Ketamine Use of Pediatric Sedation in Emergency Room
Journal of the Korean Society of Emergency Medicine
;
: 339-344, 2000.
Article
in Korean
| WPRIM
| ID: wpr-102377
ABSTRACT
BACKGROUND:
Ketamine use in emergency room has been increased. It has rapid onset of action and appropriate duration of action. It does not need endotracheal intubation and produces potent analgesia, sedation, and amnesia. The object of this study is to determine the safety and the degree of physician's satisfaction in relation to ketamine use. MATERIALS ANDMETHODS:
This is a prospective study using protocol. Pediatric trauma patients who need sedation were given IM ketamine(4mg/kg) and atropine(0.01mg/kg) in a same syringe. Monitoring of patients was done by EM residents and complications of ketamine use were recorded. Physician's satisfaction was also recorded after the procedure.RESULTS:
Intramuscular ketamine was administered 54 times, mainly for laceration repair. Physicians completed protocol for 51 of treated children. The median time for onset of sedation was 6.5+/-2.4 min, and duration of action was 32.4+/-10.8 min. Hypersalivation occurred in 9.8%(n=5); random movement 3.9%(n=2), emesis during procedure(n=1), emesis at home(n=1), and transient oxygen desaturation(n=1). All were quickly identified and treated without specific airway management and sequelae. Of 84% of physicians was satisfied with ketamine use for pediatric sedation.CONCLUSION:
Intramuscular ketamine can be administered safely and satisfactorily in emergency room to facilitate pediatric procedures in conjunction with a defined protocol and appropriate monitoring.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Sialorrhea
/
Syringes
/
Vomiting
/
Prospective Studies
/
Lacerations
/
Emergencies
/
Emergency Service, Hospital
/
Airway Management
/
Amnesia
Type of study:
Observational study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2000
Type:
Article
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