A Case Report: Subanesthetic Ketamine Infusion for Treatment of Cancer-Related Pain Produces Urinary Urge Incontinence.

B. Vickers, Wayne S. Lee, Joann B. Hunsberger
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引用次数: 7

Abstract

Oncology patients undergoing treatment can experience substantial pain related to their disease or prescribed therapy. Ketamine infusions at subanesthetic doses have been used at our institution to supplement the pain management regimens of 262 patients. We present 2 cases in which young adult patients being treated with subanesthetic ketamine for cancer-related pain experienced urinary urgency and incontinence after initiation or increase of the ketamine infusion. This adverse effect has not been reported previously at this dosing range. These case reports suggest that subanesthetic ketamine infusions may cause side effects that previously have been reported only at anesthetic or abuse doses.
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一例报告:亚麻醉氯胺酮输注治疗癌症相关疼痛引起尿失禁。
接受治疗的肿瘤患者可能会经历与他们的疾病或处方治疗相关的实质性疼痛。在亚麻醉剂量氯胺酮输注已在我们的机构,以补充262例患者的疼痛管理方案。我们报告了2例使用亚麻醉氯胺酮治疗癌症相关疼痛的年轻成人患者在开始或增加氯胺酮输注后出现尿急和尿失禁。此不良反应在此剂量范围内未见报道。这些病例报告表明,亚麻醉氯胺酮输注可能导致以前仅在麻醉剂量或滥用剂量下报道的副作用。
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