SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?
The Skeptics' Guide to EM
OCTOBER 19, 2024
His allergies to acetaminophen, non-steroidal anti-inflammatories (NSAIDs), and opioids limit your pain management options. A bedside sonogram shows no significant hydronephrosis. You’re considering ketamine for pain relief but wonder if you should choose IV sub-dissociative ketamine or nebulized ketamine? mg/kg nebulized or 0.3 mg/kg intravenously?
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