Greater Sydney Area Helicopter Emergency Medical Service, Ambulance Service New South Wales, Sydney, NSW, Australia.
Emerg Med J. 2011 Apr;28(4):328-9. doi: 10.1136/emj.2010.092825. Epub 2011 Feb 3.
In this study, the administration of an intravenous ketamine formulation to the nasal mucosa of a paediatric burn victim is described in the prehospital environment. Effective analgesia was achieved without the need for vascular or osseous access. Intranasal ketamine has been previously described for chronic pain and anaesthetic premedication. This case highlights its potential as an option for prehospital analgesia.
本研究描述了在院前环境中,通过向小儿烧伤患者的鼻腔黏膜给予静脉用氯胺酮制剂来实现镇痛。该方法无需血管或骨内通路即可实现有效镇痛。鼻内给予氯胺酮先前已被用于慢性疼痛和麻醉前用药。本病例强调了其作为院前镇痛选择的潜力。