Good one Minh! Ketamine is just the best thing ever hands down and we must aggressively bust myths associated with it which may prevent widespread proliferation into the ambo toolbox given that it is far superior to fentanyl, midazolam, propofol and etomidate

I know I am stating the obvious but the only patients I would avoid are those with myocardial ischaemia due to the increase in MvO2 requirement. For non-emergent induction I might also avoid it in patients with raised intraocular pressure however in an emergency intubation I am more concerned about preventing you know, lack of an airway and um, death, in Nana than worsening her glaucoma.

And can we just please get over the whole “emergence phenomenon” thing? Never seen it personally nor have I heard of any significantly bad experiences. And besides a bit of midazolam will do the trick getting rid of those should they occur.

Ambo’s here in New Zed have been dishing out ketamine since 2007 (over 3,000 times) with the only problem being “minor” psychotropic effects.