ketamine IM sedation

[Figs]

i've recently heard from one of my residents that some of their consultants  sedate pediatric patients under rectal ketamine but they don't routinely insert an IV line. she was bothered and wanted my opinion.

i've asked her to ask her consultants what is the rationale for the technique. frankly, it can't see the point of using rectal or intranasal as the sole route of administration, when inserting an IV is so much easier, more convenient and above all more hygienic. i could probably justify using those routes as a temporizing method prior to inserting an IV.

[superkidlat]

One of my consultants especially for dental procedures that are short ones, doesnt put a venflon. He just gas them down.

[sleepdr5178]

hi guys,

    enjoy reading your comments.  Well, our staff usually gives inhalational via mask to put pediatric patients to sleep for short diagnostic radiologic procedures like CT Scan.  NO IV even though patients are on NPO.  Of course, they have priority - sked them in AM after a thorough pre-op assessment and instructions given to parents the day before.  Vigilant intra - op and good post op care/monitoring.  NO problems so far. 

[Figs]

One of my consultants especially for dental procedures that are short ones, doesnt put a venflon. He just gas them down.

how about for moderately long dental procedures?

[superkidlat]

One of my consultants especially for dental procedures that are short ones, doesnt put a venflon. He just gas them down.

how about for moderately long dental procedures?

I think it would be wise to put venflons in when doing long dental procedures.  It is also worth talking to the dentist, whether it is going to be a quick pull. If they are pulling out a wobbly tooth then I would just put a venflon and then gas them let them do the job, I don't intubate for a wobbly tooth.