Ketamine for long-term sedation and analgesia of a burn patient.

Edrich, Thomas; Friedrich, Andrew D; Eltzschig, Holger K; Felbinger, Thomas W · Anesth Analg · 2004

case_report · Level V

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Abstract

We present a case in which ketamine was used for long-term sedation and analgesia of a burn patient. Under escalating opiate dosages, the patient had developed persistent ileus as well as abdominal distension that caused respiratory compromise, without receiving sufficient analgesia. The opiate-sparing effect of the continuous ketamine infusion was more than 90%. The ileus resolved within 24 h. The quality of sedation also changed favorably. There were no obvious adverse effects of ketamine.

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