A Child Needs Sedation: When Is It OK?

This Child Just Ate But Needs Sedation: Is It OK?

You are in the emergency department when an otherwise healthy 6-year-old patient presents with a displaced distal radius fracture of 30º and no neurovascular compromise. He is in considerable pain and very anxious, awaiting reduction and casting. Three hours prior to arrival, he had crackers and orange juice but has had nothing to eat or drink since that time.

Questions answered incorrectly will be highlighted.

What is the preferred way to proceed with the sedation of this child?

Wait 3 hours and give ketamine

Wait 2 hours and give propofol with fentanyl

Proceed with sedation without waiting with a goal of moderate sedation

Proceed with sedation without waiting with a goal of deep sedation

Call for anesthesia and schedule time in the operating room