With 30 min left of your shift, you sign up for what you anticipate will be your last patient. Chief complaint: “abdominal pain.” You then realize this is way more challenging than you anticipated and that this is a frequent flyer who often presents with chronic non-specific abdominal pain. Extensive previous workups have all been negative. She is asking for only for “the drug with a ‘D'”.
Is anything else you can try for this patient? You recall one of your favorite attendings once using IV ketamine in a similar situation. Never having used ketamine for analgesia, you search the literature to find out if there is any data to support this choice.
This week Dr. David Ashkenasi will lead a discussion about the safety and effectiveness ketamine as compared to morphine for management of acute pain in the ED.
Primary article by Motov et al from 2015

 

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