Improving Acute Pain Management for Pediatric Patients: Development of a Ketamine Infusion Protocol

Author

Oksana KoeppenFollow

Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Dr. Rebecca Collier

Project Team Faculty Member

Dr. Cindy Schmidt

Project Team Faculty Member

Anna Varvel, MSN, CRNA

Keywords

ketamine, intravenous infusion, acute pain, pediatrics, children, pain management

Abstract

Multimodal analgesia is a recommended approach for acute pain management for adults and children (ASA, 2012; Chou et al., 2016). This approach is becoming a prominent modality in pain control strategies in the pediatric population. An intravenous anesthetic, ketamine, may be a useful adjunct for acute pain management in children. Development of a pediatric ketamine infusion protocol and its subsequent introduction to the key stakeholders at the host facility in central Illinois were the focus of this project. Research has demonstrated the effectiveness of low-dose intravenous ketamine in acute pain management when used as an adjunct to other medications (Asadi et al., 2016; Cha et al., 2012; Elshammaa et al., 2011; Jabbour et al., 2014; Safavi et al., 2012). This project utilized a non-experimental design which included a verbal educational presentation with subsequent survey dissemination. The results of the survey analysis implied the education improved the participants’ knowledge regarding acute pediatric pain management. Additionally, the assessment demonstrated the staff’s support for implementation of the proposed low-dose pediatric ketamine infusion protocol. Therefore, the application of the pediatric ketamine infusion protocol at the host facility has the potential to improve acute pain outcomes in children.

Recommended Citation

Koeppen, Oksana, "Improving Acute Pain Management for Pediatric Patients: Development of a Ketamine Infusion Protocol" (2019). Doctor of Nursing Practice Projects. 45.
https://spark.siue.edu/dnpprojects/45

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