Ketamine infusions

[Agast]

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I’m thinking of cultivating a group of high dollar celebrity followers


Just kidding


I’m looking into offering low cost ketamine infusions to a few patients while I’m in the procedure room next door. Maybe magnesium infusions. Mostly for CRPS or migraine. I would be able to check them myself every 15 minutes while my MA keeps an eye on them. But infusions don’t seem popular here. Anyone have a set up that works at a reasonable cost?

 

[lobelsteve]

This has bad idea all over it.

 

[callmeanesthesia]

I think hassle of ketamine infusions >>> reward (financial or outcomes). You’ll have inevitable bad reactions and have to interrupt procedures, evaluate, and give them versed or something, if you’re just staffed with MAs you’ll have to start the IV, and you’ll get lots of people wanting it for depression, but then you have to contend with whether they’re being appropriately monitored by a psychiatrist.

 

[Baron S]

you’ll get lots of people wanting it for depression, but then you have to contend with whether they’re being appropriately monitored by a psychiatrist.

This part of it is huge. You do a ketamine infusion for someone with refractory depression and PTSD, three days later patient commits a murder-suicide at home. Who do you think the surviving family members and their attorneys will look at?

 

[Agast]

I was planning on only offering it to my patients. The psych patients have Spravato and they seem to be doing ok getting that approved. I had a handful of fellowship patients who got the infusions and they just chilled in a dark room for an hour.

At least from an anesthesiology perspective ketamine wasn’t a huge deal to administer.

 

[callmeanesthesia]

I was planning on only offering it to my patients. The psych patients have Spravato and they seem to be doing ok getting that approved. I had a handful of fellowship patients who got the infusions and they just chilled in a dark room for an hour.

At least from an anesthesiology perspective ketamine wasn’t a huge deal to administer.

Loved in the OR and PACU, but those patients all had versed on board already.

We did ketamine infusions (rarely) in fellowship, but they had to be admitted to the ICU for monitoring which was a pain. Also had one who got hemorrhagic cystitis, and another who had to have the infusion stopped due to rising LFTs

 

[clubdeac]

I was planning on only offering it to my patients. The psych patients have Spravato and they seem to be doing ok getting that approved. I had a handful of fellowship patients who got the infusions and they just chilled in a dark room for an hour.

At least from an anesthesiology perspective ketamine wasn’t a huge deal to administer.

Just have your NP oversee 100% of it…oh and if you want to sleep well at night I’d recommend you NOT have them under your license

 

[BoardingDoc]

We did a TON of ketamine infusions when I was in fellowship. Most were fine and just sat there for an hour or so. A small handful however became a very large headache.

Constant nursing interruptions asking for zofran, versed, to come talk to them, etc etc etc. Some of the patients had absolute **** veins and needed an US to place a line each time. These patients became a significant hassle. If you can charge a bucket of money for it, screen your patients extremely well and figure out who's going to be watching these people during the infusion, maybe. Even then, I personally wouldn't get involved.

 

[SpineandWine]

I was planning on only offering it to my patients. The psych patients have Spravato and they seem to be doing ok getting that approved. I had a handful of fellowship patients who got the infusions and they just chilled in a dark room for an hour.

At least from an anesthesiology perspective ketamine wasn’t a huge deal to administer.

Try talking to reps to connect you with someone who offers them and ask if they’ll set up a meet and greet dinner (private pravticr). Lot of nay sayers in forum but try talking to someone who does it
There is a person in my market who owns a bunch of ketamine med spas in a city nearby but I have no interest in them.