Ketamine infusion for pain protocol
[DOC File]Propofol Dosing Guidelines
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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.
nebula.wsimg.com
One problem with ketamine for chronic pain is that there is no standardized dose or protocol for use. Some use IV ketamine, some use oral or nasal, and some a combination. Since ketamine is not FDA approved for depression or pain therapy, there have been few systematic studies to determine the optimal treatment protocol. According to Dr. Steven Cohen, at John Hopkins “One randomized, double-blind…
[DOC File]Canadian Journal of Anesthesia 47:572-578 (2000)
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During and after ischemia HR was lower with any dose of S(+)-ketamine when compared to fentanyl/N2O. MAP was lower with high-dose S(+)-ketamine (group 3) before and after ischemia than with low-dose S(+)-ketamine (group 2) and with N2O-fentanyl (group 1). According to the protocol, MAP was decreased to 35 mmHg in all groups during ischemia.
[DOC File]KETAMINE - 2 to 20 ug/kg/minute (0 - VASG
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A constant rate infusion (CRI) of analgesic drugs is a simple and effective means of improving patient comfort. Various formulations can be used as a constant rate infusion; the protocol chosen depends on the patient and the degree of pain experienced or anticipated. Some of the commonly used drugs include the following: 1) KETAMINE --
[DOCX File]The School of Medicine & Health Sciences | The George ...
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Ketamine 0.1-0.3 mg/kg in 50 cc NS over 10 minutes. Ketamine 0.1 mg/kg/hour until pain is tolerable ... Development of an opioid reduction protocol in an emergency department. Am J Health Syst Pharm. 2015 Dec 1;72(23):2080-6. ... Perioperative intravenous lidocaine infusion for postoperative pain control: a meta-analysis of randomized ...
[DOC File](Pain Control)
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A single infusion of intravenous ketamine improves pain relief in patients with critical limb ischaemia: results of a double blind randomised controlled trial. Pain 2002;97(3):275-81. 16. Mitchell AC. An unusual case of chronic neuropathic pain responds to an optimum frequency of intravenous ketamine infusions. J Pain Symptom Manage 2001;21(5 ...
[DOC File]Pilot Study: Ketamine Safety and ... - Pain Medical Musing
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With a 90 mg morphine limit on new patients, the need for alternative pain measures is especially acute2. Ketamine, a general anesthetic with NMDA receptor blocking properties, is useful in treating chronic pain and depression. IV infusion has been found helpful in cancer and CRPS pain. However, this approach often requires hospital care.
[DOCX File]Ketamine for Analgesia
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Administration of continuous infusion ketamine for analgesia ranges from 0.06-0.6 mg/kg/hr (1-10). Of note, doses
Thomas Jefferson University
Initiate infusion at 5 mg/hr. Maximum dose is 1 mg/kg/hr. Dose titration may only be done by APMS physicians or nurses. Assess patient’s pain using 0-10 scale (0 = no pain, 10 = worst pain imaginable). If patient using opioids appropriately and reports greater than 5 out of 10 pain: Bolus patient with ketamine …
[DOCX File]Acute Pain Management Techniques - | Health
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Administration of a ketamine infusion is via an Alaris PCAM syringe pump using the ketamine protocol. The syringe must be labelled according to the National Standards for User-applied Labelling of Injectable Medicines, Fluids and Lines.
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