Ketamine

Ketamine Guidelines Maine Medical Center (MS Word)
Ketamine Order Sheet Mercy Hospital (pdf)

Methylene Blue

Methylene Blue and Vasoplegia in Cardiac Surgery
Methylene Blue and Seratonergic Drugs Warning 2011
   FDA Website Link
   Article Reprint 2011

Bivalirudin (AngioMax) 

-for anticoagulation in the presence of HIT (Heparin-Induced Thrombocytopenia)

Use on CardioPulmonary Bypass, CPB (from Univ. of Michigan)

For Non-Cardiac Surgery
Chase Boyd March 2012

• Initial Bolus syringe 0.5 mg/kg
• to maintain desired ACT (usually 1.5-3x baseline)
• Infusion: 1 mg/kg/hr (titrated to ACT)
• If on HemoDialysis: 0.25 mg/kg/hr (titrated to ACT)
• Continue infusion until 15 min. prior to anticipated end
• Infusion may need to be decrease in renal insufficiency or hypothermia, monitor ACT closely