Journal of Acute Disease

REVIEW ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 6  |  Page : 241--246

Intranasal ketamine as an analgesic agent for acute pain management in emergency department: A literature review


Abdolghader Pakniyat1, Morteza Qaribi2, Dorin Rahnama Hezaveh3, Ali Abdolrazaghnejad4 
1 Department of emergency Medicine, Faculty of Medicine, Kurdistan University of medical sceinces, Sanandaj, Iran
2 Department of Emergency Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran
3 School of Medicine, Medical University of Lublin, Lublin, Poland
4 Department of Emergency Medicine, Khatam-Al-Anbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran

Correspondence Address:
Ali Abdolrazaghnejad
Department of Emergency Medicine, Khatam-Al-Anbia Hospital, Zahedan University of Medical Sciences, Zahedan
Iran

Ketamine is a well-known dissociative anesthetic agent, and has been used over 50 years. Intranasal pathway is a mucosal way for absorbing agents to directly affect in brain via olfactory sheets, bypassing first pass metabolism and the blood brain barrier. The current uses of intranasal ketamine as an analgesic agent for acute pain management in emergency department are discussed in this review article. Using źDQ╗ketamineźDQ╗, źDQ╗pain or analgesiaźDQ╗, and źDQ╗intranasalźDQ╗ as keywords, a search of google scholar, Pubmed, web of science, and Medline database from 1970 until 2017 was performed. Finally, from 1 204 papers extracted via primary search, 1 088 papers were omitted and finally 10 studies were considered for further assessment. There were four observational studies, one case series and report and 5 clinical trials. Ketamine was used for acute pain control due to musculoskeletal trauma, burns, and painful procedures. A total of 390 cases were included in these studies. The studies used ketamine with doses ranging 0.45-1.25 mg/kg via intranasal pathway. Intranasal ketamine provides relatively rapid, well tolerated, and clinically significant analgesia for emergency department patients. Considering the lack of adequate studies and undetermined intranasal dose, it is better to conduct further high quality investigation in both adults and pediatrics.


How to cite this article:
Pakniyat A, Qaribi M, Hezaveh DR, Abdolrazaghnejad A. Intranasal ketamine as an analgesic agent for acute pain management in emergency department: A literature review.J Acute Dis 2018;7:241-246


How to cite this URL:
Pakniyat A, Qaribi M, Hezaveh DR, Abdolrazaghnejad A. Intranasal ketamine as an analgesic agent for acute pain management in emergency department: A literature review. J Acute Dis [serial online] 2018 [cited 2021 Sep 24 ];7:241-246
Available from: http://www.jadweb.org/article.asp?issn=2221-6189;year=2018;volume=7;issue=6;spage=241;epage=246;aulast=Pakniyat;type=0