Rhodes Adam James, Fagan Michele Joy, Motov Sergey M, Zerzan Jessica
Department of Emergency Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY, USA.
Turk J Emerg Med. 2021 Apr 9;21(2):75-78. doi: 10.4103/2452-2473.313334. eCollection 2021 Apr-Jun.
Administration of sub-dissociative doses of ketamine is used via intranasal (IN) and intravenous routes in the pediatric emergency department for managing acute pain. Due to difficulties in both obtaining intravenous access and compliance with IN medications in children, administration of ketamine via breath-actuated nebulizer can serve as a valuable modality for timely analgesia in children where dosing titration is patient controlled. We describe five pediatric patients who received ketamine via breath-actuated nebulizer at 0.75 mg/kg, 1 mg/kg, and 1.5 mg/kg, with all patients experiencing a decrease in pain score. This case series introduces ketamine inhalation as a modality for managing pain in children.
在儿科急诊科，通过鼻内（IN）和静脉途径给予亚解离剂量的氯胺酮用于管理急性疼痛。由于儿童获得静脉通路困难以及对鼻内用药的依从性问题，通过呼吸驱动雾化器给予氯胺酮可作为一种有价值的方式，用于在剂量滴定由患者控制的儿童中及时镇痛。我们描述了5例儿科患者，他们通过呼吸驱动雾化器接受了0.75mg/kg、1mg/kg和1.5mg/kg剂量的氯胺酮，所有患者的疼痛评分均有所下降。本病例系列介绍了氯胺酮吸入作为一种管理儿童疼痛的方式。
