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      Clinical practice guideline for emergency department ketamine dissociative sedation: 2011 update.

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          Abstract

          We update an evidence-based clinical practice guideline for the administration of the dissociative agent ketamine for emergency department procedural sedation and analgesia. Substantial new research warrants revision of the widely disseminated 2004 guideline, particularly with respect to contraindications, age recommendations, potential neurotoxicity, and the role of coadministered anticholinergics and benzodiazepines. We critically discuss indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, recovery issues, and future research questions for ketamine dissociative sedation.

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          Author and article information

          Journal
          Ann Emerg Med
          Annals of emergency medicine
          Elsevier BV
          1097-6760
          0196-0644
          May 2011
          : 57
          : 5
          Affiliations
          [1 ] Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA 92354, USA.
          Article
          S0196-0644(10)01827-5
          10.1016/j.annemergmed.2010.11.030
          21256625
          0a0aa81c-f148-4d8f-92b2-d937618ba39a
          Copyright © 2011 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.
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