List Archives

Thu Aug 14 00:21:25 BST 2008

Thanks but combination of ketamine and propofol which known as Ketofol used in a very small doses for each and counteract each other so pt will be haemodynamiclly stable and ketofol prepared as amxure in one syrnge. But I will consider your point. Me I used this combination to obtain a deep sedation/analgesia with a very excellent out come for a minor operations-elective and emergency.> From: trauma at emergencyunit.com> To: trauma-list at trauma.org> Subject: RE: Sedation for combative patients> Date: Wed, 13 Aug 2008 21:59:29 +0100> > There is no indication for administering ketamine and propofol together.> Ever. The treatment for inadequate ketamine dosage is more ketamine.> > There is a considerable case for anaesthetising and intubating a patient who> is violent. If secondary to head injury you are preventing a potentially> catastrophic rise in intracranial pressure, and in the case of drug> intoxication you are protecting the airway. Sedation should only be> considered in the case of metabolic (such as thyroid storm) or untainted> psychosis. In the old days we gave chlorpromazine iv, now frowned on, and> lorazepam 4mg iv repeated to effect is preferred. If you can only get im in,> remember that midazolam is water soluble and thus can be given im, but be> prepared to wait a while.> > Best Wishes,> > BFM. > > -----Original Message-----> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]> On Behalf Of gamal ejaimi> Sent: 08 August 2008 09:45> To: Trauma &amp; Critical Care mailing list> Subject: RE: Sedation for combative patients> > > > It is interesting and some time mandatory for such patients. small doses of> combined ketamine and propofol may be beneficial> > ----------------------------------------> > Date: Thu, 7 Aug 2008 14:39:35 -0700> > From: sarah_callier at yahoo.com> > Subject: Sedation for combative patients> > To: trauma-list at trauma.org> > > > What is your openion on the sedation of combative patients? I am > > involved in a protocal commitie for EMS, We are looking at > > establishing protocals to allow the sedation of combative patients. > > Pt's that would fit into the catagory for this treatment would be > > Psychiatric patientswho are violent and pose a threat to themselves to > > the Police and to EMS providers. We will have strict guidelines for > > the administration of the medications. We are looking at using Versed > > Ativan and possibly the use of Droperidol. We are also looking at the > > possibility of sedation for RSI and for combative trauma patients. Any > > openions on what is better?> > > > > > > > --> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/> > _________________________________________________________________> ÇÊÕä ÈÇäÃÕÏâÇÁ ÈÇÓÊÎÏÇå ÇÊÕÇä ãåÈêèÊÑ Åäé ãåÈêèÊÑ -- åÌÇæëÇ> http://get.live.com/messenger/overview> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/> > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
_________________________________________________________________
Windows Live Spaces – your life, your Space. Click here to find out more.
http://get.live.com/spaces/overview

List Archives

For your convenience, find the Trauma List Archive Below

Sedation for combative patients