Ketamine as a Nonopioid Option for Pain Management

Abstract

Practice Pointers| August 01 2021 Ketamine as a Nonopioid Option for Pain Management Crit Care Nurse (2021) 41 (4): 92. https://doi.org/10.4037/ccn2021903 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Cite Icon Cite Get Permissions Citation Ketamine as a Nonopioid Option for Pain Management. Crit Care Nurse 1 August 2021; 41 (4): 92. doi: https://doi.org/10.4037/ccn2021903 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentCritical Care Nurse Search Advanced Search Morphine is the standard of care in the treatment of pain, but if a patient has allergies or high opioid needs, ketamine is a great adjuvant analgesic. Not really. The hallucinations associated with ketamine could be confused with mental status changes in this fragile population. There are no specific populations that should avoid ketamine. Rather, the decision to avoid ketamine use is more individual and patient specific—such as in patients with increased intracranial pressure, cardiovascular disease, end-stage liver disease, or a history of psychosis. Ketamine is contraindicated for patients with increased intracranial pressure. In addition, if the patient has a traumatic brain injury, administration of ketamine can make assessments challenging. Yes, it is very effective and appropriate for patients with chronic pain who have been receiving opioid therapy for a while. Consider ketamine for short-term use, as it can “reset” opioid receptor sites. Such as reset will allow the patient... You do not currently have access to this content.