1. Identify Eligibility for moderate sedation in the ED
  2. Choose appropriate sedative +/- adjuvant agents for sedation
  3. Recognize serious adverse effects of Ketamine


  1. Evaluate patient with adverse event from Ketamine
  2. Identify and manage laryngospasm using a step-wise approach


  1. Identify appropriate personnel for moderate sedation
  2. Work as a team to manage adverse airway event:

Case Stem

A 2 yr. old presents to the ED with a 2 cm laceration through the vermillion border. The child is uncooperative for the laceration repair and you decide to proceed with the repair using Ketamine Sedation.

Learning Material


Supplemental Material

Intervention steps for treating laryngospasm in pediatric patients

Burgoyne, 2008