Oscillators & sedation

In our state, ketamine and propofol are both classified as anesthetic agents. RN's may initiate, monitor & often titrate infusions, but cannot give as IV pushes - that has to be done by doc or CRNA.

Like I said - all of our oscillator pt's are paralyzed with full anticipation / precautions for pneumos. Never had one that I can recall that we haven't paralyzed. Like Jan said, just shows the differences in practice!

In our PICU, the oscillated kids are always on sedative/analgesic drips (Fentanyl and Versed), as well as a paralyzing drip (Vecuronium). Our docs don't want any chance of our patients trying to breathe against the vent. We usually stop the paralytic upon transitioning them back to the Servo-I.