The patients vital signs should be monitored until they are no longer at risk for hypoxaemia. The largest study to date5 in which the timing of adverse outcomes can be examined included 353 children receiving ketamine and 672 receiving midazolam and fentanyl. Only 8% of the adverse events occurred after the procedure. In addition, the median time to serious adverse effects was two and a half minutes following the last intravenous medication. No primary adverse event occurred after 25 minutes from the last intravenous medication.
Guidance regarding discharge is given in Table 8.
Table 8: Guidelines for discharge3
Example of Minimum Discharge Criteria
**Flumazenil, naloxone |