Ketamine is becoming increasingly popular among emergency providers for procedural
sedation. This case report describes a rare side effect of ketamine and the novel
use of benzodiazepine to mitigate the effect. During procedural sedation for reduction
of an ankle fracture-dislocation, bilateral lower extremity muscle rigidity occurred
following administration of ketamine, which was mitigated by intravenous midazolam.
Muscle rigidity is a rare yet potentially serious side-effect of ketamine of which
emergency providers should be aware. The use of IV benzodiazepines was a novel way
to mitigate the effect.
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Article Info
Publication History
Published online: July 27, 2016
Accepted:
July 23,
2016
Received:
July 17,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
