In this section
Nitrous Oxide Guideline
Analgesia & Sedation Guideline
Characteristics of ketamine dissociative state:
Short painful procedures, particularly if requiring immobilisation.
senior staff if any of the following are present:
Resuscitation equipment must be readily available.
Ondansetron may be considered prior to sedation, especially in those over 8-years.
In settings in which IV access can be obtained with minimal upset, the intravenous route is preferable as recovery is faster and there is less emesis.
Doses may need to be adjusted according to
Initial dose: 1.5 mg/kg (maximum of 50 mg)
Subsequent incremental dose(s) if needed: 0.5 mg/kg (maximum of 25 mg)
Initial dose of 3-4 mg/kg
A repeat dose of 2-4 mg/kg may be given after 10 minutes if sedation is inadequate.
Consider discussion with senior staff or anaesthetics, may need to abort sedation and procedure
Child requiring care above the level of comfort of the local centre.
emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services
Child is able to ambulate and verbalise at a level consistent with their pre-treatment functioning.
Careful family observation and supervision if mobilising for at least two hours.
See Acute behavioural disturbance: Acute management
See Asthma acute
When considering using Ketamine for analgesia discuss with Acute Pain Team
Last updated June, 2019