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Emergency medicine physicians have a love affair going on with ketamine for its versatility. In this post we discuss the optimal use of subdissociative dose ketamine (SDK) for analgesia as an alternative to opioids, with our guest Sergey Motov (@painfreeED).
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Pain control in the emergency department is an important part of patient care and a key reason patients seek our help. Current pharmacologic methods include opiates, non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and regional anesthesia. Opiates often produce inadequate pain control in both opiate tolerant and opiate naïve patients and have adverse effects such as over-sedation, respiratory depression, nausea, hypotension, tolerance, and dependence [1]. NSAID use can be complicated by nephrotoxicity, gastropathy, and cardiac toxicity and have been implicated in 11% of adverse drug reaction related hospital admissions [2].
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