Sedation Wean With Ketamine
A 34yo man was admitted for PCP pneumonia and ARDS requiring intubation and VV ECMO. Multiple hypnotic infusions including propofol, dexmedetomidine, lorazepam, and fentanyl were administered due to difficulty in maintaining adequate sedation. Following tracheostomy placement and successful treatment of his pulmonary disease, ketamine was used to aid in the weaning from the patient’s multiple sedatives. Although ketamine infusion is typically only used for 24 hours or less, this case demonstrates an application for long-term ketamine use for weaning from other sedative medications.
Khan H. Maheshwari N, Soto RG. Sedation wean with ketamine. Oral presentation Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL. October 19-23, 2019.