I find that patients are awake, calm, and appropriately responsive to questions while benefiting from excellent analgesia using this protocol.
20 mg over 10 minutes then 20 mg/hour, titrated to effect.
ketamine 50 mg/mL
add 5 cc ketamine to 250 cc NS = 1 mg/mL
Bolus: 20 cc @ 120 cc/hour (10 minutes) then
Drip: 20 cc / hour
[weight-based dosing is .3 mg/kg over 10 minutes and .3 mg/kg/hr]
[...] painful procedure, 20 mg boluses work great. The ketamine continuum starts with analgesia (note the analgesic dose ketamine drip), to loopy (giggling, responding to questions and tolerating pain), to partly dissociated (sort of [...]
[...] Ketamine drip for analgesia / PCA Standard Dosing – emergency …Nov 26, 2009 … I find that patients are awake, calm, and appropriately responsive to questions while benefiting from excellen. [...]