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Same question from group, perhaps very frequent requirement in ER is during LP. But the issue of raised ICP still query???????

Dr Saeed Alobeidani <[log in to unmask]> wrote:  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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Dr.FATIMA UROOJ 
MBBS,MCPS,FCPS 
Senior Instructor, 
Section of Emergency medicine, 
Department of Medicine, 
Aga Khan University, Stadium Road, 
P.O.Box 3500,Karachi 74800 Pakistan. 
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Mob:0092-3212000971 
Fax:92-21-4934294,4932095 
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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:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html