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Ketamine for Traumatic Assault-Induced Depression: A Case Report.

Caitlyn B Coffelt1, Kyle Gibson, Jason VanLandingham

  • 1University of Georgia College of Pharmacy, Athens, Georgia (Dr Coffelt); and Northeast Georgia Medical Center, Gainesville, Georgia (Ms Gibson and Dr VanLandingham).

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
|November 8, 2023
PubMed
Summary
This summary is machine-generated.

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Ketamine offers rapid relief for depression following trauma. A single intravenous dose significantly improved mood and achieved remission in a patient experiencing severe depression after assault.

Area of Science:

  • Psychiatry
  • Pharmacology
  • Trauma Medicine

Background:

  • Trauma exposure increases risk for depression and PTSD.
  • Ketamine is an emerging alternative treatment for depression.

Observation:

  • A 68-year-old female developed severe depression post-assault and surgery.
  • Initial depression severity indicated by Montgomery-Asberg Depression Rating Scale (MADRS) score of 37.

Findings:

  • A single intravenous ketamine dose (0.5 mg/kg) rapidly improved mood.
  • MADRS score decreased to 16 within 4 hours, indicating mild depression.
  • Depression symptoms remitted within 24 hours, with MADRS score of 4.

Implications:

  • Ketamine shows potential as a rapid-acting antidepressant for trauma patients.

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  • This case highlights ketamine's efficacy in acute depression management.
  • Further research into ketamine for trauma-related depression is warranted.