• Login
    View Item 
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Catatonia-Like Syndrome Treated With Low-Dose Ketamine

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Catatonia-Like_Syndrome_Treate ...
    Size:
    56.54Kb
    Format:
    PDF
    Description:
    Final Accepted Manuscript
    Download
    Author
    Iserson, Kenneth V
    Durga, Dellon
    Affiliation
    Univ Arizona, Dept Emergency Med
    Issue Date
    2020-05
    Keywords
    catatonia
    diagnosis
    Emergency medicine
    Ketamine
    Psychiatric Disorders
    Treatment
    
    Metadata
    Show full item record
    Publisher
    ELSEVIER SCIENCE INC
    Citation
    Iserson, K. V., & Durga, D. (2020). Catatonia-Like Syndrome Treated With Low-Dose Ketamine. The Journal of emergency medicine, 58(5), 771–774. https://doi.org/10.1016/j.jemermed.2019.12.030
    Journal
    JOURNAL OF EMERGENCY MEDICINE
    Rights
    Copyright © 2019 Elsevier Inc. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background Ketamine's application in psychiatry have expanded, but it appears never to have been previously used to diagnose and treat patients with catatonia-like syndrome that occasionally present to emergency departments. Case Report A 23-year-old male was observed to suddenly stop talking. His ED GCS was 8 and had normal vital signs. While verbally unresponsive, he refused to open his eyes, demonstrated waxy flexibility of his arms, but the balance of his physical, neurological, and laboratory exams were normal. Strongly suspecting a catatonic state, they needed to rapidly confirm that diagnosis or begin evaluating him for potentially life-threatening non-psychiatric illnesses. Lacking other diagnostic modalities, they administered low-dose ketamine boluses. Ketamine 25 mg (1 mL) was diluted in 9 mL NS (2.5 mg/mL). Based on similar protocols, 1 mL of the solution (0.03 mg/Kg) was given intravenously every few minutes. After 12.5 mg ketamine, he was conscious and verbal. Subsequent history confirmed a prior episode requiring an extensive, non-productive medical evaluation. Psychiatry later confirmed the diagnosis. Why Should an Emergency Physician Be Aware of This? Patients with catatonia-like states pose a difficult diagnostic and therapeutic dilemma. Multiple interventions have been used with varying success. Optimal interventions provide a rapid resolution (or demonstrate that a psychiatric cause is not likely), be safe, encompass few contraindications, and be familiar to the clinician. In our patient, subanesthetic doses of ketamine fulfilled these criteria and successfully resolved the condition. If shown effective in other cases, ketamine would be a valuable addition to our psychiatric armamentarium.
    Note
    12 month embargo; published online: 27 January 2020
    ISSN
    0736-4679
    PubMed ID
    32001125
    DOI
    10.1016/j.jemermed.2019.12.030
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jemermed.2019.12.030
    Scopus Count
    Collections
    UA Faculty Publications

    entitlement

    Related articles

    • [Catatonia in a 14 year-old girl: treatment with clorazepam and carbamazepine, a 10-year follow-up].
    • Authors: Askenazy F, Dor E, Benoit M, Dupuis G, Serret S, Myquel M, Seddiki Y
    • Issue date: 2010 Feb
    • [Catatonia de novo, report on a case: immediate vital prognosis and psychiatric prognosis in longer term].
    • Authors: Patry L, Guillem E, Pontonnier F, Ferreri M
    • Issue date: 2003 Jan-Feb
    • [Catatonia: resurgence of a concept. A review of the international literature].
    • Authors: Pommepuy N, Januel D
    • Issue date: 2002 Nov-Dec
    • [Acute catatonia: Questions, diagnosis and prognostics, and the place of atypical antipsychotics].
    • Authors: Belaizi M, Yahia A, Mehssani J, Bouchikhi Idrissi ML, Bichra MZ
    • Issue date: 2013 Jun
    • [Psychiatric manifestations of lupus erythematosus systemic and Sjogren's syndrome].
    • Authors: Ampélas JF, Wattiaux MJ, Van Amerongen AP
    • Issue date: 2001 Nov-Dec
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.