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 ...

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 The Agitated Patient: Protecting Yourself and the Patient Presentation Transcript

  • AGITATION IN ICU By Dr Minh Le Cong Royal Flying Doctor Service, Queensland
  • PREVENTION?
  • HALOPERIDOL PROPHYLAXIS Kalisvaart, JAGS 2005;53:1658-1666 View slide
  • HALOPERIDOL AND MORTALITY View slide
  • TRIAL MICHAEL C READE*, KIM O'SULLIVAN, SAMANTHA BATES, DONNA GOLDSMITH, WILLIAM RSTJ AINSLIE AND RINALDO BELLOMO CRIT CARE 2009
  • 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/resolve PTSD
  • 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/