Premium
A systematic review of ketamine for the management of vaso‐occlusive pain in sickle cell disease
Author(s) -
Harris Emily M.,
Vilk Emily,
Heeney Matthew M.,
Solodiuk Jean,
Greco Christine,
Archer Natasha M.
Publication year - 2021
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.28989
Subject(s) - ketamine , medicine , discontinuation , dosing , vaso occlusive crisis , disease , memantine , anesthesia , nmda receptor , intensive care medicine , sickle cell anemia , surgery , dementia , receptor
Abstract 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.