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Table 1 Pediatric procedures and surgeries for which the ESM-Ketamine anesthesia package was utilized

From: An innovative safe anesthesia and analgesia package for emergency pediatric procedures and surgeries when no anesthetist is available

Procedure

Number (%)

Median ketamine dose (and range) (mg/kg)

Median duration of procedure (and range) (min)

Arthrocentesis

4 (4.4)

2.0 (1.4–2.0)

20.0 (15.0–49.0)b

Cesarean section

3 (3.3)

5.5 (3.7–7.0)

65.0 (35.0–90.0)

Circumcision

1 (1.1)

2.8 (2.8–2.8)

13.0 (13.0–13.0)

Closed orthopedic reduction

27 (30.0)

2.0 (1.5–4.0)

18.2 (5.0–60.0)b

Complex laceration repair (non-gyn)

2 (2.2)

3.4 (3.0–3.8)

32.5 (25.0–40.0)

Debridement and irrigation of burns

19 (21.1)

2.9 (2.0–6.0)

20.0 (5.0–83.0)

Excision of mass

1 (1.1)

3.0 (3.0–3.0)

65.0 (65.0–65.0)

Exploratory laparotomy

2 (2.2)

6.0 (6.0–6.0)

51.0 (42.0–60.0)

Foreign body removal

6 (6.7)

3.0 (2.0–3.9)a

21.0 (11.0–30.0)

Gynecologic laceration repair

3 (3.3)

3.0 (2.0–4.9)

37.5 (15.0–60.0)b

Incision and drainage

19 (21.1)

2.0 (1.9–4.0)

20.0 (10.0–75.0)b

Open orthopedic reduction

2 (2.2)

5.6 (2.8–8.3)

20.0 (5.0–35.0)

Paracentesis

1 (1.1)

4.0 (4.0–4.0)

24.0 (24.0–24.0)

Total

90

2.0 (1.4–8.3)

20.0 (5.0–90.0)

  1. aOne case did not have a weight recorded, and so dose/kg could not be calculated
  2. b10 cases had only one dose of ketamine so did not have total time recorded