Day 3. Ketamine-Based Therapy: The Precision Medicine Approach

Didactic Modules:

Module 5D - The Precision Medicine and Target-Controlled Infusion Approach To Ketamine-Based Therapy

Ketamine Infusion Therapy - Recap

The Standard Ketamine Infusion v.s The Improved Approach

Putting It all together: A Rapid Guide To Your first infusion

Optimization Begins At The First Encounter
Quick Reference Guide To Ketamine Therapy
Enhanced Treatment Approach and Algorithm

Test Your Knowledge - Case Presentations

More is better – tolerance, tachyphylaxis, and hormesis
I don't know why It Didn't Work For Me – the effects of concurrent medication
It cures everything… right? – expectations and multiple comorbidities

Course Summary

Mentoring Program

What is the Program

Clinical Advice and Suggestions
Indications/Contraindications
Dosage Requirements
Treatment response

Operational and Business Concerns

Space and Staff Requirements
Suppliers
Marketing

Ketamine Research Institute Referral Network

Contact Information

Module 6D - Ketamine Infusion Center Standards - Supplemental

Ketamine Infusion Center Standards

I. Medical director requirements

II. Practitioners' qualifications

III. Staffing requirements

IV. Practice guidelines

a. Medical records
b. Patient selection and screening
c. Patient admission
d. Ketamine infusion unit/area
e. Patient care and monitoring
f. Patient discharge
g. Equipment
h. Infusion/syringe pumps
i. Emergency management
j. Medication management
k. Safety
l. Physical space
m. Infection prevention/control
n. Sterile processing management
o. Quality improvement program
p. Manuals

Appendices: Documentation, Forms, and References

Clinical Modules:

On the third day of supervised clinical training, clinicians gain additional experience in administering ketamine therapy. Suggestions and improvements are made to further your understanding of the unique nature of ketamine therapy. Refinements to the infusion protocol and technique are discussed and demonstrated during this phase.

Module 5C - Second Clinical Session

Supervised Clinical Training

On day three, students continue with supervised clinical training. This additional experience provides more time to build upon the knowledge from the previous days and allows for essential vital concepts to be reinforced.

Pre-procedure Preparation

Preparation of the infusion suite
Setting up your infusion tray
Audio and Visual enhancements
Pre-procedure patient preparation
Determination of adjusted body weight
Patient positioning
Vital signs monitor application and adjustments
Confirmation of pre-treatment vitals

The Ketamine Infusion

IV insertion techniques
Infusion methodologies: Gravity, Drip Assist, Infusion pumps
Determining target ketamine plasma concentrations
Pharmacokinetic modeling during infusion
Using the electronic ketamine infusion record
Assessment of acute psychological and physiological effects during infusions
How to perform infusion rate or concentration adjustments
Preventing infusion occlusions, flow reductions, and disconnects
Tips for guiding patients through the infusion
Avoiding and managing adverse effects

Post Procedure Issues

The immediate recovery period: nausea, fatigue, disequilibrium
Debriefing and integration techniques
Post-infusion recovery monitoring
Patient transportation and discharge

Module 6C - Second Experiential Session

The Ketamine "Experience"

In this second section, an opportunity is provided for clinicians who did not have an option on day two to personally experience the non-ordinary states of mind that patients under their care will encounter during an infusion.

Framing the Ketamine Experience

Valuable tips for beginning an infusion session
Understanding Models for the ketamine experience
Visual, Kinesthetic, and Somatic processing

Experiencing dissociation

Time and space expansion
Non-linear thought
The ketamine continuum and depth of immersion
The spacious present

Debriefing and integration techniques

Returning from the experience
Post-infusion Phenomena
Learning from Insights gained to adjust subsequent infusion session

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To Learn More About Our Programs - please click the links below:

The "Mini-Fellowship" Intensive Training Program - A Detailed Course Curriculum

Day 1: Ketamine-Based Therapy: The Current State of Ketamine Therapy

Day 2: Ketamine-Based Therapy: Efficacy versus Effectiveness