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Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity
Connor F Bowman1, Brandon Pruitt2, Jared Marx3
1From the University of Kansas Health System Poison Control Center.
Abstract:
Ketamine is a dissociative anesthetic commonly used for procedural sedation owing to its perceived favorable safety profile. Despite its frequent use, overdoses of ketamine are rarely reported, and no cases with serum levels of ketamine or its metabolite have previously been reported. We report a case of an iatrogenic pediatric ketamine 20 mg/kg intramuscular overdose with serial ketamine and norketamine levels that resulted in minimal toxicity.
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