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As a yank working over here on sabbatical, I want to second the use of ketamine as a safe and eminently effective agent for sedation in kids. I have used it hundreds of times with no complications. Cheers! Gregory Luke Larkin MD MSPH FACEP Atlantic Fellow in Public Policy Guy's & St.Thomas' NHS Trust London SE1 7EQ Associate Professor of Emergency Medicine University of Pittsburgh >From: [log in to unmask] >Reply-To: The list will be of relevance to all trainees including > undergraduates and <[log in to unmask]> >To: [log in to unmask] >Subject: Ketamine >Date: Thu, 7 Dec 2000 15:18:27 GMT > > >Does anyone out there use ketamine ? >We have been using ketamine for the last couple of >years at the Royal Free Hospital (London) and now we >just introduce it at Princess Alexandra hospital (Harlow) >with excellent results and minimal complication rate. We >use IM ketamine 4 mg/kg. > >This is a safe drug very appropiate to the A&E setting, >and is an exclusive anaesthetic drug as much as aspirin >is an exclusive cardiology drug. > >If anyboy want to read about this debate I recommend >the editorial in Annals of Emergency medicine , >November 2000 , it is a little gem , essential for >discussion with our friends the anaesthetist(and other >A&E colleagues). (I enclose a copy as a PDF file). > > >Charlie Fee from North Ireland mention that an A&E >journal refused to publish a study about ketamine >because they thought that A&E should not sedate >children in this way. I would be grateful if we could know >which A&E journal was this, as if the only reason for not >publication was the above, this journal is not worthy of >carrying the name A&E at its front. Even if the editors do >not agree with the technique the debate is out there >and any study of enough quality should be published. >Also to say that ketamine is not a drug suitable for A&E >means that somebody does not understand the role of >an A&E department in the care of injured children, the >range skills already present in many A&E departments, >and the effects of ketamine in children > > >Andres I. Martin >SpR Emergency Medicine >North Thames (East) >London ><< semanticofketamine.pdf >> _____________________________________________________________________________________ Get more from the Web. FREE MSN Explorer download : http://explorer.msn.com