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The SimKit Podcast

The Ketamine Spectrum with Sergey Motov & Ryan Marino: Part 2 Procedural Sedation, RSI, and chemical takedowns

Apr 16, 2023
Experts Sergey Motov & Ryan Marino discuss ketamine's diverse medical applications including procedural sedation, rapid sequence intubation, chemical takedowns. They delve into dosing strategies, combining ketamine with propofol, managing agitated delirium, and dosing considerations for chemically restraining patients.
30:53

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Quick takeaways

  • Ketamine offers safe and effective procedural sedation with specific dosing ranges and advantages in emergency departments.
  • It is crucial to distinguish between intoxicated and delirious patients for appropriate sedation to avoid fatal outcomes.

Deep dives

Procedural Sedation and Ketamine Dosing Ranges

Procedural sedation using ketamine involves specific dosing ranges, skipping recreational and partially dissociative doses. The full dissociative dose can start at 1 mg per kg, but individual response variations should be noted. Ketamine offers advantages in emergency departments due to its safety profile and efficacy in managing procedural sedation for various conditions.

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