>This suggested
>> that Ketamine was, as an anaesthetic drug,unliscensed and therefore
>unsuitable
>> for non-anaesthetists to use
>
>I am sure this should have read:-
>"anaesthetists rarely practice sedation using Ketamine. It's use should be
>restricted to Emergency Physicians trained in its use"
>
>Another example that it is time for the speciality to stand up and state
>that there are things in which we hold the expertise in. It is not necessary
>to ask permission from another speciality first.
>
LOL!!
I totally agree. Our anaesthetic colleagues are a bit out of touch regarding
sedation in A&E,I feel, and particularly regarding ketamine sedation for children.
I hope Chris Moulton won't mind me quoting his comments regarding the Working
Party report on Safe Sedation Practice from the Academy of Royal Medical Colleges
- "the anaesthetists were dead against ketamine use in A&E." And also against
propofol by the way.
The report states that specialities should devise guidelines based on the needs
of their practice and I feel that it is time for us as a Speciality to prove
that the agents/techniques we use are safe and acceptable for the indications
we encounter.
Marten C. Howes MRCP(UK)
Specialist Registrar
Accident and Emergency Medicine
Royal Preston Hospital
Lancashire
PR2 9HT
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