AGITATION IN ICU
By Dr Minh Le Cong
Royal Flying Doctor Service, Queensland
PREVENTION?
HALOPERIDOL PROPHYLAXIS
Kalisvaart, JAGS 2005;53:1658-1666
HALOPERIDOL AND MORTALITY
TRIAL
MICHAEL C READE*, KIM O'SULLIVAN, SAMANTHA
BATES, DONNA GOLDSMITH, WILLIAM RSTJ
AINSLIE AND RINALDO BELLOMO
CRIT CAR...
LESS DELIRIUM, MORE BRADYCARDIA
CHECK OUT WWW.EMCRIT.ORG
1
1
WHAT WOULD YOU PREPARE AND HOW WOULD YOU GIVE IT?
1
3
USE A SEDATION SCORE
1
4
16
ON KETAMINE 80MG/HR
1
7
KETAMINE FOR AGITATION ?? ARE YOU NUTS?
GROWING RESEARCH INTO KETAMINE IN
MENTAL HEALTH
 Rapid antidepressant
 Rapid Anti suicidal effect
 Can ameliorate/resol...
REFERENCES
 http://images.fineartamerica.com/images-medium/mental-agitation-paulo-zerbato.jpg
 http://www.google.com.au/...
The Agitated Patient: Protecting Yourself and the Patient
The Agitated Patient: Protecting Yourself and the Patient
The Agitated Patient: Protecting Yourself and the Patient
The Agitated Patient: Protecting Yourself and the Patient
The Agitated Patient: Protecting Yourself and the Patient
The Agitated Patient: Protecting Yourself and the Patient
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The Agitated Patient: Protecting Yourself and the Patient

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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.

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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/
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