Results 1 to 10 of 18

Thread: Esketamine works (or am I imagining things?)

Threaded View

Previous Post Previous Post   Next Post Next Post
  1. #1
    Join Date
    Oct 2014
    Location
    The Netherlands
    Posts
    99
    Points
    5,043
    Level
    1
    Downloads
    7
    Uploads
    0


    Did you find this post helpful? Yes | No

    Default Esketamine works (or am I imagining things?)

    I've started using more ketamine for my patients. Both in the PACU and MAC cases.

    In the PACU, I usually give 10-15mg combined with 10mg morphine/piritramide or 10mcg sufentanyl for the postop bariatric patients (gastric bypass or sleeve). They were given prop/remi and 10mg morphine in the OR.

    For sedation we routinely use alfentanyl bolusses and propofol gtt. But this time I put 25mg ketamine in 150mg propofol and run it at 10ml/hr and periodically bolus 1-2ml. Patients weight aprox. 90kg. The patients was very relaxed, didn't respond to pain but responsive if you spoke to them.

    Was I just lucky on these cases or do you think adding ketamine in these relatively low doses made a difference?

    I did a search on 'ketafol' here and most of you use more ketamine, even in a 1-1 ratio. Also, there's no 25mg/ml ketamine in my hospital. Only 25mg/5ml ampules, so mixing a higher concentration would be cumbersome.

    I've also been thinking on mixing:

    - 100mg/10ml propofol
    - 25mg/5ml ketamine
    - 40mg/4ml lidocaine
    - 2,5mg/1ml droperidol or maybe some alfentanyl

    What do you think? Or is this just my bias: 'i've added ketamine so it must work better, right?'
    Last edited by 14gauge; 05-05-2015 at 03:00 PM. Reason: K-hole

Similar Threads

  1. 3% Nesacaine works REALLY fast
    By jagger67 in forum Drug Of The Day
    Replies: 13
    Last Post: 01-31-2012, 02:04 PM
  2. How echocardiography works
    By ADMIN in forum Trans-esophageal Echocardiography
    Replies: 0
    Last Post: 11-25-2011, 08:22 AM
  3. [The Law Med Blog] Anesthesia: We Still Donít Know How It Works
    By ADMIN in forum Law Med Blog
    Replies: 1
    Last Post: 08-29-2010, 10:12 PM

Tags for this Thread

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •