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Titolo:
Fulminant pulmonary edema after intramuscular ketamine
Autore:
Pandey, CK; Mathur, N; Singh, N; Chandola, HC;
Indirizzi:
Sanjay Gandhi Postgrad Inst Med Sci, Dept Anaesthesiol & Crit Care Med, Lucknow 226014, Uttar Pradesh, India Sanjay Gandhi Postgrad Inst Med Sci Lucknow Uttar Pradesh India 226014 ia MLN Med Coll, Allahabad, Uttar Pradesh, India MLN Med Coll Allahabad Uttar Pradesh India lahabad, Uttar Pradesh, India
Titolo Testata:
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
fascicolo: 9, volume: 47, anno: 2000,
pagine: 894 - 896
SICI:
0832-610X(200009)47:9<894:FPEAIK>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Pandey, CK Sanjay Gandhi Postgrad Inst Med Sci, Dept Anaesthesiol & Crit Care Med, Lucknow 226014, Uttar Pradesh, India Sanjay Gandhi Postgrad Inst Med Sci Lucknow Uttar Pradesh India 226014
Citazione:
C.K. Pandey et al., "Fulminant pulmonary edema after intramuscular ketamine", CAN J ANAES, 47(9), 2000, pp. 894-896

Abstract

Purpose: To report an unusual case of pulmonary edema following intramuscular ketamine administration. Clinical Features: An eight-year-old, healthy girl presented for dressing of first degree burns on dorsum of hand. Ten minutes after administration of 125 mg ketamine im, she developed laboured breathing, cyanosis, and bilateral crepitations and arterial blood gas analysis showed PaO2 55 mmHg. There was no evidence of upper airway obstruction. On intubating the trachea, pink frothy fluid emerged from the tube. She was diagnosed as a case of neurogenic pulmonary edema. She was managed with positive pressure ventilation with positive end expiratory pressure, morphine and furosemide. With this treatment she showed a favourable recovery. Conclusion: Ketamine was given im to aid burns dressing in this case because it has distinct advantages above the other anesthetic agents including that of being a good analgesic which is absorbed by im route. Its use led tothe development of pulmonary edema.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 05:27:46