title: Intramuscular ketamine to facilitate pediatric central vascular access.
abstract: OBJECTIVE
  Obtaining prompt vascular access in young children presenting to the emergency department (ED) is frequently both necessary and technically challenging. The objective of our study was to describe our experience using intramuscular (IM) ketamine to facilitate the placement of central venous catheters in children presenting to our ED needing vascular access in a timely fashion.
  
  
  METHODS
  We performed a retrospective medical record review of all pediatric patients <18 years of age who presented to our tertiary care pediatric ED between May 1, 1998, and August 7, 2003, and underwent the placement of a central venous catheter facilitated by the use of IM ketamine.
  
  
  RESULTS
  Eleven children met our inclusion criteria. Most of the children were young and medically complicated. The children ranged in age from 6 months to 8 years. The only complication identified was vomiting experienced by an 8-year-old boy. Emergency physicians successfully obtained central venous access in all subjects in the case series.
  
  
  CONCLUSIONS
  The use of IM ketamine to facilitate the placement of central venous catheters in children who do not have peripheral venous access appears to be helpful. Emergency physicians may find it useful to be familiar with this use of IM ketamine.
authors: Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, California 92354, USA. KDenmark@adelphia.net
authors: T Kent
authors: TK
authors: Denmark
authors: Jenny R
authors: JR
authors: Hargrove
authors: Lance
authors: L
authors: Brown