BEST EVIDENCE TOPIC REPORTS
BET 3: DOES THE TIME OF FASTING AFFECT COMPLICATION RATES DURING KETAMINE SEDATION?
Lancaster Royal Infirmary and Manchester Royal Infirmary, UK
| The first 150 words of the full text of this article appear below. |
Report by Ray McGlone, Consultant in Emergency Medicine
Search checked by Simon Carley, Consultant in Emergency Medicine
Institutions: Lancaster Royal Infirmary and Manchester Royal Infirmary, UK
THREE-PART QUESTION [In children undergoing ketamine sedation] is [prolonged fasting (6 h or more) better than short term fasting (3 h)] at [reducing the incidence of vomiting and other complications of sedation].
CLINICAL SCENARIO
A 4-year-old boy is brought to the emergency department having fallen over at home. He has sustained a 3 cm deep laceration to the forehead. He was never unconcious and you have no concerns of an underlying brain injury. The wound clearly needs closure and cleaning but he is upset and would not be able to cooperate without sedation. You suggest this but his mother states that he ate 3 h ago. You phone the anaesthetist on call who tells you that you should wait a further 3 h to ensure that
Relevant Article
- Primary survey
- Jonathan Wyatt
Emerg. Med. J. 2008 25: 319.[Extract] [Full Text] [PDF]
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