• Pediatric emergency care · Apr 2023

    The Use of Ketamine Sedation for the Treatment of Nail Bed Repairs in the Pediatric Emergency Department.

    • Charles Stewart, Alice Bradley, Jordan Faulkner, and Anita Jatan.
    • From the Department of Paediatric Emergency, Chelsea and Westminster Hospital, London, UK.
    • Pediatr Emerg Care. 2023 Apr 1; 39 (4): 265267265-267.

    AimThis study aimed to determine if sedation with ketamine is safe and effective for the treatment of nail bed injuries in the pediatric emergency department (PED).MethodA retrospective cohort study was carried out during a 9-month period in children aged between 18 months and 15 years, presenting to PED requiring nail bed repair. We documented complications of sedation, clinical outcome of the repair both immediate and at follow-up, and parental satisfaction at 4 months. A cost analysis was also undertaken.ResultsTen repairs were performed. There were no serious adverse events. The average satisfaction score was 9.4/10. All patients were discharged from follow-up by 3 months. There was a cost saving of approximately £1500 per case.ConclusionsWe have demonstrated nail bed injury repair facilitated by sedation with ketamine to be safe, effective, and cost efficient in the PED. This management strategy, brought to the fore during the COVID-19 pandemic, should be adopted widely in PEDs.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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