Indicators for methoxy use
Moderate to severe pain
Especially if use of fentanyl and ketamine isn’t appropriate
MOA ( mechanism of action )
Inhaled analgesia
MOA is not clear ( CPG 14.29 )
Dose and route
3ml ( one dose ) for child less than 12 years old
6ml ( two doses ) for greater than 12 years old
Contraindications
Known severe allergy Malignant hyperthermia Unable to obey commands Known renal impairment Has had methoxy in the last week
Cautions
Age equal to or greater than 75 years old ( renal impairment is common )
Pre eclampsia
Administration in a confined space
Side effects
Sedation
Light headness
Drug life span
Onset 1-2 mins
Duration 2-5 mins after stopping administering