List Archives

Thu Aug 14 08:25:47 BST 2008

Sure, I am well aware of the mix and its name. It is unwise to mix two drugs
with differing half lives and characteristics. Get used to one and use it
extensively to understand it. I am beginning to dislike propofol in the
multiply injured patient as it can be unpredictable. Out of hospital use
ketamine ALONE as your agent and in the ED or theatre I am beginning to
return to thiopentone.

Best Wishes,

Rowley. 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of gamal ejaimi
Sent: 14 August 2008 00:21
To: Trauma &amp; Critical Care mailing list
Subject: RE: Sedation for combative patients

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
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

Sedation for combative patients