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Clinical Practice Guidelines

  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    hydrate # Oral  Narrow therapeutic index  No analgesic effect Midazolam # Oral, intranasal, buccal, IM … discharge Agent failure No analgesic effect Intranasal fentanyl Synergistic with nitrous oxide Reduces need … Chloral hydrate Midazolam Ketamine * General anaesthetic Diagnostic (painful) IV insertion LP Port access …
  • Seizures acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
    st line Midazolam 0.15 mg/kg IV/IM (max 10 mg) 0.3 mg/kg buccal/intranasal (max 10 mg) Diazepam 0.3 … 2-5 mg/kg IV/intraosseus slowly stat followed by infusion at 1-4 mg/kg/hr  Midazolam infusion 1 microg … written information consider need for emergency medication (buccal midazolam) Follow-up after a first …
  • Peripheral extravasation injuries: Initial management and washout procedure
    www.rch.org.au/clinicalguide/guideline_index/Peripheral_extravasation_injuries__Initial_management_and_washout_procedure/
    Etomidate Erythromycin Flucloxacillin Ganciclovir Lorazepam Midazolam Morphine Mycophenolate Nitroglycerine …. Avoid local anaesthetic with adrenaline Intranasal fentanyl or ketamine Inhaled nitrous oxide IV/IM …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.