A Novel Agent for Management of Agitated Delirium: A Case Series of Ketamine Utilization in the Pediatric Emergency Department.
Pediatr Emerg Care
; 33(9): e58-e62, 2017 Sep.
Article
en En
| MEDLINE
| ID: mdl-26466151
ABSTRACT
Control of the agitated patient in the emergency department is challenging. Many options exist for chemical sedation, but most have suboptimal pharmacodynamic action, and many have undesirable adverse effects. There are reports of ketamine administration for control of agitation prehospital and in traumatically injured patients. Ketamine is a noncompetitive N-methyl-D-aspartic acid receptor antagonist, making it an effective dissociative agent. We present 5 cases of ketamine administration to manage agitated adolescent patients with underlying psychiatric disease and/or drug intoxication. Ketamine, as a dissociative agent, may be an alternative pharmacological consideration for the control of agitation in patients with undifferentiated agitated delirium.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Agitación Psicomotora
/
Delirio
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Servicio de Urgencia en Hospital
/
Ketamina
Límite:
Adolescent
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pediatr Emerg Care
Asunto de la revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Panamá