• Analgesie
    • I: 2x Morphin ineffektiv oder Sorge vor Opioid
    • Esketamin 10 mg i.v. KI (alt.: 2mg-weise Boli langsam) + Infusion 10 mg/h
    • Chronisch: Vorher Haloperidol 10 mg i.m.

  • Ketamin i.v. gleich effektiv wie p.i.1
  • Kurzinfusion weniger UAW als Bolus2

Inhalativ

  • Drapkin J, Masoudi A, Butt M, Hossain R, Likourezos A, Motov S. Administration of Nebulized Ketamine for Managing Acute Pain in the Emergency Department: A Case Series. Clin Pract Cases Emerg Med. 2020 Jan 2;4(1):16-20. doi: 10.5811/cpcem.2019.10.44582. PMID: 32064416; PMCID: PMC7012556.
  • Kirk, D., Whiles, E., Jones, A. et al. Breathing new life into pain management: a systematic review of nebulised ketamine for analgesia. Scand J Trauma Resusc Emerg Med 33, 196 (2025). https://doi.org/10.1186/s13049-025-01501-4

3

Footnotes

  1. Nguyen T et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med 2024.

  2. Sergey Motov, 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, The American Journal of Emergency Medicine, Volume 35, Issue 8, 2017, Pages 1095-1100, ISSN 0735-6757, https://doi.org/10.1016/j.ajem.2017.03.004.

  3. YouTube. K is for Komfort Ketamine for Pain Ruben J Strayer, MD FRCP FAAEM