Ketamine for short ambulatory procedures in children: an audit

Gloor, Andreas; Dillier, Claudia M.; Gerber, Andri

doi:10.1046/j.1460-9592.2001.00705.x

Cited by 28 publications

(24 citation statements)

References 23 publications

(108 reference statements)

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“…There is significant experience using ketamine in pediatrics and adolescents for perioperative pain management 16,19 and for procedural pain. [20][21][22][23] In addition, ketamine has been used for cancer-related pain given as an infusion. 5,24-27 Infusion rates ranging from 0.084 to 0.6 mg/kg/h have been reported.…”

mentioning

confidence: 99%

Continuous Intravenous Infusion of Ketamine and Lidocaine as Adjuvant Analgesics in a 5-Year-Old Patient with Neuropathic Cancer Pain

Kajiume

Sera

Nakanuno

et al. 2012

Journal of Palliative Medicine

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For difficult to treat neuropathic pain from cancer, adjuvant analgesics are often used with opioids. We present the case of a 5-year-old girl who was diagnosed with meningitis caused by malignant T-cell lymphoma. She had severe neuropathic pain not relieved by increasing doses of a fentanyl infusion. Intravenous administration of ketamine and lidocaine in combination with fentanyl provided excellent analgesia without significant side effects. Ketamine and lidocaine can be safely infused together with concomitant opioids for the treatment of refractory neuropathic pain caused by cancer.

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mentioning

confidence: 99%

Continuous Intravenous Infusion of Ketamine and Lidocaine as Adjuvant Analgesics in a 5-Year-Old Patient with Neuropathic Cancer Pain

Kajiume

Sera

Nakanuno

et al. 2012

Journal of Palliative Medicine

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“…Its use in pediatric and plastic surgery has been well documented, and our results support using this same technique for anorectal surgery. 12,14,16 However, ketamine also has been associated with ''emergence delirium'' (postoperative disorientation, perceptual illusions, vivid dreams), which has limited its use in general surgery. Overall, emergence delirium is a rare event (<10 percent of surgical cases) and tends to occur in elderly patients and patients with psychiatric conditions.…”

Section: Discussionmentioning

confidence: 99%

Combination Propofol/Ketamine is a Safe and Efficient Anesthetic Approach to Anorectal Surgery

Sun

Canete

Friel

et al. 2006

Diseases of the Colon &Amp; Rectum

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“…Parmi les trois cas de la série de Gloor et al [5], deux enfants avaient ou avaient eu dans les semaines précé-dentes une infection respiratoire.…”

Section: Laryngospasmesunclassified

Ketamine for paediatric procedure-related pain

Annequin

2010

Douleur analg

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Les premières recommandations françaises de l'Agence française de sécurité sanitaire des produits de santé (Afssaps) de bonne pratique pour la réalisation de soins et d'actes douloureux chez l'enfant ont été finalisées en 2009 ; il n'existait pas jusqu'alors en France, de recommandations permettant de faire bénéficier les enfants d'une sédation-analgésie plus puissante que le mélange équimoléculaire oxygène-protoxyde d'azote (MEOPA), dont l'efficacité est inconstante. Pour effectuer dans de bonnes conditions un geste douloureux, la kétamine à faible dose (titration de bolus intraveineux [i.v.] de 0,5 mg/kg sans dépasser 2 mg/kg) apparaît comme étant le seul médicament potentiellement utilisable par un médecin formé, sans la présence d'un médecin anesthésiste. Avec ces posologies, sans association médica-menteuse, le niveau de sécurité optimal dépend largement de la qualité de l'environnement hospitalier. La voie intramusculaire (i.m.) (< 4 mg/kg) est une alternative (si la voie intraveineuse n'est pas facilement disponible), mais le délai de récupération est retardé. Mots clés Kétamine · Douleur provoquée par les soins · Enfant · Sécurité · RecommandationAbstract For painful procedures, there was not any recommendations in France to date allowing children to benefit from more powerful sedation-analgesia than nitrous oxideoxygen mixture, whose efficacy is inconsistent. In order to perform a painful procedure under good conditions, lowdose ketamine (0.5 mg/kg IV. bolus titration, not exceeding 2 mg/kg) appears to be the only medication that can be used by a trained physician, without requiring the presence of an anesthesiologist). With these posologies, with no drug combinations, the optimum safety level is largely governed by the quality of the hospital environment. The intramuscular route (< 4 mg/kg) is an alternative (if the IV route is not readily available), but the recovery time is delayed.

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Ketamine for short ambulatory procedures in children: an audit

Cited by 28 publications

References 23 publications

Continuous Intravenous Infusion of Ketamine and Lidocaine as Adjuvant Analgesics in a 5-Year-Old Patient with Neuropathic Cancer Pain

Continuous Intravenous Infusion of Ketamine and Lidocaine as Adjuvant Analgesics in a 5-Year-Old Patient with Neuropathic Cancer Pain

Combination Propofol/Ketamine is a Safe and Efficient Anesthetic Approach to Anorectal Surgery

Ketamine for paediatric procedure-related pain

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