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How deep is your sedation?
  1. N M Sibbald1,
  2. M J Jackson2,
  3. L A Howie2
  1. 1
    Department of Intensive Care Medicine, Salford Royal NHS Foundation Trust, Salford, UK
  2. 2
    Department of Anaesthesia, Trafford General Hospital, Urmston, Manchester, UK
  1. Dr N M Sibbald, Department of Intensive Care Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK; nataliesibbald{at}doctors.net.uk

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We read with interest the paper by Vardy et al on the audit of the safety and effectiveness of ketamine for procedural sedation in the emergency department.1 A point of concern was that 77% of patients in their sample received propofol, midazolam or ketamine at a dose that depressed their conscious level such that they were unresponsive to verbal …

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