Procedural sedation medicines — branching viva

Opening (candidate)

I would treat this as a procedural sedation for a painful reduction, planned against four questions: which agent, what dose, what to do about the recent snack, and how I keep the airway safe. My plan is dissociative ketamine by the intravenous route at roughly 1 to 2 milligrams per kilogram, dosed from his measured weight, with a dedicated sedationist and continuous capnography. The recent snack does not delay an urgent reduction, because the evidence shows fasting does not reduce adverse events in emergency sedation. ^{[1] [4]}