Regional anesthesia procedures should be performed in a monitored setting where nursing staff is available to help with patient care and provide appropriate recovery services for the patients. The APMS (discussed extensively above) should maintain and provide input for standing orders to include:

Low dose ketamine infusions have profound analgesic effects with very minimal side effects. The anti- inflammatory effects of ketamine may also attenuate the systemic inflammatory response seen in trauma.13,23,24  Ketamine binds the N-methyl-D-aspartate receptor and in addition to having direct analgesic properties, it also decreases the total dose of narcotics needed for adjuvant pain control.

Ketamine infusions should be made as follows: