Minh Le Cong, speaks about agitation in the ICU. His punchy talk covers why agitation happens (on both sides) as well as strategies for managing the agitated patient. The use and possibilities of ketamine for agitation and refractory depression is also discussed. This great podcast was recorded from the Bedside Critical Care Conference 2013.

1. AGITATION IN ICU
By Dr Minh Le Cong
Royal Flying Doctor Service, Queensland

4. PREVENTION?

5. HALOPERIDOL PROPHYLAXIS
Kalisvaart, JAGS 2005;53:1658-1666

6. HALOPERIDOL AND MORTALITY

7. TRIAL
MICHAEL C READE*, KIM O'SULLIVAN, SAMANTHA
BATES, DONNA GOLDSMITH, WILLIAM RSTJ
AINSLIE AND RINALDO BELLOMO
CRIT CARE 2009

8. LESS DELIRIUM, MORE BRADYCARDIA

11. CHECK OUT WWW.EMCRIT.ORG
1
1

13. WHAT WOULD YOU PREPARE AND HOW WOULD YOU GIVE IT?
1
3

14. USE A SEDATION SCORE
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4

16. 16

17. ON KETAMINE 80MG/HR
1
7

18. KETAMINE FOR AGITATION ?? ARE YOU NUTS?

19. GROWING RESEARCH INTO KETAMINE IN
MENTAL HEALTH
 Rapid antidepressant
 Rapid Anti suicidal effect
 Can ameliorate/resolve PTSD

20. REFERENCES
 http://images.fineartamerica.com/images-medium/mental-agitation-paulo-zerbato.jpg
 http://www.google.com.au/imgres?imgurl=http://wpmedia.blogs.theprovince.com/2012/09/icu2.j
pg&imgrefurl=http://blogs.theprovince.com/2012/09/25/letters-end-of-life-icu-christy-clark-b-c-
conservatives-food-labels-mp-costs-bike-lanes-
police/&h=377&w=640&sz=90&tbnid=szFE3EPfjrA7gM:&tbnh=92&tbnw=156&zoom=1&usg=__
jEPztWVntCwKHKlLG-
enXTcZLr4=&docid=fRKRotkyBM4wTM&sa=X&ei=wcYeUoSpCquaiQeiyYDoBQ&ved=0CGkQ9
QEwEg&dur=204
 http://www.slideshare.net/hospira2010/patients-gone-wild-agitation-and-delirium-in-the-icu
 http://www.goodrx.com/haloperidol/images#imgModal
 http://emcrit.org/podcasts/human-bondage-chemical-takedown/
 http://media.photobucket.com/user/death_to_amerika/media/fight_club.jpg.html?filters[term]=fig
ht%20club&filters[primary]=images&filters[secondary]=videos&sort=1&o=8
 http://www.mmafighting.com/2013/8/28/4669374/ufc-fight-night-27-photos
 http://i2.listal.com/image/1164347/600full-the-strangler-of-blackmoor-castle-poster.jpg
 http://www.matilda.aktivix.org/collectives/ketamine/myths/1-horse-tranquilliser/horse-
tranquilliser.jpg
 http://www.webmd.com/drugs/drug-1596-
droperidol+Inj.aspx?drugid=1596&drugname=droperidol+Inj&pagenumber=2
 http://www.forbes.com/sites/matthewherper/2013/05/23/johnson-johnson-is-reinventing-the-
party-drug-ketamine-to-treat-depression/