Procedural sedation use in the ED: Management of pediatric ear and nose foreign bodies

Lance Brown, T. Kent Denmark, William A. Wittlake, Edward J. Vargas, Timothy Watson, Jonathan W. Crabb

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


This is the first report of which we are aware that describes the use of procedural sedation for the emergency department management of ear and nose foreign bodies in children < 18 years of age. During a 5.5-year period, we identified 312 cases of children with a foreign body in a single orifice (174 ear, 138 nose). Procedural sedation was performed in 23% of cases (43 ear, 28 nose) and ketamine was used most commonly (92%). Emergency physicians had a high rate of success in removing foreign bodies (84% ear, 95% nose) and a low complication rate. Procedural sedation had a positive effect on the success rate as more than half of the sedation cases had undergone failed attempts without sedation by the same physician. Emergency physicians should have familiarity with this indication for procedural sedation.

Original languageEnglish
Pages (from-to)310-314
Number of pages5
JournalAmerican Journal of Emergency Medicine
Issue number4
StatePublished - 1 Jul 2004
Externally publishedYes


  • aural
  • conscious sedation
  • Foreign bodies
  • nasal


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