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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
significant?


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

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