Hip/Leg deformity

[Fox800]

Ketamine is what we use, its wonderful stuff and I love it to bits. We don't have propofol and I never see us getting it.

Small boluses of ketamine (say 20mg to start and then 10mg after that as required) is the norm here and it seems to work well.

That said it may prove better for this patient and those treating him to simply knock him out rather than having to repeatedly top his ketamine up so he is pain free and/or dose him multiple times to get his pain under control so we can extricate him.

Ketamine is an interesting beast. It has this horrible stigma of causing flashbacks and what-not, which from what I understand is pretty well unfounded/very rare. How long will a typical bolus last for you guys, before you had to give some more?

I'm stuck with hoping midazolam will do the trick, which it really won't.