Sedoanalgesia With Ketamine in the Emergency Department: Factors Associated With Unsatisfactory Effectiveness.

Miguel Angel Molina GutiérrezMaría Fernández CamuñasJose Antonio Ruíz DomínguezMarta Bueno BarriocanalBegoña De Miguel LavisierRosario López LópezMaría de Ceano-Vivas La Calle

Published in: Pediatric emergency care (2024)

This study concludes that intravenous/intranasal ketamine can provide safe and successful analgesia in pediatric patients in the ED. At intravenous doses of 1-1.5 mg/kg, good effectiveness was achieved in almost 90% of cases. Arthrocentesis had the highest percentage of unsatisfactory results. Repeat dosing should be considered for procedures longer than 20 minutes.

Keyphrases

emergency department
pain management
randomized controlled trial
systematic review
high dose
low dose
chronic pain
adverse drug