Just wondering if anybody have experiences of using ketamine  to preform  LP
in emergency room in a child with suspected meningitis.
of-course there is  the fear of raising the ICP, but is this clinically

I could find this study that address this qs:

 J Child Neurol. 2006 Jun;21(6):441-3.
Ketamine increases opening cerebrospinal pressure in children undergoing
lumbar puncture.
Conc.:Intravenous ketamine prior to performing lumbar puncture is associated
with a significantly higher lumbar cerebrospinal fluid opening pressure in
children with aseptic meningitis. However, no outcome differences have been
found between the two groups.

S. Alobeidani,MD
PEM staff
Royal Hospital

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: