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Ketamine drip

Michael M McDowell, Ahmad Alhourani, Beverly A Pearce-Smith, Anna Mazurkiewicz, Robert M Friedlander
INTRODUCTION: In Chiari I patients, postoperative pain and discomfort frequently slow the transition back to the home setting. OBJECTIVE: We sought to determine the effect of standardized ketamine infusion protocols on hospital length of stay (LOS). METHODS: This retrospective cohort study reviewed 100 consecutive adult patients undergoing Chiari I decompression. Fifty-nine patients were placed on a 2-3 mg/hr ketamine drip until postoperative day 1...
February 2018: World Neurosurgery
Takamitsu Yamamoto, Chikashi Fukaya, Atsuo Yoshino
Development of instruments for spinal cord stimulation is remarkable. We can implant two cylinder-type stimulation electrodes in parallel into the spinal epidural space. We call this method for dual-lead SCS. Dual lead-SCS is useful to induce paresthesia over the painful area, and the success rate of pain reduction induced by dual-lead SCS is increasing. For dual-lead stimulation, the RestoreSensor, the EonMini, and the Precision Plus are suitable and useful for the treatment of intractable pain. Based on the results of a drug-challenge test with ketamine, we applied dual-SCS for the treatment of various kinds of neuropathic pain...
July 2014: Masui. the Japanese Journal of Anesthesiology
Gigi S Davidson
Anesthetization of large animals, such as the horse, is a challenge for veterinarians and compounding pharmacists. This article discusses the technique of intravenous anesthesia by using a combination of xylazine and ketamine in the horse for short-term unconsciousness; a combination of xylazine, diazepam, and ketamine, for improved sedation and muscle relaxation; and a combination of xylazine, ketamine, and guaifenesin, referred to as Triple Drip, for the maximum 1-hour duration of unconsciousness. Compounding pharmacists that have the facilities and training required to prepare sterile compounds can greatly assist equine surgeons in the treatment of veterinarians' most challenging patients...
September 2008: International Journal of Pharmaceutical Compounding
Eric J Abrahamsen
The ketamine stun technique provides enhanced patient cooperation when compared with more traditional injectable chemical restraint cocktails. Depending on the dose and route of administration, the ketamine stun also provides a variable degree of systemic analgesia. The ketamine stun technique has been shown to reduce the stress response to castration and dehorning in calves. Anesthesia should be considered for procedures requiring an extended period of immobility or a high level of systemic analgesia. Constant rate infusion techniques, such as double drip or ruminant triple drip, provide a more stable plane of injectable anesthesia than bolus administration techniques...
March 2013: Veterinary Clinics of North America. Food Animal Practice
Hanne Christine Bertram, Hans Stødkilde-Jørgensen, Anders Hans Karlsson, Henrik Jørgen Andersen
Post mortem changes in phosphorus metabolites and pH were studied in M. longissimus dorsi from pigs (n=10) stunned either by CO(2) (n=3), electrical (n=2), captive bolt pistol (n=2) or by anesthesia (ketamine) (n=3). (31)P-NMR spectroscopy revealed significant effects of stunning method on changes of the various phosphorus metabolites in the muscle post mortem, with the effect being most pronounced on the degradation of phosphocreatine (PCr). Moreover, the four stunning methods gave rise to large differences in the progress of pH as determined by (31)P-NMR spectroscopy...
September 2002: Meat Science
Takafumi Tanei, Yasukazu Kajita, Toshihiko Wakabayashi
A 33-year-old man presented with ongoing severe right facial pain and sensory disturbances caused by multiple sclerosis (MS). Neuroimaging demonstrated demyelinating lesions in the right dorsal pons and medulla oblongata. The pain was refractory to carbamazepine at 800 mg/day, gabapentin at 1800 mg/day, morphine at 30 mg/day, amitriptyline at 60 mg/day, and diazepam at 4 mg/day, along with twice-monthly ketamine (60 mg) drip infusions. The patient underwent motor cortex stimulation (MCS), resulting in >60% pain relief, reduction in the required doses of pain medications, and discontinuation of ketamine administration...
2010: Neurologia Medico-chirurgica
Gil Z Shlamovitz, Tracy Hawthorne
BACKGROUND: Patients experiencing severe asthma exacerbations occasionally deteriorate to respiratory failure requiring endotracheal intubation and mechanical ventilation. Mechanical ventilation in this setting exposes the patients to substantial iatrogenic risk and should be avoided if at all possible. OBJECTIVES: To describe the use of intravenous ketamine in acute asthma exacerbation. CASE REPORT: We present a case of severe asthma exacerbation in an adult female patient who failed to improve with standard therapies, but promptly improved with the administration of intravenous ketamine (0...
November 2011: Journal of Emergency Medicine
John W Berkenbosch, Gavin R Graff, James M Stark, Zarah Ner, Joseph D Tobias
BACKGROUND: Flexible fiberoptic bronchoscopy is an important diagnostic tool for pediatric pulmonologists. Because of its favorable respiratory profile, ketamine has become a popular sedative for this procedure, but may be associated with unpleasant emergence reactions in the older child. Remifentanil is a newer, ultra-short acting opioid that has been shown to provide effective sedation and cough suppression for fiberoptic bronchoscopy when combined with intermittent propofol boluses...
November 2004: Paediatric Anaesthesia
S Albrecht, W Hering, J Schüttler, H Schwilden
The need for better anaesthetic agents has led to the approval or the clinical studies of new compounds, which have or are assumed to have a higher degree of controllability or an improved spectrum of undesired side effects compared to other approved anaesthetics. For the i.v.-anaesthetics, different approaches have been used to achieve this. Among these are the new synthesis of a new chemical entity (NCE), the isolation of an isomer of a racemic mixture and the new galenic preparation of a known substance for i...
December 1996: Der Anaesthesist
H C Lin, J W Tyler, E G Welles, J S Spano, J C Thurmon, D F Wolfe
Anesthesia was induced and maintained in 6 Suffolk wethers by continuous i.v. infusion of guaifenesin (50 mg/ml), ketamine (1 mg/ml), and xylazine (0.1 mg/ml) in 5% dextrose in water (triple drip) to assess the anesthetic and cardiopulmonary effects. All sheep were positioned in right lateral recumbency. Dosages of triple drip used for induction and maintenance of anesthesia were 1.2 +/- 0.02 ml/kg and 2.6 ml/kg/h, respectively. Lack of gross purposeful movement of sheep to electrical stimulation indicated that analgesia and muscular relaxation induced by triple trip were adequate for surgical procedures...
November 1993: American Journal of Veterinary Research
S Ikeda, H Yaguchi, H Ogawa
BACKGROUND: Esophageal stenosis and hand deformity are serious complications of recessive dystrophic epidermolysis bullosa that influence the prognosis of patients. To control such complications we have used surgical treatments with favorable results. Additional objectives were to summarize the results of long-term follow-up. METHODS: Six patients with esophageal stenosis and nine patients (13 hands) with hand deformity (contracted fingers, mitten-like deformity) were treated surgically after anemia and malnutrition were corrected by intravenous iron infusion, high-energy diet, and blood transfusion...
June 1994: International Journal of Dermatology
T Thorsen, L Gran
Ketamine/diazepam solution was used as the only anaesthetic in 105 patients selected for neuroradiological examinations. A rapid intravenous injection, m ml/kg bodyweight, followed by continous drip infusion constituted the method used. No important side effects were seen, except psychotomimetic reactions in two cases. Cardiovascular disturbances were absent and no significant intracranial pressure rise occurred in nine patients examined.
1980: Acta Anaesthesiologica Scandinavica
A A Buniatian, I E Piliaeva, E V Flerov, M M Shmyrin, N V Rostunova
No abstract text is available yet for this article.
September 1981: Anesteziologiia i Reanimatologiia
T Pedersen, J Hicquet
Sixty-four women undergoing non-abdominal operations were anaesthetized with ketamine administered as a continuous intravenous drip combined or not with diazepam. This double-blind, randomised study assessed the effects of diazepam on the dosage, the cardio-vascular stimulation, and the psychotomimetic side-effects of ketamine. At the induction, ketamine was given in a dose of 2 mg/kg in combination with diazepam 10 mg or placebo i.v. followed by a continuous infusion of ketamine at variable rate. The amounts of ketamine necessary for anaesthesia was significantly reduced by diazepam, from 4...
1981: Anesthésie, Analgésie, Réanimation
P L Bertoletti, N Ciucci
A personal opinion on the way analgesia should be piloted in labour is expressed and reference is made to personal results with continuous venous drip perfusion of ketamin with a SIC P77 infusional pump in 110 cases. The data from the series are described and particular attention is given to the behaviour of the drug with respect to uterine dynamics and the incidence of instrumental intervention. Stress is laid on the considerable benefits offered by the method, including reduction of the labour period and good maternal and foetal tolerance...
April 1981: Minerva Anestesiologica
P Pietrobono, G Serafini, A Pagnin, G Venchi
The Authors report an open trial on 50 patients anaesthetized with Ketamine hydrochloride, by continuous drip infusion progressively slowed, with the aid of Fentanil, in thoracic surgery. The proposed anaesthetic technique proved to be excellent as for as analgesia during and after operation as well cardiovascular stability and lackness of side effects is concerned. Recovery from anaesthesia was quick and extremely quite and free from side effects which are common in Ketamine anaesthesia.
August 1980: Minerva Anestesiologica
A Giannoni, G Angelotti, G Amato
No abstract text is available yet for this article.
May 1982: Minerva Anestesiologica
I E Piliaeva, N V Rostunova
No abstract text is available yet for this article.
May 1982: Anesteziologiia i Reanimatologiia
Y Ishibe, K Takeuchi, T Okuda, M Takagi, K Suekane
No abstract text is available yet for this article.
February 1982: Masui. the Japanese Journal of Anesthesiology
T Pedersen
Sixty-four women undergoing non-abdominal operations were anaesthetized with ketamine administered as continuous intravenous drip combined with diazepam. A double-blind, controlled study was done to assess the dosage, the cardiovascular stimulation, and whether psychotomimetic side effects could be reduced. At induction ketamine was given in a dose of 2 mg/kg in combination with diazepam/placebo 10 mg i.v. The infusion was maintained at 2-6 mg/min. The dose of ketamine during the anaesthesia was significantly reduced by diazepam, from 4...
March 1981: Der Anaesthesist
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