Title: Etomidate for procedural sedation in pediatrics<br/>Author: Jennifer Guyther<br/><a href='http://umem.org/profiles/faculty/314/'>[Click to email author]</a><hr/><p>
        ED study of 60 pediatric patients for procedural sedation</p>
<ul>
        <li>
                Fentanyl 1 mcg/kg was followed by 0.1 to 0.2 mg/kg of etomidate IV.</li>
        <li>
                One dose of 0.2 mg/kg IV etomidate was adequate for 39/60 patients</li>
        <li>
                16.4% had respiratory depression</li>
        <li>
                Desaturation occured in 23 patients</li>
        <li>
                No patient required positive pressure ventilation</li>
        <li>
                Average recovery in 21 minutes</li>
</ul>
<p>
        <strong>Bottom line:</strong> Etomidate can achieve effective sedation in children for a short procedure.  Although respiratory effects were noted, none of them required assisted ventilation. </p>
<fieldset><legend>References</legend>

                <p>
        <a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Mandt%20MJ%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Mandt MJ</span></a><span style="color:#000000;">, </span><a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Roback%20MG%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Roback MG</span></a><span style="color:#000000;">, </span><a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Bajaj%20L%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Bajaj L</span></a><span style="color:#000000;">, </span><a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Galinkin%20JL%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Galinkin JL</span></a><span style="color:#000000;">, </span><a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Gao%20D%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Gao D</span></a><span style="color:#000000;">, </span><u><a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/?term=Wathen%20JE%5BAuthor%5D&cauthor=true&cauthor_uid=22929142"><span style="color:#000000;">Wathen JE</span></a></u><span style="color:#000000;">.</span> Etomidate for short pediatric procedures in the emergency department. <a href="http://www-ncbi-nlm-nih-gov.proxy-hs.researchport.umd.edu/pubmed/22929142" title="Pediatric emergency care.">Pediatr Emerg Care.</a> 2012 Sep;28(9):898-904.</p>
</fieldset>