Bredmose P P, Lockey D J, Grier G, Watts B, Davies G
London Helicopter Emergency Medical Service, Department of Pre-hospital Care, The Royal London Hospital, London E1 1BB, UK.
Emerg Med J. 2009 Jan;26(1):62-4. doi: 10.1136/emj.2007.052753.
The safe delivery of adequate analgesia and appropriate sedation is a priority in prehospital care. The use of ketamine is described for analgesia and sedation in 1030 trauma patients in a physician-led prehospital trauma service. Ketamine was mainly used in awake non-trapped patients with blunt trauma for procedural sedation and analgesia. Detailed database searches did not demonstrate loss of airway, oxygen desaturation or clinically significant emergence reactions after ketamine administration. Ketamine is relatively safe when used by physicians in prehospital trauma care.
在院前急救中，安全提供充分的镇痛和适当的镇静是首要任务。在一项由医生主导的院前创伤服务中，对1030例创伤患者使用氯胺酮进行镇痛和镇静。氯胺酮主要用于清醒的非被困钝性创伤患者，以进行程序性镇静和镇痛。详细的数据库检索未显示氯胺酮给药后出现气道丧失、氧饱和度降低或具有临床意义的苏醒反应。在院前创伤护理中，医生使用氯胺酮相对安全。
