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
Improving Your Patients Response To Ketamine
Precision Ketamine Infusion Therapy
The Enhanced Treatment Approach and Algorithm
Significantly Improve Outcomes and Patient Satisfaction
A Rapid Guide To Ketamine Therapy

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

In Addition, Our Graduates Become Part of:

The Ketamine Research Institute Mentoring Program

What is the Program

Our mentoring program is an essential resource provided to our students to ensure that your program runs smoothly, safely, and effectively from its inception. We advise on best practices for patient selection, precision medicine optimization, and advanced treatment protocols as you get started improving the lives of your patients.

The Ketamine Research Institute Referral Network

Graduates of our training program also become part of our extensive patient referral network. Each month, thousands of people contact us searching for clinicians who are highly trained and qualified to perform ketamine therapy and are who are dedicated to helping those in need access safe, effective ketamine infusion therapy.

Special Appendix Session:

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
Assessment of your patient's level of consciousness
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

Experiential Module:

Module 2E - 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

Click here to go to the course schedule and application page

Here's What Our Graduates Have To Say

"Dr. Grass:

This is just a token of appreciation for your time and patience. When I enrolled in your program, it was not my intent to participate by exhaustively asking questions, but it became apparent that I had overestimated my fund of knowledge.

Although I have extensive clinical experience with ketamine, and I work at expanding my understanding of the fundamental physiology and pharmacology involved in the administration of ketamine for mental health disorders, I had no idea how much I didn't know.

All the knowledge that I had acquired needed the perspective and clinical understanding that you were willing to share. Thanks again for your help.

Your program exceeded all expectations"

— Mark Garwin, MD - Anesthesiologist

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

The "Mini-Fellowship" Intensive Training Program

A Detailed Course Overview

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

Day 2: Ketamine-Based Therapy: Efficacy versus Effectiveness