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(Discussion to topic A brief history of ketamine (Ketalar®))

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Is PK anesthesia suitable for all types of surgery? I am wondering how brain is monitored during facial surgery, facelift etc...??? Thank you.

2010-03-10 13:15
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Reply to question / 10.3.2010 13:15

Thank you for your interest and questions.

The use of PK anesthesia is limited only by the imagination of the anesthesiologist and the cooperation of the surgeon.

A small sample of cases I have successfully done with PK: gyn laparoscopy for tubal ligation/fulgeration of endometriosis (assumes modest Trendlenberg/pneumoperitoneum), joint arthroscopy, lithotripsy, herniorraphy, breast lumpectomy, simple mastectomy, microdiscectomy, & sedation for the morbidly obese.

The 'nifty 50' club says if nothing else, outcomes will, be improved giving 50 mg of ketamine to a patient who is asleep (i.e. loss of lid reflex/loss of verbal contact or BIS

2010-03-10 15:09

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Looks like I got cut short...
Use the BIS on facial cases by prepping the sensor, taking care not to be over zealous and have the adhesive get dissolved. Also avoid solution in junction of sensor and cable.

2010-03-12 21:24

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