Ketamina e trauma cranico/ Ketamine use in Traumatic Brain Injury

Some weeks ago we pubblished this post:

I’m deeply convinced that Ketamine use in TBI is safe, and that the evidences against his use in patients with TBI are based on old and small case studies affected by major limitations.

The recent evidences that shown as Ketamine doesn’t race ICP, despite increasing MAP (thank god!), are based on small but well done trials and are as good (or even more) than the previous ones.

I’m also convinced that the utlity of Ketamine in sedation of severe injuried patients so much outweight the so lightly evidenced controindication in TBI, that his use is still mandatory in trauma patients who need emergency sedation.

 We launched the following pool

and here are the results

References:

• Yevgeny Filanovsky, MD; Philip Miller, MD; Jesse Kao, MD, Myth: Ketamine should not be used as an induction agent for intubation in patients with head injury