Ketamine has experienced a recent resurgence in utilization, particularly in the Emergency Department setting. This agent has several indications, each with different considerations and adverse effect profile and our guests on this episode review and discuss these and example patient cases from an Emergency Medicine pharmacist perspective.
SPEAKERS
Curtis Geier, PharmD, BCCCP is an Emergency Medicine Clinical Pharmacist at Zuckerberg San Francisco General Hospital and Trauma Center for the San Francisco Department of Public Health and Assistant Clinical Professor at UCSF School of Pharmacy. He serves as preceptor for a number of PGY1 and PGY2 residencies, as well as the UCSF Emergency Medicine physician residency program. His research interests include social determinants of health and substance use disorders as well as cardiac emergencies.
Andrew Smith, PharmD, MBA, BCPS, BCCCP is an emergency medicine pharmacist specialist at Scripps Mercy San Diego. Dr. Smith has spoken both locally and nationally on a variety of topics, including opioid use disorder and managing cannabis dependent patients during inpatient stays. He actively serves on ASHP’s Emergency Medicine Section Advisory Group as the Chair of the podcast committee, and was recently elected to serve on the San Diego Society of Health System Pharmacists Board of Directors and House of Delegates
Lance Ray, PharmD, BCPS is a Clinical Specialist in Emergency Medicine and PGY2 Residency Program Director at Denver Health and teaches within the PGY1 - PGY4 year Denver Health Emergency Medicine Physician Residency Program. His research and clinical interests focus on acute management of arrhythmia and heart failure in the emergency setting. He is a member of the ASHP Section Advisory Group for Emergency Medicine, and has held leadership positions with ASHP and the Texas Society of Health-System Pharmacists.
SHOW NOTES
Motov et al 2015 study comparing pain-dose ketamine to weight-based morphine
Motov followup study on IV push vs IV drip
Comparing 0.15 to 0.3 mg/kg as ketamine pain dose
Prehospital and intubation - make sure to monitor the patient