Most gastroscopies are not painful, yet these patients routinely get sedation. Yet patients having painful bone marrow aspirations and bone marrow biopsies are offered only local anaesthetic which does not address pain occuring when bone is penetrated and marrow is aspirated. If any procedure causes patients to have pain, it is only humane to offer sufficient sedation.

This information is great. Thank you.

Ketamine is a dissociative drug, not considered a humane anesthetic, alone, in veterinary medicine, as it does not have significant analgesic efficacy. Why would human medicine even consider pushing ketamine, alone?

Greatly explained thank you so much doctor 💕

Please do a discussion of the complications of a Demerol-midazolam push for procedural sedation. Do hospitals require a full record of timing and dose of pushes, and all physiological and behavioral data? End-tidal CO2 monitoring is considered essential data during use of procedural sedation.