Training Requirements and Personnel
Any doctor providing sedation and airway should be suitably trained and experienced in ketamine use, with a full range of advanced airway skills. RCEM recommends that Ketamine should only be used by clinicians with significant relevant experience in the use of ketamine when performing procedural sedation in children aged between 2-5 years.19
Discuss with senior colleagues how you might secure competency for example, consider specific manikin-based workshops on laryngospasm management.
At least three staff are required: a doctor to manage the sedation and airway, a clinician to perform the procedure and an experienced nurse to monitor and support the patient, family and clinical staff. Observations should be regularly taken and recorded.