were evaluated. Results. During a ...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e0537ad5a2b8248637ba741a4bb480ae https://doi.org/10.1163/1568569054729517 Zobrazit plný text záznamu