SOMOS Annual meeting
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presents
Wheeless' Textbook of Orthopaedics

Ketamine


- produces a dissociative state of anesthesia - the sympathetic nervous system is activated causing an increase in HR and BP which makes it an ideal agent for hypovolemic pts - ketamine is a direct myocardial depressant and should be used cautiously w/ CAD; - ketamine is a potent cerebral vasodilator and is contra-indicated in pts w/ an increased intracranial pressure or a space occupying lesion;; - emergence of delirium and hallucinations may occur in up to 30% of pts; - Pediatric Dosing: - 4 mg/kg IM - consider dosing with Atropine 0.1 mg/kg ? for childre < 5 yrs;



Original Text by Clifford R. Wheeless, III, MD.