Podcast 713: Oral Ketamine

Podcast 713: Oral Ketamine

Contributor: Don Stader, MD

Educational Pearls:

  • Those on chronic opioid therapy may have high tolerance to opioids and/or opioid hyperalgesia
  • Ketamine is a good adjunct for pain control in patients on chronic opioid therapy
  • To avoid the time constraints often required to push ketamine intravenously, it can be given orally:
    • Ketamine IV 25-50 mg (~0.01-0.03 mg/kg) as a single dose by mouth

References

Blonk M, Koder B, et al. Use of oral ketamine in chronic pain management: A review. European Journal of Pain. 2009.

Schwenk ES, et al. Consensus guidelines on the use of intravenous ketamine infusions for acute pain management from the America Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine and the American Society of Anesthesiologists. Reg Anesth Pain Med. 2018.

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.

Donate to EMM today!



Jaksot(1147)

Podcast 711: Insulin Pumps

Podcast 711: Insulin Pumps

Contributor: Aaron Lessen, MD Educational Pearls: Insulin pumps provide a continuous infusion of fast-acting insulin using a basal rate and bolus prior to meals Some connect to a continuous glucomete...

7 Syys 20214min

Podcast 710: Droperidol vs. Zyprexa

Podcast 710: Droperidol vs. Zyprexa

Contributor: Nick Tsipis, MD Educational Pearls: Prospective trial studied 5 mg IM droperidol to 10 mg IM olanzapine (Zyprexa) in the reducing levels of agitation Time to adequate sedation was about ...

31 Elo 20215min

Podcast 709: Clown Therapy

Podcast 709: Clown Therapy

Contributor: Jared Scott, MD Educational Pearls: Using LET, procedural sedation, and distraction techniques are often needed to successfully perform painful procedures in pediatrics patients The tech...

30 Elo 20214min

Podcast 708: Diagnostic Paracentesis

Podcast 708: Diagnostic Paracentesis

Contributor: Peter Bakes, MD Educational Pearls: Paracentesis is a procedure where fluid is removed from the peritoneal cavity by needle Indications for paracentesis include: large volume paracentesi...

24 Elo 20215min

Podcast 707: Sigmoid Volvulus

Podcast 707: Sigmoid Volvulus

Contributor: Aaron Lessen, MD Educational Pearls: Sigmoid volvulus occurs when the sigmoid colon twists 180 to 360 degrees 10% of intestinal obstructions in the US; 50-70% of intestinal obstructions ...

23 Elo 20213min

Podcast 706: Pepper Spray Decon

Podcast 706: Pepper Spray Decon

Contributor: Ramnik Dhaliwal, MD JD Educational Pearls: Pepper spray is a highly irritating compound with active ingredient of capsaicin Techniques to help decontaminate and alleviate symptoms of an ...

18 Elo 20213min

Podcast 705: Pyloric Stenosis

Podcast 705: Pyloric Stenosis

Contributor: Neil Cella, MD Educational Pearls: Pylorus becomes hypertrophied and does not allow food or liquid to pass through to the duodenum tOccurs between the ages of 3 weeks to 3 months Classic...

17 Elo 20214min

Podcast 704: Treatment of Pneumothorax

Podcast 704: Treatment of Pneumothorax

Contributor: Adam Barkin, MD Educational Pearls: Multi-center open-label non-inferiority trial looked at treatment of pneumothorax with a small-bore chest tube versus conservative management with exc...

16 Elo 20215min

Suosittua kategoriassa Tiede

rss-poliisin-mieli
rss-mita-tulisi-tietaa
tiedekulma-podcast
docemilia
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-duodecim-lehti
radio-antro
utelias-mieli
filocast-filosofian-perusteet
rss-lapsuuden-rakentajat-podcast
rss-lihavuudesta-podcast
rss-sosiopodi