Intranasal Ketamine

What this episode covers

I am delighted to bring you this special episode of PEM Currents, the Pediatric Emergency Medicine podcast. It&#8217;s all about intranasal ketamine and its use for acute pain management in the Pediatric Emergency Department. I had the pleasure of interviewing Theresa Frey, Assistant Professor from the Division of Emergency Medicine at Cincinnati Children&#8217;s. Theresa is the 2016 winner of the Ken Graff Award from the AAP&#8217;s Section on Emergency Medicine. Funding from the award supported her study comparing intranasal fentanyl and intranasal ketamine in a randomized controlled trial for the treatment of acute, long bone fracture pain. We talk about the existing evidence, what&#8217;s to come in the future and how you can learn more about intranasal ketamine.<br /> Check out <a href="http://www.pemblog.com">PEMBlog</a> for more great educational content<br /> Follow me on Twitter <a href="http://www.twitter.com/PEMTweets">@PEMTweets</a><br /> Follow along on <a href="https://www.facebook.com/PEMTweets/">facebook</a><br /> References<br /> <a href="https://www.ncbi.nlm.nih.gov/pubmed/25447557">Graudins A, Meek R, Egerton-Warburton D, Oakley E, Seith R. The PICHFORK (Pain in Children Fentanyl or Ketamine) Trial: A Randomized Controlled Trial Comparing Intranasal Ketamine and Fentanyl for the Relief of Moderate to Severe Pain in Children With Limb Injuries. Annals of emergency medicine. 2015;65(3):248-254.e241.</a><br /> <a href="https://www.ncbi.nlm.nih.gov/pubmed/28926159">Reynolds SL, Bryant KK, Studnek JR, et al. Randomized Controlled Feasibility Trial of Intranasal Ketamine Compared to Intranasal Fentanyl for Analgesia in Children with Suspected Extremity Fractures. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2017.</a><br /> <a href="https://www.ncbi.nlm.nih.gov/pubmed/24712757">Yeaman F, Oakley E, Meek R, Graudins A. Sub-dissociative dose intranasal ketamine for limb injury pain in children in the emergency department: a pilot study. Emergency medicine Australasia : EMA. 2013;25(2):161-167.</a><br />