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KMID : 1033220240140010034
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Journal of Acute Care Surgery
2024 Volume.14 No. 1 p.34 ~ p.36
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Lidocaine and Ketamine as Sedation for Burn Wound Care in a Pediatric Patient: A Case Report
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Arden Perabo
Kathryn Keeney
Alan W Pang
Deepak Bharadia
John Griswold
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Abstract
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This is a case report of a developmentally healthy 14-month-old female with partial thickness scaldburns at multiple sites (the face, trunk, and bilateral upper extremities) that covered 14% of her totalbody surface area. Novel procedural pain therapy using intravenous lidocaine and oral ketamine wasadministered to perform daily wound care with minimal discomfort. Following this daily analgesicprotocol there was sufficient analgesia and sedation with no adverse side effects. Currently, there are nostudies where this analgesic combination was used during burn wound care and dressing changes inpediatric cases. The success of this protocol in a pediatric case highlights the safety and efficacy of oralketamine when used in conjunction with intravenous lidocaine which potentially allows for a lower doseper procedure and a reduced risk of adverse effects.
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KEYWORD
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analgesia, burn, pediatrics, sedation, wound care
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FullTexts / Linksout information
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Listed journal information
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