By: 17 January 2015
Emergency doctors can treat paediatric pain without a needle

Children in emergency departments can safely be treated for paediatric pain from limb injuries using intranasal ketamine, a drug more typically used for sedation, according to the results of the first randomised, controlled trial comparing intranasal analgesics in children in the emergency department.

The Australian study, published in Annals of Emergency Medicine compared intranasal ketamine with fentanyl for the relief of moderate to severe paediatric pain in children with limb injuries.
“This is great news for emergency physicians and their young patients, especially those who may not tolerate other intranasal pain medications such as fentanyl,” said lead study author Andis Graudins of…

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Graudins, A., Meek, R., Egerton-Warburton, D., et al. (2014) The PICHFORK (Pain in Children Fentanyl OR Ketamine) Trial: A randomized controlled trial comparing intranasal ketamine and fentanyl for the relief of moderate to severe pain in children with limb injuries. Ann. Emerg. Med. DOI: