Sedación con ketamina para procedimientos ortopédicos en un servicio de urgencias de alta complejidad. Un estudio descriptivo
| Autor: | Javier Esteban Toro-López, María Isabel Ospina-Ochoa, Carlos Oliver Valderrama-Molina |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Sedation
Ketamina Conscious Sedation Critical Care and Intensive Care Medicine medicine.disease_cause 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Interquartile range Urgencias Médicas Medicine Ketamine Adverse effect Manipulación Ortopédica business.industry Adverse effects 030208 emergency & critical care medicine Cannula Anesthesiology and Pain Medicine Efectos adversos Anesthesia Midazolam Manipulation Orthopedic Sedación Consciente medicine.symptom Emergencies business Orthopedic Procedures Nasal cannula medicine.drug |
| Zdroj: | Revista Colombiana de Anestesiología, Volume: 46, Issue: 4, Pages: 286-291, Published: DEC 2018 |
| Popis: | Introduction: Rapid recovery and low cost are among the benefits of ketamine for emergency sedation. It has been excluded as the first choice because of the associated adverse events. Objective: To describe the adverse events associated with the use of ketamine in a high-complexity emergency service. Materials and methods: Review of clinical records of patients who received sedation with ketamine for orthopedic procedures in the emergency room between January 2012 and June 2015, with identification of adverse events. Results: Overall, 354 patients were identified (74% males, 32% children), with a median age of 21 years, interquartile range (IQR) of 20 years. Of them, 66% had upper limb injuries, 79% were treated on an outpatient basis, with a median length of stay in the emergency service of 3.6hours (IQR 2,5). In 98%, sedation was given by a different practitioner from the orthopedic surgeon. Ketamine and midazolam were administered together in the same proportion, and 3 or more medications were used in 13% of cases. Overall, 14 adverse events (3.9%) were described, 9 related to desaturation between 80% and 90% which was solved with oxygen through nasal cannula, 3 were cases of vomiting following sedation with no aspiration, and 2 were cases of desaturation |
| Databáze: | OpenAIRE |
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