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| Format: | Artículo científico |
| Language: | en |
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Sociedad Colombiana de Anestesiología y Reanimación
2018
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| Online Access: | https://www.redalyc.org/articulo.oa?id=195159786013 https://www.redalyc.org/journal/1951/195159786013/ https://www.redalyc.org/journal/1951/195159786013/html/ https://www.redalyc.org/journal/1951/195159786013/195159786013.epub https://www.redalyc.org/journal/1951/195159786013/movil |
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| _version_ | 1866815865570197504 |
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| author | Cristina Posada-Giraldo |
| author_facet | Cristina Posada-Giraldo |
| contents | Using ketamine in a pediatric patient with a pain crisis in juvenile idiopathic arthritis. A case report Cristina Posada-Giraldo María Alejandra Herrera-Mondragón William Henry Joaquí-Tapia Medicina Ketamine Anesthesia Chronic Pain Case Reports Arthritis Juvenile Introduction: Ketamine has been used as a pain management strategy, particularly in adults. There are some clinical data about the use of Ketamine in children but there are no reports referring to its efficacy, specifically in juvenile idiopathic arthritis. Ketamine could therefore become an alternate option in the management of refractory cases.Clinical findings: This report discusses the case of a 7-year-old male patient with a history of juvenile idiopathic arthritis who was admitted to the hospital as a result of an inflammatory pain crisis associated with stiff hands and feet, pain, edema, and enthesitis, in addition to signs of bilateral sacroiliitis, stiffness impairing gait, passive and active movements, poor response to multimodal analgesia with nonsteroidal antiinflammatory drugs, steroids and weak opioids. Adequate pain control and significant improvement of the child’s function was achieved after initiating ketamine infusion at analgesic doses.Conclusions: This case provides valuable information about the usefulness of ketamine as a modulator of central sensitization and inflammation that could be extrapolated to a similar population of rheumatology patients. 2018 reseña 0120-3347 https://www.redalyc.org/articulo.oa?id=195159786013 https://www.redalyc.org/journal/1951/195159786013/ https://www.redalyc.org/journal/1951/195159786013/html/ https://www.redalyc.org/journal/1951/195159786013/195159786013.epub https://www.redalyc.org/journal/1951/195159786013/movil 10.1097/CJ9.0000000000000049 en http://www.redalyc.org/revista.oa?id=1951 Revista Colombiana de Anestesiología application/pdf Sociedad Colombiana de Anestesiología y Reanimación Revista Colombiana de Anestesiología (Colombia) Vol.46 |
| format | Artículo científico |
| id | redalyc_195159786013 |
| language | en |
| publishDate | 2018 |
| publisher | Sociedad Colombiana de Anestesiología y Reanimación |
| spellingShingle | Using ketamine in a pediatric patient with a pain crisis in juvenile idiopathic arthritis. A case report Cristina Posada-Giraldo Medicina Ketamine Anesthesia Chronic Pain Case Reports Arthritis Juvenile Using ketamine in a pediatric patient with a pain crisis in juvenile idiopathic arthritis. A case report Cristina Posada-Giraldo María Alejandra Herrera-Mondragón William Henry Joaquí-Tapia Medicina Ketamine Anesthesia Chronic Pain Case Reports Arthritis Juvenile Introduction: Ketamine has been used as a pain management strategy, particularly in adults. There are some clinical data about the use of Ketamine in children but there are no reports referring to its efficacy, specifically in juvenile idiopathic arthritis. Ketamine could therefore become an alternate option in the management of refractory cases.Clinical findings: This report discusses the case of a 7-year-old male patient with a history of juvenile idiopathic arthritis who was admitted to the hospital as a result of an inflammatory pain crisis associated with stiff hands and feet, pain, edema, and enthesitis, in addition to signs of bilateral sacroiliitis, stiffness impairing gait, passive and active movements, poor response to multimodal analgesia with nonsteroidal antiinflammatory drugs, steroids and weak opioids. Adequate pain control and significant improvement of the child’s function was achieved after initiating ketamine infusion at analgesic doses.Conclusions: This case provides valuable information about the usefulness of ketamine as a modulator of central sensitization and inflammation that could be extrapolated to a similar population of rheumatology patients. 2018 reseña 0120-3347 https://www.redalyc.org/articulo.oa?id=195159786013 https://www.redalyc.org/journal/1951/195159786013/ https://www.redalyc.org/journal/1951/195159786013/html/ https://www.redalyc.org/journal/1951/195159786013/195159786013.epub https://www.redalyc.org/journal/1951/195159786013/movil 10.1097/CJ9.0000000000000049 en http://www.redalyc.org/revista.oa?id=1951 Revista Colombiana de Anestesiología application/pdf Sociedad Colombiana de Anestesiología y Reanimación Revista Colombiana de Anestesiología (Colombia) Vol.46 |
| title | Using ketamine in a pediatric patient with a pain crisis in juvenile idiopathic arthritis. A case report |
| topic | Medicina Ketamine Anesthesia Chronic Pain Case Reports Arthritis Juvenile |
| url | https://www.redalyc.org/articulo.oa?id=195159786013 https://www.redalyc.org/journal/1951/195159786013/ https://www.redalyc.org/journal/1951/195159786013/html/ https://www.redalyc.org/journal/1951/195159786013/195159786013.epub https://www.redalyc.org/journal/1951/195159786013/movil |