• A&A practice · Apr 2022

    Case Reports

    Intravenous Ketamine Infusion as an Adjunctive Pain Treatment for Erythromelalgia: A Pediatric Case Report.

    • Liliana Montoya, Anngela C Adams, Mark P Popenhagen, Daniela C Russi, Neil R Singhal, and Harper N Price.
    • From the Division of Dermatology, Phoenix Children's Hospital, Phoenix, Arizona.
    • A A Pract. 2022 Apr 13; 16 (4): e01582.

    AbstractErythromelalgia is a rare neurovascular pain condition characterized by erythematous, warm, and painful extremities. Symptoms are exacerbated by heat and relieved by cooling. Treatment is challenging and focuses on symptom control with various medications and therapies targeted toward eliminating destructive cooling behaviors. This pediatric case was notable because the patient's pain dramatically improved after a short-term, low-dose ketamine infusion, allowing her to finally wean off detrimental cooling practices of her extremities. Intravenous ketamine has rarely been described as an adjunctive analgesic strategy for erythromelalgia.Copyright © 2022 International Anesthesia Research Society.

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