Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain

Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain

We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited...

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Main Authors: Suneel M. Agerwala, Divya Sundarapandiyan, Garret Weber
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2017/7845358
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spelling doaj-42356e8734814651bccdb72a9bcc208b2020-11-24T21:13:25ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/78453587845358Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal PainSuneel M. Agerwala0Divya Sundarapandiyan1Garret Weber2New York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USAWe report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis.http://dx.doi.org/10.1155/2017/7845358
collection DOAJ
language English
format Article
sources DOAJ
author Suneel M. Agerwala
Divya Sundarapandiyan
Garret Weber
spellingShingle Suneel M. Agerwala
Divya Sundarapandiyan
Garret Weber
Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
Case Reports in Anesthesiology
author_facet Suneel M. Agerwala
Divya Sundarapandiyan
Garret Weber
author_sort Suneel M. Agerwala
title Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
title_short Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
title_full Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
title_fullStr Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
title_full_unstemmed Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain
title_sort ketamine use for successful resolution of post-ercp acute pancreatitis abdominal pain
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2017-01-01
description We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis.
url http://dx.doi.org/10.1155/2017/7845358
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AT divyasundarapandiyan ketamineuseforsuccessfulresolutionofpostercpacutepancreatitisabdominalpain
AT garretweber ketamineuseforsuccessfulresolutionofpostercpacutepancreatitisabdominalpain
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