IN an Australian ED pilot study, investigators used intranasal ketamine as analgesia for paediatric limb injuries
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Take home messages : 1mg/kg intranasal ketamine dose appears to be safe and effective for paediatric limb injury analgesia. Why is this any better than previously studied intranasal fentanyl? For now , its not better as its only a pilot study but it does add to evidence of benefit and safety . The only other case report in the literature is this by Dr Cliff Reid himself, with co-authors on a case of paediatric burn, in which 5mg/kg intranasal ketamine was used effectively.