Year : 2022  |  Volume : 25  |  Issue : 4  |  Page : 528--530

The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case series


Kiran Salaunkey1, David Jenkins2, Andrew Roscoe3 
1 Department of Anaesthesia, Royal Papworth Hospital, Cambridge, UK
2 Department of Cardiac Surgery, Royal Papworth Hospital, Cambridge, UK
3 Department of Anaesthesiology, Singapore General Hospital; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore, Singapore

Correspondence Address:
Andrew Roscoe
Department of Anaesthesiology, Singapore General Hospital, Outram Road
Singapore

Pulmonary thromboendarterectomy (PTE) surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension (CTEPH). The induction of anesthesia in patients with severe pulmonary hypertension (PHT) can be challenging, with a risk of cardiovascular collapse. The administration of ketamine in patients with PHT is controversial, with some recommendations contraindicating its use. However, ketamine has been used safely in children with severe PHT. We present a retrospective case series of adult patients with severe PHT presenting for PTE surgery, using intravenous ketamine as a co-induction anesthetic agent.


How to cite this article:
Salaunkey K, Jenkins D, Roscoe A. The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case series.Ann Card Anaesth 2022;25:528-530


How to cite this URL:
Salaunkey K, Jenkins D, Roscoe A. The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case series. Ann Card Anaesth [serial online] 2022 [cited 2023 Jan 30 ];25:528-530
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2022;volume=25;issue=4;spage=528;epage=530;aulast=Salaunkey;type=0