According to Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management from the American Society of Regional Anesthesia and Pain Medicine (ASRA), the American Academy of Pain Medicine (AAPM), and the American Society of Anesthesiologists, ketamine may be used perioperatively in patients with opioid tolerance. It may also be used as an analgesic adjunct in patients with opioid tolerance who are experiencing sickle cell crisis and in patients who have OSA. The guidelines suggest that pregnancy is a contraindication for ketamine use. Other contraindications include poorly controlled cardiovascular disease, psychosis, severe hepatic disease, and elevated intracranial or intraocular pressure.
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Cite this: Mary L Windle. Fast Five Quiz: Ketamine - Medscape - May 23, 2019.