r/emergencymedicine • u/rainbowsforeverrr • Jun 20 '25

Advice Ketamine-- how to prepare patients?

Hi folks, ER nurse here. I'm curious how you talk to patients about ketamine admin for procedures or for intractable pain relief. I give it fairly often but I still haven't found the right way to prepare patients (or parents of littles) for the psychotropic effects. I've never used ketamine personally, but it seems to be a very intense experience that ought to be part of the informed consent conversation. What is our ethical obligation?

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u/KingNobit Jun 20 '25 edited Jun 20 '25

Used it for a ketofol procedural sedation in a 28 year old the other day. A nurse played some French jazz music through a Bluetooth speaker and the guy had a smile from ear to ear as if he had never known stress in his life. A thing of beauty. It'd be great to come in for just the anaesthetic 

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u/Enough-Rest-386 Jun 20 '25

I went through it, Devine was what I would call it. There was one point, I felt like I could achieve more at a lower dose.