Podcast #33: Adverse Reactions during Procedural Sedation - The Emergency Medical Minute

Podcast #33: Adverse Reactions during Procedural Sedation

18abd112-6120-432d-b5bd-570fa58dd205Run Time: 3 minutes

Author: Dr. Samuel Killian

Educational Pearls:

  • Agitation – 16% of patients experience agitation with Ketamine.
  • Aspiration – rare with 1 in 2500 cases exhibiting aspiration.
  • Bradycardia – Happens most often with Etomidate, 1 in 250 cases.
  • Hypotension – 2% of cases with Propofol – still less frequent than patients on a ventilator.
  • Hypoxia – variable: <1% for ketamine to 5% for propofol.
  • Laryngospasm – 1 in 2500-3000. Most notably happened with ketamine.

References:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227310/

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