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 Citations (Scopus)

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

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Ketamine
Pediatrics
Masks
Documentation
Oxygen
Blood Pressure

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

Cite this

Ketamine : A safe and effective agent for painful procedures in the pediatric burn patient. / Owens, Victoria F.; Palmieri, Tina L; Comroe, Catherine M.; Conroy, Janice M.; Scavone, John A.; Greenhalgh, David G.

In: Journal of Burn Care and Research, Vol. 27, No. 2, 03.2006, p. 211-216.

Research output: Contribution to journalArticle

Owens, Victoria F. ; Palmieri, Tina L ; Comroe, Catherine M. ; Conroy, Janice M. ; Scavone, John A. ; Greenhalgh, David G. / Ketamine : A safe and effective agent for painful procedures in the pediatric burn patient. In: Journal of Burn Care and Research. 2006 ; Vol. 27, No. 2. pp. 211-216.
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