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KMID : 0385920100210050704
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 5 p.704 ~ p.708
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Utility of Capnography During Intramuscular Ketamine for Procedural Sedation in Children
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Kim Ki-Hwan
Cho Young-Soon
Kim Ho-Jung
Lim Hoon
Lee Myung-Gab
Yoo Byeong-Dae
Jun Duck-Ho
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Abstract
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Purpose: The purpose of this study was to determine whether continuous capnography monitoring detects adverse respiratory and airway events earlier than pulse oximetry and the clinical exam can during intramuscular ketamine for procedural sedation in children.
Methods: This study was a prospective observational study conducted from April 2009 to March 2010 in an urban Korean teaching hospital. Pediatric patients who needed procedural sedation for primary closure were enrolled. After patients received intramuscular ketamine, they were monitored using clinical ventilation assessment, pulse oximetry and capnography. Adverse respiratory and airway events were recorded
Results: A total of 91 patients were enrolled. Of the 91 patients, 16 (17%) had adverse respiratory events; 5 had hypoxia. Capnography was 100% sensitive for predicting hypoxia and apnea.
Conclusion: When intramuscular ketamine is administered for procedural sedation in children, capnography allows early detection of adverse respiratory events.
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KEYWORD
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Ketamine, Capnography, Conscious sedation
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