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British Journal of Anaesthesia, 2001, Vol. 86, No. 6 891-893
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Intramuscular ketamine in a parturient in whom pre-operative intravenous access was not possible

W. C. Lum Hee and V. F. Metias

Department of Anaesthesia, Barnsley District General Hospital NHS Trust, Gawber Road, Barnsley S75 2EP, UK *Corresponding author. Present address: Department of Anaesthesia, C Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2SB, UK

We describe the management of a 23-yr-old woman with extreme needle and mask phobia, presenting for an emergency Caesarean section for fetal distress. She also suffered from spina bifida cystica with no sensation from mid thigh. Regional anaesthesia, rapid sequence induction, and gaseous induction were not possible. She was managed successfully with i.m. ketamine followed by a more conventional anaesthetic technique.

Br J Anaesth 2001; 86: 891–3


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