The Agitated Patient: Protecting Yourself and the Patient

2,451 views
2,125 views

Published on

Minh Le Cong, speaks about agitation in the ICU. His punchy talk covers why agitation happens (on both sides) as well as strategies for managing the agitated patient. The use and possibilities of ketamine for agitation and refractory depression is also discussed. This great podcast was recorded from the Bedside Critical Care Conference 2013.

Published in: Health & Medicine
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,451
On SlideShare
0
From Embeds
0
Number of Embeds
1,000
Actions
Shares
0
Downloads
29
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

The Agitated Patient: Protecting Yourself and the Patient

  1. 1. AGITATION IN ICU By Dr Minh Le Cong Royal Flying Doctor Service, Queensland
  2. 2. PREVENTION?
  3. 3. HALOPERIDOL PROPHYLAXIS Kalisvaart, JAGS 2005;53:1658-1666
  4. 4. HALOPERIDOL AND MORTALITY
  5. 5. TRIAL MICHAEL C READE*, KIM O'SULLIVAN, SAMANTHA BATES, DONNA GOLDSMITH, WILLIAM RSTJ AINSLIE AND RINALDO BELLOMO CRIT CARE 2009
  6. 6. LESS DELIRIUM, MORE BRADYCARDIA
  7. 7. CHECK OUT WWW.EMCRIT.ORG 1 1
  8. 8. WHAT WOULD YOU PREPARE AND HOW WOULD YOU GIVE IT? 1 3
  9. 9. USE A SEDATION SCORE 1 4
  10. 10. 16
  11. 11. ON KETAMINE 80MG/HR 1 7
  12. 12. KETAMINE FOR AGITATION ?? ARE YOU NUTS?
  13. 13. GROWING RESEARCH INTO KETAMINE IN MENTAL HEALTH  Rapid antidepressant  Rapid Anti suicidal effect  Can ameliorate/resolve PTSD
  14. 14. REFERENCES  http://images.fineartamerica.com/images-medium/mental-agitation-paulo-zerbato.jpg  http://www.google.com.au/imgres?imgurl=http://wpmedia.blogs.theprovince.com/2012/09/icu2.j pg&imgrefurl=http://blogs.theprovince.com/2012/09/25/letters-end-of-life-icu-christy-clark-b-c- conservatives-food-labels-mp-costs-bike-lanes- police/&h=377&w=640&sz=90&tbnid=szFE3EPfjrA7gM:&tbnh=92&tbnw=156&zoom=1&usg=__ jEPztWVntCwKHKlLG- enXTcZLr4=&docid=fRKRotkyBM4wTM&sa=X&ei=wcYeUoSpCquaiQeiyYDoBQ&ved=0CGkQ9 QEwEg&dur=204  http://www.slideshare.net/hospira2010/patients-gone-wild-agitation-and-delirium-in-the-icu  http://www.goodrx.com/haloperidol/images#imgModal  http://emcrit.org/podcasts/human-bondage-chemical-takedown/  http://media.photobucket.com/user/death_to_amerika/media/fight_club.jpg.html?filters[term]=fig ht%20club&filters[primary]=images&filters[secondary]=videos&sort=1&o=8  http://www.mmafighting.com/2013/8/28/4669374/ufc-fight-night-27-photos  http://i2.listal.com/image/1164347/600full-the-strangler-of-blackmoor-castle-poster.jpg  http://www.matilda.aktivix.org/collectives/ketamine/myths/1-horse-tranquilliser/horse- tranquilliser.jpg  http://www.webmd.com/drugs/drug-1596- droperidol+Inj.aspx?drugid=1596&drugname=droperidol+Inj&pagenumber=2  http://www.forbes.com/sites/matthewherper/2013/05/23/johnson-johnson-is-reinventing-the- party-drug-ketamine-to-treat-depression/

×