This segment is about Croatian uniorns, android orgies, and Thorazine, the Norse god of hiccups and vomiting. Actually it's not, that's the ketamine talking. It's really about how not to get punched in the face.
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So...most of my patients who are going to need ketamine present with painful orthopedic injuries and get 100 - 200 mics of fentanyl on arrival and as needed until sedation can happen. Subjectively, I see much less emergence rxns with this paradigm.
Would be nice if Drs. Arora and Menchine kept their personal pro bias about ketamine out of the discussion. This should be an analysis of the article, not a non evidence based discussion of how great is ketamine. Disappointing. I can't see this paper as good evidence that ketamine is the perfect sedative agent. I like the drug and use it quite a bit but look forward to the day when EMRAP does an unbiased review on the literature about emergency reactions which I have yet to see in this great series.
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Peter W. - December 16, 2013 5:31 AM
So...most of my patients who are going to need ketamine present with painful orthopedic injuries and get 100 - 200 mics of fentanyl on arrival and as needed until sedation can happen. Subjectively, I see much less emergence rxns with this paradigm.
David D. - January 13, 2014 10:25 AM
Would be nice if Drs. Arora and Menchine kept their personal pro bias about ketamine out of the discussion. This should be an analysis of the article, not a non evidence based discussion of how great is ketamine. Disappointing. I can't see this paper as good evidence that ketamine is the perfect sedative agent. I like the drug and use it quite a bit but look forward to the day when EMRAP does an unbiased review on the literature about emergency reactions which I have yet to see in this great series.