7/30/2023 0 Comments Midazolam antidoteUse in children younger than five years to counteract vagal effects of ketamine.* Nystagmus, hypersecretions, agitation, emergence delirium, vomiting, myoclonus, laryngospasm, cardiovascular stimulation, may require concurrent atropine sulfate in children younger than five years †Ĭontraindications: hypertension, ischemia, increased intracranial or intraocular pressure, active respiratory infection, psychosis, infants younger than three monthsĬhildren: 0.01 mg per kg intravenously/intramuscularly ![]() Sedation in children: 2 to 4 mg per kg intramuscularly Food and Drug Administration for children younger than 16 years* Reliable, established safety in children, intramuscular route, first-line agent in children not approved by the U.S. Sedation in children: 1 to 2 mg per kg intravenously Sedation in adults: 0.2 mg per kg over 30 to 60 secondsĪdvantages: single agent, reliable, no cardiovascular or respiratory depression, first-line agent in adultsĭisadvantages: limited data with PSAA, action too short for some procedures Use other alternatives when possible or necessary, such as topical or subcutaneous anesthetics, topical skin adhesives, or controlled physical restraint.Ĭonsider digital block or regional nerve block.Ĭonsider hematoma block,* digital block, or regional nerve block.Ĭonsider digital or regional nerve block.ĭebridement, significant pain, large surface area, severe burn Use if subcutaneous anesthesia is judged to beinadequate.Īcute, no suspected increase in intracranial pressureĬonsult with on-site radiologist or subspecialist when available, timing of procedural sedation and anesthesia with imaging is key.Īcute, concern for elevated intracranial pressureĭefer to preference of consulting radiologist or other subspecialist present at time of procedure.ĭefer to preference of consulting radiologist or other subspecialist present at time of procedure, consider mild oral anxiolytic. ![]() Use when suction, irrigation, or other physical measures have failed.
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