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Titolo:
Ketamine sedation for pediatric critical care procedures
Autore:
Green, SM; Denmark, TK; Cline, J; Roghair, C; Abd Allah, S; Rothrock, SG;
Indirizzi:
Loma Linda Univ, Med Ctr A 108, Dept Emergency Med, Loma Linda, CA 92354 USA Loma Linda Univ Loma Linda CA USA 92354 ncy Med, Loma Linda, CA 92354 USA
Titolo Testata:
PEDIATRIC EMERGENCY CARE
fascicolo: 4, volume: 17, anno: 2001,
pagine: 244 - 248
SICI:
0749-5161(200108)17:4<244:KSFPCC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAMUSCULAR KETAMINE; INTRAVENOUS MIDAZOLAM; CONTINUOUS-INFUSION; ONCOLOGY PATIENTS; SAFETY PROFILE; EMERGENCY; UNIT; CHILDREN; MEPERIDINE;
Keywords:
ketamine; sedation; procedures;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Green, SM Loma Linda Univ, Med Ctr A 108, Dept Emergency Med, 11234 Anderson St, Loma Linda, CA 92354 USA Loma Linda Univ 11234 Anderson St Loma Linda CA USA 92354 54 USA
Citazione:
S.M. Green et al., "Ketamine sedation for pediatric critical care procedures", PEDIAT EMER, 17(4), 2001, pp. 244-248

Abstract

Objectives: To describe our experience using ketamine sedation to facilitate pediatric critical care procedures, and to document the safety profile of ketamine in this setting. Design: Retrospective consecutive case series. Setting: Pediatric intensive care unit of a tertiary children's hospital. Patients: Children receiving ketamine for procedural sedation over a 5-year period. Interventions: We reviewed patient records to determine indication, dosing, adverse events, inadequate sedation, and recovery time for each sedation. Outcome Measures: Descriptive features of sedation including adverse events. Results: During the study period, children in our pediatric intensive careunit received ketamine at total of 442 times to facilitate a wide variety of critical care procedures, most commonly central line placement, esophagogastroduodenoscopy, and wound debridement. Most study children had substantial underlying illness (ASA a: 3 in 88%; ASA greater than or equal to 4 in 39%). Inadequate sedation was noted in only nine (2%) procedures. Adverse effects included transient laryngospasm (n = 9), transient partial airway obstruction (n = 5), apnea with bradycardia (n = 1), emesis during the procedure (n = 2), emesis during recovery (n = 9), mild recovery agitation (n = 10), moderate-to-severe recovery agitation (n = 1), and excessive salivation(n = 4). There were no adverse outcomes attributable to ketamine. Conclusion: Pediatric intensivists skilled in ketamine administration can safely and effectively administer this drug to facilitate critical care procedures. Despite the ill nature of our patient sample, adverse effects wereuncommon.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:50:30