Intramuscular ketamine in a parturient in whom pre-operative intravenous access was not possible

We describe the management of a 23-yr-old woman with extreme needle and mask phobia, presenting for an emergency Caesarean section for fetal distress. She also suffered from spina bifida cystica with no sensation from mid thigh. Regional anaesthesia, rapid sequence induction, and gaseous induction w...

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Veröffentlicht in:	British journal of anaesthesia : BJA 2001-06, Vol.86 (6), p.891-893
Hauptverfasser:	Lum Hee, W.C., Metias, V.F.
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal surgery. Urology. Gynecology. Obstetrics Adult anaesthesia, obstetric anaesthetic techniques, intramuscular, ketamine Anesthesia Anesthesia depending on type of surgery Anesthesia, Obstetrical Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Combined Anesthetics, Dissociative Biological and medical sciences Cesarean Section complications, spina bifida Female Humans Injections, Intramuscular Ketamine Medical sciences Pregnancy Pregnancy Complications - psychology Pregnancy Complications - surgery Pregnancy Trimester, Third Spinal Dysraphism - psychology Spinal Dysraphism - surgery Succinylcholine Thiopental Treatment Refusal
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Beschreibung
Zusammenfassung:	We describe the management of a 23-yr-old woman with extreme needle and mask phobia, presenting for an emergency Caesarean section for fetal distress. She also suffered from spina bifida cystica with no sensation from mid thigh. Regional anaesthesia, rapid sequence induction, and gaseous induction were not possible. She was managed successfully with i.m. ketamine followed by a more conventional anaesthetic technique.
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/86.6.891