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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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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. |
format | Online Article Text |
id | pubmed-8091994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
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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