A New Approach for Procedural Sedation in Children: The Intramuscular Dextroketamine and Dexmedetomidine Association

Invasive and noninvasive procedures remain a common and necessary component in the management of children with acute and chronic diseases.Although procedural sedation is generally safe and effective, patients with underlying co-morbid conditions are at increased risk for complications during and after procedures [1].Ketamine, an NMDA receptor antagonist, is an effective drug for sedation, analgesia, and amnesia and has been widely used as an alternative to the use of inhalational agents in order to reduce the incidence