{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:31:10Z","timestamp":1773966670321,"version":"3.50.1"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UM1TR004403"],"award-info":[{"award-number":["UM1TR004403"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Despite advancements in pain management for burn injuries, analgesia often fails to meet our patients\u2019 needs. We hypothesized that low doses of intravenous (IV) ketamine as an adjunct to our current protocol would be safe, improving both nurse and patient satisfaction with analgesia during hydrotherapy. Burn patients admitted who underwent hydrotherapy from June 1, 2021, to June 30, 2023 were surveyed. Ketamine was administered with the standard opioid\u2013midazolam regimen. Demographics, oral morphine equivalents, midazolam, ketamine doses and time of administration, and adverse events were collected. Patient and nurse satisfaction scores were collected. The ketamine and no-ketamine groups were compared. P &amp;lt; .05 was considered significant. Eighty-five hydrotherapies were surveyed, 47 without ketamine, and 38 with ketamine. Demographics, comorbidities, %TBSA, and hospital length of stay were not different. The median amount of ketamine given was 0.79 mg\/kg [0.59-1.06]. Patients who received ketamine were more likely to receive midazolam (100% vs 61.7%; P &amp;lt; .001), and both oral and IV opioids (94.7% vs 68.1%; P = .002) prior to hydrotherapy and less likely to receive rescue opioids or midazolam during hydrotherapy. Two patients in the ketamine group had hypertension (defined as SBP &amp;gt; 180) that did not require treatment. Nurses tended to be more satisfied with patient pain control when ketamine was used (10 [8-10] vs 9 [7-10], P = .072). Patient satisfaction was higher in the ketamine group (10 [8.8-10] vs 9 [7-10], P = .006). Utilizing subhypnotic dose of IV ketamine for hydrotherapy is safe and associated with increased patient satisfaction.<\/jats:p>","DOI":"10.1093\/jbcr\/irad204","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T16:31:37Z","timestamp":1704213097000},"page":"771-776","source":"Crossref","is-referenced-by-count":4,"title":["Subhypnotic Intravenous Ketamine Improves Patient Satisfaction With Burn Wound Care: A Quality Improvement Project"],"prefix":"10.1093","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1937-7122","authenticated-orcid":false,"given":"Albert","family":"Pedroza","sequence":"first","affiliation":[{"name":"Carver College of Medicine, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2682-9370","authenticated-orcid":false,"given":"Zachary","family":"Fleishhacker","sequence":"additional","affiliation":[{"name":"Carver College of Medicine, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alba","family":"Aguillon Paulsen","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7589-8917","authenticated-orcid":false,"given":"Jia Ern","family":"Ong","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0654-8230","authenticated-orcid":false,"given":"Nicolas","family":"Ronkar","sequence":"additional","affiliation":[{"name":"Carver College of Medicine, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0972-8165","authenticated-orcid":false,"given":"Isaac","family":"Weigel","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trinity","family":"Janecek","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5931-2143","authenticated-orcid":false,"given":"Colette","family":"Galet","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1424-069X","authenticated-orcid":false,"given":"Lucy","family":"Wibbenmeyer","sequence":"additional","affiliation":[{"name":"Carver College of Medicine, University of Iowa , Iowa City, IA 52242 , USA"},{"name":"Division of Acute Care Surgery, Department of Surgery, University of Iowa , Iowa City, IA 52242 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"issue":"3","key":"2024050616415546800_CIT0001","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.cps.2017.02.026","article-title":"Sedation and pain management in burn patients","volume":"44","author":"Griggs","year":"2017","journal-title":"Clin Plast Surg"},{"issue":"1","key":"2024050616415546800_CIT0002","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1097\/BCR.0000000000000423","article-title":"Sedation and analgesia for dressing change: a survey of American burn association burn centers","volume":"38","author":"Myers","year":"2017","journal-title":"J Burn Care Res"},{"issue":"2","key":"2024050616415546800_CIT0003","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/AJP.0b013e3181f7f9bb","article-title":"Persistent pain outcomes and patient satisfaction with pain management after burn injury","volume":"27","author":"Browne","year":"2011","journal-title":"Clin J Pain"},{"issue":"1","key":"2024050616415546800_CIT0004","first-page":"30","article-title":"Burn-related factors affecting anxiety, depression and self-esteem in burn patients: an exploratory study","volume":"30","author":"Jain","year":"2017","journal-title":"Ann Burns Fire Disasters"},{"issue":"3","key":"2024050616415546800_CIT0005","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/00004630-199005000-00002","article-title":"Post-traumatic stress disorder in hospitalized patients with burn injuries","volume":"11","author":"Patterson","year":"1990","journal-title":"J Burn Care Rehabil"},{"issue":"8","key":"2024050616415546800_CIT0006","doi-asserted-by":"crossref","first-page":"A10","DOI":"10.1016\/j.burns.2004.08.004","article-title":"Pain management","volume":"30","author":"Patterson","year":"2004","journal-title":"Burns"},{"issue":"1-2","key":"2024050616415546800_CIT0007","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.pain.2004.06.016","article-title":"Suicidal ideation, plans, and attempts in chronic pain patients: factors associated with increased risk","volume":"111","author":"Smith","year":"2004","journal-title":"Pain"},{"issue":"1","key":"2024050616415546800_CIT0008","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1093\/jbcr\/irab062","article-title":"\u201cMore than scabs and stitches\u201d: an interview study of burn survivors\u2019 perspectives on treatment and recovery","volume":"43","author":"Dukes","year":"2022","journal-title":"J 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