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Master thesis

Etat des lieux de l'utilisation de la Kétamine par les SAMU-SMUR de Lorraine

Abstract : We have carried out a study on the use of the ketamine in the prehospital sector in Lorraine. The ketamine is original as a molecule due to its dissociative anesthetic action, its sympathomimetic action and its bronchodilatating action. It is adapted to the prehospital medicine. Our objective with this study is to estimate how widely it is used in the prehospital sector in Lorraine and to evaluate if the directions for use and dosage that are found in the literature are respected in practice. To do so, we have carried out a survey by sending out a questionnaire to ail practicing doctors in the prehospital sector who work in Lorraine. The conclusion of the survey is that, in the Lorraine region, doctors often use this molecule. We also find that the clinical directions given in the literature for its use are respected in practice. The key element of our study is to highlight the fact that there exists a huge disparity in the given dosage. This disparity is mainly due to the lack of the existence of a protocol in sorne services or, to the lack of the communication of this protocol to the medical team in other services. The many side effects described by the surveyed doctors are mainly due to the wrong uses of the molecule. (These include for example unsuitable amounts being used or administered or the systematic failure to associate sorne midazolam and/or atropine with it). ln the future, establishing a protocol in every service and its diffusion to all doctors will allow improving and harmonizing the use of the ketamine in Lorraine. This will aIso allow for a diminution of the observed side effects when the dextrogyre is launched on the French market.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01733932
Contributor : Colette Orange <>
Submitted on : Wednesday, March 14, 2018 - 4:16:10 PM
Last modification on : Monday, October 19, 2020 - 11:10:24 AM
Long-term archiving on: : Wednesday, September 5, 2018 - 10:59:42 AM

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  • HAL Id : hal-01733932, version 1

Citation

Sandra Simonnet. Etat des lieux de l'utilisation de la Kétamine par les SAMU-SMUR de Lorraine. Sciences du Vivant [q-bio]. 2006. ⟨hal-01733932⟩

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