PHARM Podcast 75 Ketamine MythBusters Part 1 – Blowing your mind
Dr Cliff Reid reveals Rocketamine to the world at SMACC 2013
Tonight on the podcast , we bust a long term medical myth. This is Part 1 of the Ketamine Mythbusters series . This episode , we cover the big one, the fear that ketamine will literally blow your mind.
Show note references:
- The Emerging Use of Ketamine for Anesthesia and Sedation in Traumatic Brain Injuries
- Sedation in Traumatic Brain Injury
- Myth: Ketamine should not be used as an induction agent for intubation in patients with head injury
- Ketamine for rapid sequence induction in patients with head injury in the emergency department.
Now on to the AudioPodcast ( available here and on iTunes)
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ketaminh
ntrueger
Yen Chow
Reblogged this on AmboFOAM and commented:
Minh busting myths about the greatest drug for prehospital anything. This episode is all about the head, keep an ear out for future episodes.
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.
This has come in so handy… I had that exact experience with an anaesthetist just today. Dunning-Kruger effect personified. Thank you!