• Emerg Med Australas · Feb 2021

    Ketamine: Is the current 200 mg product fit for purpose in the emergency department?

    • Huda Elmi, Daisy Pisasale, Simone E Taylor, Omer Kebire, and Leonie Abbott.
    • Pharmacy Department, Austin Health, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2021 Feb 1; 33 (1): 155-156.

    ObjectiveTo describe the magnitude of ketamine doses administered in the ED, to identify an appropriate product to minimise risk of administration errors and diversion.MethodsRetrospective audit of patients prescribed ketamine in two mixed adult/paediatric EDs over 12 months.ResultsKetamine was administered to 386 patients (722 doses). The most common dose was ≤20 mg (52.1%), followed by 21-50 mg (30.5%). Overall, 215 patients required one dose only (71 received a dose ≤20 mg), while 299 required no more than two doses.ConclusionOver three-quarters of ketamine doses were ≤50 mg; therefore, 50 mg in 1 mL may be an appropriate product.© 2020 Australasian College for Emergency Medicine.

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