Ketamine for palliative sedation in the emergency department.
J Emerg Med
; 44(2): 355-7, 2013 Feb.
Article
em En
| MEDLINE
| ID: mdl-23047198
ABSTRACT
BACKGROUND:
Palliative sedation to treat severely distressing symptoms in those with a poor prognosis is well-accepted.OBJECTIVE:
We discuss palliative sedation in the Emergency Department and the use of ketamine. CASE REPORT We present the case of a patient with angioedema of the tongue and severe respiratory distress. The patient's nursing home was unable to control her symptoms and she was transferred to the Emergency Department. The patient received fentanyl 50 µg i.v. and ketamine 50 mg i.v. every 5 min until adequate palliative sedation was achieved.CONCLUSION:
Ketamine can be considered for Emergency Department palliative sedation in selected patients. Identifying and caring for unmet palliative care needs is an important skill for Emergency Medicine.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Serviço Hospitalar de Emergência
/
Ketamina
/
Anestésicos Dissociativos
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
J Emerg Med
Assunto da revista:
MEDICINA DE EMERGENCIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos