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CASE REPORT
Year : 2021  |  Volume : 21  |  Issue : 2  |  Page : 75-78

Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series


Department of Emergency Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY, USA

Correspondence Address:
Dr. Jessica Zerzan
Department of Emergency Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2452-2473.313334

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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.


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