Ketamine: A safe and effective agent for painful procedures in the pediatric burn patient

Victoria F. Owens, Tina L Palmieri, Catherine M. Comroe, Janice M. Conroy, John A. Scavone, David G Greenhalgh

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Ketamine is an effective agent when used for sedation during painful bedside procedures. We developed a ketamine administration protocol for nonanesthesiologists for the purpose of establishing safe monitoring and documentation during ketamine sedation procedures. From June 1, 2002, through June 30, 2003, a total of 522 sedation events using ketamine were performed; 347 of these events were analyzed. Seventeen (4.9%) events contained potentially adverse outcome indicators, 10 (2.9%) of which required intervention. Eight events were airway related and responded to repositioning, supplemental oxygen, or bag-valve-mask ventilation. Two patients had a decrease in blood pressure, which responded to fluid administration. Total doses of ketamine administered were between 6 and 800 mg, for procedures ranging from 1 to 105 minutes, in patients weighing between 3 and 111 kg. The development of a strict protocol ensures the safe administration of ketamine for the pediatric burn patient.

Original languageEnglish (US)
Pages (from-to)211-216
Number of pages6
JournalJournal of Burn Care and Research
Volume27
Issue number2
StatePublished - Mar 2006
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

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