Ketamine Anesthesia

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Ketamine Anesthesia | How to

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Күн бұрын

Ketamine is a wonderful drug, when used right.
The dose used is of most importance.
0.1mg\kg Pain management (20min)
1mg\kg sedation (20min)
2mg\kg rsi
#nremt #EMT #EMS

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@alijohnson9670 Жыл бұрын

I was given ketamine for sedation for bone grafts and it was awesome! Felt like I melted into the floor and was put into a cube and was bouncing around like being in a kaleidoscope.

@susanringwall315 Жыл бұрын

I was sedated with Ketamine last month for a procedure in the E.R. and it was absolutely wild! It feels like I got answers for all the things I questioned in life. Ever since, I've felt so validated and have had the strongest sense of understanding that things happen for a reason. And even if i don't know the reasons right away, i will eventually, but also that it doesn't matter if I know or not, I don't have to look for the reasons anymore, just knowing there is one is enough. Its hard to explain, but it's been pretty life-changing as far as my anxiety being lessened and my overall outlook on life improving- and the crazy part is that I got the Ketamine as anesthesia for a medical procedure, it wasn't for treatment of depression on any mental difficulties period, but it has had an amazingly profound impact on my mind. Again, things happen for a reason; my unexpected and painful trip to the E.R. was the cause for me to receive the Ketamine sedative and the result has been a massive improvement of my overall mood and mental health. I'm very thankful that I had this experience!

@BeeBee-tb2it Жыл бұрын

Same

@vman6702 3 жыл бұрын

I was in a motorcycle accident Sept 8, 2020 - 4 broken metatarsals, broken cuboid, broken rib, greater trochanter was broken off femur, proximal humorus fracture, and dislocated shoulder...whew! All on the left side. Various abrasions and wounds elsewhere, but the only serious wound was a laceration to the underside of my forearm. I was not in a lot of pain, surprisingly. I'm sure the medics gave something. I was airlifted to a trauma unit. Within hours the did a procedure to set the foot in a splint, reduce the humorus fracture and fix the dislocated shoulder, and place the new ball joint for my artificial hip into the top of the femur. The trauma surgeon did all this while I was put under with Ketamine. Whoa! what an experience...shapes, colors, ideas of just being a floating and bodiless entity...maybe even dead. Great video - but what was happening to me? Is that disassociation? Was that a K-hole? Greeting from your rebellious brothers from the other side of the pond. I'm healing up, some minimal brachial plexus injury to the axillary nerve. Doctors did a nerve transfer, and it is coming back.

@MedicalTraining 3 жыл бұрын

Sounds like it. Total disassociation will make you sleep. At least it was a positive hallucination.

@ralphtom3431 2 жыл бұрын

Jesus friend you went though a lot of injury. How much is your med bills?

@leisurely6711 Жыл бұрын

Bro i had the same thing happen to me on katamine! Never do i want that again.. propofol is better. I just ko

@MohamedAli-qi4zp Жыл бұрын

I got shot and was transported to the hospital in an ambulance. I was screaming so much from pain, all I remember was a paramedic in the ambulance mentioning I should be injected with ketamine for my pain. It could’ve even been in the hospital, everything was a blur to be honest. A little while after more of me screaming from the pain, they told me the pain would be reducing. I don’t remember the transition, but all of a sudden I wasn’t in the ambulance anymore. I wasn’t even on earth anymore. I wasn’t even me anymore. I wasn’t a human and I didn’t have human like traits. But I was still able to think. I don’t even know how to describe it. It threw me off guard because I’ve never had ketamine in my life and never even knew what type of reaction it gives you when taken. Never even had a psychedelic before so you can guess the confusion. That was it, I was convinced I died in that hospital and that this was my new forever. I can’t even describe it. I was in a machine, well actually I was a part of the machine that was keeping it working. In unison with all other parts of the machine. I was in there for a while, wondering is this how it is after death? Was I ever even a human? Wtf kind of an existence is this? Lol then before I could fully submerge even deeper into this state of confusion I had a bright light in my face and a surgeon introducing herself and letting me know the procedure of the surgery I was about to have. Back to reality. The end.

@emilybarker3240 2 жыл бұрын

I had this for a tooth extraction and it was like two times existed before the procedure and after the procedure and they just seamlessly flowed into each other like the procedure itself never happened. There was a brief time(felt like 2 seconds) where I felt like I was in a different room in between. But it was all so seamless. Never felt like I was out. It was a RIDE. I know they also gave me versed. I’m not gonna lie it was a trip and I had a blast. I think the fact that I always felt awake but the time alteration was just so significant for me made it SO WEIRD but in a good way.

@joestevenson5568 9 ай бұрын

You say ketmaine is not an analgesic. This is patently incorrect, ketamine was specifically synthesised as a phencyclidine derivative BECAUSE it provides analgesia and they were attempting to design a single IV/IM agent capable of providing the full triad of anaesthesia - a role ketamine succeeded in throughout the vietnam war and that it continues to excel in on battlefields and in prehospital care today. Ketamine is the only IV induction agent in common use that DOES provide analgesia. I appreciate this is a channel aimed at EMT/EMS and so don't expect anaesthetist level understanding of the drug, but this is a pretty vital part of understanding what makes ketamine so useful.

@MedicalTraining 9 ай бұрын

Thanks for the comments, I really appreciate it. I know ketamine takes away pain. Bits it's classification is not analgesic. It is a disassociative anesthetic. According to Google: Analgesics are medications that relieve pain. Unlike medications used for anesthesia during surgery, analgesics don't turn off nerves, change the ability to sense your surroundings or alter consciousness. .

@stefanzzz6778 Жыл бұрын

Thought I would share my ketamine experience as a patient. I had hallucinations. Not long before the op I watched interstellar. I dreamt a very vivid dream, similar to the end of interstellar where I was in the walls watching and trying to find a way back but the bricks got built up, and it got dark. Anyway, this was a few years ago now, but the dream is still very vivid. I still sometimes dream this. I watched interstellar again recently,and felt the same feelings when I had the op. I think the experience etched itself into my long term memory, it’s not just the images, but the feelings. Very hard to explain.

@fdllicks 10 ай бұрын

My experience: very safe. 1 mg/kg, for adults try 70 mg and reassess. Great med for pediatric procedures bcz it is so safe and they keep breathing well. It not only does not impair respiratory drive, it even bronchodilates them a little! this is why great for asthma in RSI. Like all conscious sedation, have bagging equipment ready to go (not in the cabinet or lost somewhere). Lasts 45 minutes. In contrast, etomidate (30 mg) puts them in deep sedation, but only for 2 minutes. With etomidate, they stop all breathing, but it wears off and they breathe again. So for an adult with shoulder dyslocation? Etomidate. Pediatric with laceration repair? Ketamine.

@MedicalTraining 10 ай бұрын

Absolutely!

@joestevenson5568 9 ай бұрын

Why would you ever choose etomidate over propofol in haemodynamically stable patients? It's overall a much worse drug - cardiovascular stability is it's only selling point.

@fdllicks 9 ай бұрын

@@joestevenson5568 part of being a physician is to be able to control your interactions with coworkers. I think they call it "emotional intelligence."

@a64738 Жыл бұрын

Never had ketamine for surgery even when I was in an accident that crushed my shoulder and had to get an artificial shoulder joint, they only gave me some sort of synthetic opioid that worked great and pretty much removed the pain so I could sleep while waiting for surgery next day. But after the surgery they gave me 1 pill of Paralgin Forte (kodeine and parecetamol) and I got really bad paranoia and cold sweating, told the doctors that they must never ever give me paralgin forte again while I was feeling the full paranoia but was fully aware it was just from the pills. Years later they tried to give me morphine even in max dose it had no effect after surgery and I had really bad pain for 8 hours until they finally gave me one pill 5mg of Tramadol that completely stopped the pain. But I have had dissociate hallucinations similar to what many describe here when on ketamine, I had fever from influenza for 5 hours and was sleeping on a mattress on the floor hallucinating that I was a white plastic garden chair laying in the bed and it was just wonderful as it was very relaxing to be a chair with no worries and pains of any sort. Just existing and being a white plastic chair... I was drifting in and out of sleep still having this hallucination repeating every time I woke up. Then I woke up hours later feeling great, rested and the influenza was gone :)

@thane4099 10 ай бұрын

Interesting. Where i am at. Doses are 0.2 to 0.5 for pain and 1-2 for sedation/ RSI.

@MedicalTraining 10 ай бұрын

0.1 definitely works.

@Andreas-gh6is 4 ай бұрын

I got ketamine for treatment of depression in a hospital setting. Worst thing that happened was that the cleaning lady came in and somewhat ruined the trip.

@4Mahearn 3 жыл бұрын

Liked your discusion

@jon-rossjacobs4345 2 жыл бұрын

One of my experiences was giving 0.5mg/kg to an MVA patient, for pain management, and it completely dissociated him for a while no apnea no other adverse effects but he just when on a trip for about 10-15minutes. Whats your opinion on giving anxiolytics with ketamine to make sure they don't have a horrible dissociative experience, especially with all the red lights and sirens and people around our patients?

@MedicalTraining 2 жыл бұрын

You absolutely can. Low dose benzidines are good. Just be careful with blood pressures and breathing. 1 to 2mg medaz

@Scott-ff2oe Ай бұрын

Thank you.

@Stinaz584 6 ай бұрын

10 broken ribs, my first one was misplaced. Broke my T9 T10 and C4. Then got chest tube that took 3 times.1st time was in my small town then got shipped to a place with better equipment. In the room I had a nurse play some calming music cause the room beside me was screaming bloody murder. bone rattling

@j.o.6178 2 жыл бұрын

Thanks for the great content! I have a question about the concentrations when you mention 10mg/mol, 50mg/mol & 100mg/mol pardon my ignorance but I was expecting these to be measured mg/ml or similar not mg/mol. what am I missing here as I am having trouble getting from mg/mol to mg/kg. Is there any good terminology you know of that I can use to search up and study this further? Thanks again!

@MedicalTraining 2 жыл бұрын

I'm saying mg/ml. Not mol, my mistake if that is unclear.

@RustyHarp4892 3 жыл бұрын

I had this when broke my radius and ulna and my growth plate was shifted and 2 hairline cracks. It was called a distal radius fracture. I’m 10. My hallucination was a rollarcoaster and I could feel the wind and jumping on the rollercoaster. It looked like my eyes were moving back in forth and very blurry

@MedicalTraining 3 жыл бұрын

ya, the hallucination can be hectic. You got full motion of your arm now?

@RustyHarp4892 3 жыл бұрын

Not yet still have wrist brace

@MedicalTraining 3 жыл бұрын

Best of luck

@RustyHarp4892 3 жыл бұрын

Full recovery

@idijwiheufbfwkajlldkwnkjdn3108 Жыл бұрын

ur wayyy stronger than me bro i could never handle the k hole at that age hope ur fully recovered now

@jimbossemi-customs3129 Жыл бұрын

Great and informative video! I know your video is old but I still hope you may see this message. In short, 5 cervical surgeries over 11 years and now chronic nerve pain in shoulder from damaged nerve. Just had a consultation with a Ketamine Doctor and he is what he suggested- 400-500ml of Ketamine with sedative over 4-5 hour period. I weigh 155 lbs. One treatment and see how I do then another in one month. If I get some relief, he will lower the next dose and see how I do. But as you know, that could be every week or every 6 months. I don't mind paying out of pocket because I've almost exhausted every other treatment that is available. I would love to know you thoughts on this type of treatment. Obviously you're looking at this from afar and don't know my history, but any general feelings from you would be much appreciated.

@MedicalTraining Жыл бұрын

Thanks for the comment. Unfortunately not my realm of experience. But I'll do some research and get back to you. Chronic pain is only something someone who has experienced it understands. I hope you find a solution.

@jimbossemi-customs3129 Жыл бұрын

@@MedicalTraining That's very kind of you, thank you!

@MedicalTraining Жыл бұрын

@@jimbossemi-customs3129 it does seem that Ketamine does help with pain, but only for short periods of time. Not really much evidence. However, the literature says that repeated use of ketamine is also associated with adverse effects, such as addiction, amnesia, high blood pressure, bladder cystitis or liver injury. It seems that a KETO diet is effective in helping with pain management. Here is a chapter from the artical: "The implementation of a whole-food diet that restricts ultra-processed foods is a valid pain management tool; however, a low-carbohydrate ketogenic diets may have potentially greater pain reduction, weight loss and mood improvements." Link: academic.oup.com/painmedicine/article-abstract/23/2/326/6371964

@MedicalTraining 10 ай бұрын

How is it going?

@bubbleofa8444 3 жыл бұрын

I had my wisdom teeth removed with ketamine and the trip was scary af

@MedicalTraining 3 жыл бұрын

Hectic, I'm assuming you were asleep for the procedure?

@bubbleofa8444 3 жыл бұрын

@@MedicalTraining yes but i woke up

@MedicalTraining 3 жыл бұрын

@@bubbleofa8444 that doesn't sound good.

@joebinglei9679 2 жыл бұрын

When hallucination do you seem awake to other people around you or does it put you asleep? I ask for a low dose of ketamine when in ER for a broken wrist, but I had a bad experience and it freaked me out.

@MedicalTraining 2 жыл бұрын

When you hallucinating you are awake. It's very unfortunate, as this can be managed better. Thinking I might make a video for those who are going to have ketamine

@joebinglei9679 2 жыл бұрын

@@MedicalTraining thanks for the response, here is what was given to me in ER for a broken wrist reset. I asked for a low dose, as I tolerate pain well.it put me out asap and like some others, I thought I died and was surrounded by angels, really freaked me out. from your yt and info, seems I was given too big of dose? ketamine ﴾KETALAR﴿ 100 mg/mL injection 100 mg 100 mg As needed ﴾rounded from 99.8 mg = 1 mg/kg × 99.8 kg﴿, Intravenous, Procedural sedation, Starting on Wed 12/15/21 at 2057, For 3 doses, For IV use: Dilute with equal amounts of NS prior to administration. so 1 mg, not 100?

@joebinglei9679 2 жыл бұрын

I was also given diphenhydrAMINE ﴾BENADRYL﴿ injection 50 mg x 2. famotidine ﴾PEPCID﴿ 20 mg/2mL injection x2 and HYDROcodone‐acetaminophen , the follow-up visit was with my primary doctor in another state, but I believe I need to schedule a follow-up visit with the er doctor,

@MedicalTraining 2 жыл бұрын

So 1ml, is equal to 100mg. That's enough to put anyone asleep. Difficult to say, sorry I can't be of much help

@jeffhankins967 Жыл бұрын

Is it safe with alcohol?

@shellcshells2902 2 жыл бұрын

I've had ketamine twice now for a surgery in a surgery center here in the USA. Both times I visually hallucinated when it was first being administered and then I don't remember anything after that but when I came through I still remember the hallucinations. This last one (today) I 'saw' myself going down into the blanket and I could see all the fibers of the blanket and their colors. I felt I became very small and was in these layers of blanket fibers and I started to feel very trapped and claustrophobic.... and then nothing until I was in the recovery room...... so weird!!!!!!!!

@MedicalTraining 2 жыл бұрын

Very interesting.

@hamzakhalidgill8216 2 жыл бұрын

Little strange to ask ,but what if we mixed it in our some drink? Will we get hallucinated after drinking it?

@MedicalTraining 2 жыл бұрын

Not all ketamine is the same. I'm only refering to medical grate stuff. It's unlikely to have much of an effort. As the stomach acid will degrade it.

@ArunKumar-wd6ch 2 жыл бұрын

Is dilution mandatory for ketamine IV injections? please reply.

@ArunKumar-wd6ch 2 жыл бұрын

please reply and please help me guys . please explain dilution process for ketamine hcl in simple words.

@MedicalTraining 2 жыл бұрын

Hi, sorry didn't see the message. No, ketamine doesn't have to be diluted.

@MedicalTraining 2 жыл бұрын

If it's diluted, there are fewer side effects.

@ArunKumar-wd6ch 2 жыл бұрын

@@MedicalTraining it's ok bruh. thank you for the reply😍✌️

@ArunKumar-wd6ch 2 жыл бұрын

@@MedicalTraining There is no need to dilute even if it is concentrated? i have 100mg/2ml is it ok to inject directly without dilution?

@ragdollannie 3 жыл бұрын

I was given Ketamine for simple oral surgery and I thought i was dying. It was terrifying and the worst experience i have ever had in my life... i already have PTSD and dissociation had been my coping strategy... depersonalization... sure didn't expect "twilight sedation" to be like dying... horrible horrible drug and even though I know experiences like mine are not what happens to everyone, my research has found it does happen... why in heavens name would ANYONE ever use such a terrifying drug is beyond my comprehension. My blood pressure went out the roof. I will never be the same snd my PTSD and depersonalization is so much worse now. Ketamine needs to be off the market...period.

@MedicalTraining 3 жыл бұрын

I'm sorry to hear about your experience. It should have never happened. Just because someone used it wrong doesn't mean we should remove it entirely. Anything, if used wrong can have negative side effects. The doctor who was treating you has the consequence and should have given you another drug, which will make you forget the hallucinations. It sounds like he gave you the wrong dose and I hope more people can watch this video and learn from it.

@ragdollannie 3 жыл бұрын

@@MedicalTraining 1 mg which is the standard dose for anesthesia. He also gave me another drug called propofol which I had used on me many times with no side effects. Ketamine is a "dissociation" anesthesia that makes a person feel out of body. It is also not that uncommon to hallucinate both auditory and visually. My surgeon said he has had this reaction before and it was not uncommon. I don't think it's ever worth the risk. One bad experience with marijuana in my 20's gave me depersonalization. I am 66 years old and suffered my entire life with many traumas. Im pretty sure I will never recover after the Ketamine. It was terrifying. Nobody should take such a risk to someone's psyche, not ever.

@MedicalTraining 3 жыл бұрын

I'm sorry that you had a bad experience.

@alexbartley3610 2 жыл бұрын

@@ragdollannie did you fell like you were falling inside an electric tornado? I’m having a hard time finding any litterateur about it. I also thought I was dying. I had the sensation of “I can not believe this is happening!”

@MedicalTraining 2 жыл бұрын

That doesn't sound good. Definitely should not happen