B. Eligibility: Patients are eligible to receive treatment with ketamine when they meet all of following criteria: 1. Adult, age ≥ 18 2. ASA PS 1 or 2 3. ASA PS 3 or 4 may be eligible for ketamine treatment with Anesthesia-Pain Consult recommendation documented in the anesthesia consult note as “the potential
Full Answer
What are the Dietary Guidelines for patients receiving ketamine administration?
(Policy No: 9.12), prior to ketamine administration patients must be evaluated for. intake of food and fluids. General guidelines are as follows: No solid food for 6 hours. prior to the administration of sedation.
Should you become a ketamine provider?
By becoming a ketamine provider, and adding ketamine to your clinic, you can bring this hope to those suffering from these debilitating mental and physical conditions— while also establishing a successful business.
Is ketamine infusion therapy right for You?
The demand for ketamine infusion therapy is growing at an exponential rate. As the mounting research supports the use of ketamine infusions for treatment resistant depression and other mental health disorders, as well as multiple forms of chronic neuropathic pain, increasingly, patients are opening their minds to the hope behind ketamine infusions.
Are You a candidate for Ketamine sedation?
Ketamine Worksheet) PS 1 or 2 are usually considered appropriate candidates for moderate or deep sedation (Policy No: 9.12) and they will be considered ideal candidates for ketamine administration. Patients with ASA PS 3 and 4 can be considered for ketamine administration but they will require additional precautions
STARTING A KETAMINE CLINIC
From the moment we opened our doors, Neuromend Infusion Center has grown to become a well-known and trusted ketamine infusion clinic that continues to go above and beyond to help in patient recovery.
PROTOCOLS AND OPERATIONS MANUAL FOR YOUR CLINIC
One of the most searched topics on the internet for those looking at starting a ketamine clinic is Ketamine Infusion Protocols. We faced this tremendous task for you, through tireless research and our own due diligence while starting our clinic.
LET US HELP YOU CREATE AND DEVELOP YOUR KETAMINE INFUSION CLINIC
NeuroMend Infusion Center is an evidence-based center of excellence, offering ketamine infusion treatment for patients whose depressive disorders are considered treatment-resistant and many patients with complex neuropathic pain disorders.
Research is Recognizing More Uses for Ketamine Treatment
In a 2017 paper “Considerations on the Off-Label Use of Ketamine as a Treatment for Mood Disorders” the authors Samuel T. Wilkinson, MD and Gerard Anancora, MD, PhD note that an increasing number of small clinical trials is proving the efficacy of the drug Ketamine for helping patients with severe or chronic depression.
Baseline Standards for Ketamine Administration
The same 2017 paper from Samuel T. Wilkinson, MD and Gerard Anancora, MD, PhD suggested that physicians who administer Ketamine should at a minimum be prepared to deal with cardiac and behavioral events that can arise in the interval (30-120 minutes) following the cessation of the treatment.
Psychiatrists for Subanasthetic Ketamine and Anesthesiologists for Anesthetic Ketamine
For patient safety, the medical community is moving towards a consensus that would require Ketamine physicians to be licensed Drug Enforcement Agency Schedule III medications. In most states, this standard would require the administrator to hold an MD.
What is ketamine infusion therapy?
With respect to ketamine infusion therapy (which is the prime time attraction of ketamine clinics), the medical research based promise is for treatment of chronic neuropathic pain, chronic pain (instead of opioids), and various medication-resistant mental health disorders, including depression, bi-polar disorder, and PTSD (among others).
Who makes esketamine nasal spray?
The new drug’s name is Spravato and its maker is Janssen, a division of Johnson & Johnson.
Is ketamine legal in 1970?
What are the exact legalities behind ketamine? Sine 1970, ketamine has only been approved by the FDA for the induction and maintenance of anesthesia. However, it is also being used for off-label infusions for the management of psychiatric disorders and chronic pain management (enter the clinics).
Is ketamine a party drug?
Ketamine is also widely known as a popular party drug (“ Special K “). If a clinic is not scrupulous regarding its patient population and intake procedures (using minimal screening and untrained providers), or is looking to make a buck over a growing medical fad, anyone could get access to ketamine infusions.
Is ketamine a controlled substance?
Second, ketamine is still a controlled substance even if it’s being used for off-label administration, so you still have to follow all federal and state laws around Schedule III registration, storage, inventory management, security, record keeping, and prescription protocols (which is not insignificant).
Is ketamine a noncompetitive drug?
Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist that has traditionally been used for the induction and maintenance of anesthesia. Still, for all its promise, would-be clinic owners, practitioners, and consumers may be confused about the legality of such clinics.
Is ketamine off label?
Fifth, given that ketamine infusion therapy is still an off-label use, the liabilities for ketamine clinics is fairly far-reaching. The consequences of medical malpractice may be greater because of the off- label use of the drug; dosing and frequency of treatments, marketing and promotions, medical claims and statements of efficacy, ...
Legal Status and Reimbursement
Ketamine is a Schedule III controlled substance. [4] Currently, with certain exceptions, the use of ketamine for depression and related behavioral health matters is “off label.” This means that although ketamine is approved by the FDA for some medical uses, it is not specifically approved to treat depression.
Ketamine Treatments Constitute the Practice of Medicine
Ketamine prescription and administration, whether intravenous, oral or nasal, constitutes the practice of medicine.
Corporate Practice of Medicine and Potential Solutions
Numerous states prohibit the corporate practice of medicine (“CPOM”), which means that corporations and other non-professional entities may be prohibited from practicing medicine or employing physicians to furnish professional medical services.
Regulatory Licensure
In many states, operating a ketamine clinic does not require a specific regulatory facility license. Assuming compliance with related laws, a ketamine clinic could largely operate with the federal DEA licenses and state-controlled substance licenses of its providers.
