The College has a new policy guiding the use of ketamine for mood disorders.
My concern is that FRCP anesthetists are the only ones who can administer iv, im or sc.
Subcutaneous or intramuscular doses are administered only by an anesthesiologist.
Intranasal esketamine doses are administered under the direct supervision of an anesthesiologist, psychiatrist or registered nurse.
Just wondering if there is anyone on this forum who considers themselves to be qualified to administer ketamine? There is of course historical precedent for this. In the 90’s patients in the emergency department were not “allowed” to use ketamine, due to restrictions placed by anesthetists, just as we were once forbidden to use paralytics.
At some point, I am hoping that we will be able to administer ketamine to acutely suicidal patients as opposed to our current treatment of a locked room. But I think it unlikely that I would call down an anesthetist to do it, especially when I am used to managing patients with far greater dosages of ketamine.
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