Date post: | 26-Jun-2015 |
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Health & Medicine |
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Agitation in ICUBy Dr Minh Le Cong
Royal Flying Doctor Service, Queensland
Prevention?
Haloperidol prophylaxis
Kalisvaart, JAGS 2005;53:1658-1666
Haloperidol and mortality
DEXMEDETOMIDINE VS. HALOPERIDOL IN DELIRIOUS, AGITATED, INTUBATED PATIENTS: A RANDOMISED OPEN-LABEL TRIALMICHAEL C READE*, KIM O'SULLIVAN, SAMANTHA BATES, DONNA GOLDSMITH, WILLIAM RSTJ AINSLIE AND RINALDO BELLOMOCRIT CARE 2009
Less delirium, more bradycardia
Check out www.emcrit.org
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What would you prepare and how would you give it?
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Use a sedation score
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ON ketamine 80mg/hr
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Ketamine for agitation ?? Are you nuts?
Growing research into ketamine in mental health
Rapid antidepressant Rapid Anti suicidal effect Can ameliorate/resolve PTSD
References http://images.fineartamerica.com/images-medium/mental-agitation-paulo-zerbato.jp
g http://www.google.com.au/imgres?imgurl=http://wpmedia.blogs.theprovince.com/20
12/09/icu2.jpg&imgrefurl=http://blogs.theprovince.com/2012/09/25/letters-end-of-life-icu-christy-clark-b-c-conservatives-food-labels-mp-costs-bike-lanes-police/&h=377&w=640&sz=90&tbnid=szFE3EPfjrA7gM:&tbnh=92&tbnw=156&zoom=1&usg=__jEPztWVntCwKHKlLG-enXTcZLr4=&docid=fRKRotkyBM4wTM&sa=X&ei=wcYeUoSpCquaiQeiyYDoBQ&ved=0CGkQ9QEwEg&dur=204
http://www.slideshare.net/hospira2010/patients-gone-wild-agitation-and-delirium-in-the-icu
http://www.goodrx.com/haloperidol/images#imgModal http://emcrit.org/podcasts/human-bondage-chemical-takedown/ http://media.photobucket.com/user/death_to_amerika/media/fight_club.jpg.html?
filters[term]=fight%20club&filters[primary]=images&filters[secondary]=videos&sort=1&o=8
http://www.mmafighting.com/2013/8/28/4669374/ufc-fight-night-27-photos http://i2.listal.com/image/1164347/600full-the-strangler-of-blackmoor-castle-
poster.jpg http://www.matilda.aktivix.org/collectives/ketamine/myths/1-horse-tranquilliser/
horse-tranquilliser.jpg http://www.webmd.com/drugs/drug-1596-droperidol+Inj.aspx?
drugid=1596&drugname=droperidol+Inj&pagenumber=2 http://www.forbes.com/sites/matthewherper/2013/05/23/johnson-johnson-is-
reinventing-the-party-drug-ketamine-to-treat-depression/