ketamine Archives

A Systematic Review and Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department

by Hans Rosenberg | Feb 4, 2019 | Anesthesiology, Full Article, Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Karlow N, et al. Acad Emerg Med. 2018 Oct;25(10):1086-1097. Question and Methods: This was a systematic review and meta-analysis of low dose ketamine (LDK 0.3 – 0.5mg/kg) vs opioids for acute pain...

Procedural Sedation in the ED: Agents

by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care

In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...

Pre-Hospital Updates 2018

by Ayesha Zia, Richard Hoang | Jun 28, 2018 | Grand Round Summaries, Pre-Hospital

In this post, we will review several recent updates related to pre-hospital medicine. Specifically, we will: Review the role of tranexamic acid (TXA) in pre-hospital trauma Discuss the use of ketamine in Excited Delirium Examine the new Ottawa ROSC bypass protocol and...

Low-dose ketamine improves pain relief in patients receiving intravenous opioids for acute pain in the emergency department: results of a randomized, double-blind, clinical trial.

by EMOttawa | Mar 7, 2016 | Journal Club

Journal Club Summary Methodology Score: 3/5 Usefulness Score: 3.5/5 Beaudoin FL, et al. Acad Emerg Med. 2014 Nov;21(11):1193-202 Full Article This pilot, double blind, placebo-controlled, randomized trial demonstrates that ketamine at...

Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial

by EMOttawa | Oct 26, 2015 | Journal Club

Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2/5 Motov S, Rockoff B, Cohen V, et al. Ann Emerg Med. 2015 Mar 26. pii: S0196-0644(15)00191-2. Abstract Link This prospective, RCT found sub-dissociative ketamine (0.3mg/kg) and...