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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 66-68

Pain management with IV and oral ketamine in a child with acute on chronic pancreatitis: Old wine in new bottle–A case report


1 Consultant, Pain and Palliative Care Unit, Department of Anesthesiology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
2 Postgraduate Student, Pain and Palliative Care Unit, Department of Anesthesiology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
3 Professor and HOD, Pain and Palliative Care Unit, Department of Anesthesiology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India

Correspondence Address:
H Kavya
Postgraduate Student, Pain and Palliative Care Unit, Department of Anesthesiology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0108

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A 13-year-old male child, a known case of chronic pancreatitis with acute exacerbation, presented with severe abdominal pain. The pain was dull aching type associated with burning sensation present all over the abdomen with VAS score–9/10. He was treated with paracetamol, Non-steroidal anti-inflammatory drugs, and opioids. Despite this multimodal analgesia, he had inadequate pain relief. Since the child exhibited both nociceptive and neuropathic elements, ketamine was considered as the analgesic of choice. He was successfully treated with subanesthetic low dose intravenous (IV) ketamine infusion followed by oral ketamine therapy for 15 days till he underwent proposed surgery. We have been unable to find any previous reports of oral ketamine use for this condition.


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