Pediatric Community

  • 1.  ketamine for pain and agitation in the pediatric population

    Posted 02-10-2026 03:53 PM

    Hi All, 

    Does anyone use ketamine IM or IN for pain or agitation in the pediatric population?  If so, would you be willing to share a policy or guideline? 

    Thanks, 

    Julie



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    Julie Mackie RN;CEN;CPEN
    RN
    Mission Viejo CA
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  • 2.  RE: ketamine for pain and agitation in the pediatric population

    Posted 02-20-2026 10:01 AM

    Hi Julie,

    We have a pediatric agitation pathway. The medications range from antihistamines to benzos to anti-psychotics, and occasionally clonidine. This was created based on an extensive literature review. I will ask the creators if I can share. Short answer--we do not use Ketamine. Hope this helps!



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    Ivelisse Sanchez, DNP, APRN, ACCNS-P, CPN, CPEN
    CNS-APRN Coordinator, Pediatric Emergency Departments
    Advocate Children's Hospital
    Oak Lawn & Park Ridge, IL
    email: ev_sanz@yahoo.com
    email: ivelisse@ecsmediallc.com
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