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Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series

Administration of sub-dissociative doses of ketamine is used via intranasal (IN) and intravenous routes in the pediatric emergency department for managing acute pain. Due to difficulties in both obtaining intravenous access and compliance with IN medications in children, administration of ketamine v...

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Detalles Bibliográficos
Autores principales: Rhodes, Adam James, Fagan, Michele Joy, Motov, Sergey M., Zerzan, Jessica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091994/
https://www.ncbi.nlm.nih.gov/pubmed/33969243
http://dx.doi.org/10.4103/2452-2473.313334
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author Rhodes, Adam James
Fagan, Michele Joy
Motov, Sergey M.
Zerzan, Jessica
author_facet Rhodes, Adam James
Fagan, Michele Joy
Motov, Sergey M.
Zerzan, Jessica
author_sort Rhodes, Adam James
collection PubMed
description Administration of sub-dissociative doses of ketamine is used via intranasal (IN) and intravenous routes in the pediatric emergency department for managing acute pain. Due to difficulties in both obtaining intravenous access and compliance with IN medications in children, administration of ketamine via breath-actuated nebulizer can serve as a valuable modality for timely analgesia in children where dosing titration is patient controlled. We describe five pediatric patients who received ketamine via breath-actuated nebulizer at 0.75 mg/kg, 1 mg/kg, and 1.5 mg/kg, with all patients experiencing a decrease in pain score. This case series introduces ketamine inhalation as a modality for managing pain in children.
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spelling pubmed-80919942021-05-06 Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series Rhodes, Adam James Fagan, Michele Joy Motov, Sergey M. Zerzan, Jessica Turk J Emerg Med Case Report Administration of sub-dissociative doses of ketamine is used via intranasal (IN) and intravenous routes in the pediatric emergency department for managing acute pain. Due to difficulties in both obtaining intravenous access and compliance with IN medications in children, administration of ketamine via breath-actuated nebulizer can serve as a valuable modality for timely analgesia in children where dosing titration is patient controlled. We describe five pediatric patients who received ketamine via breath-actuated nebulizer at 0.75 mg/kg, 1 mg/kg, and 1.5 mg/kg, with all patients experiencing a decrease in pain score. This case series introduces ketamine inhalation as a modality for managing pain in children. Wolters Kluwer - Medknow 2021-04-09 /pmc/articles/PMC8091994/ /pubmed/33969243 http://dx.doi.org/10.4103/2452-2473.313334 Text en Copyright: © 2021 Turkish Journal of Emergency Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rhodes, Adam James
Fagan, Michele Joy
Motov, Sergey M.
Zerzan, Jessica
Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title_full Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title_fullStr Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title_full_unstemmed Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title_short Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series
title_sort nebulized ketamine for managing acute pain in the pediatric emergency department: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091994/
https://www.ncbi.nlm.nih.gov/pubmed/33969243
http://dx.doi.org/10.4103/2452-2473.313334
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