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BET 2: IS ATROPINE NEEDED AS AN ADJUNCT IN PAEDIATRIC KETAMINE ADMINISTRATION?

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Report by Simon Carley, Consultant in Emergency Medicine

Search checked by Richard Body, Specialist Registrar in Emergency Medicine

Institution: Manchester Royal Infirmary, Manchester, UK

THREE-PART QUESTION

[In children requiring procedural sedation with ketamine] does [the co-administration of atropine] alter [salivation, safety, vomiting, recovery time and/or effectiveness].

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Table 1 Relevant paper

CLINICAL SCENARIO

A 4-year-old patient presents to the emergency department with a lip laceration, you decide to repair it under ketamine sedation and prepare an appropriate dose of ketamine and atropine. Before administration, however, your colleague (who has recently returned from Australia) tells you that it is a waste of time and that the …

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