Dexmedetomidine (trade name Precedex) is an alpha-2 receptor agonist, similar to clonidine. Whereas clonidine provides a robust decrease in blood…
May 8th, 2011
ED Procedural Sedation and Analgesia Checklist
1 Comment, PSA & analgesia, by reuben.Designed to be used as one double-sided page. Available in pdf form. If you’d like to modify the checklist…
January 27th, 2011
Taming the Ketamine Tiger
3 Comments, PSA & analgesia, by reuben.In this month’s Annals of Emergency Medicine, Sener et al report on their nicely blinded study where 182 adult subjects…
October 5th, 2010
Rectal Methohexital according to Carl Chudnofsky and Conscientious Sedation
No Comments, PSA & analgesia, by reuben.From his PaACEP resident lecture. For children who are undergoing painless imaging studies and would not otherwise require an IV….
March 7th, 2010
PO administration of IV ketamine
No Comments, PSA & analgesia, by reuben.Needle-less procedural sedation / sedation for imaging: “After extensive discussion with the patient’s parents and NICU staff, the PPM service…
November 26th, 2009
Ketamine drip for analgesia / PCA Standard Dosing
1 Comment, PSA & analgesia, by reuben.I find that patients are awake, calm, and appropriately responsive to questions while benefiting from excellent analgesia using this protocol….
November 23rd, 2009
Fasting prior to PSA guidelines
No Comments, PSA & analgesia, by reuben.Annals of EM 2007;49:4 p457