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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Ketamine Infusion In Hospital And Other Drugs To Counteract Hallucinations. Result?

My question is how much do you no about the Ketamine Infusion?? How much do you no about the RSD & the effects of it going through your whole nervous system? What do you now about the Ketamine Infusions an the results of a 5 day stay in ICU in the hospitol with the Ketamine Infusion, with other drugs to counter act the hallucanations? Also I heard that that the Ketamine had good results for ppl with the RSD they either had 60% to 80% pain free an they only go back some 3 months some 6 month. Was wondering if you do any an what are the results with your Ketamine Infusion treatments??
Fri, 12 Apr 2013
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General & Family Physician 's  Response
Hi, thanks for asking in Healthcare Magic.

RSD (Reflux Sympathetic Discharge) or Complex Regional Pain Syndrome presents as severe burning pain with signs of inflammation like increase in temperature, redness, edema (swelling) and excessive sweating all indicating excessive sympathetic stimulation. It is more common in patients with multiple sclerosis, spinal cord injury and those who have suffered stroke.

Many modalities of treatment are available. Some of them are
1. Regional Nerve Block with local anesthetics like Lignocaine.
2. Bier block (Regional intravenous sympatholytic drugs) with Phenoxybenzamine.
3. Intrathecal Baclofen.
4. Corticosteroids/ Calcitonin

Ketamine belongs to the hallucinogen Phencyclidine group. It is an anesthetic. It causes dissociative anesthesia ie., feeling of dissociation from ones own body and surroundings along with analgesia and amnesia.

Although still not yet completely proved, Ketamine therapy is also advocated in RSD. It needs to be given only by experts. While low dose subanesthesia with Ketamine is found to benifit some, medically induced coma with Ketamine is banned in many countries. Ketamine is dangerous in patients with high BP, increased intracranial pressure and with heart problems. RSD due to stoke could be due to high BP and such patients should not be given Ketamine.

I hope this is useful to you.
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Taken Ketamine Infusion In Hospital And Other Drugs To Counteract Hallucinations. Result?

Hi, thanks for asking in Healthcare Magic. RSD (Reflux Sympathetic Discharge) or Complex Regional Pain Syndrome presents as severe burning pain with signs of inflammation like increase in temperature, redness, edema (swelling) and excessive sweating all indicating excessive sympathetic stimulation. It is more common in patients with multiple sclerosis, spinal cord injury and those who have suffered stroke. Many modalities of treatment are available. Some of them are 1. Regional Nerve Block with local anesthetics like Lignocaine. 2. Bier block (Regional intravenous sympatholytic drugs) with Phenoxybenzamine. 3. Intrathecal Baclofen. 4. Corticosteroids/ Calcitonin Ketamine belongs to the hallucinogen Phencyclidine group. It is an anesthetic. It causes dissociative anesthesia ie., feeling of dissociation from ones own body and surroundings along with analgesia and amnesia. Although still not yet completely proved, Ketamine therapy is also advocated in RSD. It needs to be given only by experts. While low dose subanesthesia with Ketamine is found to benifit some, medically induced coma with Ketamine is banned in many countries. Ketamine is dangerous in patients with high BP, increased intracranial pressure and with heart problems. RSD due to stoke could be due to high BP and such patients should not be given Ketamine. I hope this is useful to you.