Prolonged apnea with intramuscular ketamine: a case report

  1. NIRMALA JONNAVITHULA MD,
  2. DILIP K. KULKARNI MD,
  3. GOPINATH RAMACHANDRAN MD FFARCS

Article first published online: 29 FEB 2008

DOI: 10.1111/j.1460-9592.2008.02440.x

Issue

Pediatric Anesthesia

Pediatric Anesthesia

Volume 18, Issue 4, pages 330–331, April 2008

Additional Information

How to Cite

JONNAVITHULA, N., KULKARNI, D. K. and RAMACHANDRAN, G. (2008), Prolonged apnea with intramuscular ketamine: a case report. Pediatric Anesthesia, 18: 330–331. doi: 10.1111/j.1460-9592.2008.02440.x

Author Information

  1. Department of Anaesthesiology and Critical Care, Nizam’s Institute of Medical Sciences, Punjagutta, Hyderabad, India

*Dr Nirmala Jonnavithula, Flat no. 202, Sripada Residency, 10-2-289/12, Shantinagar 1st Lane, Hyderabad 500028, India (email: nirmala_712@sify.com).

Publication History

  1. Issue published online: 29 FEB 2008
  2. Article first published online: 29 FEB 2008
  3. Accepted 23 August 2007

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Keywords:

  • intramuscular ketamine;
  • apnea;
  • prolonged apnea

Summary

We report a rare case of prolonged apnea following administration of ketamine. A healthy 11-month-old female child was administered intramuscular ketamine as a sole anesthetic agent for a short surgical procedure. Child developed respiratory depression and prolonged apnea requiring intubation and ventilation. She recovered completely after 90 min. This case report illustrates the potential hazard of ketamine, emphasizes the importance of being able to provide emergency airway management and monitored anesthesia care.

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