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Ketamine infusion for chronic pain. Does it help?

  • wormwoodbush
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  • CP from fibromyalgia, myofascial pain syndrome, mid back pain and bilateral stuffed knees
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5 years 7 months ago #10020 by wormwoodbush
wormwoodbush replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Hi everyone,

I'm Ros and I'm new here. I've got bucket loads of experience with ketamine infusions, but currently all from the nursing side. Up until 12 months ago, I was working on an orthopaedic rehab ward and our rehab consultant also happens to be a pain specialist. He admits his patients for Ketamine or Lignocaine infusions to our ward, usually for 3 to 5 days, sometimes longer. The only time it's less than 3 days is if the patient has reacted badly to the ketamine and deemed unsuitable to continue.

I'm about to be admitted anytime now for my first experience as a patient for Ketamine. I'm just waiting on the call.

In late 2007 I had a work accident that resulted in a dislocated right knee cap, whip lash and thoracic spinal damage/pain (still not diagnosed!). Some time soon after I developed chronic severe pain all over my body and went on the doctor and diagnosis merry go round, to finally be diagnosed with fibromyalgia in about 2009.

Two follow up work accidents (all accidents unrelated, accident wise, but related injury wise) in 2010 and 2011 have seen me in a massive legal battle with workcover and my employer. Needless to say, I'm currently not at work, although my job is being held indefinitely for me.

So I can pretty much answer any questions regarding ketamine infusions (fingers crossed now I've said that lol). I also have a decent working knowledge of medications, so can hopefully answer meds questions as well.

ok hoping to enjoy this forum
cheers
Ros

Ros the crazy night nurse lol

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  • wormwoodbush
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  • CP from fibromyalgia, myofascial pain syndrome, mid back pain and bilateral stuffed knees
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5 years 7 months ago #10021 by wormwoodbush
wormwoodbush replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Di

The needle they use is not intravenous, it's a small subcutaneous butterfly needle, that once inserted, the metal needle bit is removed, leaving a very small flexible plastic tube in you. Almost identical in design and working to an intravenous needle/canula, but no where near as big!

Basically it goes into the fat layer between the skin and muscle, usually somewhere on the lower abdominal region, but sometimes higher up more towards the stomach if the person has any fat there and sometimes the upper leg and I've even put one in the upper arm. Unfortunately the area gets red and sometimes sore around needle site pretty quick, Personally I let the patient make the choice if they want the site changed, as it's not red from infection, just irritation and changing the site can be more traumatic if people really hate needles and people tell me often, that although it's red, it's not sore.

Being jabbed in the Abdomen or tummy region, sounds horrible and painful, but it's actually not that bad. I've been jabbed there before with needles after surgery.

Anyway hope that helped
Ros

Ros the crazy night nurse lol

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5 years 7 months ago #10023 by Mary
Mary replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Hi Ros and welcome to the forum.

I am sure that you are going to be a great help to people here with all of your knowledge. I think you have answered many questions already! I hope that your Ketamine infusion comes about quickly and that it brings you much needed relief.

I agree with you about being jabbed in the abdomen. I injected myself with Clexane for 5 weeks (I have a previous history of a PE) after my spinal surgery and, even with my amateurish efforts, it didn't hurt at all :) I must admit that I was apprehensive at first though.

Thanks for all your advice .

Mary

Not every day is a good day, but there is good in every day.

"“It’s delightful when your imaginations come true, isn’t it?” ― L.M. Montgomery, Anne of Green Gables

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5 years 7 months ago #10026 by di
di replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Hi and lovely to meet you Ros, ♥

Thank you so much for the wonderful information you've shared. I'm going to run late for an appointment with a physio if I don't get moving now but I'll come back in later and reply to your post in more detail. xo

Di :)

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5 years 7 months ago #10029 by vicgirl
vicgirl replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Hi Di (and Ros) -- I think it depends largely upon the preference of the treating doctor - I know mostly of people who've had IV infusions, but quite a few who've had SQ as well. From the couple I know who've had both, I think IV seems to be less painful - just because of how irritant the ketamine can be SQ.

All my infusions (5 or 6 now) have been IV - they usually -try- to start with my hands, but almost inevitably end up high in my forearms because my veins lower lower down are so shoddy.

Ros - hoping your infusion comes about quickly and brings some much needed relief.

Laura

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5 years 7 months ago #10048 by di
di replied the topic: Re: Ketamine infusion for chronic pain. Does it help?
Hi Laura, ♥

Ok... so I'll just have to wait and find out what the preferred mode of entry is for my specialist then I guess. As I said earlier though, I do vaguely remember the tummy being mentioned by my neurologist so that may be it.

Umm... does SQ =subcutaneous butterfly needle, Laura?

Di

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