Here’s how to safely transition from a PCA pump to oral meds — slow, overlap your doses, and don’t
Автор: The White Coat Couple
Загружено: 2025-12-24
Просмотров: 1609
Описание: Here’s how to safely transition from a PCA pump to oral meds — slow, overlap your doses, and don’t forget adjuncts like sub-anesthetic ketamine infusions that can smooth the whole process and reduce rebound pain. Mix extended release with instant release in the right patient. Smarter pain plans = smoother recoveries. #TikTokEncyclopediaContest #PainManagement #MedTok #DoctorLife #Anesthesia https://pmc.ncbi.nlm.nih.gov/articles... Therefore, we recommend that ketamine bolus doses do not exceed 0.35 mg/kg, and infusions for acute pain generally do not exceed 1 mg/kg per hour in settings without intensive monitoring, but we also acknowledge that individual pharmacokinetic and pharmacodynamic differences, as well as other factors (eg, prior ketamine exposure), may warrant dosing outside this range. Ketamine's adverse effects will prevent some patients from tolerating higher doses in acute pain settings, and unlike for chronic pain therapy, lower doses (ie, 0.1–0.5 mg/kg per hour) may be needed to achieve an adequate balance of analgesia and adverse effects (grade C recommendation, moderate level of certainty).
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