Print

Print


We use it quite frequently, has never been a problem.

MH



Mark A. Hostetler, MD, MPH
Chief, Section of Pediatric Emergency Medicine
Medical Director, Pediatric Emergency Department
Associate Professor, Department of Pediatrics
The University of Chicago
5841 S. Maryland Ave, MC-0810
Office: F1160B (Comer Children's ER)
Chicago, IL  60637
(773) 834-9704
FAX: (773) 702-0414
Pager #3875
Pager direct dial: (773)845-6770
http://pediatrics.uchicago.edu/chiefs/PER
 
 
************************************************************************
********

This e-mail is intended only for the use of the individual or entity to
which it is addressed and may contain information that is privileged and
confidential.

If the reader of this e-mail message is not the intended recipient, you
are hereby notified that any dissemination, distribution or copying of
this communication is prohibited. If you have received this e-mail in
error, please notify the sender and destroy all copies of the
transmittal. 

Thank you

University of Chicago Hospitals

************************************************************************
********


-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of Chamberlain, Jim
Sent: Monday, February 11, 2008 8:40 AM
To: [log in to unmask]
Subject: Re: ketamine for LP in ER

I used it once in a hysterical 6 year old who had failed midazolam.

OP = 18

Smoothest LP I've ever had...

Jim

James Chamberlain, MD

Division Chief, Emergency Medicine

Children's National Medical Center

111 Michigan Avenue, NW

Washington, DC

202.476.3253 (O)

202.476.3573 (F)

202.476.5433 (Emergency Access)

-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of Martin Herman
Sent: Sunday, February 10, 2008 7:34 PM
To: [log in to unmask]
Subject: Re: ketamine for LP in ER

I have almost always been able to get my LP done using midazolam only. I
have not had to resort to stronger sedatives. I don't think I would use
ketamine unless no other options existed and it was a "must do" LP. 
------------------------------------
Pediatric Emergency Specialists, P.C.
Martin Herman, M.D.,FAAP,FACEP
President
[log in to unmask]
PO box 637
Ellendale TN 38029
tel: 901 405 1407
fax: 901 405 1524
mobile: 901 219 9202 
------------------------------------
-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of Fatima Urooj
Sent: Sunday, February 10, 2008 4:11 AM
To: [log in to unmask]
Subject: Re: ketamine for LP in ER

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

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



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. 
PH:0092-21-4864573,4864614,4861087 
Mob:0092-3212000971 
Fax:92-21-4934294,4932095 
Email:[log in to unmask] 
[log in to unmask]
       
---------------------------------
Be a better friend, newshound, and know-it-all with Yahoo! Mobile.  Try
it
now.

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

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

Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended 
recipient(s) and may contain confidential and privileged information.
Any unauthorized review, use, disclosure or distribution is prohibited. 
If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.

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


This email is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and confidential. If the reader of this email message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is prohibited. If you have received this email in error, please notify the sender and destroy/delete all copies of the transmittal. Thank you.

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