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BET 3: DOES THE TIME OF FASTING AFFECT COMPLICATION RATES DURING KETAMINE SEDATION?

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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].

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Table 1 Relevant papers

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 …

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