Management of Intractable Abdominal Pain Secondary to Acute Gallstone Pancreatitis, Including the Use of Ketamine
A 55-year-old male presented to the ED with worsening constant epigastric pain radiating to his back with nausea/vomiting. He was hypertensive, tachycardic, and diaphoretic with upper abdominal distention and tenderness. Labs showed elevated lipase, ALT/AST, and total bilirubin. Imaging demonstrated acute pancreatitis and cholelithiasis. 3 total doses of Dilaudid as well as fentanyl failed to control his severe pain. Toradol was held due to AKI. Ketamine was administered with slight reduction in pain. He was started on PCA in SICU. This case discusses management strategies of intractable pain secondary to acute gallstone pancreatitis, including the use of ketamine.
Caskey B, Dakhlallah N, Soto RG. Management of intractable abdominal pain secondary to acute gallstone pancreatitis, including the use of ketamine. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5877