Title: Intranasal Ketamine<br/>Author: Rose Chasm<br/><a href='http://umem.org/profiles/faculty/82/'>[Click to email author]</a><hr/><ul>
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Ketamine popularity for procedural sedation is on the rise, again. It provides pain relief, sedation, and memory loss while maintaining airway reflexes and has little effect on the heart. </li>
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Traditional administration has been the intravenous or intramuscular route, but consider intransal now. </li>
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Recent articles have touted the intranasal administration of ketamine for pediatric procedural sedation with good success.</li>
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Admittedly, the number of patients enrolled in the studies to date have been small and the dosages have varied from 1 to 9 mg/kg/dose. However, none of the studies have reported any bad outcomes or complications.</li>
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So, consider IN ketamine for your next pediatric procedural sedation. </li>
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<fieldset><legend>References</legend>
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Andolfatto G, et al. Intranasal ketamine for analgesia in theemergency department: a prospective observational study. Acad Emerg Med. 2013. Oct;20(10):1050-4.</p>
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Tsze DS, et al. Intranasal ketamine for procedural sedation in pediatric laceration repair: a preliminary report. Pediatr Emerg Care. 2012. August;28(8);767-70.</p>
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Hall D, et al. Intranasal ketamine for procedural sedation. Emerg Med J. 2014;31:789-90.</p>
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