Apply face mask ensuring adequate seal, aim for smallest fitting mask.Ensure line of sight monitoring of the child at all times.Plan options for sedation failure – consider alternate agent early if adequate sedation not achieved.Provide parent information for sedation procedures (See sedation for procedures).A minimum of two staff are required: proceduralist with experience in paediatric resuscitation including airway skills and an assistant trained to administer nitrous oxide and monitor child for side effects.In children outside of the ED, consider local ward guidelines and concomitant use of other agents.Consider fasting times (see local guidelines).Inform families of these effects as part of consent Procedure diffusion hypoxia (avoided with post-sedation with supplemental oxygen).More serious side effects are rare in short term usage, but include:. Monitoring Potential side effects and complications
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