Ketamine - 8

Precautions

  • Emergence reactions
  • Relative contraindications
    • patient with intracranial mass lesion and elevated ICP
    • open eye injury (or whenever increased intraocular pressure would be harmful)
    • sole agent in ischemic heart disease
    • patient with vascular aneurysm
    • psychotic disease

Other notes

  • ketamine has been reported to potentiate nondepolarizing neuromuscular blockade
  • ketamine's preservative may be neurotoxic, so epidural or subarachnoid administration may be unwise



Greg Gordon MD
Updated: