Protocol for endoscopic sedation
| Oral premedication | ||
|---|---|---|
| UGIE | Midazolam (<2 years, 2 mg; >2 years, 4 mg) | |
| Colonoscopy | Chloral hydrate (50 mg/kg, max 2000 mg) and chlorpromazine (1 mg/kg, max 25 mg) | |
| IV sedation (for both UGIE and colonoscopy) | ||
| Pethidine | Initial dose 1 mg/kg | |
| 0.5–1 mg/kg boluses; maximum permitted dose 2.5 mg/kg | ||
| Midazolam | 0.05–0.1 mg/kg boluses; maximum permitted dose 0.75 mg/kg (but never more than 15 mg total dose) | |
UGIE = upper gastrointestinal endoscopy.