Document Detail


Recurrent episodes of intractable laryngospasm during dissociative sedation with intramuscular ketamine.
MedLine Citation:
PMID:  16651915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report 2 cases of dissociative sedation with intramuscular ketamine with recurrent episodes of laryngospasm that we were unable to ventilate with bag-mask ventilation, in 1 case leading to endotracheal intubation to protect the airway. Supplemental oxygen was given throughout the sedations, and ventilatory status was noninvasively monitored on a continuous basis, providing detailed and objective documentation of the patients' clinical status throughout the sedations. We were, therefore, able to rapidly assess and confirm apnea, laryngospasm, and airway dysfunction.
Authors:
Virginia Grace Cohen; Baruch Krauss
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  22     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Anesthetics, Dissociative / administration & dosage,  adverse effects*
Child, Preschool
Facial Injuries / therapy
Female
Humans
Injections, Intramuscular
Intubation, Intratracheal
Ketamine / administration & dosage,  adverse effects*
Laryngismus / chemically induced*,  diagnosis,  therapy
Male
Recurrence
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Dissociative; 6740-88-1/Ketamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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