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Intramuscular ketamine to facilitate pediatric central vascular access

Published online by Cambridge University Press:  21 May 2015

T. Kent Denmark ,
Jenny R. Hargrove  and
Lance Brown
T. Kent Denmark*
Affiliation:
Department of Emergency Medicine, Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
Jenny R. Hargrove
Affiliation:
Department of Emergency Medicine, Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
Lance Brown
Affiliation:
Department of Emergency Medicine, Loma Linda University Medical Center and Children’s Hospital, Loma Linda, Calif.
*
Department of Emergency Medicine, A-108 Loma Linda University Medical Center and Children’s Hospital, 11234 Anderson St., Loma Linda CA 92354 USA; 909 558-4344, fax 909 558-0121, [email protected]

Abstract

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Objectives:

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.

Keywords

ketaminecentral venous access
Type
Pediatric EM • Pédiatrie D’urgence
Information
Canadian Journal of Emergency Medicine , Volume 6 , Issue 4 , July 2004 , pp. 259 - 262
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

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