Critical Aortic Stenosis

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Swami tells us what is so critical about critical aortic stenosis from EM:RAP March 2022. 

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SD -

what's the current data on Ketamine in those with CAD? I assume most people with critical aortic stenosis would have CAD.

Anand S. -

SD - I wouldn't worry much about using ketamine. The old thought on ketamine was about it causing a catecholamine surge. It can lead to release of endogenous catecholamines but, these patients are going to already be maximally stimulated and it's unlikely they've got any catecholes left. Ketamine is a good choice here particularly if you're trying to do an approach for intubation with no paralytic.

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