Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity

Ketamine is a dissociative anesthetic commonly used for procedural sedation owing to its perceived favorable safety profile. Despite its frequent use, overdoses of ketamine are rarely reported, and no cases with serum levels of ketamine or its metabolite have previously been reported. We report a ca...

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Bibliographic Details
Published inPediatric emergency care Vol. 37; no. 12; p. e1711
Main Authors Bowman, Connor F, Pruitt, Brandon, Marx, Jared, Thornton, Stephen L
Format Journal Article
LanguageEnglish
Published United States 01.12.2021
Subjects
Anesthetics, Dissociative
Child
Drug Overdose
Humans
Iatrogenic Disease
Ketamine - adverse effects
Morbidity
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Summary:Ketamine is a dissociative anesthetic commonly used for procedural sedation owing to its perceived favorable safety profile. Despite its frequent use, overdoses of ketamine are rarely reported, and no cases with serum levels of ketamine or its metabolite have previously been reported. We report a case of an iatrogenic pediatric ketamine 20 mg/kg intramuscular overdose with serial ketamine and norketamine levels that resulted in minimal toxicity.
ISSN:1535-1815
DOI:10.1097/PEC.0000000000001783