J Korean Soc Emerg Med.
2010 Oct;21(5):704-708.
Utility of Capnography During Intramuscular Ketamine for Procedural Sedation in Children
- Affiliations
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- 1Department of Emergency Medicine, College of Medicine, Soonchunhyang University, Korea. choyoungsoon@hanafos.com
Abstract
- 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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