Prehospital analgesia using nasal administration of S-ketamine – a case series

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Prehospital analgesia using nasal administration of S-ketamine – a case series

Pain is a problem that often has to be addressed in the prehospital setting. The delivery of analgesia may sometimes prove challenging due to problems establishing intravenous access or a harsh winter environment. To solve the problem of intravenous access, intranasal administration of drugs is used in some settings. In cases where vascular access was foreseen or proved hard to establish (one o...

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BACKGROUND Opioid analgesics are used in most trauma systems, and only a few studies report on the use of ketamine for prehospital analgesia. In a low-cost rural trauma system in Iraq paramedics have been using prehospital ketamine analgesia for ten years. This study aims to evaluate the effects of prehospital analgesia on physiologic trauma severity indicators and compare the effect of ketamin...

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Low-dose ketamine for analgesia in the ED: a retrospective case series.

OBJECTIVES The aim of this study was to describe the use and effect of low-dose ketamine (LDK) for analgesia in the emergency department (ED). METHODS A chart review was performed to identify all adult patients who received LDK for analgesia in our ED. Cases were identified by pharmacy record of ketamine administration. Low-dose ketamine was defined as the administration of 0.1 to 0.6 mg/kg o...

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The comparison of caudal ketamine, alfentanil and ketamine plus alfentanil administration for postoperative analgesia in children.

BACKGROUND Our aim was to compare the effect of single dose caudal ketamine, alfentanil or a mixture of both drugs in the treatment of pain after hypospadias repair surgery in children. METHODS The group comprised 109 boys, ASA I-II, aged 1-9 years, who were undergoing hypospadias repair surgery as day cases. The children were randomly divided into three groups for postoperative analgesia: gr...

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Prehospital analgesia in Ontario.

To the editor: Paramedics in Ontario provide prehospital care under the direction of their base hospital physicians. Most paramedics are certified at the primary care paramedic (PCP) level, and many communities, especially in rural areas, where transport times are longest, are served exclusively by PCPs. Despite having at least 2 years of college education, PCPs are unable to provide patients w...

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ژورنال

عنوان ژورنال: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

سال: 2013

ISSN: 1757-7241

DOI: 10.1186/1757-7241-21-38