It has recently come to our attention that Trissel's designates Ketamine and LR as incompatible at Y-site. Our anesthesia group disputes this assertion, saying the study it is based on is flawed and ORs everywhere have been using Ketamine+LR for decades with no issues. Our nurses rely exclusively on Trissel's/Lexi to determine compatibility, so this has caused some concern.
Have any of your institutions discussed this incompatibility with anesthesia or ORs? Do you have any scenarios where you use blanket exceptions to compatibility designations in Trissels?