SAQ 1485 – Procedural sedation for paediatric wrist reduction

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A 12-year-old boy weighing 40 kg presents after falling from a swing and injuring his wrist.

Assessment shows a dorsally angulated distal radius fracture requiring manipulation and application of a plaster cast. You plan to perform the procedure in the ED.

Give three different procedural sedation methods suitable for this patient. For each method, give two advantages and two disadvantages, and include doses where appropriate.

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