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Long-Term Intravenous Ketamine for Analgesia in a Child with Severe Chronic Intestinal Graft versus Host Disease

Busse, Jennifer; Phillips, Leroy; Schechter, William
Ketamine is reported to be an effective adjuvant to opioids in the treatment of refractory cancer pain; however, the use of high doses of ketamine for extended periods in pediatric patients has not been described. We present a five-year-old male with grade IV intestinal GVHD whose abdominal pain required both hydromorphone and ketamine for a period of over four months. There was no evidence of hepatotoxicity, hemorrhagic cystitis, or other adverse effects. Possible withdrawal symptoms were mild and were readily mitigated by gradually weaning ketamine.
PMCID:4686632
PMID: 26779350
ISSN: 2090-6382
CID: 1921352

THE CUFF PUFF: A NOVEL METHOD TO CONFIRM ENDOTRACHEAL TUBE DEPTH USING COLOR DOPPLER ULTRASOUND [Meeting Abstract]

Daube, Ariel; Smerling, Arthur; Phillips, Leroy; West, Erin; Chaudoin, Lindsey; Ng, Lorraine; Kessler, David
ISI:000374778400189
ISSN: 0090-3493
CID: 4910492