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This may be useful. Priestley SJ, Taylor J, McAdam CM, Francis P. Ketamine sedation for children in the emergency department. Emergency Medicine; 13: 82-90. 2001. Paul Middleton Melbourne Ray <[log in to unmask]> wrote: We've got 461 children on the database now, but the cases are slowing down now because children don't rush around as fast when its cold. Yes, the results are good in that using 2 to 2.5 mg'kg with local anaesthetic we have not had any airway problems. Vomiting still occurs though between 5 - 10% either in recovery or at home. Perhaps our incidence is still high because we are following up most parents by post then phone. My colleague, Stuart Durham used Ketamine on the child of one of our Consultant Physicians this week and I've used it on children of an ITU Consultant (x2) and a Consultant Surgeon. So our local colleagues seem happy. Hope to get the results of 500 published next year. I'm convinced by the safety profile now, so the Staff Grades (with training) are using it in our Minor Injury Unit at Kendal. Regards Ray McGlone Lancaster ----- Original Message ----- From: "Dr P Munro" <[log in to unmask]> To: <[log in to unmask]> Sent: Wednesday, December 12, 2001 8:33 PM Subject: Re: Sedation Research > > I know that SIGN are in the process of drawing up some guidelines about > paediatric > > sedation. I'm not sure if they have been published yet, but at the British > Paediatric > > Emergency Medicine Group in Edinburgh an initial draft was presented. This > suggested > > that Ketamine was, as an anaesthetic drug,unliscensed and therefore > unsuitable > > for non-anaesthetists to use. This did generated quite a lot of > discussion. > > The US Academy of paediatrics have published quite a lot in Annals as well > > Adrian Boyle > > I agree Simon. What utter crap. One of our Scottish SpRs has just come back > from 6 months in Paediatric Emergency Medicine in Australia where they were > using Ketamine ROUTINELY for procedures in children. Hopefully the UK will > catch up eventually. Did I not hear someone on the list (?Ray) say they had > just completed a UK study of a large number of cases - my bet is that this > will be very favourable - any chances of a preview. > > What next - after all adenosine is a "cardiology drug" etc etc. > > Phil Munro > Disgruntled, A&E, Glasgow > >