Ketamine Infusion Therapy as an Alternative Pain Control Strategy in Patients with Multi-Trauma including Rib Fracture; Case Report and Literature Review

Bulletin of Emergency and Trauma

Steven E Briggs¹  Ashley K Losing²  Adis Keric²  Justin M Jones²  David D Leedahl² 

[1] Department of Trauma and Acute Care Surgery, Sanford Health, Fargo ND, USA;Pharmacy Services, Sanford Health, Fargo ND, USA;

关键词: Thoracic injury;    Rib fracture;    Pain management;    Ketamine;   

DOI  :  

来源: DOAJ

【 摘 要 】

Ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. Current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. We describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine infusion was utilized as part of their pain control strategy.For each patient, use of a ketamine infusion trended toward reduced opioid requirements with stable pain scores. One patient experienced a dissociative adverse effect prompting decrease and discontinuation of ketamine. No pulmonary complications in the form of emergent intubation or new diagnosis of pneumonia were observed. We believe the addition of ketamine infusion to be a valid alternative strategy for managing pain associated with rib fracture.

【 授权许可】

Unknown