Ketamine for procedural sedation and analgesia by nonanesthesiologists in the field: a review for military health care providers.
نویسندگان
چکیده
Military health care providers located in field environments frequently face situations in which procedural sedation and analgesia are necessary, without the advantage of sophisticated monitoring equipment. Ketamine is a unique agent that can be administered either intravenously or intramuscularly to produce predictable and profound analgesia, with an exceptional safety profile. We review the issues unique to ketamine and provide a practical guide for the use of ketamine for adult and pediatric patients in a field environment.
منابع مشابه
Effect of Ondansetron on the Incidence of Ketamine Associated Vomiting in Procedural Sedation and Analgesia in Children: A Double-Blind, Randomized, Placebo-Controlled Trial
Background Vomiting is a common side effect of ketamine in children's sedation and there is still controversy about the use of an anti-emetic drug along with ketamine to reduce this complication. The aim of this study was to evaluate the effectiveness of ondansetron in controlling vomiting induced by intramuscular (IM), and intravenous (IV) ketamine for procedural sedation and analgesia in chil...
متن کاملSafe and efficacious use of procedural sedation and analgesia by nonanesthesiologists in a pediatric emergency department.
BACKGROUND Children often require relief of pain and anxiety when undergoing diagnostic or therapeutic procedures in the emergency department (ED). Procedural sedation and analgesia (PSA) has become standard practice in the outpatient setting for such procedures. Few studies have looked at the overall success and incidence of complications of PSA as performed by nonanesthesiologists. OBJECTIV...
متن کاملProcedural sedation and analgesia in the emergency department.
PURPOSE OF REVIEW Procedural sedation and analgesia is frequently administered outside of the operating room in emergency departments (EDs) and ICUs. Evidence was sought concerning patients' safety in the ED. RECENT FINDINGS Procedural sedation, when administered in the ED by trained personnel, is safe. Extensive literature demonstrates that propofol, ketamine, midazalam, and fentanyl are app...
متن کاملمقایسه تاثیر پروپوفول- فنتانیل و کتامین- فنتانیل بر علایم حیاتی، آرامش و بیدردی بیماران کاندید کارگذاری کاتاتر پرمکت
Abstract Background: The aim of this study was comparison of sedation and analgesia between two drug combinations i.e. propofol+ fentanyl and ketamine+fentanyl, in patients with End stage renal disease, (ESRD) who were candidates for insertion of ‘Perm Cath’ catheter for the purpose of hemodialysis. Methods: Fifty one candidates for ‘perm cath’ catheter insertion were enrolled in this st...
متن کاملProcedural sedation and analgesia in children
10.2217/14750708.5.4.425 © 2 Providing relief from pain and anxiety associated with diagnostic and therapeutic procedures has become an ethical imperative in children, as well as a measured quality of care from the family perspective. This, along with a tremendous increase in the number of procedures performed in children outside the operating room, has placed an increasing demand for procedura...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Military medicine
دوره 171 6 شماره
صفحات -
تاریخ انتشار 2006