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10-Nov-2014 20:16

In general, discharge criteria should include the following: Some agents are associated with specific aftercare needs.For example, ketamine may cause ataxia for 12-24 hours, and the child’s activities should be restricted during this period to prevent further injury.By relieving pain, the emergency provider can render the patient less anxious and more cooperative, thereby potentially achieving a better outcome.Procedural sedation may be defined as the administration of sedative or dissociative agents, with or without analgesics, to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function.Specifically, the drugs, doses, and techniques used are not likely to produce a loss of protective airway reflexes.The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) have issued updated clinical guidelines on the monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures.

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The need for written consent may be determined by an institutional, local, or state mandate.Children of all ages should be NPO for clear liquids 2 hours before undergoing sedation.