Table 5.
Reviews | Emesis Without Aspiration | Pain with Injection | Paradoxical Reactions | Unpleasant Recovery Reactionsa |
---|---|---|---|---|
Ketamine | ||||
Deasy 20109 |
310/2,525 (12.3%) 13 studies |
— | — |
213/2,102 (14.8%) 8 studies |
Green 200910 |
694/8,353 (8.3%) 32 studies |
— | — |
630/8282 (7.6%) 32 studies |
Howes 200415 |
159/2,251 (7.1%) 8 studies |
— | — |
93/1,720 (5.4%) 6 studies |
Mace 200417 |
192/2,148 (8.9%) 10 studies |
— |
7/1,180 (0.8%) 1 study |
230/1,499 (15.3%) 5 studies |
Migita 200612 |
12/130 (9.2%) 1 study |
— | — |
7/130 (5.4%) 1 study |
Mistry 200514 |
176/1,584 (11.1%) 8 studies |
— | — |
268/1,755 (15.3%) 7 studies |
NICE 201020 |
428/3,624 (11.8%) 11 studies |
— | — |
183/1,178 (15.5%) 3 studies |
Midazolam | ||||
Jameson 20117 | — | — | — | — |
Leroy 201019 |
5/2,424 (0.2%) 2 studies |
— | — |
9/1244 (0.7%) 1 study |
Mace 200417 |
4/1,180 (0.3%) 1 study |
— | — | — |
NICE 201020 |
45/1,748 (2.6%) 5 studies |
— | — | — |
Nitrous Oxide | ||||
Leroy 201019 |
59/982 (6.0%) 2 studies |
— | — | — |
Migita 200612 | — | — | — | — |
NICE 201020 |
30/709 (4.2%) 2 studies |
— | — | — |
Pedersen 201316 |
127/5,779 (2.2%) 1 study |
— | — | — |
Faddy 200513 | 1 study | — | — | — |
Propofol | ||||
Lamond 20108 |
24/17,066b (0.1%) 60 studies |
951/17,066b (5.6%) 60 studies |
— | — |
Leroy 201019 |
49c
1 study |
— | — | — |
Mace 200417 | — | — | — | — |
Migita 200612 | — |
3/43 (7.0%) 1 study |
— | — |
NICE 201020 |
49/49,836 (0.1%) 1 study |
— | — | — |
Symington 200618 |
1/393 (0.3%) 1 study |
7/194 (3.6%) 4 studies |
— | — |
Data are reported as n/N (%) and number of studies reported.
These were measured variably across studies and include: dysphoria (or dysphoric reactions), agitation (any, mild, moderate, severe), emergence reaction.
Denominator represents all sedations analyzed in the review, not just those that occurred in the ED.
Outcomes reported per 10,000 patients.