Use of ketamine during procedural sedation: indications, controversies, and side effects.

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2012-11

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Abstract

Ketamine is a well-described anesthetic and analgesic, unique in its ability to preserve laryngeal reflexes and airway protection, and offered to a wide range of patients, although not necessarily widely used. Because it is considered an anesthetic, widespread use by all sedation providers is often limited despite its long history as a safe sedative. Because of its sympathomimetic effects, ketamine may be used in patients who are hypovolemic, including those who are experiencing traumatic or obstetric emergencies. The use of ketamine in patients with epilepsy or traumatic brain injury is more controversial. This article will explore the side effects of ketamine and current research that support or discourage its use in a variety of settings.

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Humans, Ketamine, Hypnotics and Sedatives, Nursing Care

Citation

Published Version (Please cite this version)

10.1097/nan.0b013e31827068c1

Publication Info

Jolly, Tonya, and Heather S McLean (2012). Use of ketamine during procedural sedation: indications, controversies, and side effects. Journal of infusion nursing : the official publication of the Infusion Nurses Society, 35(6). pp. 377–382. 10.1097/nan.0b013e31827068c1 Retrieved from https://hdl.handle.net/10161/20344.

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Scholars@Duke

McLean

Heather Seabury McLean

Professor of Pediatrics

My interests include quality improvement and patient safety, patient-family centered care, pediatric hospital medicine, and graduate and undergraduate medical education.  Through system change, I aim to improve the quality, value and safety of care of our patients at Duke Health.


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