Well, one of the skills we both wanted was to be happy with administering ketamine anaesthesia and we have certainly attained this! Every case usually has ketamine in the mix! It seems to be used as an anaesthetic agent for induction but also to bring the blood pressure up in difficult hypotensive episodes. The general rule for hypotension is – turn the halothane off. If it still goes down or the patient moves give ketamine. If it still goes down grab a 1mg of adrenaline and whack it in your IV bag. It works a treat although I think the ODPS at home might think we have gone crazy if we took this practice back home.
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