Hall Andrew B, Morrow Lindsay, Dixon Michael
J Spec Oper Med. 2020 Fall;20(3):120-121. doi: 10.55460/ICK7-01Z7.
This case describes the prolonged treatment of a 38-year-old man with a transpelvic gunshot wound requiring a diverting ostomy and cystostomy for damage control procedures with a comminuted acetabular and femoral head fracture. The team used a ketamine drip for prolonged field care over 48 hours. The benefit of using a ketamine drip included low supply requirement, excellent analgesia, and ease of administration, but side-effects included somnolence and atelectasis necessitating oxygen supplementation before evacuation.
本病例描述了一名38岁男性骨盆枪伤的长期治疗过程，该患者因髋臼粉碎性骨折和股骨头骨折，需行转流造口术和膀胱造瘘术以进行损伤控制手术。治疗团队使用氯胺酮静脉滴注进行了超过48小时的现场长期护理。使用氯胺酮静脉滴注的好处包括所需补给少、镇痛效果极佳且易于给药，但副作用包括嗜睡和肺不张，因此在转运前需要进行氧疗。
