Do not have breakfast the day of the procedure. This includes coffee or anything after midnight. Please do take your regular medications with a sip of water the morning of the procedure. Wear comfortable clothes. When you arrive at the Helm Center, after being checking in, you will have an IV started.
Monitoring: The patient will receive standard monitoring: EKG, pulse oximetry, and non-invasive blood pressure monitoring. A nurse assistant or RN will be present for supervision. A physician will remain on site during the infusion. Both will be ACLS certified. The infusion will be given intravenously using an infusion pump. The infusion will last 2 hours. Appropriate resuscitation equipment is available. You will, with low doses, be able to respond to any side effects from ketamine. As we are using a low dose protocol, you will not be pre-medicated with benzodiazepines. You may feel sedated or have dreams or hallucinations. If you do, you will be given medications, such as Versed, to treat this. Recovery will follow infusion. You will need to have at least two sets of stable vital signs, be orientated, and be able to urinate and walk. You will need an adult driver to take you home. Taxicabs and Uber are not acceptable.
We might provide some Seroquel after the procedure if you are having some unpleasant side effects.
Plan on having the initial series of 3 infusions, done every other day.