A systematic review of ketamine for the management of vaso-occlusive pain in sickle cell disease
| Autor: | Jean C. Solodiuk, Christine Greco, Matthew M. Heeney, Emily Vilk, Emily M. Harris, Natasha M. Archer |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pain Disease Anemia Sickle Cell 03 medical and health sciences 0302 clinical medicine medicine Effective treatment Humans Pain Management Ketamine Dosing Intensive care medicine Pain Measurement business.industry Hematology Discontinuation Systematic review Oncology 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Complication business 030215 immunology medicine.drug |
| Zdroj: | Pediatric bloodcancerREFERENCES. 68(7) |
| ISSN: | 1545-5017 |
| Popis: | Vaso-occlusive episodes (VOEs) are a common complication of sickle cell disease (SCD) and a significant cause of morbidity. Managing VOE pain can be difficult and complex. Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, has been used to manage VOE pain. This systematic literature review synthesizes research published from 2010 to 2020 on the use of ketamine infusion to decrease VOE pain. The review demonstrates that ketamine, a safe and effective treatment for VOE pain, could be considered more widely. However, the significant variability among published clinical studies with regard to dosing, timing of initiation, duration of infusion, and timing of discontinuation highlights the need for standardized ketamine infusion protocols for the management of VOE pain. We conclude with a brief discussion of key components of a potential standardized protocol supported by the literature reviewed as well as areas for future investigation. |
| Databáze: | OpenAIRE |
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