Ohh, usually a LSCS done by using spinal Anesthesia. I think some sort of issues may arise while doing the procedure like extreme pain. That's why they gave this one. It's a unplanned one. So you may had some auditory hallucinations during the procedure.
I was given ketamine after a partial glossectomy and neck dissection. It worked very well to control the pain. I experienced hallucinations when I closed my eyes, but none when my eyes were open. When the medicine was stopped the effect was over in short order.
Had a cardio version done( electric shock to heart). Ketamine was used to put me under. You are fully conscious but I was not aware of my surroundings or the presence of any other people. It was clearest my mind ever was. You are thinking rationally , but there is no input from your senses. It was pure thought. There was emotion but not like you would experiance normally. I would describe it as living in a 2d world and all of a sudden being thrown into a 3d world. It was a fascinating unique human experiance . I understand the scientific explanation on cutting off nerve receptors, but what happened in there was something else. It wasnt a high or hallucinations, it was pure thought without stimulus
As a paramedic ive used it for SAI or sedative assisted intubation and for safety when treating violent combative patients. Its can be a dangerous medication in my opinion whoever gets Ketamine should be closely monitored as some pts struggle to breath effectively and are at risk of aspiration.
I was put under with ketamine two years ago. I’d never had surgery before and was expecting the whole count backwards thing. it was totally unannounced and came on so strong
I was given I believe they said 48mg though a drip for a lung collapse surgery. Let me tell you, felt like I was under alien abduction. I could feel them inserting the tube into my chest and rooting around but couldn’t feel any pain whatsoever, the room also felt to be spinning very fast, almost felt like a carnival ride. Conscious is debatable, definitely in and out, when awake it was wild but then everything would just go black for a while.
I was just put under Ketamine as an anaesthetic so that the doctors could align my broken and displaced wrist. It’s so hard to describe the experience because its so unlike anything else I’ve ever experienced. It definitely put me under because I felt no pain and have no memory of the procedure happening but it did not feel like I was under at all. I remember looking at the large vitals screen that was in front of me when they gave me the drug. From there the screen had multiple flowing colourful columns going downward and I was travelling down those columns. It was so weird because I guess I was asleep but I felt fully conscience and it wasn’t like I was just feeling like I was travelling down these tubes, I actually was. Anyway it’s really hard to remember but it was something along the lines of I was travelling down these tubes all at the same time and individually and each one would take me to a new vitals screen and a whole new surgery, like I was living all these lives at once. I thought I was going to die. It also felt like a really long time I guess because I was living all these different experiences. I should also mention that I simultaneously had no concept of space, time, where I was, who I was, or anything at all. It was so weird. But I would see that the surgery was happening and sometimes thought I was going to die and then travel through another colourful tube to the “real” or lucid version of what was happening. This happened many times but it was also all happening simultaneously. I finally realised that I was in fact alive and was myself when through blurred vision I saw a cast on my hand and got my wonderful girlfriend to confirm that I did have a cast on. That’s when I regained consciousness because even though I was out I always thought I was conscious and that everything was real.
That sounds like a unique and interesting experience! 😊 Ketamine is indeed used as an anesthetic in certain medical procedures. It's fascinating how it can allow for pain-free surgery while keeping the patient aware of the process. Thanks for sharing your perspective on it! 👍
A regular ketamine structure is a racemic mixture of both S (+) and R (−) isomers. This means that it contains equal amounts of both mirror-image forms of ketamine.
@@anesthesiavisions In my country our practices only use 's-ketamin'. I wonder if it has optimal benefits for anesthesic use as the regular. I have limited experience, but it only seems to induce high levels of discomfort due to the dissociation.
In the field of medicine, the conventional racemic mixture of ketamine 🏥🌡️🩺 continues to be the preferred choice for anesthesia and pain management, owing to its well-established safety and efficacy track record. Meanwhile, researchers are actively investigating the potential benefits of S-ketamine 💡🧠 in treating depression, recognizing its unique properties and therapeutic potential. 📊🔍
Ketamine act as a Antagonist for the NMDA (N-methyl-D-aspartate (NMDA)) receptors. NMDA receptors are components of excitatory neurotransmitter. So, If these NMDA receptor are inhibited it causes hallucinations, paranoid delusions, confusion, difficulty concentrating, agitation, alterations in mood, nightmares, catatonia, ataxia, anesthesia, and learning and memory deficits.
In previous anaesthetics I was given Midazolam or Hypnoval and I experienced anaesthetic awareness which was dreadful. I couldn’t move or feel myself breathe. I then discovered that during my last left sided hernia with mesh operation the Hypnoval was replaced by Ketamine and I still experienced awareness and couldn’t talk. I managed to tense my knees when two nurses were trying to prise them apart and was jabbed inside each thigh with a painful object which I can’t have imagined because post op I noticed a blue bruise inside each thigh. I then couldn’t breath or move and eventually became unconscious. During the operation I felt a sharp pain near my hernia which made me react. The next thing I experienced was a feeling of a ligament on the same side as my hernia “ping” as if it had been cut. I could see my naked body and a nurse throw a blanket over the area. Another dreadful experience! I now have an inguinal hernia on my right side and don’t feel strong enough to go through another procedure as I am in my early seventies, although my consultant said I was healthier than a lot of his 60 or even 50 year old patients. I wonder if you could tell me please if it is necessary to have these drugs along with the usual propofol and painkillers during anaesthetics?Maybe I just have some kind of allergic reaction? I do not take drugs apart from Paracetamol and 8mg codeine for pain which I have lived with since my last left sided inguinal hernia with mesh operation over 10 years ago. Thank you for your interesting video and your hard work.
Intravenous anesthesia drugs like Propofol, Midazolam, and Ketamine can cause allergic reactions, but it's relatively rare. Allergic reactions are possible with any medication, but healthcare providers carefully assess a patient's medical history and allergies to minimize such risks. Consider discussing potential allergies with your healthcare provider to address concerns before surgery 🧑⚕️
Ohh i see.. ketamine produce dissociative anaesthesia which mean patients remain conscious... If a patient remain conscious can you able to do any neuro procedure...?!
@@anesthesiavisions patient is dissociated so he is "separated" from external stimuli if full dose is delivered. Ketamine strongly affects nervous system and neurologic assessment is not feasible to perform therefore ketamine is not the anaesthetic of choice in neuroanaesthesia.
@@themsdoc1231yes that's also one of the reason - so we're not using it for neuro surgery. then why you said not contraindicated in head Surgery anymore...
@@anesthesiavisions For elective surgery like for brain tumor is relatively contraindicated. In severe head injury requiring emergency operation it is not.it is a kind of question you don't have yes/no answer..
ᴅᴏɴ'ᴛ ғᴏʀɢᴇᴛ ᴛᴏ ʟɪᴋᴇ,ᴄᴏᴍᴍᴇɴᴛ, sʜᴀʀᴇ & sᴜʙsᴄʀɪʙᴇ ...
💞 Yₒᵤᵣ ₁ ₛᵤbₛcᵣᵢbₑ cₐₙ ₘₐₖₑ ₘy Dₐy 💞
I just had this for C-section & I absolutely hated it!
Ohh, usually a LSCS done by using spinal Anesthesia. I think some sort of issues may arise while doing the procedure like extreme pain. That's why they gave this one. It's a unplanned one. So you may had some auditory hallucinations during the procedure.
I was given ketamine after a partial glossectomy and neck dissection. It worked very well to control the pain. I experienced hallucinations when I closed my eyes, but none when my eyes were open. When the medicine was stopped the effect was over in short order.
This stuff was wonderful during my surgery.
Had a cardio version done( electric shock to heart). Ketamine was used to put me under.
You are fully conscious but I was not aware of my surroundings or the presence of any other people.
It was clearest my mind ever was. You are thinking rationally , but there is no input from your senses. It was pure thought.
There was emotion but not like you would experiance normally.
I would describe it as living in a 2d world and all of a sudden being thrown into a 3d world.
It was a fascinating unique human experiance .
I understand the scientific explanation on cutting off nerve receptors, but what happened in there was something else.
It wasnt a high or hallucinations, it was pure thought without stimulus
Thanks for sharing your experience
As a paramedic ive used it for SAI or sedative assisted intubation and for safety when treating violent combative patients. Its can be a dangerous medication in my opinion whoever gets Ketamine should be closely monitored as some pts struggle to breath effectively and are at risk of aspiration.
I was put under with ketamine two years ago. I’d never had surgery before and was expecting the whole count backwards thing. it was totally unannounced and came on so strong
That's the power of ketamine!!
I was given I believe they said 48mg though a drip for a lung collapse surgery. Let me tell you, felt like I was under alien abduction. I could feel them inserting the tube into my chest and rooting around but couldn’t feel any pain whatsoever, the room also felt to be spinning very fast, almost felt like a carnival ride. Conscious is debatable, definitely in and out, when awake it was wild but then everything would just go black for a while.
I was just put under Ketamine as an anaesthetic so that the doctors could align my broken and displaced wrist. It’s so hard to describe the experience because its so unlike anything else I’ve ever experienced. It definitely put me under because I felt no pain and have no memory of the procedure happening but it did not feel like I was under at all.
I remember looking at the large vitals screen that was in front of me when they gave me the drug. From there the screen had multiple flowing colourful columns going downward and I was travelling down those columns. It was so weird because I guess I was asleep but I felt fully conscience and it wasn’t like I was just feeling like I was travelling down these tubes, I actually was. Anyway it’s really hard to remember but it was something along the lines of I was travelling down these tubes all at the same time and individually and each one would take me to a new vitals screen and a whole new surgery, like I was living all these lives at once. I thought I was going to die. It also felt like a really long time I guess because I was living all these different experiences. I should also mention that I simultaneously had no concept of space, time, where I was, who I was, or anything at all. It was so weird. But I would see that the surgery was happening and sometimes thought I was going to die and then travel through another colourful tube to the “real” or lucid version of what was happening. This happened many times but it was also all happening simultaneously. I finally realised that I was in fact alive and was myself when through blurred vision I saw a cast on my hand and got my wonderful girlfriend to confirm that I did have a cast on. That’s when I regained consciousness because even though I was out I always thought I was conscious and that everything was real.
That sounds like a unique and interesting experience! 😊 Ketamine is indeed used as an anesthetic in certain medical procedures. It's fascinating how it can allow for pain-free surgery while keeping the patient aware of the process. Thanks for sharing your perspective on it! 👍
Low dose ketamine is useful in pain manage,ent as well 👌
Yes, you're right 👍
Time out. Doc I’ll pass on the ketamine, propofol is proven to work in my case and unconscious is a good thing during these painful procedures
Thanks bud
It's very useful ❤️
Thanks ☺️ buddy👍
So simply summarized❤
Thank you, consider subscribing to my channel for more interesting videos.
Thanks❤
What about it's dose and dosage?
Dose is:
Intravenous: 2 mg/kg.
Intramuscular: 5- 10 mg/ kg.
@@anesthesiavisions thankyou:)
R- or S-ketamine?
A regular ketamine structure is a racemic mixture of both S (+) and R (−) isomers. This means that it contains equal amounts of both mirror-image forms of ketamine.
@@anesthesiavisions In my country our practices only use 's-ketamin'. I wonder if it has optimal benefits for anesthesic use as the regular. I have limited experience, but it only seems to induce high levels of discomfort due to the dissociation.
In the field of medicine, the conventional racemic mixture of ketamine 🏥🌡️🩺 continues to be the preferred choice for anesthesia and pain management, owing to its well-established safety and efficacy track record. Meanwhile, researchers are actively investigating the potential benefits of S-ketamine 💡🧠 in treating depression, recognizing its unique properties and therapeutic potential. 📊🔍
Mechanism of action .....NMDA receptor ah enna ah
Ketamine act as a Antagonist for the NMDA (N-methyl-D-aspartate (NMDA)) receptors. NMDA receptors are components of excitatory neurotransmitter. So,
If these NMDA receptor are inhibited it causes hallucinations, paranoid delusions, confusion, difficulty concentrating, agitation, alterations in mood, nightmares, catatonia, ataxia, anesthesia, and learning and memory deficits.
Good One Dude Keep it Up ❤🌠
Thanks 👍✌️
In previous anaesthetics I was given Midazolam or Hypnoval and I experienced anaesthetic awareness which was dreadful. I couldn’t move or feel myself breathe. I then discovered that during my last left sided hernia with mesh operation the Hypnoval was replaced by Ketamine and I still experienced awareness and couldn’t talk. I managed to tense my knees when two nurses were trying to prise them apart and was jabbed inside each thigh with a painful object which I can’t have imagined because post op I noticed a blue bruise inside each thigh. I then couldn’t breath or move and eventually became unconscious. During the operation I felt a sharp pain near my hernia which made me react. The next thing I experienced was a feeling of a ligament on the same side as my hernia “ping” as if it had been cut. I could see my naked body and a nurse throw a blanket over the area.
Another dreadful experience! I now have an inguinal hernia on my right side and don’t feel strong enough to go through another procedure as I am in my early seventies, although my consultant said I was healthier than a lot of his 60 or even 50 year old patients. I wonder if you could tell me please if it is necessary to have these drugs along with the usual propofol and painkillers during anaesthetics?Maybe I just have some kind of allergic reaction? I do not take drugs apart from Paracetamol and 8mg codeine for pain which I have lived with since my last left sided inguinal hernia with mesh operation over 10 years ago. Thank you for your interesting video and your hard work.
Intravenous anesthesia drugs like Propofol, Midazolam, and Ketamine can cause allergic reactions, but it's relatively rare. Allergic reactions are possible with any medication, but healthcare providers carefully assess a patient's medical history and allergies to minimize such risks. Consider discussing potential allergies with your healthcare provider to address concerns before surgery 🧑⚕️
Not contraindicated in head injury anymore..
Ohh i see.. ketamine produce dissociative anaesthesia which mean patients remain conscious...
If a patient remain conscious can you able to do any neuro procedure...?!
@@anesthesiavisions patient is dissociated so he is "separated" from external stimuli if full dose is delivered. Ketamine strongly affects nervous system and neurologic assessment is not feasible to perform therefore ketamine is not the anaesthetic of choice in neuroanaesthesia.
@@themsdoc1231yes that's also one of the reason - so we're not using it for neuro surgery. then why you said not contraindicated in head Surgery anymore...
@@anesthesiavisions For elective surgery like for brain tumor is relatively contraindicated. In severe head injury requiring emergency operation it is not.it is a kind of question you don't have yes/no answer..
@@themsdoc1231 okay 👍 i understood... Thanks for this information about ketamine..