Letters Emergency sedation in children

Sedating unfasted children may be dangerous

BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b4959 (Published 24 November 2009) Cite this as: BMJ 2009;339:b4959
  1. David C Crawford, consultant anaesthetist1,
  2. Avinish Kapoor, anaesthetic registrar1
  1. 1Newcastle upon Tyne Hospitals Trust, Newcastle upon Tyne NE4 6BE
  1. david.crawford2{at}nuth.nhs.uk

    We are concerned by some of the guidance offered in Atkinson and colleagues’ clinical review of pain management and sedation for children in the emergency department—specifically, the use of intravenous anaesthetic induction agents ketamine (and propofol and midazolam) by “appropriately trained” doctors in doses (2 mg/kg for ketamine) sufficient to induce general anaesthesia in unfasted children.1 Healthcare …

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