Ketamine infusion for sedation protocol
Thomas Jefferson University
Bolus patient with ketamine 10 mg. If no response in 10 minutes, may repeat bolus of ketamine 10 mg. After bolus, increase rate of ketamine infusion by 5 mg/hr (not to exceed 1 mg/kg/hr unless approved by APMS physician). May be repeated as needed, but no more frequently than every 60 minutes.
[DOC File]KETAMINE - 2 to 20 ug/kg/minute (0
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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]Oregon Hospice & Palliative Care Association
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Sedation Medication Protocol- Generally, subcutaneous or intravenous administration of sedatives is preferred, using the following schedule: ... there is a stronger incidence of infusion site pain and phlebitis as well as hypotension. ... Ketamine induces a dissociative sedation which is a trance-like cataleptic state in which the patient ...
[DOC File](Pain Control)
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13. Edrich T, et al. Ketamine for long-term sedation and analgesia of a burn patient. Anesth Analg 2004;99(3):893-5, table of contents. 14. Correll GE, et al. Subanesthetic ketamine infusion therapy: a retrospective analysis of a novel therapeutic approach to complex regional pain syndrome. Pain Med 2004;5(3):263-75. 15. Mitchell AC, Fallon MT.
[DOC File]SMALL ANIMAL ANESTHESIA GUIDE - VASG
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Bolus 0.15 to 0.25 mg/lb IV at the start of the infusion if ketamine or telazol was not already given in the induction protocol. Ketamine CRI should always be preceded by an opioid agent. Morphine Sulfate CRI recipe. Add 15 mg Morphine (1.0 cc) to 1 liter fluid bag. Affix …
[DOC File]Practice Guidelines for Sedation and Analgesia by Non ...
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Aggarwal A, Ganguly S, Anand VK, Patwari AK: Efficacy and safety of intravenous ketamine for sedation and analgesia during pediatric endoscopic procedures. Indian Pediatr 35:1211-1214, 1998 Alfonzo-Echeverri EC, Berg JH, Wild TW, Glass NL: Oral ketamine for pediatric outpatient dental surgery sedation.
[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.
[DOCX File]Ketamine for Analgesia
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Ketamine is a potent analgesic at sub-dissociative doses ranging from 0.1-0.5 mg/kg when used for bolus dosing (8,9). Administration of continuous infusion ketamine for analgesia ranges from 0.06-0.6 mg/kg/hr (1-10). Of note, doses
[DOC File]ICU SEDATION GUIDELINES
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These patients were kept NPO for 4 hours prior to sedation. Ketamine (concentration ketamine 400 mg / atropine 0.6 mg) was administered by an anesthetist. Their protocol consisted of an induction dose of ketamine 2 mg/kg IV followed by ketamine 4 mg/kg IM.
[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.
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