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]
MSSM PCA and Opioid Recs