Ketamine for sedation
[DOC File]APPENDIX A: KETAMINE
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Ketamine sedation may also be a useful way to transport violent/ severely agitated psychiatric patients by road ambulance, or to quickly and safely get control in the ED setting. IM: Ketamine 4 - 5 mg/kg IM has been proposed for intimal control of the patient. IV: If IV access is available:
[DOC File]KETAMINE - 2 to 20 ug/kg/minute (0
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A. Ketamine can be administered in any cubicle or treatment room. B. The child must be woken briskly to quicken recovery. C. The patient must have fasted for solids for two hours. D. Consent is not required. E. The procedure must be authorised by a designated senior doctor 3 What is the clinical onset of sedation with ketamine IV? A. 10 to 20 ...
[DOC File]Paediatric procedural sedation in the emergency department
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The scoring system is listed on the back of the sedation observation sheet and excerpted below. Deeper sedation has been shown to carry a higher risk of adverse events than lighter sedations (Hoffman 2002)11. Ketamine, as a dissociative agent, does not fit into this schema and is addressed separately in the ketamine module.
[DOC File]Propofol Dosing Guidelines
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7.1 Xylazine & Ketamine. Especially for Fallow deer: try 1mg / kg xylazine plus 2mg / kg ketamine intramuscular (half the doses for intravenous administration). Also mixture of 150 mg xylazine plus 50 mg ketamine per ml. For recumbency, dose rate is 0.6 to 1.0ml / 100kg i/m or half that dose given i/v.
[DOC File]Procedural Sedation Of Adults And Children In The ...
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D. Titrate the propofol infusion rate, not the ketamine infusion rate. If the patient seems to require a lot of propofol, give 25-50 µg fentanyl boluses. F. As with propofol, the ketamine infusion rate was designed for adults of average weight (60-80 kg). Adjust upward or downward for larger or smaller patients.
[DOC File]ROYAL DEVON & EXETER EMERGENCY DEPARTMENT
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Ketamine is the most commonly used antagonist of NMDA receptors in veterinary medicine. While its effects as a dissociative anesthetic at standard doses are well known, a new realm of activity occurs when it is delivered at sub-anesthetic doses.
Ketamine - Wikipedia
Ketamine exhibits a pharmacokinetic profile that makes it ideal for procedural sedation. It has a rapid onset of 30-40 seconds following IV administration. Duration is as short as 5-10 minutes after a single IV dose up to 30-45 minutes with repeat dosing.
[DOCX File]Ketamine for Analgesia
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Ketamine 4-5 mg/kg IM, with atropine mixed in the same syringe. Repeat ketamine dose (full or half dose IM without additional atropine) if sedation is inadequate after 5-10 minutes (unusual) or if additional doses required. Pharmacodynamics – Duration of action following a single dose. Unconsciousness: 10-15 minutes. Analgesia: 30-40 minutes
[DOC File]ICU SEDATION GUIDELINES
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MacPherson RD, Woods D, Penfold J. Ketamine and midazolam delivered by patient-controlled analgesia in relieving pain associated with burns dressings. Clin J Pain. 2008; 24(7):568-571. Newton A, Fitton L. Intravenous ketamine for adult procedural sedation in the emergency department: a prospective cohort study. Emerg Med J. 2008;25:498-501
[DOC File]Ketamine
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Consider 2.5mg/kg IM ketamine where IV cannulation has not been achieved or is predictably difficult. Caution: note there are different formulations of ketamine available (10mg/ml & 100mg/ml) Repeated 0·5 mg/kg IV incremental ketamine doses may be given if inadequate sedation at 5 minutes or longer anaesthesia required.
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