Now accepting some insurance for pain patients!!
Now accepting some insurance for pain patients!!
A nurse anesthetist is an advanced practice nurse who specializes in administering anesthetics to patients and coordinating their care with other medical professionals. They are responsible to establish a plan of care and monitor patient during procedures. CRNAs remain with a patient from pre-operative procedures through surgery/procedure and into recovery, ensuring that a patient is as safe and comfortable as possible. As a nurse anesthetist, we work in several different medical settings, such as outpatient clinics, dental clinics, surgery centers or hospital operating rooms providing safe care for patients of all ages.
Ketamine is a medicine historically used for anesthesia during surgeries and medical procedures. It was synthesized in the 1960s and is FDA-approved for procedural sedation and anesthesia. It is widely used in hospitals and ERs and is on the World Health Organization's "List of Essential Medicines." Ketamine is now being used "off-label" to treat depression, as well as anxiety, post traumatic stress disorder (PTSD), substance abuse and chronic pain disorders. This medication has a long track record for its safety when used appropriately.
Ketamine is an off-label drug used for treatment of depression, anxiety and chronic pain. Some insurance companies do cover infusions for chronic pain patients. Check with your insurance company and see if you may be covered. We do offer cash pay service. There are also available financing options.
Wear comfortable clothing. Bring with you a blanket, eye shield, ear plugs if you prefer.
No. Ketamine can affect your ability to drive, so it is mandatory to have a driver pick you up from your appointments. We also need you to refraining from operating heavy machinery, caring for small children, participating in strenuous activities, drinking alcohol, or signing or entering into any legal contracts for at least a day after your infusion.
If you are unable to find a friend or family member to transport your home, we will allow for you to take a ride sharing service or taxi home. However, we require you to stay longer after your infusion and you may incur additional fees. Thus, it’s in your best interest to find a friend!
Some patients report feeling like they are in a dream or feel sedated. Some feel like they have changes in their thought process, vision, and or speech. If you experience unwanted sensations or unpleasant hallucinations, we may decrease the amount of the medication or how fast we infuse it to minimize these experiences. Remember, there will always be a healthcare professional close by making sure you are safe and well taken care of during your infusion. Many patients recover 20-30 minutes after the infusion. You may feel a little tired, notice a mild difficulty in walking, or even “cloudy thinking” for a few hours after. We advise you to take it easy, and have a relaxing day following the infusion. We will make sure you are ready and safe after your infusion, before we let you go home!
We recommend fasting at least 3 hours prior to your first infusion. This will minimize the risk of nausea or vomiting.
Ketamine is a dissociative drug, meaning that some people will have an out of body experience. It can also cause nausea, vomiting, and fatigue afterwards. In some cases, it can raise blood pressure and pulse. Accordingly, we will monitor you closely at all times and trained medical professionals will be readily available at your side. One long-term side effect is bladder irritation (AKA cystitis) after chronic use of ketamine.
There are a few select medications which cannot be taken in combination with ketamine. There are some medications if taken during your infusion, may reduce the effect such as benzodiazepines (Ativan, Xanax, Klonopin, Valium, etc.) and lamotrigine (Lamictal). We advise weaning your dose at your prescribing doctor’s direction prior to your first treatment. If you are unable to be off the medication, we recommend not taking the medication the night before or day of your infusion. Please restart your medications the night of your infusion or the following day.
Yes. If you are experiencing the following: Uncontrolled high blood pressure (hypertension); unstable heart disease (arrhythmias, congestive heart failure, chest pain etc.); untreated thyroid disease; glaucoma, active substance abuse; active manic phase of bipolar disorder; active delusions and hallucination symptoms (not on meds or while taking street drugs). If you have any of the above the day of your infusions, you unfortunately will not be able to receive your infusion.
It depends upon the diagnosis, but research shows improvement in 70-80% of patients who are treated with ketamine for depression. Where antidepressants help 30-40% of patients in a months time.
Is Ketamine Addictive?? Ketamine has a long proven track record of being a safe FDA-approved anesthetic since 1970. It is part of the List of Essential Medications the World Health Organization (WHO) recommends to have in every hospital. Addiction has not been found in individuals who receive ketamine infusion therapy at the dosing, treatment, & schedule in the appropriate setting with a medical professional.