We also only do IM rather than IN ketamine for procedural sedation, but it’s rare that we can’t get an IV.

Hi Tessa! My colleague and I recently presented on this topic and I would be glad to share those materials as well as our compiled articles with you. My current institution doesn’t use IN ketamine at this time. We found literature showing doses of up to 9 mg/kg, max of 200mg. Biggest issue that came up in the literature was increased N/V…

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Hi Tessa! We only have used it here for analgesia/sub-dissociative dosing and have found it mainly useful in that scenario vs. procedural sedation. One of our doctors told me that they have had to use upwards of 8 mg/kg historically to try to do procedural sedation and it still didn’t sedate the patient well, so they don’t enjoy doing it.…

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