Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
INTRAVENOUS KETAMINE FOR PEDIATRIC SEDATION IN THE EMERGENCY DEPARTMENT - SAFETY PROFILE WITH 156 CASES
Autore:
GREEN SM; ROTHROCK SG; HARRIS T; HOPKINS GA; GARRETT W; SHERWIN T;
Indirizzi:
LOMA LINDA UNIV,MED CTR,SCH MED,DEPT EMERGENCY MED,11234 ANDERSON ST,ROOM A-108 LOMA LINDA CA 92354 RIVERSIDE CTY REG MED CTR,DEPT EMERGENCY MED MORENO VALLEY CA 00000 ORLANDO REG MED CTR INC,DEPT EMERGENCY MED ORLANDO FL 00000
Titolo Testata:
Academic emergency medicine
fascicolo: 10, volume: 5, anno: 1998,
pagine: 971 - 976
SICI:
1069-6563(1998)5:10<971:IKFPSI>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAMUSCULAR KETAMINE; ANALGESIA;
Keywords:
KETAMINE; CHILD; SEDATION; DISSOCIATIVE STATE; PEDIATRICS; SAFETY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
S.M. Green et al., "INTRAVENOUS KETAMINE FOR PEDIATRIC SEDATION IN THE EMERGENCY DEPARTMENT - SAFETY PROFILE WITH 156 CASES", Academic emergency medicine, 5(10), 1998, pp. 971-976

Abstract

Objectives: To determine the safety of IV ketamine when administered by emergency physicians (EPs) for pediatric procedures, and to contrast the sedation characteristics of the IV and IM routes. Methods: The study was a retrospective consecutive case series of children aged lessthan or equal to 15 years given IV ketamine in the EDs of a university medical center and an affiliated county hospital over a g-year period. A protocol for ketamine was used by treating physicians. Records were reviewed for adverse effects, indication, dosing, adjunctive drugs,inadequate sedation, and time to release. Results were contrasted with previously reported data for the IM route. Results: During the studyperiod IV ketamine was administered 156 times, primarily for laceration repair and fracture reduction. Transient apnea and respiratory depression occurred in one patient each; both were quickly identified and were without sequelae. Laryngospasm or aspiration was not noted in anychildren. There were 6 children with emesis and 2 with mild agitationduring recovery. The median time from initial dose to ED release was 103 minutes (25th to 75th percentiles 76 to 146 minutes). The IV and IM routes were comparable in terms of adverse effects, inadequate sedation, and time to release. Conclusion: IV ketamine can be administered safely by EPs to facilitate pediatric procedures when used in a defined protocol. The sedation characteristics of the IV and IM routes appear comparable.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 20:59:49