TY - JOUR ID - 44334 TI - Ketamine Infusion Therapy as an Alternative Pain Control Strategy in Patients with Multi-Trauma including Rib Fracture; Case Report and Literature Review JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Losing, Ashley K AU - Jones, Justin M AU - Keric, Adis AU - Briggs, Steven E AU - Leedahl, David D AD - Sanford Health Y1 - 2016 PY - 2016 VL - 4 IS - Issue 3 SP - 165 EP - 169 KW - Thoracic injury KW - Rib fracture KW - Pain management KW - Ketamine DO - N2 - Ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. Current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. We describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine infusion was utilized as part of their pain control strategy.  For each patient, use of a ketamine infusion trended toward reduced opioid requirements with stable pain scores. One patient experienced a dissociative adverse effect prompting decrease and discontinuation of ketamine. No pulmonary complications in the form of emergent intubation or new diagnosis of pneumonia were observed. We believe the addition of ketamine infusion to be a valid alternative strategy for managing pain associated with rib fracture. UR - https://beat.sums.ac.ir/article_44334.html L1 - https://beat.sums.ac.ir/article_44334_ef7c0f1399ada47a326b0e32633df5aa.pdf ER -