E-ISSN 2617-9784 | ISSN 2617-1791
 

Case Report 


Role of ketamine in life-threatening asthma exacerbation

Amani Alabdouli, Hamid Chatha, Thiagarajan Jaiganesh.

Abstract
Ketamine in life-threatening asthma exacerbation might be a novel approach to avoid the need for intubation and or invasive mechanical ventilation or asthma-related lethal outcomes. We present a case of a young man who presented with life-threatening asthma exacerbation who along with standard medications, improved with the addition of intravenous ketamine to his treatment regime. A 36 years old male farmer who was known to have asthma was referred from a Primary Health Centre Clinic with suspected life-threatening asthma. He was treated previously before arrival to our ED with nebulizers and IV Corticosteroids. In the ED, the patient received IV magnesium and IM Epinephrine. Intubation was anticipated, and the induction agent of Ketamine was considered. However, given there were anecdotal cases of patients responding to Ketamine Infusion, a bolus dose of 0.5mg/kg was given, and an infusion at a similar dose per hour was started. The patient began to respond gradually and was later admitted to ICU. Ketamine may have a role in life-threatening asthma. In our case, we used a low dose of ketamine infusion to try and avoid the need for intubation and mechanical ventilation and were successful.

Key words: Ketamine, Asthma, bronchodilation, life-threatening, exacerbation, Primary.


 
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How to Cite this Article
Pubmed Style

Alabdouli A, HC, Jaiganesh T. Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204


Web Style

Alabdouli A, HC, Jaiganesh T. Role of ketamine in life-threatening asthma exacerbation. http://www.sajem.org/?mno=132193 [Access: December 24, 2020]. doi:10.5455/sajem.030204


AMA (American Medical Association) Style

Alabdouli A, HC, Jaiganesh T. Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204



Vancouver/ICMJE Style

Alabdouli A, HC, Jaiganesh T. Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204



Harvard Style

Alabdouli, A., , . H. C. & Jaiganesh, . T. (0) Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204



Turabian Style

Alabdouli, Amani, Hamid Chatha, and Thiagarajan Jaiganesh. 0. Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204



Chicago Style

Alabdouli, Amani, Hamid Chatha, and Thiagarajan Jaiganesh. "Role of ketamine in life-threatening asthma exacerbation." doi:10.5455/sajem.030204



MLA (The Modern Language Association) Style

Alabdouli, Amani, Hamid Chatha, and Thiagarajan Jaiganesh. "Role of ketamine in life-threatening asthma exacerbation." doi:10.5455/sajem.030204



APA (American Psychological Association) Style

Alabdouli, A., , . H. C. & Jaiganesh, . T. (0) Role of ketamine in life-threatening asthma exacerbation. doi:10.5455/sajem.030204