OPTION 1. Topical laceraine, continuous nitrous oxide with full cardiac monitoring/resus trolley etc, suture. OPTION 2. Ketamine 4mg/kg IM, wait for effect, insert IVC and titrate with Ketamine 0.25mg/kg IV, Midazolam 0.15mg/kg IV to prevent emergence phenomena with full cardiac monitoring/resus trolley etc, suture. OPTION 3. Midazolam 0.15mg/kg IN, wait for effect, insert IVC and titrate with Ketamine 0.25mg/kg IV with full cardiac monitoring, resus trolley etc, suture. OPTION 4. General anaesthetic with gas induction, insert IVC, suture by plastics.
OPTION 1. Topical laceraine, continuous nitrous oxide with full cardiac monitoring/resus trolley etc, suture. OPTION 2. Ketamine 4mg/kg IM, wait for effect, insert IVC and titrate with Ketamine 0.25mg/kg IV, Midazolam 0.15mg/kg IV to prevent emergence phenomena with full cardiac monitoring/resus trolley etc, suture. OPTION 3. Midazolam 0.15mg/kg IN, wait for effect, insert IVC and titrate with Ketamine 0.25mg/kg IV with full cardiac monitoring, resus trolley etc, suture. OPTION 4. General anaesthetic with gas induction, insert IVC, suture by plastics.