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Journal of Burn Care & Research:
doi: 10.1097/01.BCR.0000204310.67594.A1
Original Articles

Ketamine: A Safe and Effective Agent for Painful Procedures in the Pediatric Burn Patient

Owens, Victoria F. FNP; Palmieri, Tina L. MD; Comroe, Catherine M. PNP; Conroy, Janice M. RN; Scavone, John A. MD; Greenhalgh, David G. MD

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Abstract

Ketamine is an effective agent when used for sedation during painful bedside procedures. We developed a ketamine administration protocol for nonanesthesiologists for the purpose of establishing safe monitoring and documentation during ketamine sedation procedures. From June 1, 2002, through June 30, 2003, a total of 522 sedation events using ketamine were performed; 347 of these events were analyzed. Seventeen (4.9%) events contained potentially adverse outcome indicators, 10 (2.9%) of which required intervention. Eight events were airway related and responded to repositioning, supplemental oxygen, or bag-valve-mask ventilation. Two patients had a decrease in blood pressure, which responded to fluid administration. Total doses of ketamine administered were between 6 and 800 mg, for procedures ranging from 1 to 105 minutes, in patients weighing between 3 and 111 kg. The development of a strict protocol ensures the safe administration of ketamine for the pediatric burn patient.

© 2006 The American Burn Association

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