Ketamine for procedural sedation and analgesia by nonanesthesiologists in the field: a review for military health care providers.
Military health care providers located in field environments frequently face situations in which procedural sedation and analgesia are necessary, without the advantage of sophisticated monitoring equipment. Ketamine is a unique agent that can be administered either intravenously or intramuscularly to produce predictable and profound analgesia, with an exceptional safety profile. We review the issues unique to ketamine and provide a practical guide for the use of ketamine for adult and pediatric patients in a field environment.
Guldner
Gregory T
GT
Division of Emergency Medicine, Department of Medicine, Ireland Army Community Hospital, Fort Knox, KY 40121-5520, USA.
Petinaux
Bruno
B
Clemens
Peter
P
Foster
Stanley
S
Antoine
Scott
S
D000328:Adult; D000778:Anesthetics, Dissociative / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D016292:Procedural Sedation / Q000379:methods*; D006772:Hospitals, Military; D006775:Hospitals, Packaged; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage / Q000627:therapeutic use*; D008887:Military Medicine / Q000379:methods / Q000592:standards*; D008889:Military Personnel; D018570:Risk Assessment; D014218:Triage; D014481:United States
D000778:Anesthetics, Dissociative; D007649:Ketamine