Ketamine-only breathing intubation

Ketamine-only breathing intubation(KOBI), is a technique where Ketamine(+/- topical local anaesthetic) is used to facilitate intubation in patients that may not be able to tolerate traditional Rapid Sequence Intubation(RSI) 3 Approaches to Ketamine use in intubation Ketamine as the induction agent in normal RSI: It shows haemodynamic stability and a long duration of action Ketamine…

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Ketamine Only Intubation

In a recent paper by Driver et al (1) there was a comparison of Ketamine-Only intubation with topical anaesthetic and traditional RSI. The primary outcome was 1st attempt intubation success and it was found that Ketamine only intubation had the worst success rate of all the techniques and it also had the greatest incidence of…

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Cannabis Hyperemesis

We’ve all seen Cannabis hyperemesis and it’s not pretty. The patient showers and feels much better….. and keeps wanting to shower in the ED. We give some Ondansetron and feel better…. although the patient keeps vomiting. A year ago we presented Cannabis Hyperemesis Syndrome at EMCORE Gold Coast(Watch the Video below and watch to the end for…

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