Ketamine Use Part 2

Course overview

Objectives Describe the pharmacokinetics of Ketamine use Explain what emergence reactions look like Describe the appropriate use of Ketamine and when it is indicated Content Summary Steve Dan and Holly bring in Dr Ramsey Selbak to discuss Ketamine use from an ER Physician perspective. In addition to some case reviews key aspects of Ketamine dosing indications and side effects are discussed Learning Points Pharmacokinetics Dosing in the hospital setting Preferences for Ketamine use Emergence reaction Patients you have seen who have used Ketamine recreationally Dispelling the myth about ketamine and TBI Ketamine use in sepsis or any scenario where endogenous catecholamines have been used up Unopposed alpha effects and decreasing the dosage What does an adverse effect look like and what to do Case Reviews and Themes Push dose Epi on hand as needed BP neutral medication for the most part Profound hypotension seen in sicker patients with comorbidities Larsons maneuver can help break laryngospasm give PPV to break the laryngospasm tends to be a short lived side effect Ketamine does not cause increased ICP Nystagmus is the most common and most reliable onset with kids