Case Study of High-Dose Ketamine for Treatment of Complex Regional Pain Syndrome in the Pediatric Intensive Care Unit

被引:1
作者
Pasek, Tracy Ann [1 ]
Crowley, Kelli [2 ]
Campese, Catherine [3 ]
Lauer, Rachel [3 ]
Yang, Charles [3 ]
机构
[1] Univ Pittsburgh, Childrens Hosp Pittsburgh, Med Ctr, Pain,Pediat Intens Care Unit,Evidence Based Pract, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Childrens Hosp Pittsburgh, Dept Pharm, Med Ctr, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Childrens Hosp Pittsburgh, Dept Anesthesiol, Med Ctr, Pittsburgh, PA 15213 USA
关键词
Complex regional pain syndrome; Pediatric; Pain; Ketamine; Pediatric critical care; Pediatric intensive care unit; Pharmacologic pain management; Advanced practice nursing; OPEN-LABEL; EFFICACY; ADULTS;
D O I
10.1016/j.cnc.2017.01.005
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Complex regional pain syndrome (CRPS) is a life-altering and debilitating chronic pain condition. The authors are presenting a case study of a female who received high-dose ketamine for the management of her CRPS. The innovative treatment lies not only within the pharmacologic management of her pain, but also in the fact that she was the first patient to be admitted to our pediatric intensive care unit solely for pain control. The primary component of the pharmacotherapy treatment strategy plan was escalating-dose ketamine infusion via patient-controlled-analgesia approved by the pharmacy and therapeutics committee guided therapy for this patient. The expertise of advanced practice nurses blended exquisitely to ensure patient and family-centered care and the coordination of care across the illness trajectory. The patient experienced positive outcomes.
引用
收藏
页码:177 / +
页数:11
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