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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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01-09-2017 | Editorials

Ketamine: We need to continue to advocate against scheduling

Author: Marie-Claude Grégoire, MD, MSc, FRCPC

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 9/2017

Excerpt

In the midst of a busy medical practice in Canada, it is easy to forget that access to postoperative pain relief has not always been universal in our country. In this issue of the Journal, Tuchscherer et al. 1 remind us that most patients in developed countries take certain entitlements for granted, which, unfortunately, are far from accessible to all. Their study explored the potential use of subcutaneous ketamine for pain following major surgery in Rwanda; their results showed that ketamine appears to be safe within the range of doses studied. …

Tuchscherer J, McKay WP, Twagirumugabe T. Low-dose subcutaneous ketamine for postoperative pain management in Rwanda: a dose-finding study. Can J Anesth 2017; 64: this issue: DOI:10.1007/s12630-017-0914-0.

Johnson AP, Mahaffey R, Egan R, Twagirumugabe T, Parlow JL. Perspectives, perceptions and experiences in postoperative pain management in developing countries: a focus group study conducted in Rwanda. Pain Res Manag 2015; 20: 255-60.CrossRefPubMedPubMedCentral

Nickerson JW, Pettus K, Wheeler KE, et al. Access to controlled medicines for anesthesia and surgical care in low-income countries: a narrative review of international drug control systems and policies. Can J Anesth 2017; 64: 296-307.CrossRefPubMed

Besamusca J, Tijdens K, Tingum EN, Mbassana ME. Wages in Rwanda. WageIndicator survey 2012. March 2013. Available from URL: http://www.wageindicator.org/main/documents/publicationslist/publications-2013/AIAS_WI_countryreports_f2f_report_Rwanda_final_20130321.pdf (accessed May 2017).

Durieux ME. The goose and the gander. Anesth Analg 2016; 122: 583-5.CrossRefPubMed

United Nations. Convention on Psychotropic Substances, 1971. Available from URL: https://www.unodc.org/pdf/convention_1971_en.pdf (accessed May 2017).

Expert Committee on Drug Dependence. Thirty‐sixth Meeting. Ketamine Update Review Report. Agenda item 6.2. Geneva, 16‐20 June 2014. Available from URL: http://www.who.int/medicines/areas/quality_safety/6_2_Update.pdf?ua=1 (accessed May 2017).

World Health Organization. Essential medicine and health products. Available from URL: http://www.who.int/medicines/access/controlled-substances/drugs_controlled_who_advice/en/ (accessed May 2017).

United Nations. Commission on Narcotic Drugs. Report on the Sixtieth Session. https://www.unodc.org/documents/commissions/CND/CND_Sessions/CND_60/Report/Advance_Copy_E_2017_28.pdf (accessed May 2017).

10.

World Health Organization. Model Lists of Essential Medicines 19^th Edition. Amended November 2015. Available from URL: http://www.who.int/medicines/publications/essentialmedicines/EML_2015_FINAL_amended_NOV2015.pdf (accessed May 2017).

11.

World Health Organization. Model Lists of Essential Medicines for Children 5^th Edition. Amended August 2015. Available from URL: http://www.who.int/medicines/publications/essentialmedicines/EMLc_2015_FINAL_amended_AUG2015.pdf (accessed May 2017).

12.

Rajagopal MR, Joranson DE. India: opioid availability. An update. J Pain Symptom Manage 2007; 33: 615-22.CrossRefPubMed

13.

Joranson DE, Rajagopal MR, Gilson AM. Improving access to opioid analgesics for palliative care in India. J. Pain Symptom Manage 2002; 24: 152-9.CrossRefPubMed

Title: Ketamine: We need to continue to advocate against scheduling
Author: Marie-Claude Grégoire, MD, MSc, FRCPC
Publication date: 01-09-2017
Publisher: Springer US
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 9/2017
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-017-0915-z

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