Intramuscular Ketamine Is Superior to Meperidine, Promethazine, and Chlorpromazine for Pediatric Emergency Department Sedation

Petrack, Emory M.; Marx, Celeste M.; Wright, Martha

doi:10.1001/archpedi.1996.02170320022003

Cited by 66 publications

(30 citation statements)

References 32 publications

(7 reference statements)

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“…neuropathic pain disorder, ischemic limb pain disorder, refractory cancer pain, as an adjunct to standard opioid therapy, and as a pediatric sedation tool for use with acutely injured children (Petrack, Marx, & Wright, 1996;Carr, Goudas, Denman, Brookoff, Staats, Brennen et al, 2004;Ellis, Husain, Saetta, & Walker, 2004;Green & Krauss, 2004;Howes, 2004;McGlone, Howes, & Joshi, 2004;Rakhee & Milap, 2005;Visser & Schug, 2006).…”

Section: International Journal Of Transpersonal Studiesmentioning

confidence: 99%

Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations on its Effects in Treating Death Anxiety

Kolp¹,

Young²,

Freidman³

et al. 2007

IJTS

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Ketamine, a dissociative anesthetic commonly used by US physicians, has recently been shown to be a powerful anti-depressant and is also capable of eliciting transpersonal experiences that can be transformative. Although currently approved in the US only for use as an anesthetic, physicians there can legally prescribe it off-label to treat various psychological/ psychiatric problems and it has been used for these non-anesthetic purposes in Argentina, Iran, Mexico, Russia, and the UK, as well as in the US. The literature on using ketamine psychotherapeutically is reviewed and two case studies using ketamine-enhanced psychotherapy (KEP) for treating death anxiety in terminally-ill people are reported. The potential importance of beginning formal research on using KEP during end-of-life for those suffering death anxiety is emphasized.

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Section: International Journal Of Transpersonal Studiesmentioning

confidence: 99%

Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations on its Effects in Treating Death Anxiety

Kolp¹,

Young²,

Freidman³

et al. 2007

IJTS

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“…The specific dangers of airway compromise are suggested to be less with ketamine. 30,31 Incidences of desaturation (SpO 2 <93%) found in 4.5% children, managed with managed with supplemental oxygen, 3% children, who suffered from laryngospasm and stridor, could be treated conservatively. The fewer incidences of airway problems and desaturation supported the safety of ketamine administration regarding airway and hypoxia.…”

Section: Discussionmentioning

confidence: 99%

Spinal anaesthesia in children under sedation

Maruf¹,

Alam²,

Ali³

et al. 2017

Mediscope

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Spinal anaesthesia in children evolved more than hundred years ago and gaining considerable popularity worldwide. In our setups in Bangladesh, this technique has not gained popularity yet but over the past few years this technique has been practiced in some centers. The objective of the present study was to observe the efficacy and safety of spinal anaesthesia under sedation in children scheduled for infra-umbilical surgical procedures. In this study, 67 children of age ranging from 2 to 10 years of either sex, with American Society of Anaesthesioloists physical status I and II, undergoing infra-umbilical surgeries were included. Spinal anaesthesia was administered with Quincke 27 gauge needles between L4L5 or L5-S1 interspace in the lateral position under sedation with ketamine and midazolam. Heart rate, mean arterial blood pressure and oxygen saturation (SpO2) were monitored throughout perioperative period. Complications of sedation and spinal anaesthesia were recorded and managed accordingly. Among 67 children, male and female were 62 (92.5%) and 5(7.5%), respectively. The mean (SD) age, body weight, American Society of Anaesthesiologists physical status I and II was 5.2 (2.1) years, 15.5 (4.8) kg, 60 (89.6%) and 7 (10.5%), respectively. Successful spinal anaesthesia was done in all cases. The incidences of side effects of sedation were transient apnoea 1 (1.5%), desaturation (SpO2<93%) 3 (4.5%), stridor 1 (1.5%), laryngospasm 1 (1.5%) and agitation 4 (6.0%). Side effects were transient, self limiting and managed conservatively. Complications of spinal anaesthesia were hypotension 2 (3.0%), bradycardia 1 (1.5%), shivering 1 (1.5%), nausea and vomiting 1 (1.5%) and backache 1 (1.5%). The complications were minor and managed accordingly. There were no serious adverse events reported in any child. The mean (SD) operation time and recovery time from anaesthesia was 49.2 (8.4) minutes and 91.2 (9.2) minutes, respectively. Spinal anaesthesia under sedation with ketamine and midazolam is safe and effective technique for paediatric infraumbilical surgery.Mediscope Vol. 4, No. 1: Jan 2017, Page 18-24

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“…Deep sedation has been found to cause respiratory adverse events in ASA III or IV paediatric patients. 60 Early identification of patients who are at risk of failing sedation or experiencing adverse events may help in choosing patients for whom general anaesthesia would be a safer or successful alternative. 61 Advantages may be achieved by using general anaesthesia instead of deep sedation.…”

Section: Sedation Versus General Anaesthesiamentioning

confidence: 99%

Paediatric procedural sedation for radiological imaging

Maruf¹,

Kamal²,

Islam

et al. 2014

j Bangladesh Soc Anaesthesiologists

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Sedation is frequently undertaken for radiological imaging procedures in paediatric patients. Movement during procedure degrades all images of a particular sequence. A deeper level of sedation is needed. The sedation of children is different from the sedation of adult. The safe sedation of children for imaging procedure requires a systematic approach that includes the followings. Careful presedation health evaluation of the child with ASA classification. Appropriate fasting guidelines for sedation procedure. Detailed airway examination for any airway abnormalities that might increase the potential for airway obstruction. Adequate training and skills of sedating personnel in paediatric airway management. Age and size appropriate equipment for airway management and venous access. Adequate medications to combat adverse events. Monitoring of vital parameters during and after the procedure. A properly equipped and staffed recovery area. Recovery to presedation level of consciousness of patient before discharge from medical supervision and appropriate discharge instructions. The whole procedure should be well documented. Children who have contraindications to sedation should be selected for general Anaesthesia. This review article has been made to discuss the need for sedation of children during radiological imaging, currently practiced different regimens of sedation, safe guidelines for sedation and also covers the debate between need for GA versus sedation. DOI: http://dx.doi.org/10.3329/jbsa.v24i2.19805 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(2): 70-76

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Intramuscular Ketamine Is Superior to Meperidine, Promethazine, and Chlorpromazine for Pediatric Emergency Department Sedation

Cited by 66 publications

References 32 publications

Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations on its Effects in Treating Death Anxiety

Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations on its Effects in Treating Death Anxiety

Spinal anaesthesia in children under sedation

Paediatric procedural sedation for radiological imaging

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