In this podcast episode, Dennis and Andy Fisher discuss the co-administration of ketamine and Versed. They explore the reasons behind the common practice of adding Versed to ketamine, the concept of emergence reactions, and the appropriate use of Versed. They also touch on the potential risks and side effects of both drugs and the importance of individualized dosing. The conversation emphasizes the need for critical thinking and careful consideration when administering these medications.

Takeaways

The practice of adding Versed to ketamine is based on historical protocols and the belief that it provides amnestic properties and prevents emergence reactions.

There is no clear definition of emergence reactions, but they can include unpleasant sensations, disconnection, hallucinations, and agitation.

Ketamine itself has amnestic properties and should provide adequate amnesia without the need for Versed.

The use of Versed should be based on individual patient needs, such as safety and mission comfort, and not protocolized.

Careful consideration of dosage, administration speed, and patient physiology is crucial to avoid adverse events and ensure optimal outcomes.