Initial experience with iv ketamine infusion for treatment of post sternotomy pain in a patient with a total artificial heart

Dermot P. Maher, Rusty Loyferman, Roya Yumul, Charles Louy

Research output: Contribution to journalArticle

Abstract

The implantation of total artificial hearts (TAHs) via midline sternotomy for the treatment of severe biventricular cardiac dysfunction is associated with complex postoperative pain management. Ketamaine increases blood pressure by raising sympathetic outflow and cardiac ouput; however, ketamine is a direct vasodilator on isolated arterial tissues. In the setting of a TAH with a mechanically fixed cardiac output, a ketamine infusion for postoperative pain control has the potential to decrease blood pressure due to direct arterial vasodilation. We present the initial experience with a ketamine infusion in a patient with a TAH with minimal observed decreases in blood pressure and significantly improved postoperative pain.

Original languageEnglish (US)
Pages (from-to)E425-E428
JournalPain physician
Volume18
Issue number3
StatePublished - Jan 1 2015
Externally publishedYes

Keywords

  • Hypotension
  • Ketamine
  • Mechanical circulation
  • Postoperative pain
  • Poststernotomy pain
  • Total artificial heart
  • Vasodilation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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