Sedated Resuscitation - The Ketamine Infusion
This was a commissioned work - an example of what I could create for you, should you decide to commission me!
>>CONTENT NOTICE: male-on-male, D/s dynamic, consenting non-consent, dark cardiophilia, sexual cardiophilia, resuscitation kink<<
The lean young man bounced his leg and let his eyes wander around the well-kept bedroom as he waited. He knew the doctor was doing this on purpose—letting him steep in desperate anticipation—but he tried his best to be patient.
It always paid off to be patient with Dr. James Moore.
Sebastian mused about how his long-time found himself in a near-perfect circumstance to be a dreamy medical Dom as he waited, what with having just graduated veterinary school a year ago—combined with the steady financial supplements he continued to receive from rich and generous parents that lived a few provinces over, he’d accumulated a robust collection of equipment for their scenes.
Sebastian jolted when James finally opened the door. He was taller than him—but only just—at six feet tall, and his muscular chest and arms bulged beneath his teal blue scrubs.
“Hmph,” the handsome green-eyed man stifled a giggle when Sebastian was palpably startled out of his thoughts. The patient stood up and eagerly made his way over to him before he could even get the magic words out of his mouth, “the doctor will see you now. Come on in.”
The walk-in closet beyond had been converted into a small but perfectly serviceable clinical space. It wasn’t Sebastian’s first time in James’ fun room, but it was his first time being led inside specifically to be drugged, and he was instantly enthralled with the sight of the setup awaiting him. On top of the inclined procedure table, there was a neatly folded patient gown, and on either side of it, there were monitoring implements for his vital signs as well as the recent addition of a fluid monitor for intravenous infusion.
“Please change into this.” James tapped the gown. “With nothing underneath.”
Sebastian quietly sucked air through his teeth at the dominant tone he’d suddenly taken with him. He cleared his throat nervously before speaking, “whatever you need, daddy…”
James turned and deliberately watched his patient undress from across the table. Sebastian was long and lean, and he was anxious to examine and caress the athletic body that awaited him. He grew more excited in his own quietly stoic way when Sebastian turned around fully nude, with his perfect cock prominently on display at the end of the thin-but-distinctive treasure trail on his toned abs.
“Should I put it on with the front open or the back?” he asked with a suggestive grin tugging at the corners of his full pink lips.
“Front,” James cracked a smile as he pulled it over his shoulders. “Now, be a good boy and lay down so I can take your vital signs.”
Sebastian did as he was told, and James pushed up one of his sleeves so he could wrap a blood pressure cuff around it. He set it to go off and clipped a pulse oximeter onto his index finger as it inflated.
“Nervous?” James asked knowingly when the display revealed his heart rate was hovering around 100 BPM.
Sebastian held his breath for a beat. “Well, yeah… but I’m also excited…”
James tapped the display over the fluctuating diastolic pressure number as it got its reading. “Your blood pressure better be normal when I get back, then. I want to proceed with the experiment immediately.”
His stomach did a flip when James demanded that his blood pressure be within normal range. He knew it wasn’t something he could really control—and something about those facts together had him intensely turned on.
Before he could ask where, exactly, he was going, James had already left the room. He turned his attention to the small monitor on wheels to his left and watched his own heart rate with fascination while he waited for the reading on his blood pressure.
The quiet hiss of the cuff releasing its accumulated air soon followed, and Sebastian blew out a sigh of relief when he saw it was 131/75—he knew James would find this acceptable. He watched with an idle, relaxed grin as the doctor entered the room again with an IV bag of clear fluid—he reasoned that must be it, and his pulse spiked with excitement.
“Good, your BP is normal,” James smiled at him with his eyes as he hung the IV bag on a hook somewhere above and to the right of the patient’s head. “I need you to be calm for this procedure.”
“I’ll—“ Sebastian inhaled sharply and shivered when James ran one of his hands down his neck and chest. He pressed into his left pectoral with enough pressure to feel his heartbeat beneath, and for a few fleeting seconds, he massaged his nipple between his fingertips. “I’ll try my best…”
“Heh,” James chuffed when his submissive immediately began to writhe and moan softly as his touch. “God, you’re such a little slut.”
“Hhh—ah,” Sebastian winced with pleasure when he pinched his nipple to punctuate his point. “You—you like it.”
“You’re right,” James said yieldingly when he turned around to find a previously-prepared sheet of electrodes. He continued to explain as he pressed them in place on the smooth, tan skin of Sebastian’s chest, “I’m going to put you on the heart monitor now—ketamine is a type of anesthetic, after all… and I need to know right away if your pretty little pump is going to take to it well.”
Sebastian felt a sharp pang of arousal grip him when James tapped his fingers on his sternum as he spoke about his heart. After a badly-stifled involuntary moan, he managed to say, “you know what’s best…”
He finished snapping the ends of the cables in place on the electrodes, and right away, the second display on the patient’s right side began to trace his heart’s rhythm, as well as his respirations and blood pressure. Everything came up normal for how visibly excited he was, and James swung the pewter-grey stethoscope over his head from around his neck so he could use it.
“Lay quietly and breathe normally while I listen to your chest,” James commanded coolly.
Sebastian nodded and watched with barely-contained arousal as he put the instrument in his ears and pressed the diaphragm over his aortic valve. He looked up at the monitor after placing the bell on his chest, and Sebastian could feel himself become hard at the intense wave of vulnerability that overcame him upon realizing just how much attention was being paid to his heart at the moment.
When James looked back down at his patient to reposition the stethoscope over his pulmonic valve, he noticed how tortured and turned on he looked, and he saw him reaching for his stiff member out of the corner of his eye.
“Ah ah ah,” the doctor tutted disapprovingly and pulled Sebastian’s hand away while he continued to listen to his heart. “I told you I need you to be calm for this procedure.”
“I think,” Sebastian spoke quietly, knowing his voice was very amplified to the doctor at the moment, “you’re just saying that so I’ll cooperate.”
James ripped the stethoscope out of his ears and let it fall on Sebastian’s torso before he grabbed his other wrist. He looked down at him pointedly while he held both his hands in an almost-painfully tight grip against his chest.
“We can do this the easy way or the hard way, Sebastian.”
James’ eyes pierced his own like daggers as he warned him of his apparent options. He held his gaze; he knew James had to release his grip in order to continue the scene, but he wanted to let him know in no uncertain terms that this was one of those times where the hard way was the preferred way.
“When I let go, are you going to behave?”
Sebastian beamed at him so innocuously, it could only be interpreted as mischievous.
“You want the ketamine infusion, don’t you?”
“Yes daddy,” he replied airily. “Of course…”
James could sense the imminent power struggle about to take place—Sebastian’s heart rate had spiked, and he had a certain look in his eyes while he waited for him to let go of his hands. He waited a beat, then feigned releasing his grip—and he immediately felt his patient try to jerk his hands downward.
“Don’t lie,” James rumbled as he forced his hands above his head, where two soft hospital restraints awaited his wrists. Sebastian tried to struggle and wriggle free while he bound him, and the trace reflected his efforts, but they were in vain. “Now, be. Good.”
Sebastian pouted quietly in defeat while James replaced the stethoscope in his ears and continued his examination. “But I want to come, doctor…”
“Shh,” James firmly placed his hand over his mouth and nose while he inched the bell around his heart. When he was done, he repositioned it over his right pectoral. “You’ll come when I want you to and not a moment sooner. Be good, and take a deep breath for me.”
When James moved his palm away, the patient silently did as he was told.
He promptly moved the stethoscope to the other side of his chest when he was done listening to the expired breath. “Again…”
Sebastian submitted for the rest of the auscultation of his lungs, but only because he didn’t want to prolong the inevitable any longer. He knew what awaited him at the other end of this examination, and he wanted that and all that would follow more than a power struggle at the moment.
“Alright,” James acceded without taking the stethoscope out of his ears. He pressed it in position over Sebastian’s mitral valve, and with his other hand, he began to slowly stroke his now-painfully hard dick. “Now that you’ve calmed down a little bit, I’ll allow you a bit of a reward.”
“Hm,” Sebastian let out a soft contented grunt in response.
“But don’t get the wrong idea,” James quickly continued to put him in his place, “your bratty ass is going to pay the price later.”
The patient’s heart let out a premature ventricular contraction when James took that threatening tone with him, but he was otherwise unable to speak as the handjob grew more vigorous. He writhed and squirmed and struggled against the restraints, and he couldn’t help his growing arousal at the fact that James could hear every hard, snappy contraction that his actions were inducing.
“The faster you come, the faster you get what you want,” James said melodically. He was smiling, but there was something a little sinister behind his eyes.
“Yes,” Sebastian managed to say between pleasured sighs. He thrusted his hips upward and looked at him with a hazy expression that became more intense and lucid as he took in the sight of his doctor Dom leaning over him—stethoscope in his ears, hand around his dick, bell positioned just so on the edge of his left nipple—
“Ohhh…” Sebastian closed his eyes as a smothering wave of stimulus overwhelmed him when James repositioned the stethoscope slightly to allow him to massage his nipple with a fingertip. “Fuck yes, daddy…!”
“Shut up,” James instructed coolly without breaking stride, “and show me what your heart sounds like when you come.”
Sebastian did his best to limit how loud he was being and instead focused on the rapid climb of an orgasm he could feel fast approaching. He held his body slightly taut in a pleasurable shiver as James easily brought him to climax, and he moaned as he covered the doctor’s hand in his cum.
“Good boy,” James praised him enthusiastically as he trailed his gaze up and down his pretty naked body as he recovered. “Your heartbeat is so hot when you come.”
“Hmm…” Sebastian let out a happy sigh. “Just for you…”
James turned away to wash his hands in a shallow sink he’d built into one of the corners of the small room. He pulled on a pair of blue nitrile gloves as he spoke, “alright. It’s time for your infusion now.”
Sebastian nodded, still pleasantly sleepy in post-orgasm. He knew that James was giving him a chance to use the safeword by mentioning it like that, but he had no desire to use it—at least, not right now. He zoned back into reality when he felt him tie a tourniquet on his bicep, and he located a blood vessel to insert the cannula.
“You’re just gonna feel a little poke now—“ James quickly inserted the sharp on the inside of his forearm just as he got the words out of his mouth, and his lips twitched to a frown when Sebastian flinched and cried out softly. “I’m sorry. But it’s over now, and you’ll be feeling good right away…”
Sebastian moaned affirmatively and watched with intense interest as he removed the tourniquet and prepared the ketamine drip. He mounted the bag above the wheeled fluid monitor, made the appropriate connections so he could manage the infusion digitally, then inserted the sharp on the end of the cannula into the stopper of the port on his arm.
“I’m giving you more to start,” James explained as he carefully fiddled with the rate of the drip, “and then I’ll level it out when you’re in a good place.”
“Okay, daddy…” Sebastian replied distantly. It didn’t take long for the dissociative anesthesia to kick in—it hit him hard as soon as the substance was in his bloodstream. “Oh—there it isss…”
James chuffed with an amused look about him. He began to run his gloves hands up and down his torso as the ketamine fully set in, and Sebastian opened his eyes and looked up at him with a dopey, euphoric grin. “Tell me how you feel, baby. Tell me all about how good the doctor has made you feel.”
The patient let out a jubilant stoned giggle. “Whoa… I feel—I feel so floaty and—wait, what was I just thinking about…?”
James quietly readjusted the rate of the infusion with one hand, then resumed massaging his chest and playing with his nipples. “How good you feel right now.”
“Oh—right…” he sighed and settled into the vertigo he could feel coming on. “Uh… I’m kinda dizzy, but… itsa’… issa good dizzy…”
James inhaled deeply through his nose and moved one of his hands down to Sebastian’s cock, which was already semi-hard again.
“Good,” the doctor said pointedly as he rushed down to Sebastian’s chest with his mouth. A sharp pang of arousal shot through his own dick when Sebastian cried out at him abruptly sucking and biting at his nipple, and he reared back up to shoot his very flustered patient a sweet but evil grin. “Now, let’s see how your heart’s responding…”
Sebastian blushed when the doctor swung his stethoscope over his head again and put it in his ears. He was overcome with vulnerability in his defenseless state and had to look away when he began to inch the diaphragm around his chest, and he found himself staring at the monitor which traced his heart rhythm, respiratory rate and blood pressure. His heart rate had slowed down and leveled out around 85 BPM, and his blood pressure, oxygen level and respiratory rate all read as normal too.
“Mmm…” James feigned a concerned expression. “You’re a bit tachy for how sedated you are. I’m going to give you some oxygen, okay?”
Sebastian’s heart rate spiked as he said the words, and that’s all it took to get him standing tall again. “Mmkayyyy…”
The doctor suddenly became aware of his own erection as Sebastian slurred and settled into the intensely dissociative and analgesic properties of the drug. He found his oxygen tank on a counter nearby and twisted the valve to release the gas therein, then took the nasal cannula attached to it and carefully positioned it in his nostrils and around his ears.
Sebastian took a deep breath through his nose as soon as it was in place. “Ooh… this feels—so nice right now…”
James watched out of the corner of his eye how his cock twitched with his increasing level of arousal.
“You need to relax,” James said sternly as he moved to be in a position to better pleasure him again. “Relax, Sebastian. I don’t want to have to stabilize you so soon.”
Sebastian recognized from his tone of voice that the next part of the scene was about to start, so he tried his best to focus on the sensations that were exciting him the most. The sheer sedating euphoria was enough to make his heart rate climb into the mid-to-high nineties, and he began to breathe deliberately fast and deep to give the illusion that he was destabilizing.
“Huh—oh!” Sebastian flinched with surprise when James abruptly started to jerk him off again. “Ohhh… my god…!”
“Does it feel that good?” James teased as he kept it up.
“Yes…! Oh my god, yes…!” the patient shrieked as he squirmed.
James continued, but placed his free hand in the middle of his sternum and thrusted into his heart—just once—but it was enough to make Sebastian squirt, and his lips twitched with satisfaction.
“Patient isn’t responding to supplementary oh-two,” James pretended to report for the patient’s pleasure. “He’s destabilizing…”
He was right, of course. It drove Sebastian wild when he pretended to have another rescuer with him, and it didn’t take him long to come again with that thought in his head paired with his level of intoxication.
“Shit, he’s coding…!” James spat intensely as his heart rate steadily rose with the orgasm he was inducing. It peaked at 137 BPM and dropped off again in the moments following, and just as it was about to level out, James reached over and adjusted the settings on the monitor so it showed a flatline. “Come on baby, stay with me… daddy’s got you.”
Sebastian couldn’t help his slight grin and involuntary moans during the chest compressions that followed. His arousal was only potentiated by the euphoric effects of the infusion, and the mere fantasy of having been drugged into cardiac arrest had his heart thudding hard and fast against his ribs. He tried his best to remain still and limp, and fought the urge to kiss him when James pressed his lips against his own to fill his lungs with his hot breath.
“Come on…!” James grunted between tempered compressions. “Breathe!”
The patient shivered helplessly at his demand, but continued to lie still. His member twitched when he heard James pick up the hard rectangular paddles of the defibrillator nearby, and his anticipation almost became too much to bear when he realized the doctor was going to shock him for real. He watched through barely-open eyes as he gelled the capacitors over his naked body, and he couldn’t help a gasp when the cold, slick metal undersides were placed firmly around his heart.
“Shocking at 100 joules,” James exaggerated. He was really only charging a single joule, and would deliver it as a synchronized cardioversion. “Stand clear…!”
“Huu—ugh…” Sebastian grunted loudly as the current gripped his heart and stopped it for a moment. He felt James palpate his carotid pulse briefly afterward, and he looked down at his patient with concern that he wasn’t sure was genuine or part of the scene.
“Your heart rhythm is still irregular,” James explained, in a tone that was both a little detached and sweet at once, “I’m going to need to shock you again.”
“Please, daddy…” Sebastian arched his back as he begged, but the ketamine had him slamming his body back down into the table—there was an inexplicable heaviness in his limbs that made this all the more satisfying for him. “Shock me…”
“Only because you asked so nicely,” James whispered while he adjusted the joules dial to read 2J. He pressed the capacitors into his right pectoral and around the apex of his heart, rubbing their edges over his nipples as he did, and Sebastian begged for the defibrillation with his squirming body language. “Synced at two-hundred—clear!”
Sebastian twitched and gasped with the cardioversion, and the adrenaline of it all went straight to his dick. He writhed—both in pleasure and in pain—as James set the paddles aside and set the monitor to trace his heart again. He then used his stethoscope in a very quick examination, just to confirm his heart had taken the defibrillation well.
“We’ve got sinus,” James said while staring right at him. “We’d better keep him for further observation… among other things.”
“Other things…?” Sebastian slurred meekly over the steady beep of his monitor.
“Yes,” he replied coolly. He wordlessly increased the rate of the infusion and climbed onto the table afterward, with his knees on either side of Sebastian’s torso. “I’m going to resuscitate you unconscious now, Sebastian… and you’re going to let me, okay?”
Sebastian shivered at his voice, which managed to sound both dominant and pleading at once. He didn’t really register the meaning of what he’d said—the extremely sedating and hallucinatory effects of the higher dose overwhelmed him immediately, and he barely managed to reply before his mouth and lips seemed to go numb. “Of… of courssse, daaaddyyy…”
“That’s it…” James positioned his interlocked hands over his heart and locked his elbows. “Just give in… let yourself drift away… I’ll take good care of you while you’re gone…”
“Hhh—hhh—while—I’m—gone…?” Sebastian tripped over his tongue to get the words out between compressions. He wanted to know what that meant, before…
“Mhm,” the large man hummed matter-of-factly. He paused to inch the dosage he was getting upward a few more digits, but resumed before the patient could respond. “I bet you’re just immeasurably sexy when you’re coding for real…”
Sebastian’s eyes widened, and his previously sedate heart rate spiked dramatically in a panic. “Ugh—dah—no—!”
“What was that?” James teased through a sinister smile while he continued to compress his chest. “You have to speak up, Sebastian…”
He knew that he was giving him yet another chance to use the safeword, and Sebastian might have used it—if he hadn’t blinked and become stuck in the drug-induced visuals behind his eyelids. He opened his mouth, in an attempt to utter it anyway—but nothing came out. He had forgotten it.
James had already ceased CPR when Sebastian fell unconscious, and he rapidly undressed while his vital signs continued to tank with the overdose he’d just administered. When he was fully nude, he stopped the drip and removed the cannula from the port on his arm.
“Oh,” James moaned involuntarily as he watched the patient gradually slip into full arrest on his table. He furiously jerked himself off over his limp, sexy body—he was so aroused by this point that it had become painful, and he knew he needed release now.
He took the stethoscope sitting nearby and lazily opened it with one hand and placed it in his ears. Sebastian had stopped breathing, and his heart wasn’t far behind. He listened with delight as the little pump beneath his sternum struggled against the ketamine and the lack of oxygen, and just before it started to fibrillate, James brought himself to orgasm.
“Oh—my god,” he exclaimed shakily when he came all over Sebastian’s abs. “You really are so fucking hot when you’re coding.”
James immediately turned around and grabbed the still-gelled paddles from the top of the Lifepak unit and slammed them against Sebastian’s glistening chest while adjusting the joules dial with his thumb.
“Shocking at two-hundred joules,” he said over the blaring ventricular fibrillation alarm, “clear.”
He pushed into Sebastian’s heart as he delivered the shock. His chest twitched and his arms tried to spring up, but they were held in place by the restraints.
James watched as the line for his heart went flat for a few moments, but it continued to trace the life-threatening arrhythmia afterward. Seemingly unconcerned, James coolly steadied his grip on the paddles and increased the output to 300J.
“Defibbing again at 300,” he announced to his imaginary resuscitation team, just in case the patient could hear him. “Clear!”
The current surged between the paddles and rocked Sebastian’s body, but it was in vain. As his body settled on the table again, the traces for his vital signs went flat, and the steady monotone asystole alarm filled the small space.
“Don’t worry, I’ve got you,” James assured both himself and his patient as he propped his knee up on the side of the table. He launched into textbook-perfect compressions the moment his hands were in place, and he watched how Sebastian’s body moved with his resuscitation efforts with obvious and acute arousal.
“C’mon, breathe for me,” he commanded when the cycle came to an end. He pinched his nose and tipped his chin back in the same motion, then crushed his mouth with his own to deliver three deep rescue breaths. He admired out of the corner of his eye how his chest expanded and fell along with it, then tirelessly continued CPR.
“Fuck,” James cursed under his breath when the second cycle passed without response. He found the ambu bag among his reams of equipment and connected it to the oxygen tank so he could ventilate him properly, and once the mask was in place over his mouth and nose, he squeezed it five times consecutively.
“C’mon, Sebastian… come back for me,” the doctor pleaded between increasingly vigorous compressions. He wasn’t allowing himself to be worried yet, but as the third cycle threatened to come to an end without response, he thought the patient might benefit from a hit of epinephrine.
He was mentally locating the vial in his head when the flatline was interrupted by an agonal rhythm. James whipped his head over and saw another shockable rhythm after that—it was ventricular fibrillation so fine that the trace barely registered it, but it was there nonetheless.
He urgently leaned back and picked up the defibrillator again, but in his quiet, creeping desperation, he forgot to re-gel the capacitors. James silently paddled Sebastian’s heart again, and he winced when he saw the dark outline of the capacitors burned onto his pretty chest.
“Damn it,” the usually composed doctor spat the words when his patient flatlined again. “Don’t give up on me now, baby. Not when we’re having so much fun…”
James gave him another two deep squeezes of oxygenated air before he resumed beating into his sternum. His stomach ballooned dramatically with each sharp push into his heart, and while the sensation of his chest bending beneath his grip was almost too enjoyable, he knew he had to get him back sooner rather than later and stopped so he could administer a shot of epinephrine.
“Alright, Sebastian…” James said as he tapped the prepared syringe with his gloved fingers. “Show daddy what you’re made of.”
He stroked the inside of his thigh with a deliberately gentle touch while he pushed the epinephrine through the port on his arm. He then held his hand and lifted it to hurry the drug along his bloodstream, and, after a few long seconds—Sebastian gasped.
“There you go,” the doctor gave him an affirming tap after palpating his femoral pulse. It wasn’t normal, as was reflected by the erratic waveforms on the patient monitor, but he was confident that another jolt to his heart would correct it. “Keep breathing—you’re going to be okay.”
After dabbing one of the capacitors with gel and giving them a quick rub, he gently placed the paddles around Sebastian’s helplessly quivering pump and dialled in 150J. The hum of the charging tone broke to signal the shock was ready, and James diligently defibrillated him once more.
Sebastian gasped again as his heart was shocked back into sinus rhythm, but he didn’t appear to be conscious as of yet. James continued to coo at him as he undid the restraints on his arms and replaced the nasal cannula with an oxygen mask, and when he was confident that Sebastian wouldn’t need it, he removed the port and covered the puncture wound accordingly.
When James was done getting his patient and submissive comfortable, he fetched a folding stool from his bedroom beyond and set it down at Sebastian’s side. There was nothing to do now but wait for him to wake up—and shower him with all the aftercare he’d surely need after such a racy scene.
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