title: Ketamine for procedural sedation and analgesia by nonanesthesiologists in the field: a review for military health care providers.
abstract: 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.
authors.affiliation: Division of Emergency Medicine, Department of Medicine, Ireland Army Community Hospital, Fort Knox, KY 40121-5520, USA.
authors.forename: Gregory T
authors.initials: GT
authors.lastname: Guldner
authors.forename: Bruno
authors.initials: B
authors.lastname: Petinaux
authors.forename: Peter
authors.initials: P
authors.lastname: Clemens
authors.forename: Stanley
authors.initials: S
authors.lastname: Foster
authors.forename: Scott
authors.initials: S
authors.lastname: Antoine
mesh_terms: 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
chemical_list: D000778:Anesthetics, Dissociative; D007649:Ketamine