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Procedural Sedation

Procedural Sedation

Sedatives

MedicationDoseNotes
PropofolInitial 0.5-1.0 mg/kg (50% dose reduce in elderly)Does not Provide Analgesia
Redose 0.25-0.5 mg/kg
Infusion: 5-100 mcg/kg/min
KetamineInitial 1.0-1.5 mg/kg (over 1 minute)Can stimulate heart; IV Push causes respiratory depression
Redose: 0.5-1.0 mg/kg
Analgesia (Slow Bolus): 0.1-0.3 mg/kgSubdissociative; Dissociative dose = 1.0-1.5 mg/kg IV or 3-4mg/kg IM
Analgesia (Infusion): 0.1-0.3 mg/kg/hSubdissociative
EtomidateInitial: 0.1-0.2 mg/kgShort lasting, ideal for cardioversion
Redose: 0.05 mg/kg
Ketofol0.5-1.5 mg/kg 1:1 Ketofol (e.g. 0.5 mg/kg Ketamine + 0.5 mg/kg Propofol)
MidazolamInitial: 1-2 mgNo Analgesia; Long effect
Redose: 0.5-1.5 mg q5m

Analgesia

MedicationDoseNotes
FentanylInitial: 0.5-1.5 mcg/kgHalf in Elderly; Duration 60m
Redose: 0.5-1.5 mcg/kg q2m
AlfentanilInitial: 10 mcg/kgHalf in Elderly; Duration 10m
Redose: 10 mcg/kg
RemifentanilInfusion: 0.16 mcg/kg/minNon-renal, non-hepatic metabolized; Immediate onset
Initial: 1 mcg/kgHalf in Elderly
Redose: 0.5 mcg/kgHalf in Elderly

Push Dose Pressors