Abstract
We retrospectively reviewed the charts of 180 children sedated for esophagogastroduodenoscopy
(EGD) with ketamine or propofol-based regimens at our institution. Pre-EGD diagnoses
and American Society of Anesthesiology physical status were similar in all subjects.
Onset of action and recovery time for both regimens were not statistically significant
(p > 0.05). Mean onset of sedation for all patients was 3.85 ± 3.04 minutes, mean Aldrete
score was 6.31 ± 0.61, and mean recovery time was 51.85 ± 31.78 minutes (p > 0.05). Sedation-related adverse events observed include apnea, hypoxemia, bradycardia,
hypotension, laryngospasm, skin rash, and wheezing. Deep sedation for pediatric EGD
is safe if patients are carefully screened and properly monitored.
Keywords
pediatric EGD - artificial airway - procedural sedation
