UMEM Educational Pearls

Title: Puffing on Ketamine

Category: Trauma

Keywords: Ketamine, nebulized, pain control (PubMed Search)

Posted: 1/3/2026 by Robert Flint, MD (Updated: 1/4/2026)
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This systematic review found improved pain scale at 15 and 120 minutes in 495 patients who received nebulized ketamine. Dosing at 0.75 mg/kg was as effective as 1.5 mg/kg and the nebulized ketamine was non-inferior to IV morphine and ketamine with fewer side effects.

References

Kirk, D., Whiles, E., Jones, A. et al. Breathing new life into pain management: a systematic review of nebulised ketamine for analgesia. Scand J Trauma Resusc Emerg Med 33, 196 (2025). https://doi.org/10.1186/s13049-025-01501-4