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Slow vs Fast IV Ketamine for Pain Control

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Special K infusion
This was a small but well done RCT of 48 patients presenting to the ED with painful conditions and pain score >5. Ketamine 0.3mg/kg was given either by IV push (5 minutes) or slow infusion (given over 15 minutes). Pain score was reduced the same in each group. The infusion group had marked reduction in feeling of unreality and was less sedated compared to the IV push group.

A prospective randomized, double-dummy trial comparing IV push low dose ketamine to short infusion of low dose ketamine for treatment of  pain in the ED.  Am J Emerg Med. 2017 Aug;35(8):1095-1100. doi: 10.1016/j.ajem.2017.03.004. Epub 2017 Mar 3.

The SPH/MSJ Emergency Departments are part of Providence Health Care.

We are also a University of British Columbia (UBC) teaching site.

SPH Emergency

SPH Emergency Department in downtown Vancouver is open 24 hours a day, daily, including holidays.

1081 Burrard Street
Vancouver BC, V6Z 1Y6
604-682-2344

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MSJ Emergency

MSJ Emergency Department in east Vancouver is open from 8:00AM to 8:00PM daily, including holidays.

3080 Prince Edward Street
Vancouver BC, V5T 3N4
604-874-1141

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Please call 911 or go directly to your nearest emergency department if you are in need of serious medical attention, including chest pain, severe bleeding, or stroke symptoms.

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