Prolonged pre-procedure fasting time is unnecessary when using titrated intravenous ketamine for paediatric procedural sedation

Emergency Medicine Australasia : EMA
Greg Treston

Abstract

Paediatric procedural sedation (PPS) is a common procedure in most general EDs. Many departmental guidelines suggest mandatory fasting times for children undergoing PPS, in an attempt to decrease the incidence of postoperative vomiting and (theoretically) aspiration pneumonitis, despite there being little or no evidence in the literature to support these mandatory fasting times. To prospectively address the relationship between preprocedure fasting time and intraprocedure or postprocedure vomiting in children aged 1-12 years undergoing procedural sedation with intravenous ketamine in the ED. From January 1999 to May 2000 all children presenting to the Royal Darwin Hospital Emergency Department with a condition requiring ketamine PPS were enrolled for data collection after parental consent was obtained. Titrated intravenous ketamine was administered via protocol. Prospective ED procedural sedation data collection forms of 272 consecutive cases of titrated intravenous ketamine sedation were reviewed. Fasting time was accurately recorded on 257 (95%) data collection forms. There was no intraprocedure vomiting. Overall rate of postprocedure vomiting was 13.9%. No statistically significant association between decreased fasting time ...Continue Reading

References

Apr 1, 1992·Anesthesiology·M S SchreinerL Whitney
Sep 1, 1990·Annals of Emergency Medicine·S M Green, N E Johnson
Sep 1, 1990·Annals of Emergency Medicine·S M GreenN E Johnson
Jan 1, 1989·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W M SplinterJ G Muir
Dec 1, 1988·Anesthesiology·R I Patel, R S Hannallah
Mar 1, 1984·Canadian Anaesthetists' Society Journal·M G Palazzo, L Strunin
Feb 1, 1982·Anesthesiology·P F WhiteA J Trevor
Nov 1, 1982·Anaesthesia and Intensive Care·M P Rowley, T C Brown
Aug 25, 1994·The New England Journal of Medicine·G A WalcoN L Schechter
Apr 1, 1996·Annals of Emergency Medicine·T E Terndrup
May 17, 1997·BMJ : British Medical Journal·A F SmithR M Slater
Mar 10, 1998·Archives of Pediatrics & Adolescent Medicine·S J WeismanN L Schechter
Dec 23, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S M GreenT Sherwin
Jan 23, 1999·Anesthesiology·M A WarnerE J Warner
Sep 28, 1999·Annals of Emergency Medicine·S M GreenS G Rothrock
Dec 30, 1999·Annals of Emergency Medicine·S M GreenM Ho
Aug 5, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S M Green
Jul 31, 2001·Emergency Medicine·J Ducharme
Jul 31, 2001·Emergency Medicine·S J PriestleyP Francis
Oct 24, 2001·Anaesthesia and Intensive Care·J P Bradley, D Lee
Jan 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven M Green, Baruch Krauss
May 8, 2002·Emergency Medicine·Ian EverittPeter Barnett
May 1, 1998·Annals of Emergency Medicine·UNKNOWN Members of the Clinical Policies Subcommittee on Procedural Sedation and Analgesia included:Rhonda Whitson

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Citations

Jan 15, 2008·International Journal of Nursing Practice·Seija Klemetti, Tarja Suominen
Feb 3, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James R Miner, Baruch Krauss
Feb 6, 2016·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Betsy BeazleyJesse M Ehrenfeld
Jan 21, 2014·Annals of Emergency Medicine·Steven A GodwinUNKNOWN American College of Emergency Physicians
Mar 27, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·G Orliaguet, UNKNOWN groupe d’experts Sfar-SFMU
Mar 31, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·G Orliaguet, UNKNOWN groupe d’experts Sfar-SFMU
Jan 25, 2011·Annals of Emergency Medicine·Steven M GreenBaruch Krauss
Feb 10, 2009·Annals of Emergency Medicine·Steven M GreenUNKNOWN Emergency Department Ketamine Meta-Analysis Study Group
Nov 8, 2008·Annals of Emergency Medicine·Steven M Green, Charles J Coté
Apr 1, 2006·Pediatric Clinics of North America·Lisa Doyle, James E Colletti
Nov 7, 2006·Annals of Emergency Medicine·Ka Wai CheungSamuel G Campbell
Oct 21, 2006·Annals of Emergency Medicine·Steven M Green, Baruch Krauss
Feb 4, 2006·Emergency Medicine Australasia : EMA·Rajesh S SehdevKorana Kindl
Jul 11, 2008·Paediatric Anaesthesia·Daniel DallimoreDavid W Herd
Oct 9, 2007·Emergency Medicine Australasia : EMA·Steven M Green
Mar 4, 2009·Emergency Medicine Australasia : EMA·Meredith BorlandDavid Krieser
Oct 9, 2007·Emergency Medicine Australasia : EMA·Anthony BellRobert Cardwell
Aug 10, 2011·Emergency Medicine Australasia : EMA·Anthony BellJohn Pasco
Aug 10, 2011·Emergency Medicine Australasia : EMA·David McD TaylorJohn Pasco
Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven M GreenUNKNOWN Emergency Department Ketamine Meta-analysis Study Group
Jun 19, 2015·Current Opinion in Anaesthesiology·Joseph D Tobias
Jun 23, 2016·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Giath GazalKhalid H Al-Samadani
Oct 18, 2016·Anesthesia, Essays and Researches·Mathew ClarkAbdallah Dalabih
Jul 23, 2008·Pediatric Emergency Care·Daniel DallimoreBrian J Anderson
Feb 9, 2005·Pediatric Emergency Care·Peter Barnett
Jan 1, 2009·Pediatric Emergency Care·Andrea W ThorpSteven M Green
Dec 4, 2019·Anaesthesia·S M GreenUNKNOWN International Committee for the Advancement of Procedural Sedation
May 26, 2018·JAMA Pediatrics·Maala BhattUNKNOWN Sedation Safety Study Group of Pediatric Emergency Research Canada

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