Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2017/7845358 |
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| author | Suneel M. Agerwala Divya Sundarapandiyan Garret Weber |
| author_facet | Suneel M. Agerwala Divya Sundarapandiyan Garret Weber |
| author_sort | Suneel M. Agerwala |
| collection | DOAJ |
| description | We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis. |
| format | Article |
| id | doaj-art-42356e8734814651bccdb72a9bcc208b |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-42356e8734814651bccdb72a9bcc208b2025-02-03T01:10:32ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/78453587845358Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal PainSuneel M. Agerwala0Divya Sundarapandiyan1Garret Weber2New York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USAWe report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis.http://dx.doi.org/10.1155/2017/7845358 |
| spellingShingle | Suneel M. Agerwala Divya Sundarapandiyan Garret Weber Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain Case Reports in Anesthesiology |
| title | Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain |
| title_full | Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain |
| title_fullStr | Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain |
| title_full_unstemmed | Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain |
| title_short | Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain |
| title_sort | ketamine use for successful resolution of post ercp acute pancreatitis abdominal pain |
| url | http://dx.doi.org/10.1155/2017/7845358 |
| work_keys_str_mv | AT suneelmagerwala ketamineuseforsuccessfulresolutionofpostercpacutepancreatitisabdominalpain AT divyasundarapandiyan ketamineuseforsuccessfulresolutionofpostercpacutepancreatitisabdominalpain AT garretweber ketamineuseforsuccessfulresolutionofpostercpacutepancreatitisabdominalpain |