Is it a standard practice to use ketamine in anesthesia for orthopedic surgery. i had some severe responses to anesthesia and it was used.

No such standard: Anesthesia is as much an art as a science. While there are many standards within the field, there are no standards on which drugs to use. That said i certainly do not use ketamine on a daily basis, though doing so would not be outside the standard of care.

Not necessarily: If a patient has had any problem with a medication , there is no way that the anesthesiology will use it again . There are many alternatives when surgery is needed.

See below: This depends on the practice. I would suggest that if you have had problems before you let your anesthesiologist know about your experience and request they use something else.

No,: It's not even common, regional and major regional and general anesthesia with inhaled anesthetics is standard. I stopped using ketamine because of patient complaints, although when combined with other medications complaints are lessened.