BackTable Vascular & Interventional Ep. 514 Deep Sedation in IR: Intro to Ketamine with Dr. Amy Deipolyi
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Feb 4, 2025 Dr. Amy Deipolyi, an interventional radiologist and Division Chief at Charleston Area Medical Center, shares her innovative approach to deep sedation using ketamine. She discusses the challenges of scheduling anesthesia in the IR suite and how she gained support for this shift. The conversation reveals the comparative advantages of ketamine over traditional sedatives, its role in improving patient experiences, and overcoming regional healthcare hurdles. Dr. Deipolyi also offers practical insights for IR professionals looking to implement similar sedation techniques.
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A Painful Memory
- Dr. Deipolyi recalls a challenging biliary drainage case during residency with inadequate sedation.
- The patient's distress and pleas highlighted the need for better patient experiences during procedures.
The Ketamine Introduction
- After another difficult case, a colleague suggested ketamine for deep sedation.
- This sparked Dr. Deipolyi's interest and led to her exploring its use in IR.
Ketamine's Advantages
- Ketamine offers deep sedation while preserving respiratory reflexes and not lowering blood pressure.
- It's beneficial for patients with low blood pressure or opioid tolerance.