The Use of Ketamine Sedation for the Treatment of Nail Bed Repairs in the Pediatric Emergency Department.
Pediatr Emerg Care
; 39(4): 265-267, 2023 Apr 01.
Article
in English
| MEDLINE | ID: covidwho-2235915
ABSTRACT
AIM:
This study aimed to determine if sedation with ketamine is safe and effective for the treatment of nail bed injuries in the pediatric emergency department (PED).METHOD:
A retrospective cohort study was carried out during a 9-month period in children aged between 18 months and 15 years, presenting to PED requiring nail bed repair. We documented complications of sedation, clinical outcome of the repair both immediate and at follow-up, and parental satisfaction at 4 months. A cost analysis was also undertaken.RESULTS:
Ten repairs were performed. There were no serious adverse events. The average satisfaction score was 9.4/10. All patients were discharged from follow-up by 3 months. There was a cost saving of approximately £1500 per case.CONCLUSIONS:
We have demonstrated nail bed injury repair facilitated by sedation with ketamine to be safe, effective, and cost efficient in the PED. This management strategy, brought to the fore during the COVID-19 pandemic, should be adopted widely in PEDs.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Ketamine
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Infant
Language:
English
Journal:
Pediatr Emerg Care
Journal subject:
Emergency Medicine
/
Pediatrics
Year:
2023
Document Type:
Article
Affiliation country:
PEC.0000000000002904
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