Effect of Intranasal Ketamine vs Fentanyl on Pain Reduction for Extremity Injuries in Children | Zendy

Theresa Frey | Zendy; Todd A. Florin | Zendy; Michelle Caruso | Zendy; Nanhua Zhang | Zendy; Yin Zhang | Zendy; M Mittiga | Zendy

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Effect of Intranasal Ketamine vs Fentanyl on Pain Reduction for Extremity Injuries in Children

Author(s) -

Theresa Frey,

Todd A. Florin,

Michelle Caruso,

Nanhua Zhang,

Yin Zhang,

M Mittiga

Publication year - 2018

Publication title -

jama pediatrics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.004

H-Index - 183

eISSN - 2168-6211

pISSN - 2168-6203

DOI - 10.1001/jamapediatrics.2018.4582

Subject(s) - medicine , ketamine , visual analogue scale , fentanyl , anesthesia , nasal administration , randomized controlled trial , emergency department , surgery , psychiatry , immunology

Timely analgesia is critical for children with injuries presenting to the emergency department, yet pain control efforts are often inadequate. Intranasal administration of pain medications provides rapid analgesia with minimal discomfort. Opioids are historically used for significant pain from traumatic injuries but have concerning adverse effects. Intranasal ketamine may provide an effective alternative.

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