rocedural Sedation Use in the ED: anagement of Pediatric Ear and Nose oreign Bodies

d p t w his is the first report of which we are aware that describes the use of rocedural sedation for the emergency department management of ear nd nose foreign bodies in children < 18 years of age. During a 5.5-year eriod, we identified 312 cases of children with a foreign body in a single rifice (174 ear, 138 nose). Procedural sedation was performed in 23% of ases (43 ear, 28 nose) and ketamine was used most commonly (92%). mergency physicians had a high rate of success in removing foreign odies (84% ear, 95% nose) and a low complication rate. Procedural edation had a positive effect on the success rate as more than half of he sedation cases had undergone failed attempts without sedation by he same physician. Emergency physicians should have familiarity with his indication for procedural sedation. (Am J Emerg Med 2004;22: 10-314. © 2004 Elsevier Inc. All rights reserved.)