METHODS: An expert panel (n = 11) comprising psychiatrists, mental health care nurses, pharmacists, and individuals with experience establishing esketamine clinics was convened in Sydney. The panel developed practical recommendations and clinical guidance, which were then further refined.
RESULTS: Five key areas were identified: practical considerations for esketamine clinic set-up, including multidisciplinary care considerations; patient selection; administering esketamine; adverse event management and long-term follow-up.
CONCLUSIONS: Guidance presented in this paper should assist Australian clinicians to set up an esketamine clinic, and provide practical advice on the infrastructure and clinical requirements for treatment of patients with this agent.
方法:由精神科医生组成的专家小组(n=11),精神卫生保健护士,药剂师,并在悉尼召集了有建立esketamine诊所经验的个人。小组制订了切实可行的建议和临床指导,然后进一步完善。
结果:确定了五个关键领域:艾氯胺酮诊所设置的实际考虑,包括多学科护理考虑因素;患者选择;给予艾氯胺酮;不良事件管理和长期随访。
结论:本文提供的指南应有助于澳大利亚临床医生建立esketamine诊所,并就使用该药物治疗患者的基础设施和临床要求提供实用建议。