Page last updated: 2024-12-05

ketamine

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Description

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID3821
CHEMBL ID742
CHEBI ID6121
SCHEMBL ID16103
SCHEMBL ID17084881
MeSH IDM0011982

Synonyms (104)

Synonym
smr000238141
MLS001331674
2-(2-chloro-phenyl)-2-methylamino-cyclohexanone(ketamine)
bdbm50044140
100477-72-3
ketamina
ketaminum
KBIO1_000217
DIVK1C_000217
2-(2-chlorophenyl)-2-(methylamino)cyclohexanone
ketamine [inn:ban]
cyclohexanone, 2-(o-chlorophenyl)-2-(methylamino)-, (+-)-
hsdb 2180
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)-, (+-)-
ketaminum [inn-latin]
einecs 229-804-1
nsc 70151
brn 2216965
calypsol
special k [street name]
cetamina [inn-spanish]
nsc70151
ketaject
cyclohexanone, (.+-.)-
2-(o-chlorophenyl)-2-(methylamino)cyclohexanone
clsta 20
ci 581 base
nsc-70151
ketalar base
cyclohexanone, 2-(o-chlorophenyl)-2-(methylamino)-
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)-
dl-ketamine
2-(o-chlorophenyl)-2-(methylamino)-cyclohexanone
2-(methylamino)-2-(2-chlorophenyl)cyclohexanone
(+/-)-2-(2-chlorophenyl)-2-(methylamino)cyclohexanone
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)- (9ci)
special k
cyclohexanone, 2-(o-chlorophenyl)-2-(methylamino)-, (+/-)- (8ci)
ketoject
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)-, (+/-)-
(+/-)-2-(o-chlorophenyl)-2-(methylamino)cyclohexanone
(+/-)-ketamine
ketamine
6740-88-1
C07525
NCGC00159480-03
DB01221
(+-)-ketamine
NCGC00159480-02
2-(2-chloro-phenyl)-2-methylamino-cyclohexanone
NINDS_000217
IDI1_000217
anaket v
imalgene 1000
vetaket
pmi-150
narketan
CHEMBL742 ,
tekam
ursotamin
clorketam 1000
ketasol 100
chebi:6121 ,
tekam (tn)
D08098
ketamine (inn)
2-(2-chlorophenyl)-2-(methylamino)cyclohexan-1-one
dtxsid8023187 ,
cas-6740-88-1
tox21_111704
tox21_111703
dtxcid703187
HMS2272G05
cetamina
unii-690g0d6v8h
690g0d6v8h ,
ec 229-804-1
ketamine base
gtpl4233
ketamine [hsdb]
ketafol component ketamine
ketamine [inn]
ketamine [who-dd]
ketamine [mi]
ketamine [vandf]
SCHEMBL16103
ketanest (salt/mix)
vetalar (salt/mix)
kalipsol (salt/mix)
cyclohexanone, 2-(o-chlorophenyl)-2-(methylamino)-, (.+/-.)-
ketolar (salt/mix)
(.+/-.)-2-(o-chlorophenyl)-2-(methylamino)cyclohexanone
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)-, (.+/-.)-
2-(2-chlorophenyl)-2-(methylamino)cyclohexanone #
(.+/-.)-ketamine
SCHEMBL17084881
J-505587
Q243547
cyclohexanone, 2-(2-chlorophenyl)-2-(methylamino)-, (+-)- (9ci)
ketaminum (inn-latin)
special k (street name)
cetamina (inn-spanish)
ketaminum (latin)
n01ax03

Research Excerpts

Overview

Ketamine is a noncompetitive glutamatergic N-methyl-d-aspartate receptor (NMDAR) antagonist that exerts rapid antidepressant effects. Ketamine has sedative, analgesic, and potentially neuroprotective properties.

ExcerptReferenceRelevance
"Ketamine is a pharmacological agent that was developed in the 1960s. "( The effects of a multiday (10-14 days) subanesthetic dose IV ketamine infusion in the treatment of refractory chronic pain.
Chebini, A; Fedoroff, I; Guh, D; Marzoughi, S; Ong, M; Randhawa, J; Wiseman, S, 2022
)
2.41
"Ketamine is an anesthetic drug associated with dissociation. "( Ketamine induces EEG oscillations that may aid anesthetic state but not dissociation monitoring.
Akeju, O; Chamadia, S; Colon, KM; Ethridge, BR; Gitlin, J; Ibala, R; Mekonnen, J; Qu, J, 2021
)
3.51
"Ketamine is a noncompetitive glutamatergic N-methyl-d-aspartate receptor (NMDAR) antagonist that exerts rapid antidepressant effects. "( Convergence of distinct signaling pathways on synaptic scaling to trigger rapid antidepressant action.
Kavalali, ET; Kim, JW; Monteggia, LM; Nosyreva, E; Suzuki, K, 2021
)
2.06
"Ketamine is a sedative that has been shown to have analgesic and sedating properties without having a detrimental impact on hemodynamics."( Impact of ketamine as an adjunct sedative in acute respiratory distress syndrome due to COVID-19 Pneumonia.
Anand, V; Deleija, J; Garner, O; Howard, CM; Mejia, JM; Morgan, CK; Nemeh, C; Patterson, J; Siddique, MA; Staggers, KA; Treviño, SE; Vallabh, M,
)
1.26
"Ketamine is an N-methyl-D-aspartate receptor antagonist with sedative, analgesic, and potentially neuroprotective properties."( Ketamine for critically ill patients with severe acute brain injury: Protocol for a systematic review with meta-analysis and Trial Sequential Analysis of randomised clinical trials.
Andreasen, TH; Gluud, C; Lindschou, J; Madsen, FA; Møller, K, 2021
)
2.79
"Ketamine is an N -methyl-D-aspartate receptor antagonist with a potentially ideal pharmacologic profile for treatment of BPOW."( Synergistic Effect of Ketamine and Buprenorphine Observed in the Treatment of Buprenorphine Precipitated Opioid Withdrawal in a Patient With Fentanyl Use.
Anderson, ES; Greenwald, MK; Hailozian, C; Herring, AA; Kalmin, M; Liang, A; Luftig, J; Outhay, M; Shoptaw, S; Ullal, M,
)
1.17
"Ketamine is a non-competitive antagonist of NMDA glutamate receptor. "( Zebrafish (Danio rerio): A potential model to assess developmental toxicity of ketamine.
Huang, W; Wu, K; Wu, T, 2022
)
2.39
"Ketamine is a feasible treatment option for depressive symptoms after surgery due to its known antidepressant effect."( The effect of intravenous ketamine on depressive symptoms after surgery: A systematic review.
Ai, P; An, D; Cui, V; Shi, H; Sun, Y; Wang, J; Wei, C; Wu, A, 2022
)
1.74
"Ketamine is a promising treatment option for patients with Major Depressive Disorder (MDD) and has become an important research tool to investigate antidepressant mechanisms of action. "( Increase in thalamic cerebral blood flow is associated with antidepressant effects of ketamine in major depressive disorder.
de Rover, M; Gärtner, M; Grimm, S; Scheidegger, M; Václavů, L; van Osch, MJP, 2022
)
2.39
"Ketamine is an antagonist of the N-Methyl-D-aspartate receptor (NMDAR) and its main mechanism of action via NMDAR inhibition expressed in GABAergic (gamma-Aminobutyric acid, GABA) interneurons may be relayed to its antidepressant effects."( [Pharmacology of ketamine and esketamine as rapid-acting antidepressants].
Dalla, C; Kokras, N; Megalokonomou, A; Pavlidi, P; Sofron, A, 2021
)
1.68
"Esketamine is an N-methyl-D-aspartic acid (NMDA) receptor antagonist, which has stronger sedative and analgesic effects and fewer adverse events than ketamine. "( Clinical effects of low-dose esketamine for anaesthesia induction in the elderly: A randomized controlled trial.
Li, J; Wang, A; Wang, Z, 2022
)
1.73
"Ketamine is a dissociative anesthetic in human and veterinary clinic, as well as an abuse drug that acts on several neurotransmitter systems. "( Ketamine acutely impairs memory consolidation and repeated exposure promotes stereotyped behavior without changing anxiety- and aggression-like parameters in adult zebrafish.
Franscescon, F; Michelotti, P; Müller, TE; Pereira, ME; Rosemberg, DB, 2022
)
3.61
"Ketamine is an NMDAR antagonist and is proven effective in depression for the rapid and sustained antidepressant response, while rapastinel is an NMDAR positive allosteric modulator, producing antidepressant effects like ketamine with no severe side effects. "( Glutamatergic receptor and neuroplasticity in depression: Implications for ketamine and rapastinel as the rapid-acting antidepressants.
Chen, NH; Hu, D; Jiang, H; Liu, LJ; Wang, YT; Wang, ZZ; Zhang, NN; Zhang, Y, 2022
)
2.39
"Ketamine is an anesthetic drug which is now used to treat chronic pain conditions and psychiatric disorders, especially depression. "( Ketamine as a therapeutic agent for depression and pain: mechanisms and evidence.
Haroutounian, S; Lenze, EJ; Palanca, BJA; Subramanian, S, 2022
)
3.61
"Ketamine is known to be an effective factor in reducing pain without significant side effects."( Sub dissociative dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the emergency department; a randomized clinical trial.
Baratloo, A; Moradi, MM; Payandemehr, P; Safaie, A, 2022
)
2.47
"Ketamine is a N-methyl-d-aspartate (NMDA) receptor antagonist and has been shown to rapidly improve mood symptoms and suicidal ideation by targeting the glutamate system directly."( Ketamine for treatment of mood disorders and suicidality: A narrative review of recent progress.
Kritzer, MD; Lai, CS; Masand, PS; Mathew, SJ; Mischel, NA; Szabo, ST; Young, JR, 2022
)
2.89
"Ketamine is an NMDA receptor blocker, has a rapid effective onset, a potent antidepressant with anti-suicidal, neuroprotective, and cognitive-enhancement properties."( The safety and efficacy of ketamine NMDA receptor blocker as a therapeutic intervention for PTSD review of a randomized clinical trial.
Chao, T; Jain, S; Jumaili, WA; Kubosumi, A; Trivedi, C, 2022
)
1.74
"Ketamine is a rapid-acting antidepressant with proven efficacy as an add-on agent in unipolar and bipolar treatment-resistant depression. "( Ketamine and Lamotrigine Combination in Psychopharmacology: Systematic Review.
Cubała, WJ; Jakuszkowiak-Wojten, K; Wiglusz, MS; Wilkowska, A, 2022
)
3.61
"Ketamine is a rapid-acting and novel therapeutic treatment for treatment-resistant depression, which has also been demonstrated to attenuate symptoms of anhedonia."( The effect of ketamine on anhedonia: improvements in dimensions of anticipatory, consummatory, and motivation-related reward deficits.
Ceban, F; Ho, R; Jasrai, AK; Kim, H; Lui, LMW; McIntyre, RS; Nasri, F; Nogo, D; Rosenblat, JD; Vinberg, M, 2022
)
1.8
"Ketamine is an analgesic that has gained notoriety in nightclub scenes. "( Past-Year Ketamine Use: Evidence from a United States Population, 2015-2019.
Yockey, RA,
)
1.98
"Ketamine is an NMDA-receptor antagonist with analgesic and opioid-sparing properties. "( Low-dose ketamine infusions reduce opioid use in pediatric and young adult oncology patients.
Anghelescu, DL; Li, Y; Morgan, KJ; Patni, T; Ryan, S; Wu, D, 2022
)
2.58
"Ketamine is an established intervention for treatment-resistant depression (TRD). "( A review of potential neuropathological changes associated with ketamine.
Ho, R; Lui, LMW; McIntyre, RS; Nazal, H; Nogo, D; Rosenblat, JD; Song, Y; Teopiz, KM, 2022
)
2.4
"Ketamine is a noncompetitive antagonist of the N-methyl-d-aspartate (NMDA) glutamate receptor, which underlies its induction of pain relief and anaesthesia."( Ketamine treatment for refractory anxiety: A systematic review.
Brooks, S; Dahlén, AD; Haggarty, CJ; Schiöth, HB; Tully, JL, 2022
)
2.89
"Esketamine is an antagonist of the N-methyl-D-aspartate receptor (NMDA receptor) that is widely used for multimodal analgesia. "( Subanaesthetic dose of esketamine during induction delays anaesthesia recovery a randomized, double-blind clinical trial.
Bao, F; He, J; Shi, Q; Xu, J; Zhang, C, 2022
)
1.75
"Ketamine is an anesthetic drug that is widely used in human and veterinary medicine. "( Downregulation of the NLRP3/Caspse-1 Pathway Ameliorates Ketamine-Induced Liver Injury and Inflammation in Developing Rats.
Chen, X; Gao, L; Li, S; Ma, X; Qiu, D; Shen, M; Zhang, Z, 2022
)
2.41
"Ketamine is a rapidly-acting antidepressant treatment with robust response rates. "( Anterior default mode network and posterior insular connectivity is predictive of depressive symptom reduction following serial ketamine infusion.
Congdon, E; Espinoza, RT; Hellemann, G; Joshi, SH; Kubicki, A; Loureiro, J; Narr, KL; Sahib, A; Wade, BSC; Woods, RP, 2022
)
2.37
"Ketamine is an effective and widely used analgesic."( Opioid sparing effect of ketamine in military prehospital pain management-A retrospective study.
Avital, G; Benov, A; Cohen, B; Gelikas, S; Kontorovich-Chen, D; Radomislensky, I; Talmy, T, 2022
)
1.75
"Ketamine is an anesthetic agent able to produce psychotic-like symptoms through the antagonism of the glutamatergic N-methyl-d-aspartic acid (NMDA) receptors (NMDARs)."( The 5-HT6R agonist E-6837 and the antagonist SB-271046 reverse the psychotic-like behaviors induced by ketamine.
Picazo Picazo, O; Roldán Roldán, G; Suárez-Santiago, JE, 2022
)
1.66
"Ketamine is an irreplaceable anesthetic in many parts of the world without resources, where the minimum safety means are not available."( Anesthesia and surgery in very precarious conditions. Clinical cases.
Bento, L; Lingombele, T; Talaguma Bakwa, JP; Villalonga, A, 2022
)
1.44
"Ketamine is a fast-acting anesthetic with hypnotic properties. "( Ketamine for resistant depression: a scoping review.
Andrés, VC; Angel, RO; Angela, A; David, C; Eduardo, TQ; Estefania, C; Juan, G; Juan, P; Mateo, L; Melanie, LZ; Natalia, RS; Valentina, PF, 2022
)
3.61
"Ketamine is a widely-used anesthetic in the field of pediatrics and obstetrics. "( Inhibition of the NLRP3/caspase-1 signaling cascades ameliorates ketamine-induced renal injury and pyroptosis in neonatal rats.
Bai, H; Gao, L; Li, R; Li, S; Ma, X; Qiu, D; Shen, M; Zhang, Z, 2022
)
2.4
"Ketamine is a promising therapeutic option in treatment-resistant depression (TRD). "( Real-world effectiveness of ketamine in treatment-resistant depression: A systematic review & meta-analysis.
Alnefeesi, Y; Cao, B; Ceban, F; Chen-Li, D; Di Vincenzo, JD; Gill, H; Ho, RCM; Jawad, MY; Krane, E; Lee, Y; McIntyre, RS; Meshkat, S; Rodrigues, NB; Rosenblat, JD; Teopiz, KM, 2022
)
2.46
"Esketamine is a new anesthetic, sedative, and analgesic drug."( Efficacy of Analgesic Propofol/Esketamine and Propofol/Fentanyl for Painless Induced Abortion: A Randomized Clinical Trial.
Jin, S; Xin, N; Yan, W, 2022
)
1.56
"Ketamine is a noncompetitive antagonist of N-methyl-D-aspartate (NMDA) receptors. "( Astrocyte Activation, but not Microglia, Is Associated with the Experimental Mouse Model of Schizophrenia Induced by Chronic Ketamine.
Fan, W; Liao, L; Liu, B; Wei, Y; Wen, D; Xiao, L; Yang, H; Ye, Y; Zou, J, 2022
)
2.37
"Ketamine is an effective adjunct to opioids, providing greater pain relief than morphine alone. "( Novel uses of ketamine in the emergency department.
Corwell, BN; Davis, NL; Kim, HK; Motov, SM, 2022
)
2.52
"Esketamine is a novel treatment for treatment resistant depression (TRD) and was approved by the FDA in early 2019. "( Adjunctive dopaminergic enhancement of esketamine in treatment-resistant depression.
Cook, J; Halaris, A, 2022
)
1.71
"Esketamine, which is an S-enantiomer of ketamine, is better than conventional antidepressants and even better than R-ketamine. "( Esketamine-A quick-acting novel antidepressant without the disadvantages of ketamine.
Javed, S; Kotra, M; Malathesh, BC; Nguyen, VS; Shoib, S, 2022
)
2.16
"S(+)-ketamine is an N-methyl-D-aspartic acid (NMDA) receptor antagonist with a strong analgesic effect and can significantly relieve postoperative acute pain and reduce opioid consumption."( Evaluation of the effect of perioperative administration of S(+)-ketamine hydrochloride injection for postoperative acute pain in children: study protocol for a prospective, multicenter, randomized, open-label, parallel-group, pragmatic clinical trial.
Chen, P; Duan, C; Lan, C; Mi, W; Qu, S; Sun, Y; Wang, H; Yang, L; Zhang, J; Zhou, L, 2022
)
1.41
"Ketamine is an intravenous anesthetic. "( Ketamine Induces Delirium-Like Behavior and Interferes With Endosomal Tau Trafficking.
Dong, Y; Liang, F; Ren, X; Song, A; Wu, X; Xie, Z; Yang, Y; Zhang, S; Zhang, Y, 2023
)
3.8
"Ketamine is a potentially life-saving option."( The effect of IV ketamine in patients with major depressive disorder and elevated features of borderline personality disorder.
Chen, KS; Dwivedi, Y; Shelton, RC, 2022
)
1.78
"Ketamine is a fast-acting, dissociative anesthetic with a favorable adverse effect profile that is effective for managing acute agitation as a chemical restraint in the prehospital and emergency department (ED) settings. "( Intubation Rates following Prehospital Administration of Ketamine for Acute Agitation: A Systematic Review and Meta-Analysis.
Akhlaghi, H; Bernard, S; Groombridge, C; Lipscombe, C; Olaussen, A; Smith, K, 2023
)
2.6
"Ketamine is a suitable alternative for opioid analgesics for the management of acute and severe pain in children in ED. "( The Effectiveness of Ketamine Compared to Opioid Analgesics for management of acute pain in Children in The Emergency Department: systematic Review.
Alanazi, E, 2022
)
2.48
"Ketamine is a commonly used dissociative anesthetic in clinical applications. "( Expression changes of c-Fos and D1R/p-ERK1/2 signal pathways in nucleus accumbens of rats after ketamine abuse.
Li, HB; Liu, M; Miao, HC; Wu, F, 2022
)
2.38
"Esketamine is a N-methyl-D-aspartate receptor (NMDA) antagonist and a common analgesic."( Effect of different doses of esketamine compared with fentanyl combined with propofol on hypotension in patients undergoing painless abortion surgery: a prospective, randomized, double-blind controlled clinical trial.
Chen, J; Hu, B; Shen, M; Wang, F; Yang, Y; Zhou, Q; Zou, X, 2022
)
1.57
"Ketamine appears to be a safe and effective option for the treatment of patients with abdominal pain in emergency medicine.Trial registration number DRKS00027343, date of registration: 09.12.2021, retrospectively registered."( Efficacy and safety in ketamine-guided prehospital analgesia for abdominal pain.
Dorau, W; Eppler, F; Häske, D; Heinemann, N; Schempf, B; Schopp, T, 2022
)
1.75
"Ketamine is a noncompetitive antagonist of N-methyl-D-aspartate receptors (NMDARs). "( Comprehensive metabolomic characterization of the hippocampus in a ketamine mouse model of schizophrenia.
Cheng, A; Fan, W; Fu, Y; Liao, L; Wang, X; Wei, Y; Wen, D; Xiao, L; Yang, H; Ye, Y, 2022
)
2.4
"Ketamine is an anesthetic drug that has recently been approved for the treatment of treatment-resistant depression. "( The Effects of Acute and Repeated Administration of Ketamine on Memory, Behavior, and Plasma Corticosterone Levels in Female Mice.
Acevedo, J; Johnson, EM; Mugarura, NE; Siegel, JA; Welter, AL, 2023
)
2.6
"Ketamine is a novel rapid-acting antidepressant with neuroplastic potential."( The Downstaging Concept in Treatment-Resistant Depression: Spotlight on Ketamine.
Cubała, WJ; Wilkowska, A, 2022
)
1.68
"Ketamine is a NMDA receptor antagonist that has a rapid acting antidepressant effect with high efficacy in treatment-resistant patients. "( Biomarkers of ketamine's antidepressant effect: An umbrella review.
Cao, B; Ceban, F; Di Vincenzo, JD; Ho, RC; Jawad, MY; McIntyre, RS; Meshkat, S; Rhee, TG; Rosenblat, JD; Teopiz, KM, 2023
)
2.71
"Ketamine is an N-methyl-d-aspartate antagonist which is increasingly being researched and used as a treatment for depression. "( A unified model of ketamine's dissociative and psychedelic properties.
Castro-Rodrigues, P; Figueiredo, I; Marguilho, M, 2023
)
2.68
"Ketamine is a promising treatment for TRD; however, there is a paucity of data on its safety and efficacy in older adults."( Intravenous Ketamine for Late-Life Treatment-Resistant Depression: A Pilot Study of Tolerability, Safety, Clinical Benefits, and Effect on Cognition.
Brown, PJ; Butters, MA; Ciarleglio, A; Farber, NB; Flint, AJ; Gebara, MA; Karp, JF; Lavretsky, H; Lenze, EJ; Mulsant, BH; Oughli, HA; Reynolds, CF; Roose, SP; Yang, L, 2023
)
2.01
"Ketamine is a widely used anesthetic agent since 1960s and has recently been exploited for its rapid antidepressant action at subanesthetic doses. "( Ketamine induces apical extracellular matrix modifications in Caenorhabditis elegans.
Yücel, D, 2022
)
3.61
"Oral ketamine has shown to be a rapid-acting antidepressant and a potential treatment option for suicidality, however, repeated doses are often required. "( Electrophysiological phenotypes of suicidality predict prolonged response to oral ketamine treatment.
Beaudequin, D; Bennett, MR; Bouças, AP; Can, AT; Dutton, M; Forsyth, G; Gallay, CC; Hermens, DF; Isbel, B; Jones, M; Lagopoulos, J; Schwenn, PE, 2023
)
1.65
"Ketamine is a well-characterized NMDA receptor (NMDAR) antagonist, although the relevance of this pharmacology to its rapid (within hours of administration) antidepressant actions, which depend on mechanisms convergent with strengthening of excitatory synapses, is unclear. "( NMDA Receptor Activation-Dependent Antidepressant-Relevant Behavioral and Synaptic Actions of Ketamine.
Brown, KA; Georgiou, P; Gould, TD; Thompson, SM; Yuan, P; Zanos, P; Zarate, CA, 2023
)
2.57
"Ketamine is an emerging alternative sedation agent for prehospital management of agitation, yet research is limited regarding its use for children. "( Prehospital Use of Ketamine versus Benzodiazepines for Sedation among Pediatric Patients with Behavioral Emergencies.
Chen, NW; Crowe, RP; Frawley, J; Gappy, R; Goyal, A; Sandoval, S; Swor, R, 2023
)
2.68
"Ketamine is an NMDA channel blocker, considered an alternative to perioperative opioid use; small concentrations are safe."( Impact of Perioperative Ketamine on Postoperative Bariatric Surgery Opioid Use and Length of Stay.
Aghazarian, GS; Ardila, S; Ghanem, M; Jawad, MA; Lastrapes, L; Lind, R; Teixeira, AF, 2023
)
1.94
"Ketamine is a widely used anesthetic with N-methyl-D-aspartate (NMDA) receptor antagonism. "( Prenatal ketamine exposure impairs prepulse inhibition via arginine vasopressin receptor 1A-mediated GABAergic neuronal dysfunction in the striatum.
Cha, HJ; Gu, SM; Hong, JT; Kim, A; Kim, DE; Lee, H; Yun, J, 2023
)
2.77
"Ketamine is a dissociative anesthetic, historically used in a clinical setting for the induction and maintenance of anesthesia. "( Current approaches for the treatment of ketamine-induced cystitis.
Lehmann, C; Miab, ZR; Scott, C; Zhou, J, 2023
)
2.62
"Ketamine is an organic drug with weak electrochemical activity, which makes it difficult to directly detect by electrochemical methods. "( An electrochemical sensor for direct and sensitive detection of ketamine.
Bai, H; Duan, S; Jin, C; Li, M; Liu, Q; Zhang, G; Zhang, Q; Zhang, R, 2023
)
2.59
"Ketamine appears to be a potential repurposed drug for treatment of cocaine use disorder."( Repurposing ketamine to treat cocaine use disorder: integration of artificial intelligence-based prediction, expert evaluation, clinical corroboration and mechanism of action analyses.
Davis, PB; Gao, Z; Ghitza, UE; Gorenflo, M; Kaelber, DC; Winhusen, TJ; Xu, R, 2023
)
2.73
"Ketamine is a noncompetitive N-methyl-D-aspartate receptor antagonist that has been safely used for the treatment of refractory SE in adults and children."( Ketamine as advanced second-line treatment in benzodiazepine-refractory convulsive status epilepticus in children.
Brisca, G; Buratti, S; Giacheri, E; Mancardi, MM; Moscatelli, A; Nobili, L; Palmieri, A; Riva, A; Striano, P; Tibaldi, J, 2023
)
3.07
"Ketamine is a short-acting general anesthetic with hallucinogenic, analgesic, and amnestic properties. "( Basic metabolic and vascular effects of ketamine and its interaction with fentanyl.
Choi, S; Curay, CM; Irwin, MR; Kiyatkin, EA, 2023
)
2.62
"Esketamine is an S (+) enantiomer of ketamine with greater potency and similar psychomimetic effects compared to racemic ketamine. "( Safety and tolerability of esketamine in propofol based sedation for endoscopic variceal ligation with or without injection sclerotherapy: Randomized controlled trial.
Chen, J; Chen, X; Chen, Y; Dan, L; Duan, G; Huang, H; Liu, R; Lyu, H; Wang, Q; Wang, T, 2023
)
1.92
"(S)-ketamine is an NMDA receptor antagonist, but it also binds to and activates mu opioid receptors (MORs) and kappa opioid receptors in vitro. "( Mu Opioid Receptor Activation Mediates (S)-ketamine Reinforcement in Rats: Implications for Abuse Liability.
Airan, RD; Bonaventura, J; Budinich, RC; Carlton, ML; Di Ianni, T; Gomez, JL; Levinstein, MR; Michaelides, M; Rizzo, A; Shaham, Y; Ventriglia, EN; Zarate, CA, 2023
)
1.73
"Ketamine is an opioid-alternative used for analgesia in the prehospital setting. "( A Comparison of Prehospital Pediatric Analgesic Use of Ketamine and Opioids.
Chen, NW; Crowe, R; Frawley, J; Gappy, R; Goyal, A; Sandoval, S; Swor, R, 2023
)
2.6
"Ketamine seems to be an attractive alternative due to its rapid-onset antidepressant effects and impact on suicidal thoughts."( Efficacy and adverse effects of ketamine versus electroconvulsive therapy for major depressive disorder: A systematic review and meta-analysis.
Cavalcanti, S; de A Simoes Moreira, D; Fonseca da Silva, AC; Gauer, LE; Quevedo, J; Teixeira, G, 2023
)
1.92
"Ketamine is an effective adjuvant for peribulbar blockade. "( Ketamine versus midazolam as an adjuvant to peribulbar block using a single inferonasal injection in patients undergoing vitreoretinal surgery: A randomized controlled trial.
Aboul Fetouh, IS; Mohamed, MK; Osama, NA; Sherif, NA, 2023
)
3.8
"Ketamine (KET) is a commonly used anesthetic agent. "( Effects of recurrent ketamine exposure on brain histopathology in juvenile rats.
Arpacı, AH; Elmas, Ç; Güneş, E; Işık, B; Özkoçer, SE, 2023
)
2.67
"Ketamine is an inexpensive drug with mechanisms of analgesia outside the opioid pathway including N-methyl-D-aspartate (NMDA) receptor antagonism and a pharmacologically unique property of opioid desensitisation."( Efficacy of ketamine mouthwash in the management of oral and pharyngeal toxicity associated with head and neck chemoradiotherapy: protocol for a phase II, Simon's two-stage trial.
Eckstein, J; Frank, D; Ghaly, M; Herman, J; Koffler, D; Kohn, N; Martins-Welch, D; Parashar, B; Potters, L; Seetharamu, N; Sullivan, K, 2023
)
2.01
"Ketamine is an effective intervention for treatment-resistant depression (TRD), including late-in-life (LL-TRD). "( Neural complexity EEG biomarkers of rapid and post-rapid ketamine effects in late-life treatment-resistant depression: a randomized control trial.
Amarneh, D; Averill, LA; Iqbal, S; Lijffijt, M; Mathew, SJ; Murphy, N; O'Brien, B; Swann, A; Tamman, AJF, 2023
)
2.6
"Ketamine is an emerging treatment for treatment-resistant depression (TRD) associated with rapid and robust improvements in depressive symptoms and suicidality. "( Real-world effectiveness of repeated intravenous ketamine infusions for treatment-resistant depression in transitional age youth.
Arekapudi, A; Chau, E; Chisamore, N; Danayan, K; Di Vincenzo, JD; Doyle, Z; Fancy, F; Kratiuk, K; Mansur, R; McIntyre, RS; Meshkat, S; Phan, L; Rodrigues, NB; Rosenblat, JD; Tabassum, A, 2023
)
2.61
"Ketamine is a well-known anesthetic used both in human as well as veterinary medicine, due to its safety, short duration and unique mode of action."( Longitudinal effects of ketamine on cell proliferation and death in the CNS of zebrafish.
Balça-Silva, J; Félix, L; Pinto, ML; Santos, C; Valentim, AM, 2023
)
1.94
"Ketamine is a pharmaceutical drug possessing both analgesic and anaesthetic properties. "( The clinical toxicology of ketamine.
Gee, P; Mackenzie, E; Schep, LJ; Slaughter, RJ; Watts, M, 2023
)
2.65
"Ketamine is a dissociative drug employed predominantly in emergency medicine; it has also become popular as a recreational drug. "( The clinical toxicology of ketamine.
Gee, P; Mackenzie, E; Schep, LJ; Slaughter, RJ; Watts, M, 2023
)
2.65
"Ketamine is a dissociative anesthetic that has been shown to have antidepressant effects in humans and has been proposed as a potential treatment for mood disorders such as posttraumatic stress disorder and aggression. "( A single dose of ketamine enhances early life stress-induced aggression with no effect on fear memory, anxiety-like behavior, or depression-like behavior in mice.
Aaflaq, S; Bartsch, CJ; Jacobs, JT; Li, Z; Nordman, JC; Qasem, E; Skinner, S; Smith, M; Summa, F; Thompson, R, 2023
)
2.69
"Ketamine is a dissociative anaesthetic used to induce general anaesthesia in humans and laboratory animals. "( The effects of ketamine on viability, primary DNA damage, and oxidative stress parameters in HepG2 and SH-SY5Y cells.
Canjuga, I; Češi, M; Jurič, A; Karačonji, IB; Katalinić, M; Lovaković, BT; Neuberg, M; Pizent, A; Rašić, D; Rešić, A; Vrdoljak, AL; Zandona, A, 2023
)
2.71
"Ketamine continues to be a great tool in perioperative pain control, especially during an opioid epidemic."( Perioperative Use of Ketamine.
Adegbola, A; Gritsenko, K; Medrano, EM, 2023
)
1.95
"Ketamine is an open channel blocker of ionotropic glutamatergic N-Methyl-D-Aspartate (NMDA) receptors. "( Ketamine and rapid antidepressant action: new treatments and novel synaptic signaling mechanisms.
Kavalali, ET; Krystal, JH; Monteggia, LM, 2024
)
4.33
"Esketamine is an NMDA receptor antagonist inducing antidepressant effects within hours."( The effects of esketamine and treatment expectation in acute major depressive disorder (Expect): study protocol for a pharmacological fMRI study using a balanced placebo design.
Bitsch, F; Falkenberg, I; Kircher, T; Liu, W; Matsingos, A; Noor, L; Vogelbacher, C; Yildiz, C, 2023
)
1.81
"Ketamine is an anesthetic and analgesic agent commonly used in the perioperative setting and emergency department for sedation and pain management (Mo et al in West J Emerg Med 21(2):272-281, 2020)."( Ketamine for Chronic Pain and Mental Health: Regulations, Legalities, and the Growth of Infusion Clinics.
Bloomfield, A; Chan, N; Fryml, L; Horace, R; Pyati, S, 2023
)
3.07
"Ketamine is a promising treatment for POW due to its potentiation of μ-opioid receptor-mediated signaling. "( Precipitated Opioid Withdrawal Treated With Ketamine in a Hospitalized Patient: A Case Report.
Butner, JL; Christian, NJ; Evarts, MS; Weimer, MB,
)
1.84
"Esketamine is a commonly used drug in pediatric general anesthesia due to its good analgesic and sedative effects."( Effect of intravenous induction with different doses of Esketamine combined with propofol and sufentanil on intraocular pressure among pediatric strabismus surgery: a randomized clinical trial.
Luo, J; Sun, R; Yin, K; Zhang, Z; Zhao, D, 2023
)
1.71
"Ketamine is a rapid-acting antidepressant that also influences neural reactivity to affective stimuli. "( The effect of ketamine on affective modulation of the startle reflex and its resting-state brain correlates.
Chand, T; Colic, L; Danyeli, LV; Deliano, M; Javaheripour, N; Kretzschmar, M; Kumar, VJ; Li, M; Macharadze, T; Opel, N; Ozkan, E; Refisch, A; Sen, ZD; Walter, M; Yemisken, M, 2023
)
2.71
"Ketamine is an effective antidepressant, but there is substantial variability in patient response and the precise mechanism of action is unclear. "( Brain-based correlates of antidepressant response to ketamine: a comprehensive systematic review of neuroimaging studies.
Barrett, FS; Demo, I; Goes, FS; Gould, TD; Matheson, M; Matheson, S; Medeiros, GC; Reid, MJ; Smith, GS; Twose, C; Zarate, CA, 2023
)
2.6
"Ketamine is an anaesthetic known to have short but rapid-acting anti-depressant effects; however, the neurobehavioural effects of its prolonged use and its role on the oxytocin system in the gut-brain axis are largely undetermined. "( Prolonged ketamine therapy differentially rescues psychobehavioural deficits via modulation of nitro-oxidative stress and oxytocin receptors in the gut-brain-axis of chronically-stressed mice.
Akinluyi, ET; Edem, EE; Fafure, AA; Ikuelogbon, DA; Isaac, GT; Kunlere, OE; Nebo, KE; Oguntala, OA, 2023
)
2.76
"Ketamine is an N -methyl- d -aspartate-antagonistic dissociative anesthetic infused intermittently for off-label management of treatment-resistant depression, acute suicidality, and postpartum depression. "( Pharmacokinetics of Ketamine Transfer Into Human Milk.
Baker, T; Datta, P; Hale, TW; Krutsch, K; Majdinasab, E,
)
1.9
"Ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist with demonstrated antidepressant effects in the adult population, however, the efficacy and safety of ketamine for the treatment of pediatric depression remains poorly understood."( Ketamine use in pediatric depression: A systematic review.
Cao, B; Ceban, F; Chisamore, N; Danayan, K; Ho, RC; McIntyre, RS; Meshkat, S; Rhee, TG; Rosenblat, JD; Vincenzo, JDD, 2022
)
2.89
"Ketamine is a novel fast-acting antidepressant recently approved for treatment-resistant depression. "( Aromatase inhibition and ketamine in rats: sex-differences in antidepressant-like efficacy.
García-Fuster, MJ; Jornet-Plaza, J; Ledesma-Corvi, S, 2023
)
2.66
"Ketamine is an analgesic adjuvant useful in acute pain preventive treatment. "( Postmastectomy analgesia with subcutaneous infiltration of ketamine with lidocaine in surgical wound.
García-Posada, LD; Landeros-Navarro, IY; López-Garcés, VM; Santana-López, KS, 2023
)
2.6
"Ketamine is a ionotropic glutamatergic NMDA antagonist that inhibits gabaergic neurons."( [Ketamine in antidepressant treatment: a revolution?]
Fossati, P, 2023
)
2.54
"Ketamine is a highly effective antidepressant and studies have shown changes to sensory processing in depression."( Association between dynamic resting-state functional connectivity and ketamine plasma levels in visual processing networks.
Hahn, A; Höflich, A; Hummer, A; Kasper, S; Klöbl, M; Kranz, GS; Lanzenberger, R; Michenthaler, P; Spies, M; Vanicek, T; Windischberger, C; Winkler, D, 2019
)
1.47
"Ketamine is an anesthetic agent whose use leads to overproduction of catecholamines."( Can the negative effects of ketamine abuse on female genital organs be prevented by nimesulide? An experimental study.
Kaplan, S; Mammadov, R; Onat, T; Sunar, M; Turkler, C; Yazici, GN; Yildirim, E, 2019
)
1.53
"Ketamine is an anaesthetic medication that acts as an antagonist of the NMDA receptor and has antidepressant potential."( Efficacy of Ketamine in bipolar depression: focus on anhedonia.
Cubała, WJ; Gałuszko-Węgielnik, M; Górska, N; Jakuszkowiak-Wojten, K; Szarmach, J; Szałach, Ł; Słupski, J; Wiglusz, MS; Wilkowska, A; Włodarczk, A, 2019
)
1.61
"Ketamine is an anaesthetic and analgesic agent that demonstrates the antidepressive effect in major depression. "( Short-term ketamine administration in treatment-resistant depression: focus on cardiovascular safety.
Cubała, WJ; Szarmach, J; Wiglusz, MS; Włodarczyk, A, 2019
)
2.35
"Ketamine is a multimodal dissociative anesthetic and analgesic that is widely used after traumatic injury. "( Association between intravenous ketamine-induced stress hormone levels and long-term fear memory renewal in Sprague-Dawley rats.
Berman, RY; Choi, KH; Girasek, QL; Radford, KD; Spencer, HF; Zhang, M, 2020
)
2.28
"Ketamine is a dissociative anesthetic first developed in the 1960s but is increasingly used at subanesthetic doses for both clinical and non-clinical purposes. "( Ketamine sensitization: Influence of dose, environment, social isolation and treatment interval.
Heller, CY; Trujillo, KA, 2020
)
3.44
"Ketamine is an N-methyl-d-aspartate (NMDA) receptor antagonist that works by binding to the phencyclidine-binding site, thereby blocking influx of cations through the NMDA receptor channel. "( Are Ketamine Infusions a Viable Therapeutic Option for Refractory Neonatal Seizures?
Bingham, W; Huntsman, RJ; Strueby, L, 2020
)
2.56
"Ketamine (KET) is an anesthetic agent widely used in human and veterinary medicine. "( Gallic acid prevents ketamine-induced oxidative damages in brain regions and liver of rats.
Baccin, PS; Burger, ME; Mangini, LT; Martins, LR; Milanesi, LH; Rosa, HZ; Schimites, PI; Segat, HJ; Soares, AV; Teixeira, LG, 2020
)
2.32
"Ketamine is a potent uncompetitive NMDA receptor antagonist that provides amnesia, analgesia, environmental dissociation and immobility, where it has its cytotoxic effect well described in the literature. "( Evaluation of Genotoxicity and Mutagenicity of Ketamine on Human Peripheral Blood Leukocytes and in Salmonella typhimurium.
Aires do Nascimento, FBS; Barreto, FS; Cavalcanti, BC; da Silva, CR; de Andrade Neto, JB; de Moraes, MO; de Oliveira Ferreira, JR; de Sousa Silva, AA; do Amaral Valente Sá, LG; Magalhães, HIF; Nobre Júnior, HV, 2020
)
2.26
"Ketamine is an anesthetic gaining attention for its rapid antidepressant effect."( Effects of Ketamine Anesthesia on Efficacy, Tolerability, Seizure Response, and Neurocognitive Outcomes in Electroconvulsive Therapy: A Comprehensive Meta-analysis of Double-Blind Randomized Controlled Trials.
Ainsworth, NJ; Sepehry, AA; Vila-Rodriguez, F, 2020
)
1.67
"Ketamine is a drug largely used in clinical practice as an anesthetic and it can also be used as an analgesic to manage chronic pain symptoms. "( Peripheral antinociception induced by ketamine is mediated by the endogenous opioid system.
Caliari, MV; de Almeida, DL; Duarte, IDG; Lima Romero, TR; Paiva-Lima, P; Petrocchi, JA; Queiroz-Junior, C, 2019
)
2.23
"Esketamine appears to be an effective therapy when combined with oral antidepressants in patients with TRD."( Esketamine: a glimmer of hope in treatment-resistant depression.
Chakrabarti, SS; Kaur, U; Pathak, BK; Singh, A, 2021
)
1.9
"Ketamine is a noncompetitive N-methyl-"( Ketamine in seizure management and future pharmacogenomic considerations.
Borsato, GS; Feyissa, AM; Freeman, WD; Jackson, DA; Ojard, M; Quinones-Hinojosa, A; Rogers, ER; Rose, MQ; Siegel, JL, 2020
)
3.44
"Ketamine is a popular recreational drug used in club and dance music settings. "( Metabolic effects of repeated ketamine administration in the rat brain.
Chen, F; Dai, X; Fang, S; Liao, L; Ye, Y; Zheng, Y, 2020
)
2.29
"Ketamine is an anesthetic and analgesic drug widely used in clinical anesthesia. "( Ketamine exerts neurotoxic effects on the offspring of pregnant rats via the Wnt/β-catenin pathway.
Chang, T; Gao, L; Liu, W; Wang, Q; Zhang, X; Zhao, J, 2020
)
3.44
"Ketamine is an essential medicine used as an anesthetic in low and middle-income countries and in veterinary medicine. "( Ketamine abusers referring to emergency departments in northern Italy: a cross- sectional study.
Marani, S; Pavarin, RM; Turino, E,
)
3.02
"Ketamine is an N-methyl-d-aspartate receptor antagonist and its topical application is used for chronic pain and oral/throat indications."( Topical application of ketamine to prevent postoperative sore throat in adults: A systematic review and meta-analysis.
Hino, M; Kamei, J; Kuriyama, A; Nakanishi, M; Ninomiya, K; Sun, R, 2020
)
1.59
"Ketamine is a widely used anesthetic in experimental medicine. "( Ketamine decreases cell viability of bone explants and impairs bone healing in rats.
Bagó, M; Csery, M; Doros, A; Hornyák, I; Horváthy, DB; Lacza, Z; Marschall, B; Szántó, P, 2020
)
3.44
"Ketamine is a noncompetitive N-methyl-D-aspartate antagonist and is known for unique electrophysiologic profiles in electroencephalography. "( Dynamics of Ketamine-induced Loss and Return of Consciousness across Primate Neocortex.
Ballesteros, JJ; Eskandar, EN; Huang, P; Ishizawa, Y; Patel, SR, 2020
)
2.38
"Ketamine is a noncompetitive antagonist of glutamatergic N-methyl-d-aspartate receptors. "( Comprehensive mapping of cytochrome c oxidase activity in the rat brain after sub-chronic ketamine administration.
Harro, J; Imbeault, S; Kanarik, M; Matrov, D; Miljan, E; Schikorra, P; Shimmo, R; Shkolnaya, M, 2020
)
2.22
"Ketamine is a general anesthetic. "( What urologists need to know about ketamine-induced uropathy: A systematic review.
Castellani, D; Dellabella, M; Gregori, A; Gubbiotti, M; Gudaru, K; Pirola, GM; Rubilotta, E, 2020
)
2.28
"Ketamine is a racemic mixture comprising equal parts of (R)-ketamine (or arketamine) and (S)-ketamine (or esketamine)."( Molecular mechanisms of the rapid-acting and long-lasting antidepressant actions of (R)-ketamine.
Hashimoto, K, 2020
)
1.5
"Ketamine is a widely used general anesthetic and has been reported to demonstrate neurotoxicity and neuroprotection. "( Ketamine promotes the neural differentiation of mouse embryonic stem cells by activating mTOR.
Hu, R; Jiang, H; Lv, X; Sun, Y; Xi, S; Yan, J; Zhang, L; Zhou, X, 2020
)
3.44
"Ketamine is a well-studied and safe medication used for procedural sedation in the pediatric emergency department (ED). "( Ketamine Sedation and Hypoxia: A Quality Improvement Project to Reduce Respiratory Events Receiving Intervention.
Bernier, B; DiStefano, M; Faulk, D; Leonard, J; Wathen, J; Wiersma, AJ, 2020
)
3.44
"Ketamine is an intravenous anesthetic commonly used in clinical, which has sedative and analgesic effects. "( Effect of ketamine on voltage-gated potassium channels in rat primary sensory cortex pyramidal neurons.
Fu, B; Yin, J; Yu, T; Zhang, Y, 2020
)
2.4
"Ketamine is a common anaesthetic agent used in research and more recently as medication in treatment of depression. "( Ketamine anaesthesia induces gain enhancement via recurrent excitation in granular input layers of the auditory cortex.
Abela, F; Aksit, S; Brunk, MGK; Curran, AW; Deane, KE; Deliano, M; Happel, MFK; Lin, X; Ma, J; Ohl, FW; Zempeltzi, MM, 2020
)
3.44
"Ketamine is a promising therapeutic for treatment-resistant depression (TRD) but is associated with an array of short-term psychomimetic side-effects. "( Transient Dose-dependent Effects of Ketamine on Neural Oscillatory Activity in Wistar-Kyoto Rats.
Manduca, JD; Perreault, ML; Rasmussen, DJ; Thériault, RK; Williams, OOF, 2020
)
2.28
"Ketamine (KET) is a dissociative anesthetic for restrict medical use with high potential for abuse and neurotoxicity which does not prevent its recreational use. "( Binge and Subchronic Exposure to Ketamine Promote Memory Impairments and Damages in the Hippocampus and Peripheral Tissues in Rats: Gallic Acid Protective Effects.
Brum, GF; Burger, ME; Metz, VG; Milanesi, LH; Rosa, HZ; Rosa, JLO; Rossato, DR, 2020
)
2.28
"Ketamine is an anesthetic agent that antagonizes N-methyl-d-aspartate receptors, inducing psychotic-like symptoms in healthy humans and animals. "( Repeated ketamine administration induces recognition memory impairment together with morphological changes in neurons from ventromedial prefrontal cortex, dorsal striatum, and hippocampus.
Bautista-Orozco, LÁ; Orozco-Suárez, S; Picazo, O; Suárez-Santiago, JE; Vega-García, A, 2020
)
2.42
"Ketamine is a valuable anaesthetic and analgesic that in recent years has gained notoriety as a recreational drug. "( Characteristic patterns of EEG oscillations in sheep (Ovis aries) induced by ketamine may explain the psychotropic effects seen in humans.
Morton, AJ; Nicol, AU, 2020
)
2.23
"Ketamine is a rapid-acting antidepressant but its mechanism remains unclear. "( Vascular endothelial growth factor and pigment epithelial-derived factor in the peripheral response to ketamine.
Gallagher, B; McGrory, CL; McLoughlin, DM; Ryan, KM, 2020
)
2.22
"Ketamine is a racemic mixture comprised of two enantiomers (R)-ketamine and (S)-ketamine and acts as an NMDA receptor antagonist."( Ketamine for depression clinical issues.
Iqbal, SZ; Mathew, SJ, 2020
)
2.72
"Ketamine is a frequently used anesthetic in pediatric patients that can cause cognitive impairment. "( Genistein attenuates cognitive deficits and neuroapoptosis in hippocampus induced by ketamine exposure in neonatal rats.
Li, Q; Zhang, X, 2021
)
2.29
"Ketamine is a widely used intravenous anesthetic; however, basic and clinical studies have demonstrated that prolonged exposure can cause irreversible injury to the immature human brain. "( Yes‑associated protein protects and rescues SH‑SY5Y cells from ketamine‑induced apoptosis.
Chen, Y; Ke, Z; Li, J; Li, Y; Wang, J; Wang, Y; Wei, L; Xuan, W; Yang, Z, 2020
)
2.24
"Ketamine is a recreational drug that causes emotional and cognitive impairments, but its specific mechanisms of action are still unclear. "( Effects of Single-Dose and Long-Term Ketamine Administration on Tau Phosphorylation-Related Enzymes GSK-3β, CDK5, PP2A, and PP2B in the Mouse Hippocampus.
Ding, R; Jing, C; Li, B; Li, Y; Liu, L; Lu, Y; Ren, X; Wen, G; Wu, X; Yao, J; Zhang, G, 2020
)
2.27
"Ketamine is a vital component for acute pain management in emergency trauma care for both civilian and military hospitals. "( Association between traumatic brain injuries and ketamine infusion side effects following combat injury.
Giordano, NA; Highland, KB; Kane, AV; Kent, ML; Tran, J, 2022
)
2.42
"Ketamine is an effective treatment option for patients with MDD with undesirable effects when administered via oral, IV and IN routes."( Effectiveness and Safety of Ketamine for Unipolar Depression: a Systematic Review.
Abbas, N; Chaudhary, AMD; Faquih, AE; Fida, A; Memon, RI; Naveed, S; Qayyum, Z, 2020
)
1.57
"Ketamine is an intravenous anesthetic routinely used for anesthesia induction and with potent analgesic activity."( Ketamine potentiates TRPV1 receptor signaling in the peripheral nociceptive pathways.
Carobin, NV; Castro Junior, CJ; da Costa, FLP; de Jesus, ICG; Ferreira, LA; Guatimosim, S; Pinto, MCX; Santos, DC; Silva, JF, 2020
)
2.72
"Ketamine appears to be an effective means of pain control for those suffering from painful envenomations."( Ketamine for pain control of snake envenomation in Guinea: A case series.
Balde, C; Benjamin, JM; Brandehoff, N; Chippaux, JP, 2020
)
2.72
"Ketamine is a dissociative anesthetic with analgesic properties. "( Dissociative and Analgesic Properties of Ketamine Are Independent.
Akeju, O; Chamadia, S; Colon, KM; Ethridge, BR; Gitlin, J; Hahm, EY; Ibala, R; Locascio, JJ; Mekonnen, J; Pedemonte, JC; Qu, J, 2020
)
2.27
"Ketamine is a highly effective antidepressant for patients with treatment-resistant major depressive disorder (MDD). "( Effects of Serial Ketamine Infusions on Corticolimbic Functional Connectivity in Major Depression.
Congdon, E; Espinoza, RT; Hellemann, G; Kubicki, A; Leaver, AM; Loureiro, J; Narr, KL; Sahib, A; Vasavada, MM; Wade, B, 2021
)
2.4
"Ketamine is a dissociative anesthetic agent with excellent analgesic properties and a favorable safety profile. "( A review of the clinical applications of ketamine in pediatric oncology.
Gupta, AK; Meena, JP; Prakash, S; Seth, R, 2021
)
2.33
"Esketamine nasal spray is a novel, fast-acting agent that provides an additional treatment option for patients with TRD who have previously failed several therapies. "( Practical recommendations for the management of treatment-resistant depression with esketamine nasal spray therapy: Basic science, evidence-based knowledge and expert guidance.
Cubała, WJ; Fagiolini, A; Kasper, S; Ramos-Quiroga, JA; Souery, D; Young, AH, 2021
)
1.57
"Ketamine is an effective and safe multimodal analgesic in patients undergoing breast surgery, administered both intravenously and when added to bupivacaine in paravertebral blocks. "( The Effect of Ketamine on Acute and Chronic Wound Pain in Patients Undergoing Breast Surgery: A Meta-Analysis and Systematic Review.
Bi, Y; Liu, B; Ma, J; Ye, Y; Zhang, X; Zhu, Y, 2021
)
2.42
"Ketamine is a racemic mixture, composed of equal amounts of (S)-ketamine and (R)-ketamine."( Ketamine: A tale of two enantiomers.
Jelen, LA; Stone, JM; Young, AH, 2021
)
2.79
"Ketamine is a potential rapid-acting treatment for depression. "( The time course of psychotic symptom side effects of ketamine in the treatment of depressive disorders: a systematic review and meta-analysis.
Dragovic, M; Ford, A; Gabriel, L; Tashakkori, M; Waters, F, 2021
)
2.31
"Ketamine is a non-competitive antagonist of NMDA (N-methyl-D-aspartate) receptor, which has been in clinical practice for over a half century. "( Ketamine and Calcium Signaling-A Crosstalk for Neuronal Physiology and Pathology.
Boczek, T; Lisek, M; Zylinska, L, 2020
)
3.44
"Ketamine is a kind of anesthetic broadly applied in clinic. "( MiRNA-429 alleviates ketamine-induced neurotoxicity through targeting BAG5.
Bian, W; Fan, X; Li, J; Liu, M; Wang, Y, 2021
)
2.38
"Ketamine is a chiral drug used for various clinical purposes but often misused. "( Ketamine and Norketamine: Enantioresolution and Enantioselective Aquatic Ecotoxicity Studies.
Carrola, JS; Gonçalves, R; M F Gonçalves, V; Pereira, JA; Pérez-Pereira, A; Pires, C; Ribeiro, C; Teles, F; Tiritan, ME, 2022
)
3.61
"Ketamine is a noncompetitive N-methyl-D-aspartate/glutamate receptor complex antagonist that decreases pain by diminishing central sensitization and hyperalgesia. "( Nebulized Ketamine Used for Pain Management of Orthopedic Trauma.
Davis, AR; Dove, D; Fassassi, C; Khordipour, E; Motov, S; Ranginwala, A, 2021
)
2.47
"Ketamine is a versatile agent primarily utilized as a dissociative anesthetic, which acts by blocking the excitatory receptor "( The Ketamine Antidepressant Story: New Insights.
Alshammari, TK, 2020
)
2.56
"Ketamine (KET) is an N-methyl-D-aspartate (NMDA) antagonist with rapid and long-lasting antidepressant effects, but how the drug shows its sustained effects is still a matter of controversy. "( Rapid and long-lasting antidepressant-like effects of ketamine and their relationship with the expression of brain enzymes, BDNF, and astrocytes.
Andrade, SM; Aquino, PEA; Araujo, ARA; Coelho, NC; Costa, ROD; Medeiros, IS; Neves, KRT; Sousa, CNS; Vale, EMD; Vasconcelos, SMM; Viana, GSB, 2020
)
2.25
"Ketamine is a versatile analgesic that has become an increasingly popular recreational drug. "( Recreational ketamine-induced cholangiopathy and ulcerative cystitis.
Freyre, K; Opsha, O; Opsha, Y; Vu, DM, 2021
)
2.43
"Ketamine is an agent with attractive pharmacological and pharmacokinetics characteristics."( Ketamine in acute phase of severe traumatic brain injury "an old drug for new uses?"
Badenes, R; Godoy, DA; Pelosi, P; Robba, C, 2021
)
2.79
"Esketamine is a promising drug which can induce antidepressant effects in Major Depression Disorder (MDD). "( Adverse Effects of Esketamine for the Treatment of Major Depression Disorder: Findings from Randomized Controlled Trials.
Chen, G; Li, X; Wang, J; Wang, T; Xu, X; Xu, Z; Yang, S; Zhou, X, 2022
)
1.76
"Ketamine is a potential analgesic alternative that may have advantages to narcotics in the bariatric population."( Ketamine infusion reduces narcotic requirements following gastric bypass surgery: a randomized controlled trial.
Alex, G; Friedman, J; Mehta, SD; Sappenfield, JW; Smyth, D; Vasilopoulos, T, 2021
)
2.79
"Ketamine is a unique and safe drug that enables well-controlled sedation and anesthesia, attenuates depression and mitigates suicidal thoughts, without depressing respiratory or cardiovascular mechanics."( Perspectives of Ketamine Use in COVID-19 Patients.
Weinbroum, AA, 2021
)
1.69
"Ketamine is a well-known anesthetic that has been used since the 1970s. "( Examining Use of Low-Dose Ketamine Infusions During the Postoperative Period: A Retrospective Study Comparing Opioid-Tolerant and Nonopioid-Tolerant Patients.
Cianci, MJ; Hebl, JR; Martin, EE; Mauck, WD; Ochs Kinney, MA, 2021
)
2.36
"Ketamine is an N-methyl-D-aspartate receptor antagonist with rapid antidepressant effects. "( Role of nitric oxide signaling in the antidepressant mechanism of action of ketamine: A randomized controlled trial.
Bagiella, E; Bevilacqua, L; Brallier, J; Charney, A; Charney, DS; Glasgow, A; Jha, MK; Kirkwood, K; Murrough, JW; Pierce, CR; Richards, SM, 2021
)
2.29
"Ketamine is a NMDA agonist frequently used by ED physicians for sedation and analgesia."( Ketamine for acute suicidality in the emergency department: A systematic review.
Bullard, T; Maguire, L; Papa, L, 2021
)
2.79
"Ketamine is a racemic mixture composed of equal amounts of (S)-ketamine and (R)-ketamine."( Ketamine for depression.
Jelen, LA; Stone, JM, 2021
)
2.79
"Ketamine is an anesthetic agent well established for its efficacy in the management of neuropathic pain in opioid-tolerant patients, and has been shown to prevent opioid-induced hyperalgesia and decrease opioid requirements."( The role of short-term, low dose intravenous ketamine infusion in Calciphylaxis.
Ghanavatian, S; James, DL; Sadolf, JS, 2021
)
1.6
"Ketamine is a fast-acting N-methyl-D-aspartate (NMDA) receptor antagonist that has been emerging as an effective medication for pain alleviation."( Low-dose ketamine as an adjuvant for pain control in a cancer patient: a case report.
Fattakhov, E; Galea, J; Kaur, G; Patel, S; Singh, AB; Tatachar, V, 2021
)
1.76
"(R)-ketamine is a new safer antidepressant than (R,S)-ketamine and (S)-ketamine."( Dextran sulfate sodium-induced inflammation and colitis in mice are ameliorated by (R)-ketamine, but not (S)-ketamine: A role of TrkB signaling.
Chang, L; Fujita, Y; Hashimoto, H; Hashimoto, K; Hashimoto, Y, 2021
)
1.33
"Ketamine is a glutamate N-methyl-D-aspartate (NMDA) receptor antagonist, which is shown to play a role in extinction modulation."( Intra-prefrontal cyclosporine potentiates ketamine-induced fear extinction in rats.
Mohammadi-Farani, A; Rahimian, R; Tamasoki, N, 2021
)
1.61
"Ketamine is a widely used analgesic and anesthetic in obstetrics and pediatrics. "( Protective Effect of GM1 Attenuates Hippocampus and Cortex Apoptosis After Ketamine Exposure in Neonatal Rat via PI3K/AKT/GSK3β Pathway.
Bai, H; Gao, L; Jin, X; Li, R; Liu, W; Ma, X; Shen, M; Zhang, Z, 2021
)
2.29
"Ketamine is a demonstrated treatment for major depressive episodes, as relief from depressive symptoms can occur rapidly following treatment."( Efficacy of ketamine for major depressive episodes at 2, 4, and 6-weeks post-treatment: A meta-analysis.
Barber, KE; Conley, AA; Griffith, JD; Hatvany, TC; Norwood, AEQ, 2021
)
1.72
"Ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist that is an established general anesthetic and short-acting dissociative analgesic agent."( Apnea with ketamine sedation in a patient with severe anorexia nervosa: A case report.
Joshi, R; Marvin, W, 2022
)
1.83
"Ketamine is a phencyclidine derivative first used in clinical practice in the 1970's. "( Characterization of ketamine usage in a large tertiary-care emergency department.
McKinley, K; Panakos, P; Yousef, D, 2021
)
2.39
"Ketamine is a noncompetitive N-methyl-D-aspartate receptor antagonist that is widely used for its analgesic and sedative effects."( Ketamine in Refractory Cyclic Vomiting Syndrome: A Case Report and Review of Literature.
Cheung, F; Doherty, SM; Tatara, AW, 2022
)
2.89
"Ketamine is a dissociative anesthetic used in medical practice, used recreationally since the mid-1960s. "( Ketamine Use Among People Who Regularly Use Ecstasy and Other Illicit Stimulants in Australia: Trends and Characteristics of Use, 2009-2019.
Cossar, R; Dietze, P; Djordjevic, F; Lenton, S; Peacock, A; Salom, C; Stewart, AC, 2021
)
3.51
"Ketamine is a dissociative anesthetic increasingly used in the prehospital and battlefield environment. "( Ketamine Use in Operation Enduring Freedom.
Drew, B; Leslie, E; Pittman, E; Walrath, B, 2021
)
3.51
"Ketamine is an effective preinduction sedative but can produce significant adverse side effects."( Retrospective Comparison of Intramuscular Admixtures of Ketamine and Dexmedetomidine Versus Ketamine and Midazolam for Preoperative Sedation.
Bennett-Guerrero, E; Boorin, MR; Epstein, RH; Gan, TJ; Guthrie, DB; Lam, DK; Romeiser, JL; Sisti, AR, 2021
)
1.59
"Ketamine is an anesthetic, analgesic, and antidepressant whose secondary metabolite (2"( Ketamine Metabolite (2
Brannigan, G; Bu, W; Eckenhoff, RG; Joseph, TT; Lin, W; Liu, R; Yeliseev, A; Zoubak, L, 2021
)
3.51
"Ketamine is a noncompetitive "( A key requirement for synaptic Reelin signaling in ketamine-mediated behavioral and synaptic action.
Herz, J; Kavalali, ET; Kim, JW; Monteggia, LM, 2021
)
2.32
"Ketamine is a dissociative anesthetic drug, which has more recently emerged as a rapid-acting antidepressant. "( Ketamine disrupts naturalistic coding of working memory in primate lateral prefrontal cortex networks.
Corrigan, B; Duong, L; Gulli, RA; Luna, R; Martinez-Trujillo, JC; Moreno-Bote, R; Nogueira, R; Palaniyappan, L; Roussy, M; Sachs, AJ, 2021
)
3.51
"Ketamine is a N-methyl-D-Aspartate receptor antagonist, historically used in anesthesia, but also affects other neurotransmitters systems, synaptic plasticity, neurogenesis, and neural connectivity."( Therapeutic potential of ketamine for alcohol use disorder.
Gould, TJ; Worrell, SD, 2021
)
1.65
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist. "( Effect of ketamine on gene expression in zebrafish embryos.
Gu, Q; Kanungo, J, 2021
)
2.47
"Ketamine is a dissociative anesthetic used increasingly as analgesia for different manifestations of pain, including acute, chronic, cancer and perioperative pain as well as pain in the critically ill patient population. "( Ketamine for Pain Management: A Review of Literature and Clinical Application.
Caruso, K; Lyden, A; Tyler, D,
)
3.02
"Ketamine is a dissociative anesthetic used in veterinary and human medicine since the 1970s. "( Increasing Prevalence of Ketamine in Drivers in New York City Including the Identification of 2-Fluoro-Deschloroketamine.
Arango, E; Cooper, G; Rosario, Z; Toriello, A, 2021
)
2.37
"Ketamine is a phencyclidine derivative with dissociative anaesthetic properties. "( Recreational ketamine-related deaths notified to the National Programme on Substance Abuse Deaths, England, 1997-2019.
Claridge, H; Copeland, CS; Corkery, JM; Goodair, C; Hung, WC; Schifano, F, 2021
)
2.43
"Ketamine cystitis (KC) is a chronic bladder inflammation leading to urinary urgency, frequency, and pain. "( Molecular pathways underlying tissue injuries in the bladder with ketamine cystitis.
Chen, H; Ergu, E; Huang, R; Liang, J; Luo, C; Qiao, H; Xie, X; Xing, H; Yang, J; Zhou, L, 2021
)
2.3
"Ketamine is a widely used dissociative drug, whose quantification in plasma and urine can be of pharmacological, toxicological, and clinical interest. "( A critical point in chiral chromatography-mass spectrometry analysis of ketamine metabolites.
Barbarossa, A; Bardhi, A; Gazzotti, T; Pagliuca, G, 2021
)
2.3
"Ketamine is a dissociative anesthetic that is currently considered for several new indications."( Harm related to recreational ketamine use and its relevance for the clinical use of ketamine. A systematic review and comparison study.
Van Amsterdam, J; Van Den Brink, W, 2022
)
2.46
"Ketamine is a novel rapid-acting antidepressant with high efficacy in treatment-resistant patients. "( Ketamine's effect on inflammation and kynurenine pathway in depression: A systematic review.
Kopra, E; Mondelli, V; Nikkheslat, N; Pariante, C, 2021
)
3.51
"Ketamine is a non-competitive channel blocker of N-methyl-D-aspartate (NMDA) receptors"( Structural basis of ketamine action on human NMDA receptors.
Du, D; Guo, F; Lin, H; Luo, C; Lv, S; Ye, F; Zhang, T; Zhang, Y; Zhou, L; Zhu, S, 2021
)
2.39
"Ketamine is a clinical anesthetic and antidepressant. "( Ketamine Produces a Long-Lasting Enhancement of CA1 Neuron Excitability.
Jang, G; MacIver, MB, 2021
)
3.51
"Ketamine is a novel, rapid-acting antidepressant for treatment refractory depression (TRD); however, clinical durability is poor and treatment response trajectories vary. "( Age affects temporal response, but not durability, to serial ketamine infusions for treatment refractory depression.
Badathala, A; Fryer, SL; Marton, TF; Mathalon, DH; Pennybaker, S; Roach, BJ; Wallace, AW, 2021
)
2.31
"Ketamine is an N-methyl-D-aspartate receptor (NMDA) antagonist used widely as an intravenous analgesic for treatment of acute pain. "( Efficacy and Tolerability of Oral Compared with Sublingual Ketamine Lozenges as Rescue Analgesics in Adults for Acute Pain: The OSKet Trial.
Chong, CC; Schug, SA, 2021
)
2.31
"Ketamine is an NMDA receptor antagonist commonly used to maintain general anesthesia. "( A hidden Markov model reliably characterizes ketamine-induced spectral dynamics in macaque local field potentials and human electroencephalograms.
Akeju, O; Brown, EN; Chakravarty, S; Chamadia, S; Donoghue, J; Garwood, IC; Kahali, P; Mahnke, M; Miller, EK, 2021
)
2.32
"Ketamine is an FDA-approved drug as an anesthetic but remains unapproved for psychiatric indications, and this status raises a number of short- and long-term safety and efficacy concerns that need to be addressed when implementing and developing this type of clinic."( Developing an IV Ketamine Clinic for Treatment-Resistant Depression: a Primer.
Achtyes, E; Bobo, WV; Coryell, W; Drake, K; Frye, MA; Goddard, A; Goes, F; Greden, JF; Kaplin, A; Lopez, D; Maixner, D; Parikh, SV; Rico, J; Riva-Posse, P; Singh, B; Tarnal, V; Vande Voort, JL; Watson, B, 2021
)
1.68
"Ketamine is a synthetic drug with unique properties which started to be used therapeutically in humans in the 1970s and is now widely used in all fields of nursing. "( Reviewing the physiology, pharmacology and therapeutic uses of ketamine.
Hunt, JA; Lake, MA, 2021
)
2.3
"Ketamine is a dissociative anesthetic and a non-competitive NMDAR antagonist. "( Subanesthetic ketamine rapidly alters medial prefrontal miRNAs involved in ubiquitin-mediated proteolysis.
Choi, Y; Chung, S; Ham, S; Im, HI; Kim, B; Kim, HS; Maeng, S, 2021
)
2.42
"Ketamine is an emerging therapy for pediatric refractory status epilepticus. "( Increasing Ketamine Use for Refractory Status Epilepticus in US Pediatric Hospitals.
Alex, B; Antonetty, A; Buraniqi, E; Fialho, H; Grinspan, ZM; Hafeez, B; Jackson, MC; Jawahar, R; Keros, S; Kjelleren, S; Loddenkemper, T; Morgan, LA; Patel, AD; Sogawa, Y; Stewart, E; Wainwright, MS, 2017
)
2.29
"Ketamine may prove to be a potential candidate in treating the widespread drug addiction/substance abuse epidemic among patients with schizophrenia. "( Suppression of Methamphetamine Self-Administration by Ketamine Pre-treatment Is Absent in the Methylazoxymethanol (MAM) Rat Model of Schizophrenia.
Babinska, Z; Micale, V; Ruda-Kucerova, J; Stark, T, 2017
)
2.15
"Ketamine is an anesthetic drug that is also used for off-label indications such as the mediation of analgesia and sedation in various settings. "( Ketamine for Depression, 1: Clinical Summary of Issues Related to Efficacy, Adverse Effects, and Mechanism of Action.
Andrade, C, 2017
)
3.34
"Ketamine is a N-Metil-D-Aspartate receptor antagonist that has been used as adjuvant in the acute postoperative pain management because of its analgesic properties. "( Is intravenous ketamine effective for postoperative pain management in adults?
Altermatt, F; Lobos-Urbina, D; Stuardo, C, 2017
)
2.25
"Ketamine is a pediatric anesthetic that noncompetitively inhibits the calcium-permeable N-methyl-d-aspartic acid receptors."( Cyclosporine exacerbates ketamine toxicity in zebrafish: Mechanistic studies on drug-drug interaction.
Ali, SF; Dumas, M; Gu, Q; Kanungo, J; Paule, MG; Robinson, BL, 2017
)
1.48
"Ketamine is an anesthetic commonly used in low-income countries and has recently been shown to be effective for treatment-resistant depression. "( Ketamine and international regulations.
Hao, W; Liao, Y; Tang, YL, 2017
)
3.34
"Ketamine is a racemic mixture of the enantiomers R-ketamine and S-ketamine (esketamine). "( Ketamine for Depression, 3: Does Chirality Matter?
Andrade, C, 2017
)
3.34
"Ketamine is a well-known anesthetic. "( Ketamine changes the local resting-state functional properties of anesthetized-monkey brain.
Li, XG; Liu, Z; Rao, JS; Tian, PY; Wei, RH; Yang, ZY; Zhao, C; Zhao, W; Zhou, X, 2017
)
3.34
"Ketamine is a commonly used anesthetic among pediatric patients due to its high efficacy. "( Prolonged ketamine exposure induces increased activity of the GluN2B-containing N-methyl-d-aspartate receptor in the anterior cingulate cortex of neonatal rats.
Gong, K; Jin, J; Kokane, SS; Lin, Q, 2017
)
2.3
"Ketamine is a frequently used intravenous anesthetic, which can reversibly induce loss of consciousness (LOC). "( Ketamine attenuates the glutamatergic neurotransmission in the ventral posteromedial nucleus slices of rats.
Fu, B; Fu, X; Liu, C; Yu, T; Zhang, L; Zhang, Y, 2017
)
3.34
"Ketamine is a potent N-methyl-D-aspartate receptor antagonist with a potentially novel mechanism of action for the treatment of anxiety disorders."( Ketamine for Social Anxiety Disorder: A Randomized, Placebo-Controlled Crossover Trial.
Bloch, MH; Coughlin, C; Gabriel, D; Jakubovski, E; Johnson, JA; Landeros-Weisenberger, A; Mulqueen, J; Reed, MO; Taylor, JH, 2018
)
2.64
"Ketamine is a non-competitive antagonist at the N-methyl-d-aspartate receptor. "( The effects of ketamine on dopaminergic function: meta-analysis and review of the implications for neuropsychiatric disorders.
Ashok, AH; Howes, OD; Kokkinou, M, 2018
)
2.28
"Ketamine is a standard anaesthetic drug that has been studied as a possible treatment for acute suicidal ideation. "( Use of ketamine for acute suicidal ideation in a patient with chronic pain on prescribed cannabinoids.
Bigman, D; Bobrin, B; Kunaparaju, S, 2017
)
2.35
"Ketamine is a promising treatment for geriatric patients with TRD."( Use of Ketamine in Elderly Patients with Treatment-Resistant Depression.
Medeiros da Frota Ribeiro, C; Riva-Posse, P, 2017
)
1.63
"Ketamine is an ionotropic glutamatergic N‑methyl‑D‑aspartate receptor antagonist, which is widely used among recreational drug abusers. "( Clinical significance of interleukin‑6 and inducible nitric oxide synthase in ketamine‑induced cystitis.
Chen, SK; Chien, CC; Huang, CJ; Lee, FK; Wang, YC; Wu, ST, 2018
)
2.15
"Ketamine is an old anesthetic agent that relieves pain by reducing central sensitization in the central nervous system. "( Ketamine in the treatment of acute pain.
Brinck, E; Kontinen, V, 2017
)
3.34
"Ketamine is a non-competitive antagonist of N-methyl-D-aspartate receptors (NMDARs). "( Downregulation of Egr-1 Expression Level via GluN2B Underlies the Antidepressant Effects of Ketamine in a Chronic Unpredictable Stress Animal Model of Depression.
Liu, CC; Lv, YD; Sun, WY; Tian, LJ; Wang, HH; Zhang, WJ, 2018
)
2.14
"Ketamine (KT) is a chiral anesthetic agent, (R)- and (S)-enantiomers of which differ in their pharmacological properties. "( Enantioselective Monoclonal Antibodies for Detecting Ketamine to Crack Down on Illicit Use.
Hayashi, Y; Ito, A; Kanda, Y; Kobayashi, N; Morita, I; Oyama, H; Toyota, M; Yasuo, M; Yokoyama, T, 2018
)
2.17
"Ketamine is a dissociative anaesthetic drug which acts on the central nervous system chiefly through antagonism of the n-methyl-d-aspartate (NMDA) receptor. "( Ketamine for the treatment of addiction: Evidence and potential mechanisms.
Ivan Ezquerra-Romano, I; Krupitsky, E; Lawn, W; Morgan, CJA, 2018
)
3.37
"Ketamine is an N-methyl-D-aspartate receptor antagonist, which on administration produces fast-acting antidepressant responses in patients with major depressive disorder. "( Calcium/Calmodulin-Dependent Protein Kinase II and Eukaryotic Elongation Factor 2 Kinase Pathways Mediate the Antidepressant Action of Ketamine.
Adaikkan, C; Barrera, I; David, O; Rosenblum, K; Taha, E, 2018
)
2.13
"Ketamine is a general anesthetic thought to act by antagonizing N-methyl-D-aspartate receptors. "( Ketamine Action in the In Vitro Cortical Slice Is Mitigated by Potassium Channel Blockade.
Englund, V; Karalus, S; Sleigh, JW; Voss, LJ, 2018
)
3.37
"Ketamine is a widely used pharmaceutical that has been detected in water sources worldwide. "( Ketamine induction of p53-dependent apoptosis and oxidative stress in zebrafish (Danio rerio) embryos.
Antunes, LM; Coimbra, AM; Félix, LM; Matos, M; Monteiro, SM; Serafim, C; Valentim, AM; Vidal, AM, 2018
)
3.37
"Ketamine is a noncompetitive glutamate N-methyl-D-aspartic acid receptor antagonist. "( Ketamine effects on mammalian target of rapamycin signaling in the mouse limbic system depend on functional dopamine D3 receptors.
Cavalleri, L; Chiamulera, C; Collo, G; di Chio, M; Padovani, L; Venniro, M, 2018
)
3.37
"Ketamine is a widely used anesthetic in pediatric clinical practice. "( Modulatory effect of curcumin on ketamine-induced toxicity in rat thymocytes: Involvement of reactive oxygen species (ROS) and the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) pathway.
Golubovic, M; Jovic, Z; Karan, R; Krtinic, D; Lilic, J; Pavlovic, S; Pavlovic, V; Rankovic, G, 2018
)
2.2
"Ketamine is an effective drug for battlefield analgesia. "( Ketamine for military prehospital analgesia and sedation in combat casualties.
Moy, R; Wright, C, 2018
)
3.37
"Ketamine is an N-methyl-d-aspartate receptor antagonist, a dissociative anaesthetic agent and a treatment option for major depression, treatment-resistant depression, and bipolar disorder. "( Management of complications of ketamine abuse: 10 years' experience in Hong Kong.
Hong, YL; Lai, PT; Ng, CF; Tam, YH; Wong, JH; Yee, CH, 2018
)
2.21
"Ketamine is a medication mainly used for starting and maintaining anesthesia."( Development and validation of an HPLC-MS/MS method for the detection of ketamine in Calliphora vomitoria (L.) (Diptera: Calliphoridae).
Dadour, IR; Droghi, J; Magni, PA; Pazzi, M; Vincenti, M, 2018
)
1.43
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that provides both amnesia and analgesia without depressing respiratory drive or blood pressure."( A Non-Comparative Prospective Pilot Study of Ketamine for Sedation in Adult Septic Shock.
Boyer, NL; Mount, CA; Reese, JM; Sullivan, VF, 2018
)
1.46
"Ketamine abuse is an emerging issue in many countries, and ketamine cystitis (KC) is a growing disease which more and more urologists may encounter with. "( Complete reversal of the clinical symptoms and image morphology of ketamine cystitis after intravesical hyaluronic acid instillation: A case report.
Cha, TL; Liu, CY; Ou, YL; Tsao, CW; Wu, ST, 2018
)
2.16
"Ketamine is a glutamate N-methyl-D-aspartate receptor antagonist that is a rapid-acting dissociative anesthetic. "( The pharmacokinetics of ketamine following intramuscular injection to F344 rats.
Doyle-Eisele, M; Espelien, B; Garcia, E; Garner, CE; Kuehl, P; Laney, J; McDonald, JD; Moeller, B; Raulli, R; Weber, W, 2019
)
2.26
"Ketamine (KTM) is an anesthetic drug with several advantages, including the elevation of cardiac output and blood pressure. "( p38 mitogen-activated protein kinase gene silencing rescues rat hippocampal neurons from ketamine-induced apoptosis: An in vitro study.
Cao, YL; Chen, WM; Guo, XQ; Yan, ZR; Zhang, X; Zhao, L, 2018
)
2.15
"Ketamine is a non-competitive glutamatergic antagonist that induces analgesia and anesthesia. "( Ketamine modulates aggressive behavior in adult zebrafish.
Michelotti, P; Pereira, ME; Quadros, VA; Rosemberg, DB, 2018
)
3.37
"Ketamine (KET) is a noncompetitive N-methyl-d-aspartate receptor antagonist that could be of value in the treatment of refractory SE."( Intravenous ketamine in status epilepticus.
Höfler, J; Trinka, E, 2018
)
1.58
"Ketamine (KET) is a non-competitive N-Methyl-d-aspartate (NMDA) receptors antagonist that intensifies sensory experiences, prompts hallucinations and delusions, exacerbates previously installed psychosis and disrupts physiological evoked potentials (AEPs). "( Prelimbic NMDA receptors stimulation mimics the attenuating effects of clozapine on the auditory electrophysiological rebound induced by ketamine withdrawal.
Incrocci, RM; Nobre, MJ; Paliarin, F, 2018
)
2.13
"Ketamine is an emerging third-line medication for refractory status epilepticus, a medical and neurological emergency requiring prompt and appropriate treatment. "( Ketamine for Refractory Status Epilepticus: A Systematic Review.
De Masi, S; Guerrini, R; Rosati, A, 2018
)
3.37
"Ketamine is a drug often used for procedural sedation or as adjunct agent for general sedation in children with congenital heart disease. "( Hemodynamic effects of ketamine in children with congenital heart disease and/or pulmonary hypertension.
Flores, S; Gray, SB; Loomba, RS, 2018
)
2.23
"Ketamine is a general anaesthetic with anti-depressant effects at subanaesthetic doses. "( Intraoperative ketamine for prevention of depressive symptoms after major surgery in older adults: an international, multicentre, double-blind, randomised clinical trial.
Avidan, MS; Ben Abdallah, A; El-Gabalawy, R; Jacobsohn, E; Lenze, E; Mashour, GA; Maybrier, HR; Pryor, KO; Veselis, RA; Vlisides, PE, 2018
)
2.28
"Ketamine is a non-competitive NMDA antagonist with effect on cognitive performance and plasticity."( Episodic-like memory impairment induced by sub-anaesthetic doses of ketamine.
Barbosa, FF; de Souza, IBMB; Lima, RH; Meurer, YDSR; Pugliane, KC; Silva, RH; Tavares, PM, 2019
)
1.47
"Ketamine is a dissociative anaesthetic agent whose recreational use amongst adolescents and young adults is reaching epidemic proportions in a number of countries. "( Subchronic ketamine alters behaviour, metabolic indices and brain morphology in adolescent rats: Involvement of oxidative stress, glutamate toxicity and caspase-3-mediated apoptosis.
Ajao, A; Ayeni, OJ; Ogundeji, MO; Onaolapo, AY; Onaolapo, OJ; Owolabi, AR, 2019
)
2.35
"Ketamine is an induction agent frequently used for general anaesthesia in emergency medicine. "( Does the addition of fentanyl to ketamine improve haemodynamics, intubating conditions or mortality in emergency department intubation: A systematic review.
Aneman, A; Bliss, J; Ferguson, I, 2019
)
2.24
"Ketamine is an anesthetic known globally both for its potent dissociative properties and potential for abuse. "( Subdissociative Ketamine Use in the Emergency Department.
Nichols, KA; Paciullo, CA,
)
1.92
"Ketamine is a fast acting experimental antidepressant with significant therapeutic potential for emotional disorders such as major depressive disorder and alcohol use disorders. "( Ketamine normalizes binge drinking-induced defects in glutamatergic synaptic transmission and ethanol drinking behavior in female but not male mice.
Brockway, DF; Crowley, NA; Dao, NC; Feng, M; Jefferson, SJ; Luscher, B; Magee, SN; Morris, CJ, 2019
)
3.4
"Ketamine is an N-methyl-D-aspartate antagonist with emerging evidence assessing its use as a continuous infusion agent to provide concomitant analgesia and sedation. "( Continuous Infusion Ketamine for Adjunctive Analgosedation in Mechanically Ventilated, Critically Ill Patients.
Carter, KE; Droege, CA; Garber, PM; Harger, NJ; Mueller, EW, 2019
)
2.28
"Ketamine is a dissociative anesthetic commonly used for procedural sedation owing to its perceived favorable safety profile. "( Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity.
Bowman, CF; Marx, J; Pruitt, B; Thornton, SL, 2021
)
2.36
"Ketamine is an uncompetitive N-methyl-d-aspartate (NMDA) glutamate receptor antagonist. "( A multicenter study of ketamine effects on functional connectivity: Large scale network relationships, hubs and symptom mechanisms.
Carlson, M; Carter, CS; Choo, TH; Corlett, PR; Fleming, LM; Girgis, RR; Grinband, J; Javitt, DC; Kantrowitz, JT; Kegeles, LS; Krystal, JH; Lesh, TA; Lieberman, J; Maddock, RJ; Potter, WZ; Ragland, JD; Robinson, J; Tanase, C; Wall, MM, 2019
)
2.27
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist widely used in pediatric anesthetic and therapeutic practices and veterinary medicine. "( Behavioral effects of postnatal ketamine exposure in rhesus macaque infants are dependent on MAOA-LPR genotype.
Capitanio, JP; Del Rosso, L; Herrington, JA, 2019
)
2.24
"Ketamine is an emerging drug used in the management of undifferentiated, severe agitation in the prehospital setting. "( Psychiatric Outcomes of Patients With Severe Agitation Following Administration of Prehospital Ketamine.
Akhavan, AR; Gittinger, MH; Hippe, DS; Lebin, JA; McCoy, AM; Pasic, J; Vrablik, MC, 2019
)
2.18
"Ketamine is an anesthetic agent with sedative and analgesic properties frequently used in surgery. "( Is Ketamine Suitable for Use in Glutamate Toxicity Conditions?: An In Vitro Study.
Naldan, ME; Taghizadehghalehjoughi, A, 2021
)
2.69
"Ketamine is a unique drug that has psychedelic and anesthetic properties in a dose-dependent manner. "( Cortical dynamics during psychedelic and anesthetized states induced by ketamine.
Li, D; Mashour, GA, 2019
)
2.19
"Ketamine, which acts as a noncompetitive antagonist of glutamatergic NMDA receptors by binding to the phencyclidine site, may induce schizophrenia-like symptoms and promote anxiogenic-like behaviour."( Comparison of the effects of 1MeTIQ and olanzapine on performance in the elevated plus maze test and monoamine metabolism in the brain after ketamine treatment.
Antkiewicz-Michaluk, L; Białoń, M; Wąsik, A; Żarnowska, M, 2019
)
1.44
"Ketamine is an N-methyl-d-aspartate receptor antagonist that is usually used clinically as a racemic mixture. "( Enantioselective determination of ketamine in dog plasma by chiral liquid chromatography-tandem mass spectrometry.
Chen, X; Jiang, J; Li, R; Zhan, Y; Zhong, K, 2019
)
2.24
"Ketamine is a racemic mixture of equal amounts of the enantiomers (R)-ketamine and (S)-ketamine."( Cognitive Impairment That Is Induced by (R)-Ketamine Is Abolished in NMDA GluN2D Receptor Subunit Knockout Mice.
Hashimoto, K; Ide, S; Ikeda, K; Ikekubo, Y; Mishina, M, 2019
)
1.5
"Ketamine is a racemic mixture comprising equal parts of (R)-ketamine (or arketamine) and (S)-ketamine (or esketamine)."( Rapid-acting antidepressant ketamine, its metabolites and other candidates: A historical overview and future perspective.
Hashimoto, K, 2019
)
1.53
"Ketamine is a non-competitive NMDA receptor antagonist used as a major anesthetic agent, especially in children. "( Oral ketamine alleviates behavioral despair without cognitive impairment in Wistar rats.
Canbeyli, R; Ecevitoglu, A; Unal, G, 2019
)
2.47
"Ketamine acts as a rapid clinical antidepressant at 25 min after injection with effects sustained for 7 days. "( Differences between ketamine's short-term and long-term effects on brain circuitry in depression.
Becker, R; Cosa-Linan, A; Gass, N; Reinwald, J; Sack, M; Sartorius, A; Vollmayr, B; Weber-Fahr, W, 2019
)
2.28
"Ketamine is a safe and widely used sedative and analgesic in the pediatric emergency department (ED). "( Use of Intranasal Ketamine in Pediatric Patients in the Emergency Department.
Bailey, AM; Baum, RA; Carter, C; Dugan, A; Guthrie, AM; Jones, L; Tackett, T, 2021
)
2.4
"Ketamine is a phencyclidine intravenous anaesthetic that blocks N-methyl-d-aspartate receptors and HCN channels in the CNS. "( Low-dose ketamine in painful orthopaedic surgery: a systematic review and meta-analysis.
Onakpoya, IJ; Riddell, JM; Trummel, JM, 2019
)
2.37
"Ketamine is an antidepressant with rapid therapeutic onset and long-lasting effect, although the underlying mechanism(s) remain unknown. "( Astrocyte Specific Remodeling of Plasmalemmal Cholesterol Composition by Ketamine Indicates a New Mechanism of Antidepressant Action.
Anderluh, G; Božić, M; Horvat, A; Jorgačevski, J; Lasič, E; Lisjak, M; Šakanović, A; Stenovec, M; Vardjan, N; Verkhratsky, A; Zorec, R, 2019
)
2.19
"Ketamine is a rapid antidepressant."( Effect of ketamine combined with DHA on lipopolysaccharide-induced depression-like behavior in rats.
Chang, D; Du, X; Gao, L; Lian, H; Wen, Y; Yuan, R; Zhang, X; Zhao, J, 2019
)
1.64
"Ketamine (Ketalar®) is an anesthetic agent derived from the hallucinogenic drug phencyclidine (PCP). "( Ketamine for the treatment of depression.
Howland, RH, 2013
)
3.28
"Ketamine is a widely used anesthetic and recreational drug in Asia, which is rarely focused on in the previous entomotoxicological studies."( Effect of ketamine on the development of Lucilia sericata (Meigen) (Diptera: Calliphoridae) and preliminary pathological observation of larvae.
Huang, M; Huang, R; Huang, X; Lin, J; Qiu, X; Wu, X; You, Z; Zhang, S; Zou, Y, 2013
)
1.51
"Ketamine is a relatively safe drug for use in children with few intervention-based side effects."( Is prophylactic atropine necessary during ketamine sedation in children?
Ang, AS; Chew, SP; Chong, JH, 2013
)
1.38
"Ketamine is a useful agent for induction of anesthesia, procedural sedation, and analgesia."( Ketamine: use in anesthesia.
Andolfatto, G; Brandner, B; Ellerton, J; Marland, S; Paal, P; Strapazzon, G; Thomassen, O; Weatherall, A, 2013
)
2.55
"Ketamine is a non-competitive N-methyl-D-aspartate receptor antagonist that is Food and Drug Administration-approved in the United States for anesthesia due to its sedative effects with low risk of severe respiratory depression. "( Two cases of delayed-onset suicidal ideation, dysphoria and anxiety after ketamine infusion in patients with obsessive-compulsive disorder and a history of major depressive disorder.
Bloch, MH; Corlett, PR; Grunschel, BD; Niciu, MJ; Pittenger, C, 2013
)
2.06
"Ketamine is an anaesthetic and analgesic drug used in research and clinical practice. "( A single intraperitoneal injection of ketamine does not affect spatial working, reference memory or neurodegeneration in adult mice: An animal study.
Antunes, LM; Ribeiro, PO; Rodrigues, PC; Valentim, AM, 2013
)
2.1
"Ketamine appears to be a relatively effective and safe drug for the treatment of RSE. "( Intravenous ketamine for the treatment of refractory status epilepticus: a retrospective multicenter study.
Al-Otaibi, A; Brenton, JN; Claassen, J; Fernández, IS; Foreman, B; Gaspard, N; Goodkin, HP; Hahn, CD; Hirsch, LJ; Judd, LM; Kalamangalam, GP; Kilbride, R; Laroche, SM; Legros, B; Loddenkemper, T; McCoy, BM; Mendoza, L; Nathan, BR; Samuel, S; Szaflarski, JP; Zakaria, A, 2013
)
2.21
"Ketamine is an adjuvant demonstrating analgesic and opioid-sparing effects."( Ketamine decreases postoperative pain scores in patients taking opioids for chronic pain: results of a prospective, randomized, double-blind study.
Barreveld, AM; Correll, DJ; Liu, X; Max, B; McGowan, JA; Nedeljkovic, SS; Shovel, L; Wasan, AD, 2013
)
2.55
"Ketamine is a relatively new recreational drug used by youngsters in recent decades. "( Genitourinary toxicity of ketamine.
Guo, Q; Liang, BL; Wei, YB; Yang, JR; Yin, Z; Zhou, KQ, 2013
)
2.13
"Ketamine cystitis is an emerging medical condition that requires a multi-disciplinary approach to manage the patients. "( Clinical outcomes of augmentation cystoplasty in patients suffering from ketamine-related bladder contractures.
Chan, ES; Chiu, PK; Chu, PS; Hou, SS; Li, ML; Man, CW; Ng, CF, 2013
)
2.06
"Ketamine is an intravenous anaesthetic and short-acting analgesic that could alleviate the haemodynamic effects of propofol due to its sympathomimetic activity."( Effects of the addition of low-dose ketamine to propofol-fentanyl anaesthesia during diagnostic gynaecological laparoscopy.
Atashkhoyi, S; Hatami-Marandi, P; Negargar, S, 2013
)
1.39
"Ketamine is a medication with evidence of efficacy in the treatment of chronic pain."( Ketamine for pain in adults and children with cancer: a systematic review and synthesis of the literature.
Bredlau, AL; Dworkin, RH; Korones, DN; Thakur, R, 2013
)
2.55
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that has been found to induce schizophrenia-type symptoms in humans and is a potent and fast-acting antidepressant. "( Abnormalities in white matter microstructure associated with chronic ketamine use.
Curran, HV; Edward Roberts, R; Friston, KJ; Morgan, CJ, 2014
)
2.08
"Ketamine is a noncompetitive antagonist at the N-methyl-D-aspartate (NMDA) receptor."( Ketamine infusion for sickle cell pain crisis refractory to opioids: a case report and review of literature.
Baber, A; Foy, M; Uprety, D, 2014
)
2.57
"Ketamine is a noncompetitive antagonist of N-methyl-d-aspartate receptor. "( A review of the use of ketamine in pain management.
Tawfic, QA,
)
1.88
"Ketamine is a unique anesthetic reagent known to produce various psychotic symptoms. "( A possible mechanism of the nucleus accumbens and ventral pallidum 5-HT1B receptors underlying the antidepressant action of ketamine: a PET study with macaques.
Doi, H; Finnema, SJ; Halldin, C; Kurai, S; Mizuma, H; Onoe, H; Yamanaka, H; Yokoyama, C, 2014
)
2.05
"Ketamine is a dissociative anesthetic and substance of abuse. "( Ketamine: an update on its abuse.
Anderson, PD; Bokor, G, 2014
)
3.29
"Ketamine seems to be a useful option for pain control in patients with refractory algodystrophy."( Intravenous ketamine infusions for chronic algodystrophy: a review.
Pastuszka, J; Żyluk, A, 2014
)
1.5
"Ketamine cystitis is a complex problem whose exact pathological mechanism and natural history remain unknown. "( Ketamine cystitis: practical considerations in management.
Chetwood, A; Coker, C; Misra, S; Thomas, P, 2014
)
3.29
"Ketamine is an NMDA receptor (NMDAR) antagonist that elicits rapid antidepressant responses in patients with treatment-resistant depression. "( Mechanisms underlying differential effectiveness of memantine and ketamine in rapid antidepressant responses.
Gideons, ES; Kavalali, ET; Monteggia, LM, 2014
)
2.08
"Ketamine is a commonly abused recreational drug in Southeast Asia. "( Ketamine-related cholangiopathy: a retrospective study on clinical and imaging findings.
Ahuja, AT; Chan, AW; Chau, HH; Cho, CC; Hui, JW; Hung, EH; Lung, PF; Yu, WL, 2014
)
3.29
"Ketamine is a drug used in human and veterinary medicine, primarily for the induction and maintenance of general anesthesia, analgesia (particularly in emergency medicine), and treatment of bronchospasm. "( The effects of ketamine, midazolam and ketamine/xylazine on acute lung injury induced by α-naphthylthiourea in rats.
Erdem, MK; Yilmaz-Sipahi, E; Yurdakan, G,
)
1.93
"Like ketamine, it is an NMDA receptor antagonist."( The utility of the combination of dextromethorphan and quinidine in the treatment of bipolar II and bipolar NOS.
Kelly, TF; Lieberman, DZ, 2014
)
0.86
"Ketamine PCA is an effective, well-tolerated therapy for opioid-refractory NP in pediatric end-of-life care."( Ketamine PCA for treatment of end-of-life neuropathic pain in pediatrics.
Howrie, D; Jakacki, R; Maurer, S; May, C; Taylor, M, 2015
)
2.58
"Ketamine is a commonly used pediatric anesthetic, but it might affect development, or even induce neurotoxicity in the neonatal brain. "( Role of miR-34c in ketamine-induced neurotoxicity in neonatal mice hippocampus.
Cao, SE; Chen, S; Tian, J; Zhang, X; Zhang, Y, 2015
)
2.19
"Ketamine is a dissociative anaesthetic, analgesic drug as well as an N-methyl-D-aspartate receptor antagonist and has been reported to influence otoacoustic emission amplitudes. "( Influence of ketamine-xylazine anaesthesia on cubic and quadratic high-frequency distortion-product otoacoustic emissions.
Kössl, M; Schlenther, D; Voss, C, 2014
)
2.21
"Ketamine is a non-competitive N-methyl-d-aspartate receptor (NMDAR) antagonist of interest in neuropsychiatry. "( Metaplastic effects of subanesthetic ketamine on CA1 hippocampal function.
Izumi, Y; Zorumski, CF, 2014
)
2.12
"Ketamine seems to be a promising molecule in psychiatry and in the treatment of addictions, despite the absence of marketing approval for those specific uses."( [Ketamine: psychiatric indications and misuses].
Delimbeuf, N; Karila, L; Lejoyeux, M; Petit, A,
)
1.76
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that rapidly reduces suicidal ideation as well as depression and anxiety, but the dynamic between these symptoms is not known."( Improvement in suicidal ideation after ketamine infusion: relationship to reductions in depression and anxiety.
Ameli, R; Ballard, ED; Brutsché, NE; Furey, ML; Ionescu, DF; Luckenbaugh, DA; Niciu, MJ; Richards, EM; Vande Voort, JL; Zarate, CA, 2014
)
1.39
"Ketamine is a NMDA receptor (NMDAR) antagonist used in pediatric anesthesia. "( Age-dependent alterations of the NMDA receptor developmental profile and adult behavior in postnatally ketamine-treated mice.
Bénard, M; Brasse-Lagnel, C; Dupré, N; Gonzalez, BJ; Henry, VJ; Jégou, S; Lecointre, M; Leroux-Nicollet, I; Marret, S; Ramdani, Y; Roy, V; Vézier, C, 2015
)
2.07
"Ketamine is an anaesthetic and analgesic drug synthesized in the 1960s from phencyclidine. "( Paliperidone for the treatment of ketamine-induced psychosis: a case report.
Carrozzino, R; Fucile, C; Martelli, A; Mattioli, F; Muscella, A; Orengo, S; Zuccoli, ML, 2014
)
2.12
"Ketamine is a widely used anesthetic in obstetric and pediatric anesthesia. "( Ketamine inhibits proliferation of neural stem cell from neonatal rat hippocampus in vitro.
Hu, Y; Huang, H; Huang, L; Liang, T; Liu, L; Shi, XT; Wu, YQ; Xu, CM; Zhao, PP; Zhou, CH; Zhu, YZ, 2014
)
3.29
"Ketamine is a powerful anesthetic drug used in both human and veterinary surgery, but it is also commonly misused because of its psychotropic properties. "( Cut-off proposal for the detection of ketamine in hair.
Di Corcia, D; Diana, P; Gerace, E; Malvaso, V; Romeo, M; Salomone, A; Vincenti, M, 2015
)
2.13
"Ketamine is a widely used drug that, depending on the dose administered, may be used as an analgesic or as a sedative or anaesthetic agent. "( Ketamine for procedural sedation by a doctor-paramedic prehospital care team: a 4-year description of practice.
Chesters, A; Webb, T, 2015
)
3.3
"Ketamine-xylazine is a frequently used combination for anesthesia in microsurgically operated rats and can be administered by intraperitoneal (IP) or intravenous (IV) injection. "( Ketamine-Xylazine Anesthesia in Rats: Intraperitoneal versus Intravenous Administration Using a Microsurgical Femoral Vein Access.
Fichter, AM; Häberle, S; Mitchell, DA; Mücke, T; Ritschl, LM; von Bomhard, A; Wolff, KD, 2015
)
3.3
"Ketamine is a dissociative agent often used in pediatric emergency departments for procedural sedation. "( A retrospective comparison of ketamine dosing regimens for pediatric procedural sedation.
Chang, TP; Heilbrunn, BR; Liu, DR, 2015
)
2.15
"Ketamine is a well-known anesthetic with its use trailing back to the 1960s. "( The use of subdissociative-dose ketamine for acute pain in the emergency department.
Motov, SM; Sin, B; Ternas, T, 2015
)
2.14
"Ketamine is a versatile anesthetic agent that has been in use since the Vietnam War. "( Follow me down the K-hole: ketamine and its modern applications.
Chen, L; Malek, T,
)
1.87
"Ketamine is a well-established, rapidly acting dissociative anesthetic. "( Development of Rapidly Metabolized and Ultra-Short-Acting Ketamine Analogs.
Denny, W; Gamage, S; Harvey, M; Jose, J; Liyanage, S; Pruijn, F; Sleigh, J; Voss, L, 2015
)
2.1
"Ketamine is a highly attractive candidate for developing fast-onset antidepressant agents; however, the relevant brain circuits that underlie sustained, efficacious antidepressant effects remain largely unknown."( Large-Scale Persistent Network Reconfiguration Induced by Ketamine in Anesthetized Monkeys: Relevance to Mood Disorders.
Hou, B; Hu, H; Jiang, Q; Li, G; Lv, Q; Pu, J; Shen, Z; Wang, Z; Yang, L; Yu, W, 2016
)
2.12
"Ketamine is a unique anesthetic drug that provides analgesia, hypnosis, and amnesia with minimal respiratory and cardiovascular depression. "( Ketamine in adult cardiac surgery and the cardiac surgery Intensive Care Unit: an evidence-based clinical review.
Johnson, K; Mazzeffi, M; Paciullo, C,
)
3.02
"Ketamine is a dissociative anesthetic agent that has an increased frequency of usage in the last years particularly in emergency departments. "( Ketamine may be related to minor troponin elevations in children undergoing minor procedures in the ED.
Eken, C; Serinken, M, 2015
)
3.3
"Ketamine is a dissociative anesthetic. "( Effects of ketamine on psychomotor, sensory and cognitive functions relevant for driving ability.
Giorgetti, R; Marcotulli, D; Schifano, F; Tagliabracci, A, 2015
)
2.25
"Ketamine is an N-methyl d-aspartate (NMDA) receptor antagonist used for induction and maintenance of general anaesthesia but paradoxically its euphoric effects lead to its classification under drugs of abuse."( Ketamine and suicidal ideation in depression: Jumping the gun?
Dawe, GS; Fam, J; Rajkumar, R; Yeo, EY, 2015
)
2.58
"Ketamine is a well-known anesthetic agent that has opioid-sparing analgesic properties, is noninvasive, and in analgesic doses, has few contraindications."( Perioperative ketamine for acute postoperative analgesia: the Mayo Clinic-Florida experience.
Ardon, AE; Clendenen, AM; Howe, BL; Knestrick, BM; Mazer, LS; McClain, RL; Porter, SB, 2015
)
1.5
"Ketamine is an anesthetic with antidepressant properties. "( The positive effect on ketamine as a priming adjuvant in antidepressant treatment.
Dalla, C; Ferreira, C; Kokras, N; Melo, A; Pêgo, JM; Sousa, N; Ventura-Silva, AP, 2015
)
2.17
"Ketamine is a noncompetitive antagonist of glutamatergic N-methyl-d-aspartate (NMDA) receptors."( Ketamine for the treatment of refractory status epilepticus.
Fang, Y; Wang, X, 2015
)
2.58
"Ketamine is a recreational drug widely abused in East Asia and also in certain subpopulations of the United States. "( Ketamine Abuse Syndrome: Hepatobiliary and Urinary Pathology Among Adolescents in Flushing, NY.
Gordon, L; Kivovich, V; Wang, JW, 2017
)
3.34
"Ketamine is a widely used drug with clinical and research applications, and also known to be used as a recreational drug. "( A PK-PD model of ketamine-induced high-frequency oscillations.
Brown, EN; Ching, S; Fath, AB; Flores, FJ; Hartnack, K; Purdon, PL; Wilson, MA, 2015
)
2.2
"Ketamine (Ketalar®) is a non-competitive glutamatergic antagonist classically used to induce sedation."( Behavioral, endocrine, and neuronal alterations in zebrafish (Danio rerio) following sub-chronic coadministration of fluoxetine and ketamine.
Hylton, A; Pittman, J, 2015
)
1.34
"R-ketamine appears to be a potent, long-lasting and safe antidepressant, relative to S-ketamine, as R-ketamine appears to be free of psychotomimetic side effects and abuse liability."( R-ketamine: a rapid-onset and sustained antidepressant without psychotomimetic side effects.
Dong, C; Hashimoto, K; Ma, M; Ren, Q; Shirayama, Y; Yang, C; Yao, W; Zhang, JC, 2015
)
1.7
"Ketamine is a rapidly acting dissociative anaesthetic drug with additional sympathomimetic, analgesic, and antidepressant properties. "( Determination of the Hypnotic Potency in Rats of the Novel Ketamine Ester Analogue SN 35210.
Denny, W; Gamage, S; Harvey, M; Jose, J; Pruijn, F; Sleigh, J; Voss, L, 2015
)
2.1
"Ketamine is a dissociative anesthetic and antagonist of N-methyl-d-aspartate receptors (NMDAr). "( Chronic estrogen and progesterone treatment inhibits ketamine-induced disruption of prepulse inhibition in rats.
Gogos, A; Mingon, RL; van den Buuse, M, 2015
)
2.11
"Ketamine is a club drug widely abused for its hallucinogenic effects, being also used as a "date-rape" drug in recent years. "( Determination of ketamine and its major metabolite, norketamine, in urine and plasma samples using microextraction by packed sorbent and gas chromatography-tandem mass spectrometry.
Barroso, M; Cruz, A; Gallardo, E; Martinho, A; Moreno, I, 2015
)
2.2
"Ketamine is a noncompetitive N-methyl-D-aspartic acid receptor antagonist, making it an effective dissociative agent."( A Novel Agent for Management of Agitated Delirium: A Case Series of Ketamine Utilization in the Pediatric Emergency Department.
Kopec, KT; Kowalski, JM; Lavelle, J; Osterhoudt, K, 2017
)
1.41
"The ketamine ECT study is a multi-site randomised, placebo-controlled, double blind trial. "( Study protocol for the randomised controlled trial: Ketamine augmentation of ECT to improve outcomes in depression (Ketamine-ECT study).
Anderson, IM; Blamire, A; Branton, T; Clark, R; Downey, D; Dunn, G; Easton, A; Elliott, R; Ellwell, C; Hayden, K; Holland, F; Karim, S; Loo, C; Lowe, J; McAllister-Williams, RH; Nair, R; Oakley, T; Prakash, A; Sharma, PK; Trevithick, L; Williams, SR, 2015
)
1.23
"Ketamine is a centrally acting agent believed to work through blockade of N-methyl-D- aspartate receptors and is being increasingly used for the treatment of refractory CRPS, although the basis for the drug's effects and efficacy at different stages of the syndrome remains unclear."( Differential Efficacy of Ketamine in the Acute versus Chronic Stages of Complex Regional Pain Syndrome in Mice.
Clark, JD; Huang, TT; Kingery, WS; Leu, D; Tajerian, M; Yang, P, 2015
)
1.44
"Ketamine is an anesthetic derivative of phencyclidine (PCP; 'Angel dust') with dissociative, analgesic and psychedelic properties. "( Potential benefit of lamotrigine in managing ketamine use disorder.
Chen, CK; Chen, LY; Huang, MC; Lin, SK, 2016
)
2.14
"Ketamine is a psychoactive anesthetic agent, which has been approved and utilized for various forms of anesthesia over decades. "( NMDA antagonist treatment of depression.
Schatzberg, AF; Williams, NR, 2016
)
1.88
"Ketamine is a short-acting anaesthetic agent that has gained popularity as a 'club drug' due to its hallucinogenic effects. "( The clinical presentation and diagnosis of ketamine-associated urinary tract dysfunction in Singapore.
Aydin, H; Kuo, T; Ng, LG; Sundaram, P; Yek, J, 2015
)
2.12
"Ketamine is a drug of abuse with a unique profile, which besides its inherent mechanism of action as a non-competitive antagonist of the NMDA glutamate receptor, displays both antidepressant and reinforcing properties. "( The modulation of BDNF expression and signalling dissects the antidepressant from the reinforcing properties of ketamine: Effects of single infusion vs. chronic self-administration in rats.
Caffino, L; Cheung, D; Chiamulera, C; Di Chio, M; Fumagalli, F; Fumagalli, GF; Giannotti, G; Mutti, A; Padovani, L; Venniro, M; Yew, DT, 2016
)
2.09
"Ketamine is a widely used intravenous anesthetic with good anti-inflammatory and immune regulating function."( Ketamine effect on HMGB1 and TLR4 expression in rats with acute lung injury.
Gan, GS; Gu, QH; Li, BX; Luo, ZB; Qin, MZ; Song, XY; Tao, J, 2015
)
2.58
"Ketamine is a dissociative anaesthetic and a derivative of a hallucinogen (phencyclidine)."( Is off-label repeat prescription of ketamine as a rapid antidepressant safe? Controversies, ethical concerns, and legal implications.
Harris, KM; Ho, RC; Zhang, MW, 2016
)
1.43
"Ketamine is an N-methyl-d-aspartate (NMDA) receptor antagonist that blocks glutamate in the limbic system, resulting in sedation and analgesia. "( Ketamine Continuous Infusions in Critically Ill Infants and Children.
Gessouroun, MR; Golding, CL; Johnson, PN; Miller, JL, 2016
)
3.32
"Ketamine is a non-competitive NMDA receptor antagonist that is widely used in alleviating postoperative pain, but its effect on CPOP has been rarely reported."( The effects of an intraperitoneal single low dose of ketamine in attenuating the postoperative skin/muscle incision and retraction-induced pain related to the inhibition of N-methyl-D-aspartate receptors in the spinal cord.
Gu, X; Lei, Y; Liu, M; Ma, Z; Shen, Y; Xu, L, 2016
)
1.41
"Ketamine is a popular choice for young drug abusers. "( Intact urothelial barrier function in a mouse model of ketamine-induced voiding dysfunction.
MacIver, B; Ong, TA; Rajandram, R; Razack, AH; Yu, W; Zeidel, M, 2016
)
2.12
"Ketamine is a phencyclidine derivative that induces a state of dissociative anesthesia."( A Comparative Study between the Effect of Combined Local Anesthetic and Low-dose Ketamine with Local Anesthetic on Postoperative Complications after Impacted Third Molar Surgery.
Kale, TP; Kumar, A, 2015
)
1.36
"Ketamine is a phencyclidine derivative, which functions primarily as an antagonist of the N-methyl-D-aspartate receptor. "( Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy.
Hagelberg, NM; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2016
)
3.32
"R-ketamine appears to be a potent, long-lasting and safer antidepressant, relative to S-ketamine (esketamine), since it is free of psychotomimetic side effects."( Loss of parvalbumin-immunoreactivity in mouse brain regions after repeated intermittent administration of esketamine, but not R-ketamine.
Han, M; Hashimoto, K; Ren, Q; Yang, C; Zhang, JC, 2016
)
1.21
"Ketamine is a commonly used clinical anesthetic and a popular recreational drug. "( Early ketamine exposure results in cardiac enlargement and heart dysfunction in Xenopus embryos.
Du, M; Guo, R; Jiang, P; Liu, G; Liu, J; Liu, L; Liu, X; Shi, Y; Xu, Y, 2016
)
2.36
"Ketamine is an N-methyl D-aspartate antagonist that blocks transmission of painful stimuli and could be a useful medication for this patient population."( Low-Dose Ketamine Infusions for Highly Opioid-Tolerant Adults Following Spinal Surgery: A Retrospective Before-and-after Study.
Green, T; King-Shier, K; Shinkaruk, K; Vaid, P, 2016
)
1.57
"Ketamine is an emerging drug for the treatment of acute undifferentiated agitation in the prehospital environment, however no prospective comparative studies have evaluated its effectiveness or safety in this clinical setting."( A prospective study of ketamine versus haloperidol for severe prehospital agitation.
Bache-Wiig, P; Cole, JB; Engebretsen, KM; Fryza, BJ; Ho, JD; Kornas, RL; Moore, JC; Nystrom, PC; O'Brien-Lambert, A; Orozco, BS; Steinberg, LW; Stellpflug, SJ, 2016
)
2.19
"Ketamine is an N-methyl-d-aspartate (NMDA) receptor antagonist commonly administered as a general anesthetic. "( Electroencephalogram signatures of ketamine anesthesia-induced unconsciousness.
Akeju, O; Brown, EN; Flores, FJ; Hamilos, AE; Pavone, KJ; Purdon, PL; Song, AH, 2016
)
2.15
"Ketamine is a rapidly acting antidepressant in patients with treatment-resistant depression (TRD). "( The Rapidly Acting Antidepressant Ketamine and the mGlu2/3 Receptor Antagonist LY341495 Rapidly Engage Dopaminergic Mood Circuits.
Carter, G; Johnson, B; Li, X; Mitchell, SN; Monn, JA; Overshiner, C; Rasmussen, K; Rorick-Kehn, LM; Schoepp, DD; Witkin, JM, 2016
)
2.16
"Ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist that has been shown to induce a rapid antidepressant effect in treatment-resistant patients. "( A single dose of vortioxetine, but not ketamine or fluoxetine, increases plasticity-related gene expression in the rat frontal cortex.
du Jardin, KG; Elfving, B; Müller, HK; Sanchez, C; Wegener, G, 2016
)
2.15
"Ketamine is a noncompetitive antagonist of N-methyl-d-asparate (NMDA) receptor and has been long used as an anesthetic agent in humans and veterinary medicine. "( Ketamine abuse potential and use disorder.
Lin, D; Liu, Y; Wu, B; Zhou, W, 2016
)
3.32
"Ketamine is a glutamate N-methyl-d-aspartate receptor antagonist capable of exerting antidepressive effects in single or repeated intravenous infusions. "( Efficacy and safety of oral ketamine versus diclofenac to alleviate mild to moderate depression in chronic pain patients: A double-blind, randomized, controlled trial.
Afarideh, M; Agah, E; Akhondzadeh, S; Arbabi, M; Ghajar, A; Jafarinia, M; Noorbala, AA; Saravi, MA; Tafakhori, A, 2016
)
2.17
"Oral ketamine appears to be a safe and effective option in improving depressive symptoms of patients with chronic pain with mild-to-moderate depression."( Efficacy and safety of oral ketamine versus diclofenac to alleviate mild to moderate depression in chronic pain patients: A double-blind, randomized, controlled trial.
Afarideh, M; Agah, E; Akhondzadeh, S; Arbabi, M; Ghajar, A; Jafarinia, M; Noorbala, AA; Saravi, MA; Tafakhori, A, 2016
)
1.24
"Ketamine is an anesthetic that exhibits analgesic, psychotomimetic, and rapid antidepressant effects that are of particular neuropharmacological interest. "( Subanesthetic doses of ketamine stabilize the fusion pore in a narrow flickering state in astrocytes.
Jorgačevski, J; Kreft, M; Lasič, E; Rituper, B; Stenovec, M; Zorec, R, 2016
)
2.19
"Ketamine is a commonly used analgesic agent in the management of both acute and chronic pain. "( Immunoglobulin E-Mediated Hypersensitivity Reaction to Ketamine.
Jones, K; Nicholls, K; Ozcan, J, 2016
)
2.12
"Ketamine is an N-methyl-d-aspartate (NMDA) receptor antagonist that provides potent analgesia without noticeable respiratory depression."( COMPARISON OF INTRAOPERATIVE KETAMINE VS. FENTANYL USE DECREASES POSTOPERATIVE OPIOID REQUIREMENTS IN TRAUMA PATIENTS UNDERGOING CERVICAL SPINE SURGERY.
Angus, GL; Berkowitz, AC; Ginsburg, AM; Ginsburg, DB; Kang, A; Pesso, RM, 2016
)
1.45
"Ketamine is an anesthetic commonly used in both humans and animals. "( Long noncoding RNA BDNF-AS regulates ketamine-induced neurotoxicity in neural stem cell derived neurons.
Guo, P; Li, Y; Lin, C; Ye, J; Zheng, X; Zhou, J, 2016
)
2.15
"Ketamine is an antagonist of the ionotropic N-methyl-D-aspartate (NMDA) receptor but can also act through its metabolite (2R-6R)-hydroxynorketamine."( Ketamine modulates catecholamine transmission in the bed nucleus of stria terminalis: The possible role of this region in the antidepressant effects of ketamine.
Cadeddu, R; Carboni, E; Jadzic, D, 2016
)
2.6
"Ketamine acts as an antagonist of N-methyl-D-aspartate (NMDA) receptors, and animal studies indicate that subsequent augmentation of signaling by α-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptors is critical for the antidepressant outcome."( Ketamine-induced inhibition of glycogen synthase kinase-3 contributes to the augmentation of α-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptor signaling.
Amadei, C; Beurel, E; Downey, K; Grieco, SF; Jope, RS, 2016
)
2.6
"Ketamine is a cyclohexamine derivative that acts as a noncompetitive N-methyl D-aspartate receptor antagonist. "( Allergic Reaction to Ketamine as Monotherapy for Procedural Sedation.
Baker, B; Ferguson, JD; Nguyen, TT, 2017
)
2.22
"Ketamine is a non-competitive antagonist of the NMDA glutamate receptor with psychotomimetic and reinforcing properties, although recent work has pointed out its antidepressant action following acute exposure. "( Ketamine Self-Administration Reduces the Homeostasis of the Glutamate Synapse in the Rat Brain.
Caffino, L; Chiamulera, C; Di Chio, M; Fumagalli, F; Giannotti, G; Mottarlini, F; Piva, A; Venniro, M; Yew, DT, 2017
)
3.34
"Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist that reduces acute postoperative pain."( Prospective, randomized, and controlled trial on ketamine infusion during bilateral axillo-breast approach (BABA) robotic or endoscopic thyroidectomy: Effects on postoperative pain and recovery profiles: A consort compliant article.
Choi, JY; Hwang, JY; Jeon, YT; Kim, BG; Kim, DH; Oh, AY; Park, SJ; Ryu, JH, 2016
)
1.41
"Ketamine is a popular choice as an analgesic."( Comparison of intranasal ketamine versus IV morphine in reducing pain in patients with renal colic.
Farnia, MR; Jalali, A; Momeni, M; Saeedi, M; Seyedhosseini, J; Vahidi, E, 2017
)
1.48
"Ketamine is an anesthetic and analgesic emerging as a novel therapy for a number of clinical entities in recent years, including refractory pain, depression, and drug-induced hyperalgesia due to newly discovered mechanisms of action and new application of its known pharmacodynamics."( In Vogue: Ketamine for Neuroprotection in Acute Neurologic Injury.
Bell, JD, 2017
)
1.58
"Ketamine is a sedative with N-methyl-D-aspartate (NMDA) receptor antagonism."( The Use of Ketamine for Acute Treatment of Pain: A Randomized, Double-Blind, Placebo-Controlled Trial.
de Souza, S; Mian, U; Olivo, M; Paryavi, M; Ruiz, J; Shah, B; Sin, B; Tatunchak, T, 2017
)
1.57
"Ketamine is a potent anti-depressive agent. "( Ketamine upregulates eNOS expression in human astroglial A172 cells: Possible role in its antidepressive properties.
Ashkenazi, S; Berent, E; Weizman, A; Yuhas, Y, 2017
)
3.34
"Ketamine is a fast acting N-methyl-d-aspartate (NMDA) receptor antagonist that provides safe and effective analgesia."( Low dose ketamine use in the emergency department, a new direction in pain management.
Alhawas, R; Mazer-Amirshahi, M; Pourmand, A; Royall, C; Shesser, R, 2017
)
1.59
"Ketamine is an N-methyl-D-aspartate receptor antagonist that at low-dose has effective analgesic properties. "( Ketamine for cancer pain: what is the evidence?
Dahan, A; Jonkman, K; van de Donk, T, 2017
)
3.34
"Ketamine is a selective NMDA glutamate receptor antagonist that disrupts cognitive and behavioral function. "( Effects of Ketamine on perceptual grouping in rats.
Gazes, Y; Kurylo, DD, 2008
)
2.18
"Ketamine is an effective agent for procedural sedation in the emergency department. "( Intravenous ketamine for adult procedural sedation in the emergency department: a prospective cohort study.
Fitton, L; Newton, A, 2008
)
2.17
"Ketamine is an efficient adjuvant analgesic for intractable severe pain, caused by metastasis, trauma, chronic ischemia, or central neuropathic pain."( Ketamine for acute and subacute pain in opioid-tolerant patients.
Chazan, S; Ekstein, MP; Marouani, N; Weinbroum, AA,
)
2.3
"Ketamine is an intravenous anesthetic agent often used for inducing and maintaining anesthesia. "( Cytoskeleton interruption in human hepatoma HepG2 cells induced by ketamine occurs possibly through suppression of calcium mobilization and mitochondrial function.
Chang, HC; Chen, RM; Chen, TL, 2009
)
2.03
"Ketamine is an N-methyl-D: -aspartate (NMDA) receptor antagonist with psychotogenic effects and for which there are diverse reports of whether pleasant or unpleasant dreams result during anaesthesia, post-operatively or after sub-anaesthetic use."( The incidence of unpleasant dreams after sub-anaesthetic ketamine.
Blagrove, M; Brandner, B; Bromley, L; Curran, HV; Morgan, CJ, 2009
)
2.04
"Ketamine is an attractive agent for pediatric procedural sedation. "( Pediatric procedural sedation with ketamine: time to discharge after intramuscular versus intravenous administration.
Babl, FE; Deasy, C; Ramaswamy, P; Sharwood, LN, 2009
)
2.07
"Ketamine is a racemic mixture consisting of two enantiomers, R- and S-ketamine."( Comparison of racemic ketamine and S-ketamine in treatment-resistant major depression: report of two cases.
Frodl, T; Möller, HJ; Padberg, F; Paul, R; Schaaff, N, 2009
)
1.39
"Ketamine is a non-competitive antagonist at N-methyl-D-aspartate (NMDA) receptors and reduces neuronal injury after cerebral ischemia by blocking the excitotoxic effects of glutamate. "( Dose-dependent effect of S(+) ketamine on post-ischemic endogenous neurogenesis in rats.
Engelhard, K; Kaeppel, B; Kochs, E; Lasarzik, I; Werner, C; Winkelheide, U; Winkler, J, 2009
)
2.08
"Ketamine, which is a general anaesthetic that induces a dissociative anaesthesia, acts by blocking the N-methyl-D-aspartate receptor (NMDAr) in the brain. "( The vasodilatory effect of ketamine is independent of the N-methyl-D-aspartate receptor: lack of functional N-methyl-D-aspartate receptors in rat mesenteric artery smooth muscle.
Bae, YM; Cho, SI; Kim, B; Kim, JG; Kim, SH; Kim, YS; Noh, HJ; Park, SH; Woo, NS, 2009
)
2.09
"Ketamine is a general anesthetic that does not affect GlyRs."( Glycine receptors contribute to hypnosis induced by ethanol.
Bhavsar, U; Sokol, KA; Ye, JH, 2009
)
1.07
"Ketamine is an NMDA receptor antagonist with a variety of uses, ranging from recreational drug to pediatric anesthetic and chronic pain reliever. "( Chronic ketamine impairs fear conditioning and produces long-lasting reductions in auditory evoked potentials.
Abel, T; Amann, LC; Ehrlichman, RS; Halene, TB; Luminais, SN; Ma, N; Siegel, SJ, 2009
)
2.23
"S(+)-ketamine is an analgesic and sedative drug with dissociative attributes. "( Assessment of recovery, dreaming, hemodynamics, and satisfaction in postcardiac surgery patients receiving supplementary propofol sedation with S(+)-ketamine.
Beschmann, R; Boldt, J; Kalenka, A; Maleck, WH; Mengistu, A; Piper, SN; Röhm, KD, 2009
)
1.07
"Ketamine is a potent, safe, rapid-onset anesthetic agent that does not decrease blood pressure."( Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension.
Bar-Joseph, G; Guilburd, JN; Guilburd, Y; Tamir, A, 2009
)
1.41
"Ketamine is a safe and effective drug for patients with traumatic brain injury and intracranial hypertension, and it can possibly be used safely in trauma emergency situations."( Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension.
Bar-Joseph, G; Guilburd, JN; Guilburd, Y; Tamir, A, 2009
)
1.41
"Ketamine is a nonbarbiturate phencyclidine derivative and provides analgesia and apparent anesthesia with relative hemodynamic stability."( Pharmacology of sedative-analgesic agents: dexmedetomidine, remifentanil, ketamine, volatile anesthetics, and the role of peripheral mu antagonists.
Moitra, V; Panzer, O; Sladen, RN, 2009
)
1.31
"Ketamine is a phencyclidine derivative acting primarily as a noncompetitive antagonist of N-methyl-D-aspartate (NMDA) excitatory glutamate receptors. "( [Advances in research of ketamine addiction mechanism].
Bian, SZ; Gu, ZL; Jiang, XG; Liu, WL; Qin, ZH, 2009
)
2.1
"Ketamine is a remarkably versatile drug that can be administered through almost any route."( The evolution of ketamine applications in children.
Roelofse, JA, 2010
)
1.42
"Ketamine is a sympathetic nervous system-activating anaesthetic that preserves cardiovascular stability."( Effects of ketamine on hypoxic pulmonary vasoconstriction in the isolated perfused lungs of endotoxaemic mice.
Busch, CJ; Gebhard, MM; Martin, EO; Motsch, J; Spöhr, FA; Weimann, J, 2010
)
1.47
"Ketamine is an anaesthetic compound used in human and veterinary medicine with hallucinogen properties that have resulted in its increased illicit use by teenagers at rave parties. "( Study of the fragmentation pattern of ketamine-heptafluorobutyramide by gas chromatography/electron ionization mass spectrometry.
Acampora, A; Castiglia, L; Della Casa, E; Guadagni, R; Malorni, L; Miraglia, N; Pieri, M; Sannolo, N, 2010
)
2.07
"Ketamine appears to be a safe anesthetic option for children with PAH. "( Perioperative complications in children with pulmonary hypertension undergoing general anesthesia with ketamine.
Bair, E; Bratton, SL; Feinstein, JA; Hammer, GB; Kamra, K; Kuan, CC; Maan, H; Ramamoorthy, C; Williams, GD, 2010
)
2.02
"Ketamine is a dissociative anaesthetic that became increasingly popular in the club and rave scene in the 1980s and 1990s. "( Longitudinal trajectories of ketamine use among young injection drug users.
Bloom, JJ; Lankenau, SE; Shin, C, 2010
)
2.09
"Ketamine is a rapid-acting anaesthetic agent which has been used for over 40 years. "( [A case of ketamine dependence].
Błachut, M; Cekus, A; Hese, RT; Janus, A; Matysiakiewicz, J; Ruman, J; Sołowiów, K,
)
1.96
"Ketamine is a widely used agent for pediatric procedural sedation, but its use may present difficulties in select populations, such as those with psychiatric diagnoses."( Ketamine/midazolam versus etomidate/fentanyl: procedural sedation for pediatric orthopedic reductions.
Adirim, T; Gracely, EJ; Green, A; Lee-Jayaram, JJ; Mull, CC; Quintana, E; Siembieda, J, 2010
)
2.52
"Ketamine is an N-methyl-d-aspartate receptor antagonist that has been shown to be useful in the reduction of acute postoperative pain and analgesic consumption in a variety of surgical interventions with variable routes of administration. "( Intraoperative ketamine reduces perioperative opiate consumption in opiate-dependent patients with chronic back pain undergoing back surgery.
Abdu, WA; Beach, ML; Brown, JR; Clark, JA; Loftus, RW; Sengupta, DK; Yeager, MP, 2010
)
2.16
"Ketamine is a general anesthetic agent widely used for pediatric procedural sedation outside the operating theater by nonanesthesiologists. "( Intravenous vs intramuscular ketamine for pediatric procedural sedation by emergency medicine specialists: a review.
Babl, FE; Deasy, C, 2010
)
2.09
"Ketamine is a short-acting dissociative anaesthetic whose hallucinogenic side effects have led to an increase in its illicit use amongst club and party goers. "( Ketamine-associated lower urinary tract destruction: a new radiological challenge.
Corrigan, AG; Cottrell, AM; Gillatt, DA; Mason, K; Mitchelmore, AE, 2010
)
3.25
"Ketamine is a NMDA receptor antagonist and acts at phencyclidine site in NR1 subunit while ifenprodil is a selective NR2B subunit antagonist of NMDA receptor."( The improvement of the anti-hyperalgesic effect of ketamine and of its isomers by the administration of ifenprodil.
Parada, CA; Rondon, ES; Valadão, CA; Vieira, AS, 2010
)
1.33
"Ketamine is a dissociative agent used for sedation and intubation in various clinical settings. "( A prospective review of the use of ketamine to facilitate endotracheal intubation in the helicopter emergency medical services (HEMS) setting.
Anstett, D; Bawden, J; Mackenzie, M; Rowe, BH; Sibley, A; Villa-Roel, C, 2011
)
2.09
"Ketamine is an effective agent in facilitating intubation in a HEMS environment. "( A prospective review of the use of ketamine to facilitate endotracheal intubation in the helicopter emergency medical services (HEMS) setting.
Anstett, D; Bawden, J; Mackenzie, M; Rowe, BH; Sibley, A; Villa-Roel, C, 2011
)
2.09
"Oral ketamine is an effective premedication for major ambulatory surgery and does not increase the incidence of side effects."( [Oral ketamine-midazolam premedication of uncooperative patients in major outpatient surgery].
Cano, G; Caparros, P; Cortiñas, M; Ibarra, M; Martínez, L; Oya, B, 2010
)
1.36
"Ketamine is a non-competitive antagonist of N-methyl-d-aspartate receptor, which plays important roles in synaptic plasticity and neuronal learning."( Permanent deficits in brain functions caused by long-term ketamine treatment in mice.
Lam, LH; Lam, WP; Mak, YT; Pan, F; Sun, L; Tang, HC; Wai, MS; Wong, YW; Yew, DT, 2011
)
1.33
"Ketamine is a N-methyl-d-aspartate receptor antagonist used clinically as an anaesthetic, yet also abused for its euphoric and perceptual properties."( Oral ketamine as a positive control in human abuse potential studies.
Romach, MK; Sellers, EM; Shram, MJ, 2011
)
1.6
"Ketamine is a non-competitive N-methyl-D: -aspartate (NMDA) receptor antagonist which interferes with the action of excitatory amino acids (EAAs) including glutamate and aspartate. "( Chronic ketamine use increases serum levels of brain-derived neurotrophic factor.
Angelucci, F; Bria, P; Caltagirone, C; Gelfo, F; Martinotti, G; Ricci, V; Tonioni, F, 2011
)
2.25
"Ketamine is a widely used dissociative anesthetic which can induce some psychotic-like symptoms and memory deficits in some patients during the post-operative period. "( Temporal dynamics of distinct CA1 cell populations during unconscious state induced by ketamine.
Kuang, H; Lin, L; Tsien, JZ, 2010
)
2.03
"Ketamine is an analgesic used to treat uncontrolled acute and procedural pain."( Use of ketamine in uncontrolled acute and procedural pain.
Chumbley, G,
)
1.31
"Ketamine hydrochloride is an anesthetic commonly utilized to obtain biological samples in various non-human primates. "( Blood parameters are little affected by time of sampling after the application of ketamine in black howler monkeys (Alouatta pigra).
Caba, M; Canales-Espinosa, D; García-Orduña, F; Hermida-Lagunes, J; Rovirosa-Hernández, MJ; Torres-Pelayo, VR, 2011
)
2.04
"Ketamine is a dissociative anaesthetic agent that is still widely used in veterinary and human medicine. "( Cholestasis and biliary dilatation associated with chronic ketamine abuse: a case series.
Austin, AS; Freeman, JG; Krishnamoorthy, R; Lo, RS, 2011
)
2.06
"Ketamine is an N-methyl-D-aspartate receptor antagonist that has been in clinical use in the USA for over 30 years. "( Ketamine in pain management.
Cohen, SP; Gupta, A; Liao, W; Plunkett, A, 2011
)
3.25
"Ketamine is an open-channel NMDA blocker that only acts on those receptors whose Mg(2+) block has been lifted."( The use of ketamine in complex regional pain syndrome: possible mechanisms.
Alexander, GM; Grothusen, JR; Schwartzman, RJ, 2011
)
1.48
"Ketamine is a safe and effective analgesic agent. "( Ketamine as an analgesic in the pre-hospital setting: a systematic review.
Bernard, S; Cameron, P; Jennings, PA, 2011
)
3.25
"Ketamine is a N-methyl-D-aspartic acid (NMDA) antagonist that has been associated with temporary clinical improvement in patients with depression. "( Lack of effect of ketamine on cortical glutamate and glutamine in healthy volunteers: a proton magnetic resonance spectroscopy study.
Cowen, PJ; Mhuircheartaigh, RN; Taylor, MJ; Tiangga, ER, 2012
)
2.16
"Ketamine is an intravenous anaesthetic and analgesic agent but it can also be used orally as an adjuvant in the treatment of chronic pain. "( St John's wort greatly decreases the plasma concentrations of oral S-ketamine.
Hagelberg, NM; Laine, K; Neuvonen, PJ; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2012
)
2.06
"Ketamine is a non-competitive glutamatergic antagonist used to induce sedation and analgesia. "( Behavioral and physiological effects of acute ketamine exposure in adult zebrafish.
Allain, A; Dileo, J; Gaikwad, S; Green, J; Hart, P; Hook, M; Kalueff, AV; Kyzar, E; Monnig, L; Pham, M; Razavi, R; Rhymes, K; Riehl, R; Roth, A,
)
1.83
"Ketamine is a well-known anesthetic agent and a drug of abuse. "( Gene expression changes in GABA(A) receptors and cognition following chronic ketamine administration in mice.
Rudd, JA; Tan, S; Yew, DT, 2011
)
2.04
"Ketamine HCl is a rapidly acting general anesthetic with sedative and analgesic properties that has been reported to have favorable effects on the cardiovascular and pulmonary systems. "( Continuous intravenous infusion of ketamine for maintenance sedation.
Elamin, EM; Jamin, CT; Miller, AC, 2011
)
2.09
"Ketamine is a unique anaesthetic because it has both hypnotic and analgesic effects and also potential hallucinogenic side effects. "( [Ketamine is used again by both physicians and addicts].
Barnung, S; Rasmussen, LS; Sørensen, AG, 2011
)
2.72
"Ketamine is an NMDA antagonist and dissociative anesthetic that has been shown to display rapid acting and prolonged antidepressant activity in small-scale human clinical trials. "( Evaluation of sigma (σ) receptors in the antidepressant-like effects of ketamine in vitro and in vivo.
Elliott, M; Matsumoto, RR; Robson, MJ; Seminerio, MJ, 2012
)
2.05
"Ketamine is a broadly used anaesthetic for analgosedation. "( Ketamine inhibits lung fluid clearance through reducing alveolar sodium transport.
Chen, L; Cui, Y; Ji, H; Ma, H; Nie, H; Wang, J; Zhang, L, 2011
)
3.25
"Ketamine is a respiratory stimulant that abolishes the coupling between loss-of-consciousness and upper airway dilator muscle dysfunction in a wide dose-range. "( Ketamine activates breathing and abolishes the coupling between loss of consciousness and upper airway dilator muscle dysfunction.
Bittner, EA; Chamberlin, NL; Eikermann, M; Grosse-Sundrup, M; Henry, ME; Hoffmann, U; Zaremba, S, 2012
)
3.26
"Ketamine is a popular drug of abuse in China, especially for young adults between the 18 and 30 years. "( Ketamine-induced biliary dilatation: from Hong Kong to New York.
Gutkin, E; Hussain, SA; Kim, SH, 2012
)
3.26
"Ketamine is an important analgesia clinically used for both acute and chronic pain. "( Microglial Ca(2+)-activated K(+) channels are possible molecular targets for the analgesic effects of S-ketamine on neuropathic pain.
Hayashi, Y; Inoue, K; Kawaji, K; Kohsaka, S; Koyano, K; Nakanishi, H; Sun, L; Yokoyama, T; Zhang, X, 2011
)
2.03
"Ketamine is an effective agent in adults undergoing PSA and RSI in the ED. "( Ketamine in adult emergency medicine: controversies and recent advances.
Campbell, SG; Magee, K; Sih, K; Tallon, JM; Zed, PJ, 2011
)
3.25
"Ketamine is a NMDA-receptor antagonist that is considered promising as treatment for refractory SE."( Early ketamine to treat refractory status epilepticus.
Kramer, AH, 2012
)
1.58
"Ketamine is an analgesic suitable for the induction of anesthesia during Caesarean delivery. "( Effect of three different doses of ketamine prior to general anaesthesia on postoperative pain following Caesarean delivery: a prospective randomized study.
Aykaç, B; Bilgen, S; Fiçicioğlu, C; Köner, O; Menda, F; Türe, H, 2012
)
2.1
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that is used in anesthetic, abuse, and therapeutic contexts. "( Behavioral effects of prenatal ketamine exposure in rhesus macaques are dependent on MAOA genotype.
Blozis, SA; Calonder, LA; Capitanio, JP; Del Rosso, LA; Penedo, MC, 2012
)
2.11
"Ketamine is a lipophilic, general anesthetic. "( Ketamine for pain: an update of uses in palliative care.
Prommer, EE, 2012
)
3.26
"Ketamine is an NMDA receptor antagonist which possess a rapid antidepressant therapeutic profile and moreover is effective in cases of treatment-resistant depression."( Impact of early-life stress, on group III mGlu receptor levels in the rat hippocampus: effects of ketamine, electroconvulsive shock therapy and fluoxetine treatment.
Cryan, JF; Dinan, TG; O' Connor, RM; Pusceddu, MM, 2013
)
1.33
"Ketamine is an NMDA receptor antagonist with psychotomimetic, dissociative, amnestic and euphoric effects. "( Subchronic ketamine treatment leads to permanent changes in EEG, cognition and the astrocytic glutamate transporter EAAT2 in mice.
Ehrlichman, RS; Featherstone, RE; Liang, Y; Saunders, JA; Siegel, SJ; Tatard-Leitman, VM, 2012
)
2.21
"Ketamine is an analgesic/anesthetic drug, which, in combination with other drugs, has been used as anesthetic for over 40 years. "( Improved methods for thermal rearrangement of alicyclic α-hydroxyimines to α-aminoketones: synthesis of ketamine analogues as antisepsis candidates.
Byk, G; Douvdevani, A; Eini, H; Elhawi, H, 2012
)
2.04
"Ketamine is a non-competitive anatognist of the N-methyl-D-aspartate (NMDA) receptor commonly used as an anesthetic and analgesic. "( Alterations in regional homogeneity of resting-state brain activity in ketamine addicts.
Chen, H; Chen, X; Fornito, A; Hao, W; Liao, Y; Liu, T; Tang, J; Wang, X; Xiang, X, 2012
)
2.05
"Ketamine is a potent noncompetitive antagonist of the N-methyl-D-aspartate glutamate receptor."( Effects of ketamine in treatment-refractory obsessive-compulsive disorder.
Bhagwagar, Z; Billingslea, E; Bloch, MH; Krystal, JH; Landeros-Weisenberger, A; Leckman, JF; Panza, KE; Pittenger, C; Sanacora, G; Wasylink, S, 2012
)
1.49
"Ketamine is an anesthetic and a popular abusive drug. "( Chronic ketamine administration modulates midbrain dopamine system in mice.
Lam, WP; Tan, S; Wai, MS; Yew, DT; Yu, WH, 2012
)
2.26
"Ketamine is an anesthetic and a sedative that affects the immunomodulatory activities of various immune cells."( Redundant effects of ketamine on the pathogenesis and severity of Brucella abortus infection.
Chang, HH; Kim, DG; Kim, DH; Kim, DK; Kim, S; Lee, HJ; Lee, JJ; Lim, JJ; Min, WG; Park, SB, 2013
)
1.43
"Ketamine bladder is a new clinical entity that may lead to irreversible damage to the urinary system. "( Illicit ketamine and its bladder consequences: is it irreversible?
Gupta, S; Jalil, R, 2012
)
2.26
"Ketamine is an N-methyl-D-aspartate (NMDA) antagonist that can decrease theta power."( Ketamine disrupts theta synchrony across the septotemporal axis of the CA1 region of hippocampus.
Chrobak, JJ; Escabí, MA; Hinman, JR; Penley, SC, 2013
)
2.55
"Ketamine is a well-described anesthetic and analgesic, unique in its ability to preserve laryngeal reflexes and airway protection, and offered to a wide range of patients, although not necessarily widely used. "( Use of ketamine during procedural sedation: indications, controversies, and side effects.
Jolly, T; McLean, HS,
)
2.03
"Ketamine is an anesthetic and analgesic regularly used in veterinary patients. "( Equine cytochrome P450 2B6--genomic identification, expression and functional characterization with ketamine.
Buters, JT; Demmel, S; Leeb, T; Mevissen, M; Peters, LM; Pusch, G; Schmitz, A; Thormann, W; Zielinski, J, 2013
)
2.05
"Ketamine is a commonly used anaesthetic agent, and in subanaesthetic doses is also given as an adjuvant to opioids for the treatment of cancer pain, particularly when opioids alone prove to be ineffective."( Ketamine as an adjuvant to opioids for cancer pain.
Bell, RF; Eccleston, C; Kalso, EA, 2012
)
2.54
"Ketamine is a dissociative anesthetic agent that has been widely used in surgery and for relieving pain in chronic cancer patients. "( Ketamine used as an acesodyne in human breast cancer therapy causes an undesirable side effect, upregulating anti-apoptosis protein Bcl-2 expression.
Cao, S; Chen, J; Gong, B; He, H; Hu, HY; Xie, WP; Yang, LQ, 2013
)
3.28
"Ketamine acts as an N-methyl-D-aspartate receptor antagonist and evokes psychotomimetic symptoms resembling schizophrenia in healthy humans. "( Quantifying the attenuation of the ketamine pharmacological magnetic resonance imaging response in humans: a validation using antipsychotic and glutamatergic agents.
Brittain, C; De Simoni, S; Doyle, OM; Mehta, MA; O'Daly, OG; Schwarz, AJ; Williams, SC, 2013
)
2.11
"Ketamine is a commonly used anesthetic, but the mechanistic basis for its clinically relevant actions remains to be determined. "( Forebrain HCN1 channels contribute to hypnotic actions of ketamine.
Bayliss, DA; Chen, X; Douglas, JE; Kumar, NN; Shu, S; Zhou, C, 2013
)
2.08
"Ketamine is a non-competitive antagonist of NMDA receptors (NMDARs) commonly used as a dissociative anesthetic in many pediatric procedures. "( The blockade of NMDA receptor ion channels by ketamine is enhanced in developing rat cortical neurons.
Chen, J; Gong, K; Jin, J; Lin, Q; Wang, R; Zou, X, 2013
)
2.09
"Ketamine is an adjuvant analgesic for the treatment of cancer-related pain when other agents either fail or are intolerable. "( Adjuvant ketamine analgesia for the management of cancer pain.
Baroletti, SA; McQueen, AL, 2002
)
2.17
"Ketamine is a dissociative agent commonly used for surgical anesthesia in rats."( Treatment-time-dependent difference of ketamine pharmacological response and toxicity in rats.
Ambros, L; Bonafine, R; Montoya, L; Rebuelto, M, 2002
)
1.31
"Ketamine is a N-methyl-D-aspartic acid receptor antagonist which could reduce glutamate excitotoxicity as well as reduce sympathetic activity."( Similar half-octave TTS protection of the cochlea by xylazine/ketamine or sympathectomy.
Cazals, Y; Giraudet, F; Horner, KC, 2002
)
1.28
"Ketamine is a commonly used anaesthetic agent, and in subanaesthetic doses is also given as an adjuvant to opioids for the treatment of cancer pain, particularly when opioids alone prove to be ineffective. "( Ketamine as an adjuvant to opioids for cancer pain.
Bell, R; Eccleston, C; Kalso, E, 2003
)
3.2
"Ketamine is an effective agent for both intraocular and extraocular surgery in the paediatric age group. "( Ketamine anaesthesia for paediatric ophthalmology surgery.
Good, WV; Gurung, R; Poudyal, G; Pun, MS; Rana, S; Ruit, S; Tabin, G; Thakur, J, 2003
)
3.2
"Ketamine is an NMDA receptors antagonist, with a potent anaesthetic effect. "( Ketamine: a new look to an old drug.
Ivani, G; Tonetti, F; Vercellino, C, 2003
)
3.2
"S(+)-ketamine proved to be a more efficient analgesic/sedative drug in newborns and children."( Comparison of analgesic/sedative effect of racemic ketamine and S(+)-ketamine during cardiac catheterization in newborns and children.
Berger, F; Ewert, P; Haas, NA; Lange, PE; Pees, C,
)
0.84
"Ketamine is a parenteral anesthetic agent that provides analgesic activity at sub-anesthetic doses. "( Ketamine as an analgesic: parenteral, oral, rectal, subcutaneous, transdermal and intranasal administration.
Kronenberg, RH, 2002
)
3.2
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that has medical indications but is also used as a recreational drug. "( Ketamine impairs response inhibition and is positively reinforcing in healthy volunteers: a dose-response study.
Brandner, B; Bromley, L; Curran, HV; Mofeez, A; Morgan, CJ, 2004
)
3.21
"Ketamine is an ideal anesthetic agent for trauma victims, patients with hypovolemic and septic shock, patients with pulmonary diseases."( [Ketamine: the past 30 years and its future].
Pjević, M; Radovanović, D,
)
1.76
"Ketamine is a dissociative anesthetic with complex actions on the CNS. "( Effects of ketamine anesthesia on central nociceptive processing in the rat: a 2-deoxyglucose study.
Baraldi, P; Cavazzuti, M; Giuliani, D; Lui, F; Porro, CA; Vellani, V, 2004
)
2.16
"S(+)-ketamine is a new drug formulation that contains the more potent S(+)-stereoisomer of ketamine."( Improvement of pain treatment after major abdominal surgery by intravenous S+-ketamine.
Argiriadou, H; Georgiou, M; Giala, M; Himmelseher, S; Kanakoudis, F; Kochs, E; Papagiannopoulou, P, 2004
)
1.01
"Ketamine is a widely used pediatric anesthetic recently reported (C. "( Developmental neurotoxicity of ketamine: morphometric confirmation, exposure parameters, and multiple fluorescent labeling of apoptotic neurons.
Davis, H; Faustino, PJ; Grunberg, N; Hanig, JP; Lester, D; Pine, PS; Scallet, AC; Schmued, LC; Sistare, F; Slikker, W, 2004
)
2.05
"Ketamine is an N-methyl-d-aspartate (NMDA)-receptor antagonist that is increasingly being used as a recreational drug. "( Long-term effects of ketamine: evidence for a persisting impairment of source memory in recreational users.
Curran, HV; Maitland, CH; Morgan, CJ; Riccelli, M, 2004
)
2.09
"Ketamine is an IV anesthetic with N-methyl-d-aspartate receptor (NMDAR)-blocking properties. "( Reduced sensitivity to ketamine and pentobarbital in mice lacking the N-methyl-D-aspartate receptor GluRepsilon1 subunit.
Askalany, AR; Baba, H; Fujiwara, N; Petrenko, AB; Sakimura, K; Yamakura, T, 2004
)
2.08
"Ketamine is a dissociative anaesthetic that is also a drug of abuse. "( Beyond the K-hole: a 3-year longitudinal investigation of the cognitive and subjective effects of ketamine in recreational users who have substantially reduced their use of the drug.
Curran, HV; Monaghan, L; Morgan, CJ, 2004
)
1.98
"Ketamine is an effective analgesic agent for treating a variety of neuropathic and cancer pain syndromes. "( Parenteral ketamine as an analgesic adjuvant for severe pain: development and retrospective audit of a protocol for a palliative care unit.
Fitzgibbon, EJ; Viola, R, 2005
)
2.16
"Ketamine hydrochloride is a NMDA receptor antagonist that has been useful for anesthesia and analgesia."( In vitro and in vivo percutaneous absorption of topical dosage forms: case studies.
Blazsó, G; Csányi, E; Csóka, I; Eros, I; Fehér-Kiss, A; Horváth, G; Nagy, E; Zapantis, G, 2005
)
1.05
"Ketamine is an intravenous anesthetic agent. "( Suppressive effects of ketamine on macrophage functions.
Chang, Y; Chen, RM; Chen, TL; Sheu, JR, 2005
)
2.08
"Ketamine is an anesthetic drug. "( Involvement of adenosine in the antiinflammatory action of ketamine.
Byk, G; Chaimovitz, C; Czeiger, D; Douvdevani, A; Mazar, J; Mukmenev, I; Rogachev, B; Shaked, G; Ziv, NY; Zlotnik, M, 2005
)
2.01
"Ketamine is a drug that is commonly used for anesthesia and analgesia worldwide. "( Subanesthetic ketamine: how it alters physiology and behavior in humans.
Rowland, LM, 2005
)
2.13
"Ketamine is a common intravenous anesthetic and a frequent drug of abuse, alone or in combination with cocaine. "( Induction of rat hepatic cytochrome P-450 by ketamine and its toxicological implications.
Chan, WH; Sun, WZ; Ueng, TH, 2005
)
2.03
"Ketamine appears to be an effective and well-tolerated agent for conscious sedation in pediatric patients."( Ketamine for conscious sedation in pediatric emergency care.
Mistry, RB; Nahata, MC, 2005
)
2.49
"Ketamine is a racemic mixture containing equal parts of (+)-ketamine and (-)-ketamine. "( Comparison of psychic emergence reactions after (+/-)-ketamine and (+)-ketamine in mice.
Ji, XQ; Liu, J; Zhu, XZ, 2006
)
2.02
"Ketamine is a non-competitive antagonist to the phencyclidine site of N-methyl-d-aspartate (NMDA) receptor for glutamate, though its effects are mediated by interaction with many others receptors. "( Ketamine: new indications for an old drug.
Annetta, MG; Garisto, C; Iemma, D; Proietti, R; Tafani, C, 2005
)
3.21
"Ketamine is a noncompetitive antagonist at the glutamatergic N-methyl-D-aspartate (NMDA) receptor that is used in human and animal medicine as an injectable anesthetic. "( Altered prefrontal dopaminergic function in chronic recreational ketamine users.
Abi-Dargham, A; Cooper, TB; Frankle, WG; Gil, R; Huang, Y; Hwang, DR; Keefe, R; Kegeles, LS; Khenissi, L; Laruelle, M; Martinez, D; Narendran, R; Slifstein, M; Talbot, PS, 2005
)
2.01
"Ketamine is an effective agent when used for sedation during painful bedside procedures. "( Ketamine: a safe and effective agent for painful procedures in the pediatric burn patient.
Comroe, CM; Conroy, JM; Greenhalgh, DG; Owens, VF; Palmieri, TL; Scavone, JA,
)
3.02
"Ketamine is an anesthetic that has been abused as a hallucinogen."( On-line preconcentration and determination of ketamine and norketamine by micellar electrokinetic chromatography. Complementary method to gas chromatography/mass spectrometry.
Hsieh, YZ; Jen, HP; Su, HL; Tsai, YC, 2006
)
1.31
"S(+)-ketamine is a valuable adjunct in the anesthetic regimen, since it attenuates hyperactivity of the central nervous system during rapid opioid detoxification."( S(+)-ketamine attenuates increase in electroencephalograph activity and amplitude height of sensory-evoked potentials during rapid opioid detoxification.
Freye, E; Latasch, L; Levy, JV, 2006
)
1.3
"Ketamine is an anesthetic drug of choice in tropical zones. "( [Ketamine: drug facts, uses in anesthesia, and new applications for analgesia].
Carpentier, JP; Gil, C; Mardelle, V; Mion, G; Petrognani, R; Saby, RC, 2006
)
2.69
"Ketamine is a unique agent that can be administered either intravenously or intramuscularly to produce predictable and profound analgesia, with an exceptional safety profile."( Ketamine for procedural sedation and analgesia by nonanesthesiologists in the field: a review for military health care providers.
Antoine, S; Clemens, P; Foster, S; Guldner, GT; Petinaux, B, 2006
)
2.5
"Ketamine is a chiral molecule that is reported to model aspects of schizophrenia."( Using the BOLD MR signal to differentiate the stereoisomers of ketamine in the rat.
Cash, D; Dix, SL; Dixon, AL; Littlewood, CL; O'Neill, MJ; Tricklebank, M; White, CT; Williams, SC, 2006
)
2.02
"Ketamine is a hypnotic pharmacon with high analgesic potency. "( [Intravenous S-+-ketamine for treatment of visceral pain in the final phase].
Hartmann, W; Weixler, D, 2006
)
2.12
"Ketamine is a dissociative anaesthetic; its mechanism of action is primarily an antagonism of the N-methyl-D-aspartate (NMDA) receptor. "( The role of ketamine in pain management.
Schug, SA; Visser, E, 2006
)
2.16
"Ketamine is a strong acting analgesic drug, used mainly in trauma and emergency medicine settings, as well as for minor procedures. "( Postoperative vigilance in patients with total intravenous anaesthesia with ketamine/propofol.
Andel, D; Andel, H; Blaicher, AM; Connor, D; Felfernig, M; Weintraud, M, 2006
)
2.01
"Ketamine is an effective agent, particularly in children, but there is concern regarding emergence reactions."( Pharmacokinetic and pharmacodynamic characteristics of medications used for moderate sedation.
Gan, TJ, 2006
)
1.06
"Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) antagonist. "( Cognitive and subjective acute dose effects of intramuscular ketamine in healthy adults.
Griffiths, RR; Lofwall, MR; Mintzer, MZ, 2006
)
2.02
"Ketamine is a potent analgesic agent in addition to its anesthetic properties. "( Effect of oral ketamine on the postoperative pain and analgesic requirement following orthopedic surgery.
Hashemi, SJ; Heidari, SM; Parvazinia, P; Saghaei, M, 2006
)
2.13
"Ketamine is an anesthetic N-methyl-D-aspartate (NMDA) receptor antagonist, whereas remacemide is an active central nervous system compound with both NMDA receptor antagonist and sodium channel blocking properties."( Behavioral effects associated with chronic ketamine or remacemide exposure in rats.
Hammond, TG; Paule, MG; Pearson, EC; Wright, LK,
)
1.12
"Ketamine is a short-acting dissociative anaesthetic for chemical restraint and surgical anaesthesia in domestic and non-domestic animals. "( Pharmacokinetics of intramuscular ketamine in young ostriches premedicated with romifidine.
Ballesteros, C; De Lucas, JJ; González, F; Marín, M; Rodríguez, C; San Andrés, MI, 2007
)
2.06
"Ketamine is a useful adjunct to conscious sedation in patients who are difficult to sedate. "( Prospective randomized trial evaluating ketamine for advanced endoscopic procedures in difficult to sedate patients.
Eloubeidi, MA; Tamhane, A; Varadarajulu, S; Wilcox, CM, 2007
)
2.05
"Ketamine is a widely used drug in pediatric anesthesia practice, acting primarily through the blockade of the N-methyl-D-aspartate (NMDA) type of glutamate receptors. "( Effects of ketamine on the developing central nervous system.
Gascon, E; Kiss, JZ; Vutskits, L, 2007
)
2.17
"Ketamine hydrochloride is an N-methyl-D-aspartic acid receptor antagonist used as an anesthetic agent in human and veterinary procedures. "( Ketamine-associated ulcerative cystitis: a new clinical entity.
Dickson, B; Shahani, R; Stewart, RJ; Streutker, C, 2007
)
3.23
"Ketamine appears to be a good addition to propofol and narcotics to provide sedation and analgesia when there are great concerns for respiration depression, apnea, difficult pain management and potential unstable hemodynamics during dressing changes and whirlpool baths in severe EB patients."( Deep sedation with intravenous infusion of combined propofol and ketamine during dressing changes and whirlpool bath in patients with severe epidermolysis bullosa.
Wu, J, 2007
)
1.3
"Ketamine is a dissociative anesthetic that has emerged as an increasingly popular choice among young drug users. "( Patterns of ketamine use among young injection drug users.
Lankenau, SE; Sanders, B, 2007
)
2.16
"Ketamine is a dissociative anaesthetic that has been used in the clinic for many years. "( Low dose ketamine: a therapeutic and research tool to explore N-methyl-D-aspartate (NMDA) receptor-mediated plasticity in pain pathways.
Chizh, BA, 2007
)
2.2
"Ketamine is a non-competitive antagonist to the phencyclidine site of N-methyl-d-aspartate (NMDA) receptor. "( Acute administration of ketamine induces antidepressant-like effects in the forced swimming test and increases BDNF levels in the rat hippocampus.
Andreazza, AC; Barbosa, LM; Comim, CM; Fries, GR; Garcia, LS; Gavioli, EC; Kapczinski, F; Quevedo, J; Réus, GZ; Stertz, L; Valvassori, SS, 2008
)
2.1
"Ketamine is a noncompetitive NMDA receptor antagonist and comes into being a new problem of drug abuse. "( [A reviewing for abusing of ketamine].
Bian, SZ; Yang, J, 2007
)
2.08
"Ketamine is an ideal drug for use in many prehospital situations. "( Ketamine for prehospital use: new look at an old drug.
Abernathy, MK; Svenson, JE, 2007
)
3.23
"Ketamine is a new party drug, which is easy to obtain. "( [Ketamine as a party drug].
Kramers, C; van Dongen, RT; Vantroyen, B; Vroegop, MP, 2007
)
2.69
"Ketamine is a very versatile inexpensive drug and plays an invaluable role in the developing world. "( Ketamine.
Craven, R, 2007
)
3.23
"Ketamine is a potentially dependence-forming drug."( Attentional bias to incentive stimuli in frequent ketamine users.
Curran, HV; Morgan, CJ; Rees, H, 2008
)
1.32
"Ketamine (KET) is a non-competitive N-methyl-D-aspartate receptor antagonist, which can be actually mixed with MA for polydrug abuse."( Individual and combined effects of methamphetamine and ketamine on conditioned place preference and NR1 receptor phosphorylation in rats.
Leung, AW; Mo, ZX; Xu, DD; Yang, Y; Yung, KK,
)
1.1
"Ketamine is a safe and effective sedative for diagnostic or therapeutic procedures in the Emergency Department."( Prolonged sedation and airway complications after administration of an inadvertent ketamine overdose in emergency department.
Benito, J; Capapé, S; García, S; Mintegui, S; Mora, E; Santiago, M, 2008
)
1.29
"Ketamine is a potent proapoptotic drug."( Something new about ketamine for pediatric anesthesia?
De Kock, M; Lois, F, 2008
)
1.39
"Ketamine anaesthesia is a suitable sedative which enables anorectal manometry to be performed on young or nervous patients and does not alter the qualitative or quantitative responses."( The effect of ketamine anesthesia on anorectal manometry.
Clayden, GS; Lawson, JO; Paskins, JR, 1984
)
1.35
"Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor channel blocker known to inhibit "wind-up" and hence central hyperexcitability of dorsal horn neurons. "( The effect of N-methyl-D-aspartate antagonist (ketamine) on single and repeated nociceptive stimuli: a placebo-controlled experimental human study.
Arendt-Nielsen, L; Bak, P; Bjerring, P; Fischer, M; Petersen-Felix, S; Zbinden, AM, 1995
)
1.99
"Ketamine is an NMDA-blocking agent widely used in human medicine."( Response of chronic neuropathic pain syndromes to ketamine: a preliminary study.
Arndt, G; Backonja, M; Check, B; Gombar, KA; Zimmermann, M, 1994
)
1.26
"Ketamine is a potent bronchodilator, but its mode of action is unclear. "( Mechanisms of the relaxant action of ketamine on isolated porcine trachealis muscle.
Hatch, DJ; Rehder, K; Wilson, LE, 1993
)
2
"Ketamine (K) is a good analgesic and anesthetic agent in short procedures, but the associated cardiovascular responses and emergence reactions limit its use. "( Ketamine anesthesia for short transurethral urologic procedures.
Attalah, MM; Ibrahiem, EH; Saied, MM; Yahya, R, 1993
)
3.17
"Ketamine is an NMDA-receptor antagonist that is used as an anesthetic and has been suggested as a useful drug for neuropathic pain."( Long-term ketamine subcutaneous continuous infusion in neuropathic cancer pain.
Calligara, M; Lodi, F; Mercadante, S; Sapio, M; Serretta, R, 1995
)
1.41
"Ketamine is a common drug with a potent analgesic effect, which possesses the advantages of good support for the cardiovascular system, because of its sympathomimetic action, and minimal depression of the ventilatory drive."( [Analgesia and sedation to supplement incomplete regional anesthesia].
Wresch, KP, 1995
)
1.01
"I.v. ketamine is a consistently effective method of producing a rapid, brief period of profound sedation and analgesia in children in the ED. "( Intravenous ketamine sedation of pediatric patients in the emergency department.
Dachs, RJ; Innes, GM, 1997
)
1.19
"Ketamine is an NMDA receptor antagonist."( [Analgesic effect of ketamine in a patient with neuropathic pain].
Fagerlund, TH; Oye, I; Rabben, T, 1996
)
1.33
"Ketamine is a potent bronchodilator that, in clinically used concentrations, relaxes airway smooth muscle in part by a direct effect. "( Calcium concentration-dependent mechanisms through which ketamine relaxes canine airway smooth muscle.
Jones, KA; Lorenz, RR; Pabelick, CM; Street, K; Warner, DO, 1997
)
1.98
"Ketamine is a racemic mixture containing equal parts of S-(+)-ketamine and R-(-)-ketamine. "( [Recovery and psychomimetic reactions following S-(+)-ketamine].
Engelhardt, W, 1997
)
1.99
"Ketamine is a prescription drug used for general anesthesia. "( Ketamine psychedelic therapy (KPT): a review of the results of ten years of research.
Grinenko, AY; Krupitsky, EM,
)
3.02
"1. Ketamine is a potent bronchodilator which relaxes airway smooth muscle (ASM). "( Stereospecific effects of ketamine enantiomers on canine tracheal smooth muscle.
Jones, KA; Lindahl, SG; Pabelick, CM; Rehder, K; Shumway, R; Warner, DO, 1997
)
1.22
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist with psychotogenic and dissociative effects in healthy humans. "( Interactive effects of subanesthetic ketamine and subhypnotic lorazepam in humans.
Abi-Dargham, A; Abi-Saab, D; Bennett, A; Bowers, MB; Bremner, JD; Charney, DS; D'Souza, DC; Heninger, GR; Karper, LP; Krystal, JH; Morrissey, K; Stetson, P; Suckow, RF, 1998
)
2.02
"Ketamine is a useful anesthetic agent with good analgesic properties; however, when ketamine was used to anesthetize rats for spin trapping studies of alcohol-induced free radicals, liver extracts contained a strong electron paramagnetic resonance (EPR) signal of a novel radical. "( Free radical formation during ketamine anesthesia in rats: a cautionary note.
Kotake, Y; Moore, DR; Nanji, AA; Reinke, LA, 1998
)
2.03
"Ketamine sedation is an excellent choice for children less than 10 years old."( Anesthesia and analgesia for the ambulatory management of fractures in children.
Green, NE; McCarty, EC; Mencio, GA,
)
0.85
"Ketamine is an intravenous drug with special properties that make it the only agent that presently serves as anesthetic, sedative, amnesiac and analgesic. "( [Ketamine].
González Miranda, F; Reboso Morales, JA, 1999
)
2.66
"Ketamine is an N-Methyl-D-Aspartate (NMDA) receptor antagonist, which has been found to effectively treat somatic and neuropathic pain. "( Preemptive intrathecal ketamine injection produces a long-lasting decrease in neuropathic pain behaviors in a rat model.
Burton, AW; Chung, JM; Lee, DH; Saab, C,
)
1.88
"Ketamine is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist used recently for analgesia in patients with chronic pain. "( Clinical experience with oral ketamine.
Enarson, MC; Hays, H; Woodroffe, MA, 1999
)
2.03
"Ketamine is an NMDA-receptor antagonist and has proven effective in alleviating secondary hyperalgesia in humans."( The effect of naloxone on ketamine-induced effects on hyperalgesia and ketamine-induced side effects in humans.
Borgbjerg, FM; Brennum, J; Dahl, JB; Ilkjaer, S; Mikkelsen, S, 1999
)
1.32
"Ketamine is an injectable anesthetic induction agent that has been reported to have analgesic activity in pain from a variety of mechanisms, but predominantly in neuralgic and dysesthetic neuropathic pain. "( Analgesic effect of oral ketamine in chronic neuropathic pain of spinal origin: a case report.
Fisher, K; Hagen, NA, 1999
)
2.05
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist with prominent psychoactive effects in humans. "( Interactive effects of subanesthetic ketamine and haloperidol in healthy humans.
Abi-Dargham, A; Abi-Saab, D; Bennett, A; Bowers, MB; Cassello, K; Charney, DS; D'Souza, DC; Heninger, GR; Karper, LP; Krystal, JH; Vegso, S, 1999
)
2.02
"Ketamine hydrochloride is a well known general anesthetic and short acting analgesic in use for almost 3 decades. "( Use and efficacy of low-dose ketamine in the management of acute postoperative pain: a review of current techniques and outcomes.
Katz, J; Sandler, AN; Schmid, RL, 1999
)
2.04
"Ketamine, like PCP, is a non-competitive NMDA receptor antagonist, which is short acting and has been used as a dissociative anesthetic as well as a research tool in psychosis."( Behavioral effects of ketamine, an NMDA glutamatergic antagonist, in non-human primates.
Casey, DE; Shiigi, Y, 1999
)
1.34
"Ketamine is a widely used general anaesthetic, which has been reported to inhibit neutrophil function and neutrophil-endothelial interaction. "( Ketamine does not inhibit inflammatory responses of cultured human endothelial cells but reduces chemotactic activation of neutrophils.
Becker, BF; Heindl, B; Zahler, S, 1999
)
3.19
"Ketamine is a safe and effective sedative for emergency department procedures in children. "( Predictors of adverse events with intramuscular ketamine sedation in children.
Green, SM; Ho, M; Hummel, CB; Kuppermann, N; Rothrock, SG, 2000
)
2.01
"Ketamine is a drug widely used for analgesia and sedation of children for diagnostic and therapeutic procedures. "( Ketamine anesthesia with or without diazepam premedication for bone marrow punctures in children with acute lymphoblastic leukemia.
Faber-Nijholt, R; Kroon, J; Noordhoek, M; Tamminga, RY,
)
3.02
"Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist, and has been proven effective in alleviating secondary hyperalgesia in human subjects when injected intravenously. "( Effect of oral ketamine on secondary hyperalgesia, thermal and mechanical pain thresholds, and sedation in humans.
Brennum, J; Dahl, JB; Jørgensen, H; Larsen, PS; Mikkelsen, S,
)
1.93
"Ketamine is an NMDA receptor antagonist with psychotogenic and cognitive effects in healthy volunteers and schizophrenic patients which has been proposed to be a useful tool to investigate neurobiological basis of schizophrenia."( Effect of a subanesthetic dose of ketamine on memory and conscious awareness in healthy volunteers.
Brandt, C; Danion, JM; Diemunsch, P; Hetem, LA, 2000
)
2.03
"Ketamine is a dissociative anesthetic with an accepted place in human medicine. "( A review of the nonmedical use of ketamine: use, users and consequences.
Jansen, KL,
)
1.85
"Ketamine is an N-methyl-D-aspartate antagonist that induces cognitive dysfunctions. "( N-methyl-D-aspartate receptors and information processing: human choice reaction time under a subanaesthetic dose of ketamine.
Blin, O; Guillermain, Y; Hasbroucq, T; Micallef, J; Possamaï, C, 2001
)
1.96
"Ketamine is a safe and effective alternative to morphine to provide analgesia in the immediate postoperative period after tonsillectomy."( A prospective randomized controlled study of the efficacy of ketamine for postoperative pain relief in children after adenotonsillectomy.
Aspinall, RL; Mayor, A, 2001
)
1.99
"Ketamine, which is a non-competitive NMDA receptor antagonist, has been used as a dissociative anesthetic agent. "( Role of the NMDA receptor subunit in the expression of the discriminative stimulus effect induced by ketamine.
Aoki, K; Narita, M; Nomura, M; Suzuki, T; Yoshizawa, K, 2001
)
1.97
"Ketamine is a safe and effective sedative agent for use in children requiring immobilization to enable performance of a painful procedure. "( Ketamine sedation for children in the emergency department.
Francis, P; McAdam, CM; Priestley, SJ; Taylor, J, 2001
)
3.2
"Ketamine-xylazine is a commonly used anesthetic for laboratory rats. "( The effects of ketamine-xylazine anesthesia on cerebral blood flow and oxygenation observed using nuclear magnetic resonance perfusion imaging and electron paramagnetic resonance oximetry.
Dunn, JF; Grinberg, O; Hou, HG; Lei, H; Nwaigwe, CI; Swartz, HM; Williams, H, 2001
)
2.11
"1. Ketamine is a dissociative anaesthetic that is formulated as Ketalar, which contains the preservative benzethonium chloride (BCl). "( Ketamine and its preservative, benzethonium chloride, both inhibit human recombinant alpha7 and alpha4beta2 neuronal nicotinic acetylcholine receptors in Xenopus oocytes.
Coates, KM; Flood, P, 2001
)
2.37
"Ketamine is a non-competitive N-methyl D-aspartate (NMDA) receptor antagonist with analgesic and dissociative anesthetic properties. "( Low dose ketamine as an analgesic adjuvant in difficult pain syndromes: a strategy for conversion from parenteral to oral ketamine.
Fitzgibbon, EJ; Hall, P; Schroder, C; Seely, J; Viola, R, 2002
)
2.17
"Ketamine is an anaesthetic agent extensively used in intensive care patients, and it has proved its efficacy in the management of burned patients. "( Protein binding of ketamine and its active metabolites to human serum.
Boulieu, R; Hijazi, Y, 2002
)
2.09
"Ketamine is an anaesthetic used in human medicine and veterinary practice, synthesised on 1962 and marketed on 1970 in France. "( [Ketamine--dreams and realities].
Arditti, J; Bourdon, JH; Brun, A; de Haro, L; Spadari, M; Valli, M, 2002
)
2.67
"Ketamine is an anaesthetic agent primarily used in veterinary medicine and paediatrics."( [New drugs at "rave parties": ketamine and prolintane].
Canal, M; Gaulier, JM; Lachâtre, G; Marquet, P; Pradeille, JL, 2002
)
1.32
"Ketamine is a dissociative anesthetic used primarily in veterinary practice."( Club drugs: methylenedioxymethamphetamine, flunitrazepam, ketamine hydrochloride, and gamma-hydroxybutyrate.
Larive, LL; Romanelli, F; Smith, KM, 2002
)
1.28
"Ketamine is a widely used drug for its anesthetic and analgesic properties; it is also considered as a drug of abuse, as many cases of ketamine illegal consumption were reported. "( Contribution of CYP3A4, CYP2B6, and CYP2C9 isoforms to N-demethylation of ketamine in human liver microsomes.
Boulieu, R; Hijazi, Y, 2002
)
1.99
"Ketamine hydrochloride is a safe and rapid-acting non-opioid, lipid soluble anaesthetic with a short elimination half-life that is used for medical and veterinary purposes. "( Ketamine dependence.
Berry, N; Kumar, R; Pal, HR; Ray, R, 2002
)
3.2
"Ketamine is a somewhat controversial choice for these patients as it can enhance excitement, restlessness, and accidental extubation."( Acute epiglottitis in children: management of 27 consecutive cases with nasotracheal intubation, with special emphasis on anaesthetic considerations.
Blanc, VF; Desjardins, R; Laberge, R; Leduc, C; Perreault, G; Weber, ML, 1977
)
0.98
"Ketamine is an induction agent. "( [The effect of ketamine on haemodynamics and myocardial oxygen consumption in anaesthetized dogs (author's transl)].
Brückner, JB; Gethmann, JW; Patschke, D; Tarnow, J; Weymar, A, 1975
)
2.05
"Ketamine is a racemic mixture containing equal amounts of optical isomers that have almost identical pharmacokinetic properties but different pharmacodynamic effects. "( [Ketamine racemate or S-(+)-ketamine and midazolam. The effect on vigilance, efficacy and subjective findings].
Angster, R; Doenicke, A; Hoffmann, P; Kugler, J; Mayer, M, 1992
)
2.64
"Ketamine is a cardiovascular stimulant through its sympathomimetic effects; however, its direct inotropic effect has been reported as positive in rat and negative in rabbit ventricular myocardium. "( Mechanism of the positive inotropic effect of ketamine in isolated ferret ventricular papillary muscle.
Carton, EG; Cook, DJ; Housmans, PR, 1991
)
1.98
"Ketamine-xylazine is a widely accepted anesthetic combination for laboratory animals. "( Tissue response to intramuscular and intraperitoneal injections of ketamine and xylazine in rats.
Hiben, JR; Hrapkiewicz, KL; Smiler, KL; Stein, S, 1990
)
1.96
"Oral ketamine is a safe and effective premedicant in this group of patients."( Oral ketamine premedication for paediatric cardiac surgery--a comparison with intramuscular morphine (both after oral trimeprazine).
Aitken, AW; Rajendram, S; Rowbottom, SJ; Stewart, KG; Sudhaman, DA, 1990
)
1.25
"Ketamine is a non-competitive antagonist of the N-methyl-D-aspartate (NMDA) receptors, which is used as an anesthetic agent in human surgery."( Ketamine induces failure of the oculomotor neural integrator in the cat.
Cheron, G; Godaux, E; Mettens, P, 1990
)
2.44
"Ketamine is an anaesthetic interacting with several neurotransmitters. "( Ketamine antagonizes toxic action of anticholinesterase agents.
Contreras, CM; Marvan, ML; Mexicano, G; Morfin, A; Puente, A,
)
3.02
"Ketamine is an intravenous anaesthetic that has been reported to react with a number of synaptic and non-synaptic receptors at both the spinal and supraspinal level. "( The mechanism of action of ketamine on the myelinated nerve membrane.
Arhem, P; Rydqvist, B, 1986
)
2.01
"Ketamine is an injectable anesthetic agent that has been shown to interact as an agonist at opiate receptors. "( Ketamine analgesia is not related to an opiate action in the periaqueductal gray region of the rat brain.
Mansell, AL; Monroe, PJ; Perrotti, JM; Smith, DJ, 1985
)
3.15
"Ketamine is a safe anesthetic to use for open liver biopsy in patients with underlying liver disease, although poor muscle relaxation and nightmares may be significant side effects."( Ketamine hydrochloride as sole anesthetic for open liver biopsy.
Abu Khalaf, A; Abu Khalaf, M; Amr, S; Takrouri, M; Toukan, A, 1988
)
2.44
"Ketamine is a dissociative anaesthetic known to be an N-methyl-D-aspartate receptor blocker. "( Ketamine fails to protect against ischaemic neuronal necrosis in the rat.
Auer, RN; Jensen, ML, 1988
)
3.16
"Ketamine is a useful drug in the intensive treatment of status asthmaticus and should be tried before a decision is taken to start mechanical ventilation."( Ketamine by continuous infusion in status asthmaticus.
Hallam, PL; Strube, PJ, 1986
)
2.44
"Ketamine was found to be an adequate anaesthetic in 94% of patients with administered doses well below recommended amounts."( The use of ketamine for abdominal tubal ligation.
Azar, I; Ozomek, E,
)
1.14

Effects

S(+)-ketamine has a two- to four-fold higher affinity for the phencyclidine receptor of the NMDA receptor complex than ketamine racemate. It is conceivable that the induction of a differentiated pattern of genes induces cellular growth activities via ketamine-mediated NMDA-receptor activation or blockade. Ketamine, 10mg/kg, has a delayed onset but is as effective as 1 mg/kg midazolam for sedating healthy children before ge

Ketamine has been reported to attenuate POCD after cardiac surgery. S-ketamine has neuroprotective properties as a dissociative anaesthetic. Ketamine has emerged as a promising pharmacotherapy for depression.

ExcerptReferenceRelevance
"Ketamine has a rapid and robust antianhedonic effect, independent of depressive symptoms."( Antianhedonic effects of serial intravenous subanaesthetic ketamine in anxious versus nonanxious depression.
Gu, LM; Ning, YP; Tan, JQ; Wang, CY; Yang, XH; Zheng, W; Zhou, YL, 2022
)
1.69
"Ketamine has a remarkable history in psychiatric research."( The effect of ketamine on delta-range coupling between prefrontal cortex and hippocampus supported by respiratory rhythmic input from the olfactory bulb.
Kocsis, B; Mofleh, R; Staszelis, A, 2022
)
1.8
"Ketamine has a robust and rapid effect on HPA axis function."( Time of day influences stress hormone response to ketamine.
Birnie, MT; Collingridge, GL; Conway-Campbell, BL; Eapen, AV; Kershaw, YM; Lightman, SL; Lodge, D, 2022
)
1.7
"Ketamine has a fast onset of action that may offer a paradigm change for depression management at the end of life. "( Efficacy and safety of ketamine for the treatment of depressive symptoms in palliative care: A systematic review.
Barbosa, MG; Garcia, GT; Jackowski, AP; Sarin, LM, 2023
)
2.66
"Ketamine has a unique mechanism of action with a favorable side effect profile that may provide benefit to the pediatric population for acute pain."( Intranasal Ketamine for Treatment of Acute Pain in Pediatrics: A Systematic Review.
Beckett, RD; Ferguson, CL, 2020
)
1.67
"Esketamine has a favorable risk-to-benefit profile, with demonstrated efficacy in reducing depressive symptoms more rapidly than monotherapy with traditional oral antidepressants."( Intranasal esketamine: A novel drug for treatment-resistant depression.
Khorassani, F; Talreja, O, 2020
)
1.49
"Even ketamine has an unpleasant taste."( Preanesthetic nebulized ketamine vs preanesthetic oral ketamine for sedation and postoperative pain management in children for elective surgery: A retrospective analysis for effectiveness and safety.
Chen, C; Cheng, X; Fu, F; Lin, L, 2021
)
1.38
"Ketamine has a synthetic, sedative, nonbarbiturate and fast-acting anaesthetic properties and it is commonly used in both humans and veterinary surgery. "( A review of chromatographic methods for ketamine and its metabolites norketamine and dehydronorketamine.
Arıöz, F; Göktaş, EF, 2018
)
2.19
"(R)-Ketamine has a greater potency and longer-lasting antidepressant effects than (S)-ketamine."( Mechanistic Target of Rapamycin-Independent Antidepressant Effects of (R)-Ketamine in a Social Defeat Stress Model.
Dong, C; Hashimoto, K; Ma, M; Qu, Y; Ren, Q; Yang, C; Zhang, JC, 2018
)
1.19
"Ketamine has a role for agitation management in the prehospital setting; however, emergency personnel education and ketamine protocols should be utilized to aid in safe and effective pharmacotherapy and provide guidance on the management of adverse events."( Ketamine for the Acute Management of Excited Delirium and Agitation in the Prehospital Setting.
Linder, LM; Ross, CA; Weant, KA, 2018
)
2.64
"(R)-ketamine has a greater potency and longer-lasting antidepressant effects than (S)-ketamine."( Possible role of the gut microbiota-brain axis in the antidepressant effects of (R)-ketamine in a social defeat stress model.
Dong, C; Fujita, Y; Hashimoto, K; Ma, M; Qu, Y; Ren, Q; Yang, C, 2017
)
1.16
"Ketamine has a robust antidepressant effect, but there are no reported studies of ketamine for depression relapse prevention."( Ketamine Versus Midazolam for Depression Relapse Prevention Following Successful Electroconvulsive Therapy: A Randomized Controlled Pilot Trial.
Daly, L; Finnegan, M; Galligan, T; Harkin, A; McLoughlin, DM; Ryan, K; Shanahan, E, 2019
)
2.68
"Ketamine has a number of actions including blocking of the glutamate NMDA ionophore in the periphery."( Opioid-Sparing Effects of Topical Ketamine in Treating Severe Pain From Decubitus Ulcers.
Skavinski, KA,
)
1.13
"Ketamine has a rapid antidepressant effect in treatment-resistant depression (TRD). "( Ketamine infusions for treatment resistant depression: a series of 28 patients treated weekly or twice weekly in an ECT clinic.
Atkinson, S; Cowen, PJ; Diamond, PR; Farmery, AD; Geddes, JR; Haldar, J; McShane, R; Williams, N, 2014
)
3.29
"Ketamine has a potential role in lowering the risk of chronification of pain, modified by analgesic and anti-inflammatory effects."( Role of novel drugs in sedation outside the operating room: dexmedetomidine, ketamine and remifentanil.
Coppens, M; Parashchanka, A; Schelfout, S, 2014
)
1.35
"Ketamine has a role as an alternative induction anesthetic agent in ECT. "( Dosing and effectiveness of ketamine anesthesia for electroconvulsive therapy (ECT): a case series.
Ahle, GM; Aloysi, AS; Bryson, EO; Kellner, CH; Lapidus, KA; Liebman, LS; Majeske, MF, 2014
)
2.14
"Ketamine has an appreciable effect on cortisol production. "( Effect of subanaesthetic ketamine on plasma and saliva cortisol secretion.
Dahan, A; Khalili-Mahani, N; Martini, CH; Niesters, M; Olofsen, E, 2015
)
2.16
"Ketamine has a confounding effect on the psychomotor subscale of the pain scale studied, which may lead to erroneous administration of rescue analgesia. "( Effects of ketamine and alfaxalone on application of a feline pain assessment scale.
Buisman, M; Hasiuk, MM; Law, L; Pang, DS; Prebble, M; Wagner, MC, 2016
)
2.27
"Ketamine has a unique mood controlling property and a number of studies have demonstrated a significant and rapid antidepressant effect of ketamine."( Ketamine abuse potential and use disorder.
Lin, D; Liu, Y; Wu, B; Zhou, W, 2016
)
2.6
"Ketamine has a unique pharmacological profile compared with more traditional agents such as opioids, which makes it an appealing alternative agent for analgosedation in the intensive care unit setting."( Ketamine for analgosedation in critically ill patients.
Erstad, BL; Patanwala, AE, 2016
)
3.32
"Ketamine has a rapid, predictable onset within three to four minutes when given by intramuscular (IM) injection."( Prehospital Ketamine is a Safe and Effective Treatment for Excited Delirium in a Community Hospital Based EMS System.
Glass, DM; Hutchcraft, MG; Scaggs, TR; Weir, WB, 2016
)
1.53
"Ketamine has a synergistic effect with alcohol on learning and memory impairment in mice, which may be related to the common inhibitive effect on the ACh and 5-HT."( [Effects of ketamine and alcohol on learning and memory impairment in mice].
Bian, SZ; Ding, F; Gu, ZL; Guo, CY; Jiang, XG; Wu, XX; Yang, MY, 2012
)
2.2
"(S)-ketamine has a threefold higher affinity for the NMDA receptor, but relatively little is known about its specific effects on human motor cortex excitability."( Influence of (S)-ketamine on human motor cortex excitability.
Haussleiter, IS; Höffken, O; Lötsch, J; Maier, C; Schwenkreis, P; Tegenthoff, M; Westermann, A, 2013
)
1.21
"Ketamine has a long history of use during pediatric procedural sedation. "( Pretreatment with midazolam blunts the rise in intracranial pressure associated with ketamine sedation for lumbar puncture in children.
Berkenbosch, JW; Michalczyk, K; Sullivan, JE, 2013
)
2.06
"Ketamine has an opioid sparing effect following surgery in adults. "( Double-blind randomized placebo-controlled trial of the effect of ketamine on postoperative morphine consumption in children following appendicectomy.
Dix, P; Martindale, S; Stoddart, PA, 2003
)
2
"Ketamine has a complex mechanism of action that is further complicated by stereoselectivity; however, antagonism of glutamate NDMA receptors is thought to underlie its analgesic, dissociative and neuroprotective effects."( Ketamine : from medicine to misuse.
Winstock, AR; Wolff, K, 2006
)
2.5
"Ketamine has a favorable cardiovascular profile related to central sympathetic stimulation and inhibition of neuronal catecholamine uptake."( Intravenous anesthesia for the patient with left ventricular dysfunction.
Bovill, JG, 2006
)
1.06
"Ketamine has a longer elimination half-life (2.1 h) than norketamine (1.13 h). "( Modeling the norketamine metabolite in children and the implications for analgesia.
Anderson, BJ; Herd, DW; Holford, NH, 2007
)
2.13
"Ketamine has a short half-life; the elimination half-life is about 2.5 h."( [Ketamine as a party drug].
Kramers, C; van Dongen, RT; Vantroyen, B; Vroegop, MP, 2007
)
1.97
"Ketamine has a lower incidence of adverse effects and generally produces greater CNS depression than PCP."( Ketamine, but not phencyclidine, selectively modulates cerebellar GABA(A) receptors containing alpha6 and delta subunits.
Amin, J; Hadley, SH; Hevers, W; Lüddens, H, 2008
)
2.51
"Ketamine has a faster onset and results in more rapid discharge from the pediatric emergency department while providing for less patient distress during procedures. "( Intramuscular ketamine is superior to meperidine, promethazine, and chlorpromazine for pediatric emergency department sedation.
Marx, CM; Petrack, EM; Wright, MS, 1996
)
2.1
"S(+)-ketamine has a two- to four-fold higher affinity for the phencyclidine receptor of the NMDA receptor complex than ketamine racemate, and it is conceivable that the induction of a differentiated pattern of genes induces cellular growth activities via ketamine-mediated NMDA-receptor activation or blockade."( [Neuroprotection by ketamine at the cellular level].
Himmelseher, S; Pfenninger, E, 1997
)
1.08
"1. Ketamine has a number of effects that suggest that it may interact with alpha- and beta-adrenoceptors. "( Evidence for direct interaction of ketamine with alpha 1- and beta 2-adrenoceptors.
Bevan, RK; Duggan, KA; Rose, MA, 1997
)
1.2
"Ketamine has a species-dependent inotropic effect on myocardium. "( Actions of ketamine and its isomers on contractility and calcium transients in human myocardium.
Graf, BM; Hagl, S; Kunst, G; Martin, E; Vahl, CF, 1999
)
2.14
"Ketamine has a negative inotropic effect in isolated cardiomyocytes. "( Ketamine inhibits inositol 1,4,5-trisphosphate production depending on the extracellular Ca2+ concentration in neonatal rat cardiomyocytes.
Kudoh, A; Matsuki, A, 1999
)
3.19
"Ketamine, 10 mg/kg, has a delayed onset but is as effective as 1 mg/kg midazolam for sedating healthy children before general anesthesia."( Reevaluation of rectal ketamine premedication in children: comparison with rectal midazolam.
Nishikawa, T; Saito, A; Sato, M; Tanaka, M, 2000
)
1.34
"S(+) ketamine has a 2-3 times higher anesthetic potency compared with the ketamine-racemate and also shows a higher neuroprotective efficacy in vitro."( Neuroprotection of S(+) ketamine isomer in global forebrain ischemia.
Heimann, A; Kempski, O; Proescholdt, M, 2001
)
1.07
"S(+)-ketamine has a higher affinity for the N-methyl-D-aspartate receptor and less-serious side effects than racemic ketamine."( Perioperative small-dose S(+)-ketamine has no incremental beneficial effects on postoperative pain when standard-practice opioid infusions are used.
Dann, K; Fitzal, S; Jaksch, W; Lang, S; Raab, G; Reichhalter, R, 2002
)
1.06
"Ketamine has been demonstrated to be a rapid-onset and long-lasting antidepressant, but its underlying molecular mechanisms remain unclear. "( miR-98-5p plays a critical role in depression and antidepressant effect of ketamine.
Chen, G; Huang, C; Liu, C; Wang, D; Wang, Y; Wu, Z; Xu, J; Yang, C; Yang, L; Zhou, L; Zhu, B, 2021
)
2.29
"Esketamine (ESK) has been approved as a rapid-acting intranasal treatment for treatment-resistant depression (TRD). "( Long-Term Efficacy of Intranasal Esketamine in Treatment-Resistant Major Depression: A Systematic Review.
Buoli, M; Caldiroli, A; Capellazzi, M; Capuzzi, E; Clerici, M; Colmegna, F; Dakanalis, A; Marcatili, M; Tagliabue, I, 2021
)
1.62
"Ketamine has been shown to provide rapid and significant efficacy in treating patients with TRD."( Ketamine monotherapy versus adjunctive ketamine in adults with treatment-resistant depression: Results from the Canadian Rapid Treatment Centre of Excellence.
Di Vincenzo, JD; Gill, H; Kratiuk, K; Lee, Y; Lipsitz, O; Mansur, R; McIntyre, RS; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2021
)
2.79
"Ketamine has analgesic and antidepressant effects, but few studies have evaluated individual differences in antidepressant outcomes to repeated ketamine in TRD patients with comorbid pain."( Plasma inflammatory cytokines and treatment-resistant depression with comorbid pain: improvement by ketamine.
Chao, Z; Lan, X; Li, H; Ning, Y; Wang, C; Zhou, Y, 2021
)
1.56
"Ketamine use has become of increasing concern because it has spread in many parts of the world during the past few years. "( Gender Differences in Depression and Quality of Life in Current and Abstinent Ketamine Users.
Hsu, CY; Wang, PW; Wu, HC; Yang, YY; Yen, CF, 2021
)
2.29
"Ketamine has significant potential to increase access to emergency cesarean deliveries in resource-limited settings."( A ketamine package for use in emergency cesarean delivery when no anesthetist is available: An analysis of 401 consecutive operations.
Burke, TF; Mantena, S; Opondo, K; Orero, S; Rogo, K, 2022
)
2.16
"Ketamine has emerged as a prophylactic agent against depressive-like behavior induced by stress. "( The resilient phenotype elicited by ketamine against inflammatory stressors-induced depressive-like behavior is associated with NLRP3-driven signaling pathway.
Camargo, A; Dalmagro, AP; Kaster, MP; Rodrigues, ALS; Wolin, IAV, 2021
)
2.34
"Ketamine has seen increased use for sedation in the intensive care unit. "( Hemodynamic Effects of Ketamine Compared With Propofol or Dexmedetomidine as Continuous ICU Sedation.
Atchley, E; Bauer, A; Benken, S; Meyer, R; Pulver, M; Tesoro, E, 2022
)
2.47
"(S)-ketamine has been approved as a rapid-acting antidepressant drug (RAAD). "( The effectiveness of (R)-ketamine and its mechanism of action differ from those of (S)-ketamine in a chronic unpredictable mild stress model of depression in C57BL/6J mice.
Pałucha-Poniewiera, A; Rafało-Ulińska, A, 2022
)
1.58
"Ketamine has rapid and robust antidepressant effects in depression, while its effects on cognitive measures are less clearly understood. "( The potential pro-cognitive effects with intravenous subanesthetic ketamine in adults with treatment-resistant major depressive or bipolar disorders and suicidality.
Chao, Z; Lan, X; Li, H; McIntyre, RS; Ning, Y; Wang, C; Wu, K; Zheng, W; Zhou, Y, 2021
)
2.3
"Ketamine has rapid antidepressant effects, which are hypothesised to occur via increases in glutamate, with sequelae including increased neuroplasticity, neurogenesis and synaptogenesis."( Ketamine as a Treatment for Anorexia Nervosa: A Narrative Review.
Himmerich, H; Juruena, MF; Kan, C; Keeler, JL; Treasure, J, 2021
)
2.79
"Esketamine has recently emerged as a new treatment for TRD due to its rapid antidepressant effects."( Cost-utility analysis of esketamine and electroconvulsive therapy in adults with treatment-resistant depression.
Asellus, P; Degerlund Maldi, K; Myléus, A; Norström, F, 2021
)
1.48
"Ketamine has rapid and sustained antidepressant effects in patients with treatment-resistant depression (TRD). "( Whole blood transcriptional signatures associated with rapid antidepressant response to ketamine in patients with treatment resistant depression.
Bevilacqua, L; Cathomas, F; Chan, KL; Charney, DS; Costi, S; Kronman, H; Li, L; Murrough, JW; Nestler, EJ; Ramakrishnan, A; Russo, SJ; Schneider, M; Shen, L, 2022
)
2.39
"Ketamine has emerged as a fast-acting and powerful antidepressant, but no head to head trial has been performed, Here, ketamine is compared with electroconvulsive therapy (ECT), the most effective therapy for depression."( Racemic Ketamine as an Alternative to Electroconvulsive Therapy for Unipolar Depression: A Randomized, Open-Label, Non-Inferiority Trial (KetECT).
Åkeson, J; Cheng, T; Ekstrand, J; Fattah, C; Lindström, MB; Movahed Rad, P; Nordanskog, P; Nordenskjöld, A; Persson, M; Tingström, A, 2022
)
2.6
"Ketamine has been used in the emergency department (ED) as an anesthetic agent for procedural sedation, and when administrated in a sub-dissociative dose (low dose) at 0.1-0.3 mg/kg, ketamine has been utilized in the ED and prehospital settings for pain control as an adjunct and as an alternative to opioid, as well as for preprocedural sedation."( Paraphimosis Pain Treatment with Nebulized Ketamine in the Emergency Department.
Barberan Parraga, C; Cen, E; Davis, A; Dove, D; Drapkin, J; Fassassi, C; Hossain, R; Mahl, E; Motov, S; Peng, Y, 2022
)
1.71
"Ketamine has demonstrated rapid and robust improvements in suicidal ideation (SI)."( mTORC1 inhibitor effects on rapid ketamine-induced reductions in suicidal ideation in patients with treatment-resistant depression.
Abdallah, CG; Ahn, KH; Averill, CL; Averill, LA; D'Souza, DC; Duman, RS; Fouda, S; Gueorguieva, R; Krystal, JH; Ranganathan, M; Sanacora, G; Sherif, M; Southwick, SM, 2022
)
1.72
"Ketamine and fentanyl have been combined separately with propofol to prevent depression of cardiovascular system during LMA insertion, especially in paediatric patients."( Comparative study of haemodynamic effects of intravenous ketamine-fentanyl and propofol-fentanyl for laryngeal mask airway insertions in children undergoing herniotomy under general anaesthesia in a nigerian tertiary hospital.
Adegboye, BM; Bolaji, BO; Ige, OA; Okeyemi, A; Oyedepo, OO; Suleiman, AZ,
)
1.1
"Ketamine has rapid and robust antidepressant effects in adults with treatment-resistant depression (TRD), while its effects on functional outcomes have not been sufficiently evaluated. "( The effectiveness of repeated intravenous ketamine on subjective and objective psychosocial function in patients with treatment-resistant depression and suicidal ideation.
Chao, Z; Lan, X; Li, H; McIntyre, RS; Ning, Y; Wang, C; Zheng, W; Zhou, Y, 2022
)
2.43
"Ketamine has emerged as a rapid-acting antidepressant in treatment-resistant depression (TRD) increasingly used in non-research, clinical settings. "( Neurocognitive effects of repeated ketamine infusion treatments in patients with treatment resistant depression: a retrospective chart review.
Bolton, P; Boyle, B; Dai, D; Li, S; Meisner, R; Miller, C; Seiner, S; Valdivia, V, 2022
)
2.44
"Ketamine has rapid antidepressant effects that represent a significant advance in treating depression, but its poor safety and tolerability limit its clinical utility. "( The role of serotonin neurotransmission in rapid antidepressant actions.
Khawaja, A; McNair, R; Pehrson, AL; Roberts, D, 2022
)
2.16
"ketamine has potential advantages over morphine for musculoskeletal pain relief. "( Non-inferiority of intranasal ketamine compared to intravenous morphine for musculoskeletal pain relief among older adults in an emergency department: a randomised controlled trial.
Paksophis, T; Sri-On, J; Thong-On, K; Tongbua, S, 2022
)
2.45
"Ketamine has dissociative and psychotomimetic effects but can be difficult to use outside of medical and clinical-research facilities."( Pharmacological modelling of dissociation and psychosis: an evaluation of the Clinician Administered Dissociative States Scale and Psychotomimetic States Inventory during nitrous oxide ('laughing gas')-induced anomalous states.
Das, RK; Hennessy, V; Iskandar, G; Kamboj, SK; McDonnell, J; Piazza, GG; Terhune, DB; Walsh, K; Zhao, H, 2022
)
1.44
"Ketamine has been considered to be an effective treatment for post-anesthetic shivering, but the evidence for its therapeutic benefit after spinal anesthesia is limited."( Comparison of Intravenous Ketamine with Intrathecal Meperidine in Prevention of Post-anesthetic Shivering after Spinal Anesthesia for Lower Limb Orthopedic Surgeries: A Double-blind Randomized Clinical Trial.
Baradari, AG; Gholinataj, A; Kiabi, FH; Najafi, S, 2021
)
1.64
"Ketamine use has increased recently for the management of acute and chronic pain. "( Risk Factors for the Development of Neuropsychiatric Adverse Effects in Ketamine-Treated Pain.
Quirk, K; Smith, MA, 2022
)
2.4
"Ketamine has been shown to decrease opioid utilization as an adjunct, but limited evidence is available on ketamine as a primary analgesic strategy."( Impact of ketamine versus fentanyl continuous infusion on opioid use in patients admitted to a surgical-trauma intensive care unit.
Kataria, V; Mooney, J; Nguyen, HL; Pazhani, Y; Ramos, A; Roth, J,
)
1.98
"Ketamine has shown antidepressant effects in patients with major depressive disorder (MDD) resistant to first-line treatments and approved for use in this patient population. "( Translational control by ketamine and its implications for comorbid cognitive deficits in depressive disorders.
Aguilar-Valles, A; Arsenault, E; Lewis, V; Matta-Camacho, E; Myers, M; Rodrigue, B; Silva, WCC; Taghavi-Abkuh, FF; Zhang, M, 2023
)
2.66
"Ketamine has traditionally been used as a dissociative anesthetic agent and more recently as a treatment for treatment-resistant depression. "( Ketamine-induced neurotoxicity is mediated through endoplasmic reticulum stress in vitro in STHdh
Abu-Hijleh, FA; Mishra, RK; Patel, V; Rigg, N, 2022
)
3.61
"Ketamine has a rapid and robust antianhedonic effect, independent of depressive symptoms."( Antianhedonic effects of serial intravenous subanaesthetic ketamine in anxious versus nonanxious depression.
Gu, LM; Ning, YP; Tan, JQ; Wang, CY; Yang, XH; Zheng, W; Zhou, YL, 2022
)
1.69
"Ketamine has a remarkable history in psychiatric research."( The effect of ketamine on delta-range coupling between prefrontal cortex and hippocampus supported by respiratory rhythmic input from the olfactory bulb.
Kocsis, B; Mofleh, R; Staszelis, A, 2022
)
1.8
"Ketamine has been reported to attenuate POCD after cardiac surgery."( Esketamine alleviates postoperative cognitive decline via stimulator of interferon genes/ TANK-binding kinase 1 signaling pathway in aged rats.
Gao, JG; Li, Y; Song, RX; Wang, JX; Wu, ZY; Zheng, WC, 2022
)
2.16
"S-ketamine has neuroprotective properties as a dissociative anaesthetic."( Effects of subanaesthetic S-ketamine on postoperative delirium and cognitive function in elderly patients undergoing non-cardiac thoracic surgery: a protocol for a randomised, double-blinded, placebo-controlled and positive-controlled, non-inferiority tri
Gu, Y; Liu, L; Tang, C; Wei, W; Yao, Y; Zhang, A; Zheng, X; Zhou, M, 2022
)
1.57
"Ketamine has demonstrated at a lower dose a robust and rapid antidepressant effect due to a mechanism of action different from conventional treatments. "( [Use of ketamine in psychiatry: an update].
Clerc, MT; Rosenhagen-Lapoirie, M; Von Gunten, A, 2022
)
2.6
"Ketamine has demonstrated rapid and significant antidepressant effects in patients with treatment resistant depression (TRD). "( The association between stage of treatment-resistant depression and clinical utility of ketamine/esketamine: A systematic review.
Ceban, F; Di Vincenzo, JD; Ho, C; Lee, Y; Levinta, A; Lui, LMW; Mansur, RB; McIntyre, RS; Meshkat, S; Rodrigues, NB; Rosenblat, JD; Teopiz, KM, 2022
)
2.39
"Ketamine has rapid onset antidepressant effects."( Time of day influences stress hormone response to ketamine.
Birnie, MT; Collingridge, GL; Conway-Campbell, BL; Eapen, AV; Kershaw, YM; Lightman, SL; Lodge, D, 2022
)
1.7
"Ketamine has emerged as a promising pharmacotherapy for depression and other mental illnesses, and the intramuscular (IM) administration of ketamine is now offered at many North American outpatient psychiatric clinics. "( Real-world depression, anxiety and safety outcomes of intramuscular ketamine treatment: a retrospective descriptive cohort study.
Ahuja, S; Brendle, M; Moore, C; Robison, R; Smart, L; Thielking, P, 2022
)
2.4
"Ketamine has traditionally been avoided as an induction agent for tracheal intubation in patients with neurologic conditions at risk for intracranial hypertension due to conflicting data in the literature. "( Co-administration of Ketamine in Pediatric Patients with Neurologic Conditions at Risk for Intracranial Hypertension.
Ampah, SB; Beaulieu, F; Francoeur, C; Gajjar, AA; Griffis, H; Heuer, GG; Huh, JW; Kilbaugh, TJ; Kirschen, MP; Lang, SS; Mazandi, VM; Nishisaki, A; Rahman, RK; Storm, PB; Topjian, AA; Tucker, AM; Yuan, I; Zhang, B, 2023
)
2.67
"Ketamine has rapid yet often transient antidepressant effects in patients with treatment-resistant depression. "( Maintenance ketamine treatment for depression: a systematic review of efficacy, safety, and tolerability.
Kamphuis, J; Schoevers, RA; Smith-Apeldoorn, SY; Spijker, J; Veraart, JK, 2022
)
2.54
"Ketamine has also been applied to establish animal models of mania."( Chronic lithium treatment ameliorates ketamine-induced mania-like behavior via the PI3K-AKT signaling pathway.
Gao, TH; Li, T; Ma, XH; Ni, PY; Ni, RJ; Tian, Y; Wang, YY; Wei, JX; Zhao, LS, 2022
)
1.71
"Oral ketamine has shown to be a rapid-acting antidepressant and a potential treatment option for suicidality, however, repeated doses are often required. "( Electrophysiological phenotypes of suicidality predict prolonged response to oral ketamine treatment.
Beaudequin, D; Bennett, MR; Bouças, AP; Can, AT; Dutton, M; Forsyth, G; Gallay, CC; Hermens, DF; Isbel, B; Jones, M; Lagopoulos, J; Schwenn, PE, 2023
)
1.65
"Ketamine has a fast onset of action that may offer a paradigm change for depression management at the end of life. "( Efficacy and safety of ketamine for the treatment of depressive symptoms in palliative care: A systematic review.
Barbosa, MG; Garcia, GT; Jackowski, AP; Sarin, LM, 2023
)
2.66
"Ketamine has been described as a fast-acting antidepressant, exerting effects in depressed patients and in preclinical models with a rapid onset of action. "( Ketamine and its metabolite 2R,6R-hydroxynorketamine promote ocular dominance plasticity and release tropomyosin-related kinase B from inhibitory control without reducing perineuronal nets enwrapping parvalbumin interneurons.
Cannarozzo, C; Casarotto, P; Castrén, E; Rubiolo, A, 2023
)
3.8
"Arketamine has been found to have more potent antidepressant-like actions than esketamine in rodents."( Arketamine for cognitive impairment in psychiatric disorders.
Hashimoto, K, 2023
)
2.19
"Ketamine has considerable therapeutic potential in alleviating major depressive disorder and chronic suicidality. "( Spectral Changes of EEG Following a 6-Week Low-Dose Oral Ketamine Treatment in Adults With Major Depressive Disorder and Chronic Suicidality.
Anijärv, TE; Can, AT; Dutton, M; Forsyth, GA; Gallay, CC; Hermens, DF; Lagopoulos, J; Mitchell, JS, 2023
)
2.6
"Esketamine and ketamine have been shown to decrease inflammation in numerous ways principally through reducing pro-inflammatory cytokines (e.g., TNF-α, IL-6) (Loix et al., Acta Anaesthesiol Belg 62(1):47-58, 2011; Chen et al., Psychiatry Res 269:207-11, 2018; Kopra et al., J Psychopharmacol 35(8):934-45, 2021)."( The Glutamatergic System in Treatment-Resistant Depression and Comparative Effectiveness of Ketamine and Esketamine: Role of Inflammation?
Cook, J; Halaris, A, 2023
)
1.69
"Ketamine has recently been proposed as a treatment option for suicidality. "( Treatment response with ketamine in chronic suicidality: An open label functional connectivity study.
Can, AT; Dutton, M; Forsyth, G; Gallay, C; Hermens, DF; Jamieson, D; Lagopoulos, J; Mohamed, AZ; Shan, ZY, 2023
)
2.66
"Ketamine has been shown to affect the brain development of unborn babies, while it is still elusive whether (2 R,6 R)-hydroxynorketamine (HNK) induces similar neurotoxicity."( Chronic exposure to (2 R,6 R)-hydroxynorketamine induces developmental neurotoxicity in hESC-derived cerebral organoids.
Cai, Y; Du, Z; Fan, X; Gao, J; Gong, H; Li, H; Liu, T; Luo, J; Lv, K; Wang, L; Yang, L; Zang, Z; Zhang, D; Zhao, J, 2023
)
1.9
"Ketamine has emerged recently as a rapidly acting antidepressant with high efficacy in TRD."( Ketamine supresses REM sleep and markedly increases EEG gamma oscillations in the Wistar Kyoto rat model of treatment-resistant depression.
de Lannoy, I; Duxon, M; Giggins, L; Kantor, S; Lanigan, M; Lione, L; Magomedova, L; Upton, N, 2023
)
3.07
"Esketamine has higher potency, stronger receptor affinity, a stronger analgesic effect, a higher in vivo clearance rate, and a lower incidence of adverse reactions when compared to ketamine. "( Intraoperative intravenous low-dose esketamine improves quality of early recovery after laparoscopic radical resection of colorectal cancer: A prospective, randomized controlled trial.
Ai, Y; He, L; Liu, S; Xu, Y; Zhang, C, 2023
)
1.9
"Ketamine has been increasingly used as a rapid-onset antidepressant in specific clinical settings. "( Retigabine promotes ketamine's antidepressant effect in the forced swim test in male and female C57BL/6J mice.
Cao, JL; Li, H; Qin, Y; Zhang, H; Zhang, W; Zhang, Y, 2023
)
2.68
"Ketamine has shown rapid antidepressant and anti-suicidal effects."( Short term ketamine treatment in patient with bipolar disorder with comorbidity with borderline personality disorder: Focus on impulsivity.
Cubała, WJ; Gałuszko-Węgielnik, M; Jakuszkowiak-Wojten, K; Wilkowska, A, 2023
)
2.02
"Ketamine has been an especially useful adjunct in multimodal pain regimens within the past few decades."( Perioperative Use of Ketamine.
Adegbola, A; Gritsenko, K; Medrano, EM, 2023
)
1.95
"Ketamine has antidepressive effects at subanesthetic doses. "( Perioperative Use of Ketamine.
Adegbola, A; Gritsenko, K; Medrano, EM, 2023
)
2.67
"Ketamine has garnered increased interest for its promising applications in chronic pain treatment, particularly in cases where conventional therapies have proven insufficient. "( Ketamine for atypical facial pain and hormonal dysregulation: a case report.
Darwish, Y; Mahesh, K; Van, S; Willeford, S, 2023
)
3.8
"Ketamine has been used in emergency department settings to treat POW; this is the first case report of ketamine use in a hospitalized patient."( Precipitated Opioid Withdrawal Treated With Ketamine in a Hospitalized Patient: A Case Report.
Butner, JL; Christian, NJ; Evarts, MS; Weimer, MB,
)
1.11
"Ketamine has shown effect for the treatment of resistant depression."(
Ibrahim, IB; Straszek, SPV; Videbech, P, 2023
)
1.63
"Ketamine has the optimal characteristics for use in an Emergency Department. "( [Ketamine for medically-delegated analgesia in the Emergency Department].
Della Santa, V; Heymann, EP; Jardot, F; Petreska, I, 2023
)
3.26
"Ketamine has been recently approved to treat resistant depression; however preclinical studies showed sex differences in its efficacy. "( Aromatase inhibition and ketamine in rats: sex-differences in antidepressant-like efficacy.
García-Fuster, MJ; Jornet-Plaza, J; Ledesma-Corvi, S, 2023
)
2.66
"Ketamine has received considerable attention for its rapid and robust antidepressant response over the past decade. "( Oral ketamine may offer a solution to the ketamine conundrum.
Can, AT; Dutton, M; Hermens, DF; Lagopoulos, J, 2023
)
2.87
"Ketamine has been found to reduce inflammation mediated by NF-κB, leading to decreased level of pro-inflammatory cytokines and other inflammatory or stress mediators."( Antidepressant mechanisms of ketamine's action: NF-κB in the spotlight.
Dobielska, M; Jóźwiak-Bębenista, M; Kowalczyk, E; Seweryn Karbownik, M; Sokołowska, P; Wiktorowska-Owczarek, A, 2023
)
1.92
"Ketamine has emerged as a transformative and mechanistically novel pharmacotherapy for depression. "( Ketamine and the neurobiology of depression: Toward next-generation rapid-acting antidepressant treatments.
Esterlis, I; Girgenti, MJ; Jefferson, S; Kaye, AP; Krystal, JH; Sanacora, G; Wilkinson, ST, 2023
)
3.8
"Ketamine has demonstrated a fast and robust antidepressant effect in subanesthetic doses."( Ketamine as augmentation for the treatment of major depression and suicidal risk in advanced cancer: Case report.
Allende-Pérez, S; Domínguez-Ocadio, G; Pérez-Esparza, R; Rodríguez-Mayoral, O, 2020
)
2.72
"(R)-ketamine has greater and longer-lasting antidepressant effects than (S)-ketamine in animal models of depression. "( MPTP-induced dopaminergic neurotoxicity in mouse brain is attenuated after subsequent intranasal administration of (R)-ketamine: a role of TrkB signaling.
Chang, L; Fujita, A; Fujita, Y; Hashimoto, K; Pu, Y, 2020
)
1.32
"Ketamine has been used to treat chronic pain; however, it is still unknown as to what types of chronic pain is ketamine effective against. "( Resting-state brain functional connectivity in patients with chronic pain who responded to subanesthetic-dose ketamine.
Izuta, S; Kan, S; Mizobuchi, S; Motoyama, Y; Obata, N; Oshiro, Y; Sato, H; Takao, Y, 2019
)
2.17
"Ketamine has been used as an adjuvant to opioid therapy for the management of refractory cancer pain but the current evidence is insufficient to draw any conclusions regarding its efficacy. "( The use of ketamine in the management of refractory cancer pain in a palliative care unit.
Chan, PC; Cheung, KWA; Lo, SH, 2020
)
2.39
"Ketamine has been shown to be an effective treatment for numerous mental health disorders, although research on its efficacy in combat-related PTSD in veterans is very limited."( High-dose ketamine infusion for the treatment of posttraumatic stress disorder in combat veterans.
Bonnett, CJ; Jain, R; Ross, C; Wolfson, P, 2019
)
1.64
"Ketamine has emerged as one of the major illicit substances worldwide. "( Association of Craving and Depressive Symptoms in Ketamine-Dependent Patients Undergoing Withdrawal Treatment.
Chang, HM; Chen, CH; Chen, CK; Chen, LY; Huang, MC; Xu, K, 2020
)
2.25
"Ketamine has gained increasing popularity in adolescent drug abusers worldwide. "( Chronic sub-anesthetic ketamine induces permanent hypolocomotion and impairment of hippocampus in adolescent cynomolgus monkeys.
Li, Q; Liu, DX; Pan, F; Qin, XQ; Sun, L; Yew, D; Zhang, Q, 2020
)
2.31
"Ketamine has recently emerged as a promising therapeutic alternative for abortive migraine therapy, likely secondary to N-methyl-d-aspartate antagonism. "( Intranasal Ketamine for Abortive Migraine Therapy in Pediatric Patients: A Single-Center Review.
Miller, E; Perry, MS; Ryals, B; Shandley, S; Turner, AL, 2020
)
2.39
"Ketamine has been recently identified as a potential novel antidepressant."( Preclinical toxicological study of prolonged exposure to ketamine as an antidepressant.
de Abreu, GR; Fukushima, AR; Manes, M; Moreira, N; Ricci, EL; Spinosa, HS; Waziry, PAF; Zaccarelli-Magalhães, J, 2020
)
1.52
"S-ketamine has been proposed as a rapid acting antidepressant and, indeed, the FDA recently approved it for treatment of resistant MDD."( S-ketamine induces acute changes in the proteome of the mouse amygdala.
Al Shweiki, MR; Barschke, P; Dorner-Ciossek, C; Hengerer, B; Oeckl, P; Otto, M; Pryce, C; Schönfeldt-Lecuona, C; Steinacker, P, 2020
)
1.84
"Ketamine has rapid-acting antidepressant and antisuicidal properties, while a proportion of patients do not adequately achieve a complete response to ketamine. "( Predictors of response to repeated ketamine infusions in depression with suicidal ideation: An ROC curve analysis.
Lan, X; Liu, W; Ning, Y; Wang, C; Zhan, Y; Zhang, B; Zhang, C; Zheng, W; Zhou, Y, 2020
)
2.28
"Ketamine has shown promise to have both opioid sparing and analgesic effects in the postoperative setting."( The efficacy of ketamine for postoperative pain control in adolescent patients undergoing spinal fusion surgery for idiopathic scoliosis.
Afroze, F; Carl, A; Ehlers, M; Feustel, P; Leduc, L; Metcalfe, B; Pomerantz, M; Ricciardelli, RM; Silverman, E; Walters, NM, 2020
)
1.63
"Ketamine has been confirmed to possess analgesic and rapid antidepressant effects, but it is unclear whether ketamine can relieve the comorbidity of CPSP and depression."( Ketamine relieves depression-like behaviors induced by chronic postsurgical pain in rats through anti-inflammatory, anti-oxidant effects and regulating BDNF expression.
Liu, Y; Ma, P; Ma, T; Song, Y; Yang, Y; Zhang, H; Zhang, X; Zhao, W; Zhao, Y, 2020
)
2.72
"Ketamine has shown promising antidepressant efficacy for adolescent treatment-resistant depression. "( Enduring effects of adolescent ketamine exposure on cocaine- and sucrose-induced reward in male and female C57BL/6 mice.
Arenivar, MA; Castillo, SA; Flores-Ramirez, FJ; Garcia-Carachure, I; Iñiguez, SD; Lobo, MK; Preciado-Piña, J; Themann, A; Zavala, AR, 2020
)
2.29
"Ketamine has favorable characteristics, making it an especially viable alternative for patients with respiratory and hemodynamic instability."( Adjunct low-dose ketamine infusion vs standard of care in mechanically ventilated critically ill patients at a Tertiary Saudi Hospital (ATTAINMENT Trial): study protocol for a randomized, prospective, pilot, feasibility trial.
Alshaikh, K; Amer, M; Amin, R; Bawazeer, M; De Vol, E; Hijazi, M; Maghrabi, K; Rizwan, M; Shaban, M, 2020
)
1.62
"(S)-ketamine, (R)-ketamine has greater potency and longer-lasting antidepressant-like actions in animal models of depression."( Molecular mechanisms of the rapid-acting and long-lasting antidepressant actions of (R)-ketamine.
Hashimoto, K, 2020
)
1.26
"Ketamine has been demonstrated to have robust and rapid antidepressant effects, and few studies have focused on the relationship between insomnia and the efficacy of ketamine. "( Baseline insomnia as a predictor of antidepressant efficacy to repeated intravenous ketamine for unipolar and bipolar depression: A preliminary study.
Chen, L; Lan, X; Li, H; Li, M; Liu, W; Ning, Y; Wang, C; Zhan, Y; Zhang, B; Zheng, W; Zhou, Y, 2020
)
2.23
"Ketamine has suggested potential benefit in several disease states impacting critically ill patients including pain, alcohol withdrawal syndrome, status epilepticus, and acute agitation. "( The Reemergence of Ketamine for Treatment in Critically Ill Adults.
Hurth, KP; Jaworski, A; Kirsch, WB; Rudoni, MA; Thomas, KB; Wohlfarth, KM, 2020
)
2.33
"Ketamine has been considered the drug of choice for induction in these patients, but limited data exist."( Ketamine Use for Tracheal Intubation in Critically Ill Children Is Associated With a Lower Occurrence of Adverse Hemodynamic Events.
Adu-Darko, M; Al-Subu, AM; Balkandier, S; Branca, A; Breuer, R; Bysani, GK; Conway, JA; Edwards, LR; Emeriaud, G; Esperanza, MC; Furlong-Dillard, J; Giuliano, JS; Harwayne-Gidansky, I; Howell, JD; Ikeyama, T; Jung, P; Kasagi, M; Kharayat, P; Kian Boon, JL; Kirby, A; Krawiec, C; Lee, A; McCarthy, MA; Meyer, K; Nadkarni, VM; Nett, S; Nishisaki, A; Nuthall, G; Orioles, A; Page-Goertz, C; Parsons, SJ; Pinto, M; Polikoff, L; Rehder, KJ; Sanders, RC; Shenoi, A; Shetty, R; Shlomovich, M; Shults, J; Skippen, P; Tallent, S; Tarquinio, KM; Thyagarajan, S; Toedt-Pingel, I; Turner, DA; Vanderford, P; Weiss, SL; Zeqo, J, 2020
)
2.72
"Ketamine has been shown to be efficacious for the treatment of depression, specifically among individuals who do not respond to first-line treatments. "( Ketamine Treatment in Depression: A Systematic Review of Clinical Characteristics Predicting Symptom Improvement.
George, TP; Lowe, DJE; Müller, DJ, 2020
)
3.44
"Esketamine has been licensed for 'treatment-resistant depression' in the USA, UK and Europe. "( Are we repeating mistakes of the past? A review of the evidence for esketamine.
Horowitz, MA; Moncrieff, J, 2021
)
1.58
"Ketamine has also been shown to induce psychotomimetic/dissociative side effects, aberrant gamma oscillations, and effects similar to sleep deprivation, which may potentially limit its clinical use."( Rapastinel, an NMDAR positive modulator, produces distinct behavioral, sleep, and EEG profiles compared with ketamine.
Banerjee, P; Donello, JE; Duman, RS; Hare, B, 2020
)
1.49
"Ketamine has shown some promise in treating OCD."( Clinical utility of repeated intravenous ketamine treatment for resistant obsessive-compulsive disorder.
Arumugham, SS; Balachander, S; Jaisoorya, TS; Janardhanan, CN; Reddy, YCJ; Sharma, LP; Thamby, A, 2020
)
1.55
"Ketamine has been used extensively as an anesthetic agent since the 1970s, and more recent research has shown its rapid and robust effectiveness in TRD the subject of this review."( Ketamine for depression clinical issues.
Iqbal, SZ; Mathew, SJ, 2020
)
2.72
"Ketamine oral rinse has shown promising results in a few studies in adults."( Ketamine mouthwash versus placebo in the treatment of severe oral mucositis pain in children with cancer: A randomized double-blind placebo-controlled trial.
Bakhshi, S; Gupta, AK; Meena, JP; Pandey, RM; Prakash, S; Seth, R; Velpandian, T, 2020
)
2.72
"Ketamine has shown rapid antidepressant effects in depressed patients. "( A preliminary study of adjunctive ketamine for treatment-resistant bipolar depression.
Lan, XF; Liu, WJ; Ning, YP; Wang, CY; Zhan, YN; Zhang, B; Zheng, W; Zhou, YL, 2020
)
2.28
"Ketamine has a unique mechanism of action with a favorable side effect profile that may provide benefit to the pediatric population for acute pain."( Intranasal Ketamine for Treatment of Acute Pain in Pediatrics: A Systematic Review.
Beckett, RD; Ferguson, CL, 2020
)
1.67
"Ketamine has good anti-inflammatory and immune-regulating properties that can delay the lung injury process."( Ketamine alleviates HMGB1-induced acute lung injury through TLR4 signaling pathway.
Cao, L; Sun, X; Xu, D; Zhang, Y, 2020
)
2.72
"Esketamine has a favorable risk-to-benefit profile, with demonstrated efficacy in reducing depressive symptoms more rapidly than monotherapy with traditional oral antidepressants."( Intranasal esketamine: A novel drug for treatment-resistant depression.
Khorassani, F; Talreja, O, 2020
)
1.49
"Ketamine has been used for decades for a variety of indications. "( Ketamine: a versatile tool for anesthesia and analgesia.
Barrett, W; Buxhoeveden, M; Dhillon, S, 2020
)
3.44
"Ketamine has been clinically proven to ameliorate depression, including treatment-resistant depression. "( Immobility-reducing Effects of Ketamine during the Forced Swim Test on 5-HT1A Receptor Activity in the Medial Prefrontal Cortex in an Intractable Depression Model.
Kitamura, Y; Sendo, T; Takahashi, K; Ushio, S, 2020
)
2.29
"Ketamine has rapid-acting antidepressant properties but also potentially concerning transient dissociative side effects (SEs). "( Can 'floating' predict treatment response to ketamine? Data from three randomized trials of individuals with treatment-resistant depression.
Acevedo-Diaz, EE; Cavanaugh, GW; Greenstein, D; Kadriu, B; Kraus, C; Park, L; Zarate, CA, 2020
)
2.26
"Ketamine has bronchodilation properties. "( Negative results for ketamine use in severe acute bronchospasm: a randomised controlled trial.
Costa, R; Marin, L; Marques, L; Mendez, G; Nedel, W; Vargas, T, 2020
)
2.32
"Ketamine has rapid anxiolytic effects in treatment-resistant obsessive compulsive, post-traumatic stress, generalised anxiety and social anxiety disorders."( Anxiolytic effects of acute and maintenance ketamine, as assessed by the Fear Questionnaire subscales and the Spielberger State Anxiety Rating Scale.
Glue, P; Gray, A; Neehoff, S; Nehoff, H; Truppman Lattie, D, 2021
)
2.33
"Ketamine has demonstrated rapid and robust efficacy in adults with TRD."( Intravenous ketamine for postmenopausal women with treatment-resistant depression: Results from the Canadian Rapid Treatment Center of Excellence.
Cha, DS; Gill, H; Ho, R; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; Mansur, RB; McIntyre, RS; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2021
)
1.72
"Ketamine has been used for medical purposes, most typically as an anesthetic, and recent studies support its use in the treatment of depression. "( Effects of early ketamine exposure on cerebral gray matter volume and functional connectivity.
Chen, CM; Chou, CY; Duann, JR; Huang, CC; Hung, CC; Lee, TS; Li, CR; Lin, CP; Liu, YH, 2020
)
2.34
"Ketamine has played a versatile role in medicine due to its wide spectrum of uses in history including use in sedation, catalepsy, somatic analgesia, bronchodilation, and recent trial in complex chronic pain syndromes. "( Palliative ketamine: the use of ketamine in central post-stroke pain syndrome-a case report.
Angstadt, R; Esperti, S; Mangano, A; Meyer, S, 2021
)
2.45
"Ketamine has become a new recreational drug of choice among young people in parts of Asia. "( First-time offenders for recreational ketamine use under a new penalty system in Taiwan: incidence, recidivism and mortality in national cohorts from 2009 to 2017.
Chen, CY; Chen, WJ; Chu, YR; Hsu, J; Jou, S; Lu, TP; Pan, WH; Tung, YC; Wu, KC; Wu, SC, 2021
)
2.34
"Ketamine has rapid-onset antidepressant effects in patients with treatment-resistant depression. "( Influence of formulation and route of administration on ketamine's safety and tolerability: systematic review.
Glue, P; Medlicott, NJ; Russell, B, 2021
)
2.31
"Ketamine use disorder has significantly increased in Taiwan in recent years and may lead to physical and cognitive problems."( Sleep quality among individuals with ketamine use and the mediating role of craving.
Hsu, CY; Ko, CH; Lin, HC; Wang, PW; Wu, HC; Yen, CF, 2020
)
1.55
"Ketamine has demonstrated efficacy as a rapid-onset intervention for the treatment of depression."( The Effects of Ketamine on Cognition in Treatment-Resistant Depression: A Systematic Review and Priority Avenues for Future Research.
El-Halabi, S; Gill, B; Gill, H; Lee, Y; Lipsitz, O; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD, 2021
)
1.7
"Ketamine has repeatedly shown to have rapid and robust antidepressant effects in patients with treatment resistant depression (TRD). "( Is ketamine an appropriate alternative to ECT for patients with treatment resistant depression? A systematic review.
Kamphuis, J; Schoevers, RA; Smith-Apeldoorn, SY; Spaans, HP; Veraart, JKE, 2021
)
2.69
"Ketamine also has short term dissociative effects, in which individuals report altered consciousness and perceptions of themselves and their environment."( The role of dissociation in ketamine's antidepressant effects.
Ballard, ED; Zarate, CA, 2020
)
1.57
"Esketamine nasal spray has now been widely approved and is considered safe in terms of acute side effects, tolerability and consistent therapeutic benefit."( Therapeutic Mechanisms of Ketamine.
Ćaćić, M; Mihaljević, S; Pavlović, M; Reiner, K,
)
0.99
"Ketamine infusions have been reported to help alleviate acute exacerbations or "flare-ups" of CRPS symptoms."( Anesthetic Management of a Complex Regional Pain Syndrome (CRPS) Patient With Ketamine.
Mundluru, T; Saraghi, M, 2020
)
1.51
"Ketamine has shown promise as an effective adjuvant despite conflicting reports."( Subanesthetic ketamine in the ambulatory setting for refractory cancer pain: a 6-year retrospective at a cancer center.
Benkli, B; Chung, M; Huh, B; Qing, Y; Roldan, C; Wang, J, 2021
)
1.7
"Even ketamine has an unpleasant taste."( Preanesthetic nebulized ketamine vs preanesthetic oral ketamine for sedation and postoperative pain management in children for elective surgery: A retrospective analysis for effectiveness and safety.
Chen, C; Cheng, X; Fu, F; Lin, L, 2021
)
1.38
"Ketamine has been safely used as an anesthetic for over 50 years. "( Compounded intranasal racemic ketamine for major depressive disorder: A case report.
Halpape, K; Peters, E; Wanson, A; Ziegler, L, 2021
)
2.35
"Ketamine has emerged as a promising new treatment for treatment resistant depression (TRD)."( The effectiveness, safety and tolerability of ketamine for depression in adolescents and older adults: A systematic review.
Cao, B; Di Vincenzo, JD; Gill, H; Ho, R; Lin, K; Lipsitz, O; Lui, LMW; McIntyre, RS; Ng, J; Rodrigues, NB; Rosenblat, JD; Siegel, A; Teopiz, KM, 2021
)
1.6
"Ketamine has been shown to be effective in treatment of episodes of major depressive disorder (MDD). "( Predictive value of heart rate in treatment of major depression with ketamine in two controlled trials.
Andrashko, V; Brunovsky, M; Horacek, J; Meyer, T; Novak, T; Olbrich, S; Seifritz, E, 2021
)
2.3
"Ketamine has cardiac excitatory side-effects. "( Stereoselective ketamine effect on cardiac output: a population pharmacokinetic/pharmacodynamic modelling study in healthy volunteers.
Aarts, L; Dahan, A; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2021
)
2.41
"Ketamine has been shown to possess lasting antidepressant properties. "( Ketamine Induces Lasting Antidepressant Effects by Modulating the NMDAR/CaMKII-Mediated Synaptic Plasticity of the Hippocampal Dentate Gyrus in Depressive Stroke Model.
Abdoulaye, IA; Cao, XJ; Chibaatar, E; Guo, YJ; Le, K; Wu, SS; Yu, DF, 2021
)
3.51
"Ketamine has been shown to induce these tissue injuries by regulating different signaling pathways."( Molecular pathways underlying tissue injuries in the bladder with ketamine cystitis.
Chen, H; Ergu, E; Huang, R; Liang, J; Luo, C; Qiao, H; Xie, X; Xing, H; Yang, J; Zhou, L, 2021
)
1.58
"Ketamine has emerged as a rapid-acting antidepressant. "( Cognitive Behavioral Therapy to Sustain the Antidepressant Effects of Ketamine in Treatment-Resistant Depression: A Randomized Clinical Trial.
Elder, C; Fasula, M; Fenton, L; Joormann, J; Kitay, B; Ortiz Lopez, M; Rhee, TG; Sanacora, G; Webler, R; Wilkinson, ST,
)
1.81
"Ketamine has remained the most commonly used illicit drug among adolescents in Taiwan. "( Appetitive Motivation and Regulatory Processes in Adolescent Ketamine Users.
Chang, HH; Ho, MC; Huang, CL, 2021
)
2.31
"Ketamine has rapid and robust antidepressant effects. "( Structural connectivity and subcellular changes after antidepressant doses of ketamine and Ro 25-6981 in the rat: an MRI and immuno-labeling study.
Adell, A; Blasco-Serra, A; Campa, VM; Florensa-Zanuy, E; Garro-Martínez, E; López-Gil, X; Muñoz-Moreno, E; Pascual-Antón, R; Pilar-Cuéllar, F; Soria, G, 2021
)
2.29
"Ketamine abuse has become a global phenomenon in recent years. "( Clinical Outcome of Augmentation Enterocystoplasty for Patients with Ketamine-induced Cystitis.
Jhang, JF; Kuo, HC; Lee, YK, 2017
)
2.13
"Ketamine has been used as an analgesic adjuvant with morphine in the treatment of refractory cancer pain recently. "( Ketamine, as adjuvant analgesics for patients with refractory cancer pain, does affect IL-2/IFN-γ expression of T cells in vitro?: A prospective, randomized, double-blind study.
Fu, Z; Li, H; Wang, K; Zhou, N, 2017
)
3.34
"Ketamine has been reported to impair the capacity for learning and memory. "( Ketamine administered pregnant rats impair learning and memory in offspring via the CREB pathway.
Chen, Y; Gao, L; Guo, C; Li, L; Li, X; Li, Y; Liu, W; Wang, Y; Zhang, Y, 2017
)
3.34
"Ketamine has shown rapid though short-lived antidepressant effects. "( Cognitive Behavior Therapy May Sustain Antidepressant Effects of Intravenous Ketamine in Treatment-Resistant Depression.
Fasula, MK; Fenton, L; Griepp, M; Ostroff, RB; Sanacora, G; Wilkinson, ST; Wright, D, 2017
)
2.13
"Ketamine has a synthetic, sedative, nonbarbiturate and fast-acting anaesthetic properties and it is commonly used in both humans and veterinary surgery. "( A review of chromatographic methods for ketamine and its metabolites norketamine and dehydronorketamine.
Arıöz, F; Göktaş, EF, 2018
)
2.19
"Ketamine has been used as part of the multimodal analgesia technique in the acute perioperative period. "( Ketamine does not enhance the quality of recovery following laparoscopic cholecystectomy: a randomized controlled trial.
Bloomstone, JA; de Oliveira, RG; Feitosa, IMPSS; Marossi, VP; Moro, ET; Navarro, LHC; Rosalino, R; Saraiva, GFP, 2017
)
3.34
"(R)-Ketamine has a greater potency and longer-lasting antidepressant effects than (S)-ketamine."( Mechanistic Target of Rapamycin-Independent Antidepressant Effects of (R)-Ketamine in a Social Defeat Stress Model.
Dong, C; Hashimoto, K; Ma, M; Qu, Y; Ren, Q; Yang, C; Zhang, JC, 2018
)
1.19
"S-ketamine has greater analgesic and anesthetic effects than R-ketamine and is less likely to cause psychotomimetic and other adverse effects."( Ketamine for Depression, 3: Does Chirality Matter?
Andrade, C, 2017
)
2.46
"Ketamine has been used in pediatric flexible fiberoptic bronchoscopy (FFB). "( Prospective Randomized Trial Evaluating Ketamine for Adult Bronchoscopy.
Carmi, U; Fruchter, O; Kramer, MR; Manevich, Y; Rozengarten, D, 2017
)
2.17
"Esketamine has hypnotic, analgesic, and sympathomimetic effects."( Sedation with propofol during ERCP: is the combination with esketamine more effective and safer than with alfentanil? Study protocol for a randomized controlled trial.
de Jong, E; Eberl, S; Hollmann, MW; Koers, L; Preckel, B; Schneider, T; van Hooft, JE, 2017
)
1.25
"Ketamine has rapid-acting antidepressant effects. "( Acute psychoactive effects of intravenous ketamine during treatment of mood disorders: Analysis of the Clinician Administered Dissociative State Scale.
Davidson, L; Sanacora, G; Silverman, WK; van Schalkwyk, GI; Wilkinson, ST, 2018
)
2.19
"Ketamine has been used as a pharmacological model for schizophrenia as subanesthetic infusions have been shown to produce temporary schizophrenia-like symptoms in healthy humans. "( Ketamine and pharmacological imaging: use of functional magnetic resonance imaging to evaluate mechanisms of action.
Howell, LL; Kaundinya, GS; Maltbie, EA, 2017
)
3.34
"Ketamine has a role for agitation management in the prehospital setting; however, emergency personnel education and ketamine protocols should be utilized to aid in safe and effective pharmacotherapy and provide guidance on the management of adverse events."( Ketamine for the Acute Management of Excited Delirium and Agitation in the Prehospital Setting.
Linder, LM; Ross, CA; Weant, KA, 2018
)
2.64
"Ketamine has been shown to be a promising treatment in TRD; however, data regarding the use of ketamine in the elderly includes only five case reports."( Use of Ketamine in Elderly Patients with Treatment-Resistant Depression.
Medeiros da Frota Ribeiro, C; Riva-Posse, P, 2017
)
1.63
"Ketamine has been suggested to be efficient in relieving chronic pain. "( Ketamine for chronic non-cancer pain: A meta-analysis and trial sequential analysis of randomized controlled trials.
Bellon, M; Brasher, C; Dahmani, S; Horlin, AL; Julien-Marsollier, F; Michelet, D; Pontone, S; Vacher, T, 2018
)
3.37
"Ketamine has been found interesting for managing chronic pain. "( Ketamine for chronic non-cancer pain: A meta-analysis and trial sequential analysis of randomized controlled trials.
Bellon, M; Brasher, C; Dahmani, S; Horlin, AL; Julien-Marsollier, F; Michelet, D; Pontone, S; Vacher, T, 2018
)
3.37
"Ketamine has been widely used as an analgesic and produces dissociative anesthetic effects. "( The Involvement of the Endocannabinoid System in the Peripheral Antinociceptive Action of Ketamine.
Castor, MGM; Di Marzo, V; Duarte, IDG; Ferreira, RCM; Piscitelli, F; Romero, TRL, 2018
)
2.14
"(R)-ketamine has a greater potency and longer-lasting antidepressant effects than (S)-ketamine."( Possible role of the gut microbiota-brain axis in the antidepressant effects of (R)-ketamine in a social defeat stress model.
Dong, C; Fujita, Y; Hashimoto, K; Ma, M; Qu, Y; Ren, Q; Yang, C, 2017
)
1.16
"Ketamine has been shown to effectively prolong abstinence from alcohol and heroin in detoxified alcoholics and heroin dependent individuals, respectively."( Ketamine for the treatment of addiction: Evidence and potential mechanisms.
Ivan Ezquerra-Romano, I; Krupitsky, E; Lawn, W; Morgan, CJA, 2018
)
2.64
"Ketamine has been used to probe the biology of psychosis and cognitive dysfunction in humans. "( Similar psychotic and cognitive profile between ketamine dependence with persistent psychosis and schizophrenia.
Chen, CH; Chen, CK; Cheng, WJ; Huang, MC; Krystal, JH; Pietrzak, RH; Xu, K, 2018
)
2.18
"Ketamine has emerged as a major substance of abuse worldwide and has been listed with methamphetamine (METH) as two of the most widely available illicit substances in Taiwan. "( Cognitive profile of ketamine-dependent patients compared with methamphetamine-dependent patients and healthy controls.
Chen, CK; Chen, YC; Huang, MC; Lin, SK; Wang, LJ; Xu, K, 2018
)
2.24
"Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. "( Efficacy of Ketamine in Pediatric Sedation Dentistry: A Systematic Review.
Kingsley, K; Oh, S, 2018
)
2.3
"Ketamine has unique pharmacologic properties that may prevent the development of pain as well as reduce chronic pain."( Emerging Trends in Pain Medication Management: Back to the Future: A Focus on Ketamine.
Atkinson, TJ; Bryant, C; Crumb, MW, 2018
)
1.43
"Ketamine has acute, transient antidepressant and antisuicidal effects. "( Emerging evidence for antidepressant actions of anesthetic agents.
Mickey, BJ; Tadler, SC, 2018
)
1.92
"Ketamine infusions have been used for decades to treat acute pain, but a recent surge in usage has made the infusions a mainstay of treatment in emergency departments, in the perioperative period in individuals with refractory pain, and in opioid-tolerant patients. "( Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists.
Bhatia, A; Buvanendran, A; Cohen, SP; Davis, FN; Hooten, WM; Hurley, RW; Narouze, S; Schwenk, ES; Viscusi, ER; Wasan, AD, 2018
)
2.18
"Ketamine has been shown to produce a rapid and potent antidepressant response in patients with treatment-resistant depression. "( The effect of route of administration on the enantioselective pharmacokinetics of ketamine and norketamine in rats.
Glue, P; Goulton, C; Le Nedelec, M; Medlicott, NJ; Winter, H, 2018
)
2.15
"Ketamine has been suggested to have neuroprotective effects in various settings."( Intraoperative ketamine administration to prevent delirium or postoperative cognitive dysfunction: A systematic review and meta-analysis.
Beck-Schimmer, B; Hovaguimian, F; Puhan, M; Tschopp, C, 2018
)
1.56
"Ketamine has been studied in adults with TRD, but little information is available for adolescents."( Intravenous Ketamine for Adolescents with Treatment-Resistant Depression: An Open-Label Study.
Albott, CS; Amatya, P; Carstedt, P; Cullen, KR; Eberly, LE; Gunlicks-Stoessel, M; Horek, N; Klimes-Dougan, B; Lim, KO; Reigstad, K; Ren, Y; Roback, MG; Samikoglu, A; Tye, S; Westlund Schreiner, M, 2018
)
1.58
"Ketamine has emerged as a rapid-acting antidepressant, though controversy remains whether sufficient data exist to justify its use outside of research protocols. "( Acute and Longer-Term Outcomes Using Ketamine as a Clinical Treatment at the Yale Psychiatric Hospital.
Katz, RB; Ostroff, RB; Sanacora, G; Toprak, M; Webler, R; Wilkinson, ST, 2018
)
2.2
"Ketamine has numerous pharmacological effects that can inhibit inflammation."( Ketamine delays progression of oxidative and damaged cataract through regulating HMGB-1/NF-κB in lens epithelial cells.
Chen, G; Fu, Q; Lv, X; Sun, W; Xu, D; Xu, S; Zhu, H, 2018
)
2.64
"Ketamine has rapid antidepressant effects on treatment-resistant depression, but the biological mechanism underpinning this effect is less clear. "( Antidepressant effect of repeated ketamine administration on kynurenine pathway metabolites in patients with unipolar and bipolar depression.
Chen, L; Li, H; Li, M; Liu, W; Ning, Y; Wang, C; Zhan, Y; Zheng, W; Zhou, Y, 2018
)
2.2
"Ketamine has been demonstrated to improve depressive symptoms.AimsEvaluation of efficacy, safety and feasibility of repeated oral ketamine for out-patients with treatment-resistant depression (TRD)."( Repeated oral ketamine for out-patient treatment of resistant depression: randomised, double-blind, placebo-controlled, proof-of-concept study.
Bleich-Cohen, M; Bloch, M; Domany, Y; Hendler, T; Litvak-Lazar, O; Meidan, R; Schreiber, S; Sharon, H; Stoppleman, N; Tarrasch, R, 2019
)
2.32
"Ketamine has minimal impact on hemodynamics in children with congenital heart disease when used at usual clinical doses. "( Hemodynamic effects of ketamine in children with congenital heart disease and/or pulmonary hypertension.
Flores, S; Gray, SB; Loomba, RS, 2018
)
2.23
"Ketamine has proven to have rapid, robust antidepressant effects on treatment-resistant depression. "( Neurocognitive effects of six ketamine infusions and the association with antidepressant response in patients with unipolar and bipolar depression.
Chen, L; Li, H; Li, M; Liu, W; Ning, Y; Wang, C; Zhan, Y; Zheng, W; Zhou, Y, 2018
)
2.21
"Ketamine has been documented for its rapid antidepressant effects. "( Efficacy and Safety of a Rapid Intravenous Injection of Ketamine 0.5 mg/kg in Treatment-Resistant Major Depression: An Open 4-Week Longitudinal Study.
Aubry, JM; Bancila, V; Dayer, A; Gex-Fabry, M; Jermann, F; Khan, N; Kosel, M; Michalopoulos, G; Schwartz, S; Sterpenich, V; Vidal, S; Vutskits, L; Warrot, D, 2018
)
2.17
"Ketamine has shown effectiveness as a rapid-acting antidepressant with antisuicidal effects in terms of reduction of suicidal ideation in the short term. "( Is Ketamine the Future Clozapine for Depression? A Case Series and Literature Review on Maintenance Ketamine in Treatment-resistant Depression With Suicidal Behavior.
Chan, LF; Chong, BTW; Eu, CL; Kahn, DA; Loo, JL; Loo, TH; Maniam, T; Ng, YP; Shahidii Kadir, Z; Sharip, S; Soh, SY; Wong, VCW, 2018
)
2.54
"Ketamine has been studied as an alternative to opioids for acute pain in the emergency department setting. "( Hot Off the Press: A Systematic Review And Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department.
Bond, C; Heitz, C; Milne, WK; Morgenstern, J, 2019
)
2.2
"Ketamine has a robust antidepressant effect, but there are no reported studies of ketamine for depression relapse prevention."( Ketamine Versus Midazolam for Depression Relapse Prevention Following Successful Electroconvulsive Therapy: A Randomized Controlled Pilot Trial.
Daly, L; Finnegan, M; Galligan, T; Harkin, A; McLoughlin, DM; Ryan, K; Shanahan, E, 2019
)
2.68
"Ketamine has emerged as the first rapid-acting antidepressant and shows robust short-term efficacy in clinical trials, but there are concerns about its long-term safety and efficacy."( ELEctroconvulsive therapy (ECT) vs. Ketamine in patients with Treatment-resistant Depression: The ELEKT-D study protocol.
Altinay, M; Anand, A; Asghar-Ali, A; Chang, LC; Collins, KA; Dale, RM; Hu, B; Kellner, CH; Krishnan, K; Malone, DA; Mathew, SJ; Murrough, JW; Ostroff, RB; Sanacora, G; Shao, M; Wilkinson, ST, 2019
)
1.51
"Ketamine has demonstrated a rapid antidepressant and antisuicidal effect in patients with major depressive disorder (MDD), but the neurocognitive effects of ketamine are relatively unknown. "( Neurocognitive performance and repeated-dose intravenous ketamine in major depressive disorder.
Chen, LJ; Li, HQ; Li, MD; Liu, WJ; Ning, YP; Wang, CY; Zhan, YN; Zheng, W; Zhou, YL, 2019
)
2.2
"Ketamine has been shown to reduce chronic pain; however, the adverse events associated with ketamine makes it challenging for use outside of the perioperative setting. "( Efficacy of the ketamine metabolite (2R,6R)-hydroxynorketamine in mice models of pain.
Buvanendran, A; Das, V; Kroin, JS; Moric, M, 2019
)
2.3
"Ketamine has emerged as a widespread treatment for a variety of psychiatric disorders when used at sub-anesthetic doses, but the neural mechanisms underlying its acute action remain unclear. "( NMDA 2A receptors in parvalbumin cells mediate sex-specific rapid ketamine response on cortical activity.
Fagiolini, M; Hensch, TK; Picard, N; Takesian, AE, 2019
)
2.19
"Ketamine has a number of actions including blocking of the glutamate NMDA ionophore in the periphery."( Opioid-Sparing Effects of Topical Ketamine in Treating Severe Pain From Decubitus Ulcers.
Skavinski, KA,
)
1.13
"Ketamine has been shown to induce a rapid antidepressant effect on patients with depression. "( Role of AMPA receptor stimulation and TrkB signaling in the antidepressant-like effect of ketamine co-administered with a group II mGlu receptor antagonist, LY341495, in the forced swim test in rats.
Pałucha-Poniewiera, A; Pilc, A; Podkowa, K, 2019
)
2.18
"Ketamine has rapid antidepressant effects, but no study to date has investigated changes in resting-state brain activity following ketamine administration in inflammation-induced depression. "( Acute ketamine administration attenuates lipopolysaccharide-induced depressive-like behavior by reversing abnormal regional homogeneity in the nucleus accumbens.
Ji, M; Li, B; Li, S; Mao, M; Qiu, L; Xia, J; Yang, J; Zhang, L, 2019
)
2.44
"Ketamine has been administered by oral, sublingual, transmucosal, intravenous, intramuscular, subcutaneous, intranasal, and even rectal routes."( Oral Ketamine for Depression, 1: Pharmacologic Considerations and Clinical Evidence.
Andrade, C, 2019
)
1.75
"Ketamine has been used as an anesthetic agent for over 50 years. "( The Use of Ketamine for the Management of Acute Pain in the Emergency Department.
Davis, KA; Davis, WD; Hooper, K,
)
1.96
"Ketamine sedation has not been reported to be widely used as a pharmacological behavioural management strategy to facilitate the treatment of acute paediatric oro-dental trauma. "( Safety and effectiveness of intramuscular ketamine sedation in the management of children with oro-dental trauma in a paediatric emergency department.
Chay, PL; Tham, LP; Yee, R, 2020
)
2.27
"Ketamine has been receiving increasing attention as an interventional treatment modality in psychiatry, especially among refractory conditions, including major depressive disorder."( Efficacy and safety of ketamine in the management of anxiety and anxiety spectrum disorders: a review of the literature.
Banov, MD; Dunn, T; Szabo, ST; Young, JR, 2020
)
1.59
"Ketamine has become increasingly popular in adolescent drug abusers worldwide. "( The effects of sub-anesthetic ketamine plus ethanol on behaviors and apoptosis in the prefrontal cortex and hippocampus of adolescent rats.
Fan, SJ; Jiang, H; Li, Q; Liu, DX; Pan, F; Wu, HR; Zhang, Q, 2019
)
2.25
"Ketamine has emerged as a major substance of abuse worldwide. "( Chronic ketamine abuse is associated with orexin-A reduction and ACTH elevation.
Chang, HM; Chen, CH; Chen, CK; Chen, LY; Huang, MC; Lin, SK; Xu, K, 2020
)
2.44
"Ketamine has received increasing attention in recent years for pre-hospital sedation of behaviourally disturbed patients, predominantly with psychiatric illness."( Impact of a ketamine sedation protocol on intubation rates and undesirable outcomes in the transport of patients with acute behavioural disturbance.
Johnson, R; Shahtahmasebi, R; Shahtahmasebi, S, 2020
)
1.66
"Ketamine has been associated with muscle damage in primates, while common marmosets, compared to other primates, additionally display an exceptional high sensitivity to ketamine-associated side-effects."( Comparison of three different sedative-anaesthetic protocols (ketamine, ketamine-medetomidine and alphaxalone) in common marmosets (Callithrix jacchus).
Bakker, J; Brok, HP; Langermans, JA; Pelt, ER; Remarque, EJ; Uilenreef, JJ, 2013
)
1.35
"Ketamine has also been observed to exacerbate psychotic symptoms in schizophrenia patients."( Different effects of the NMDA receptor antagonists ketamine, MK-801, and memantine on postsynaptic density transcripts and their topography: role of Homer signaling, and implications for novel antipsychotic and pro-cognitive targets in psychosis.
Buonaguro, EF; de Bartolomeis, A; Eramo, A; Iasevoli, F; Marmo, F; Sarappa, C; Tomasetti, C, 2013
)
1.36
"Ketamine has many properties that make it an interesting candidate for rapidly treating depression and anxiety in patients receiving hospice care."( Daily oral ketamine for the treatment of depression and anxiety in patients receiving hospice care: a 28-day open-label proof-of-concept trial.
Carr, CH; Iglewicz, A; Irwin, SA; Lloyd, LS; Lo, JY; Nelesen, RA; Romero, SD, 2013
)
1.5
"Ketamine has been used in anesthesia for many years and in various environments with an acceptable safety margin. "( Effects of ketamine on major depressive disorder in a patient with posttraumatic stress disorder.
Womble, AL, 2013
)
2.22
"Ketamine and midazolam have been used safely by anaesthetists in paediatric burns and have a good safety profile. "( A 2 year experience of nurse led conscious sedation in paediatric burns.
Ganeshalingam, K; Gerrish, H; O'Hara, D; Richardson, P, 2014
)
1.85
"Ketamine and nefopam has been documented to decrease pain intensity and improve rehabilitation after total knee arthroplasty (TKA). "( Pain and recovery after total knee arthroplasty: a 12-month follow-up after a prospective randomized study evaluating Nefopam and Ketamine for early rehabilitation.
Aveline, C; Bonnet, F; Cognet, F; Gautier, JF; Hetet, HL; Roux, AL; Vautier, P, 2014
)
2.05
"Ketamine has been historically contraindicated for its use in head injury patients, since an increase of intracranial pressure (ICP) was reported; nevertheless, its use was recently suggested in neurosurgical patients."( Racemic ketamine in adult head injury patients: use in endotracheal suctioning.
Annetta, MG; Antonelli, M; Bocci, MG; Caricato, A; De Waure, C; Pennisi, MA; Pitoni, S; Sandroni, C; Tersali, A, 2013
)
1.55
"Ketamine has been implicated in several case reports as a successful agent for treating RSE given that it blocks the N-methyl-D-aspartate receptor, which is overexpressed in prolonged status epilepticus."( Ketamine continuous infusion for refractory status epilepticus in a patient with anticonvulsant hypersensitivity syndrome.
Dugan, PC; Esaian, D; Fridman, D; Joset, D; Lazarovits, C, 2013
)
2.55
"Ketamine has been showing high efficacy and rapid antidepressant effect. "( Augmentation of response and remission to serial intravenous subanesthetic ketamine in treatment resistant depression.
Albott, CS; Johns, B; Kuskowski, M; Lim, KO; Shiroma, PR; Thuras, P; Wels, J, 2014
)
2.08
"Ketamine has been administered via the intravenous, intramuscular, subcutaneous, oral, rectal, topical, intranasal, sublingual, epidural, and caudal routes."( A review of the use of ketamine in pain management.
Tawfic, QA,
)
1.16
"Ketamine has recently been reported to elicit a long-lasting antidepressant effect in patients with major depression."( A possible mechanism of the nucleus accumbens and ventral pallidum 5-HT1B receptors underlying the antidepressant action of ketamine: a PET study with macaques.
Doi, H; Finnema, SJ; Halldin, C; Kurai, S; Mizuma, H; Onoe, H; Yamanaka, H; Yokoyama, C, 2014
)
1.33
"Ketamine has been increasingly used both recreationally and medicinally around the world. "( Ketamine and the metabolite norketamine: persistence and phototransformation toxicity in hospital wastewater and surface water.
Lee, WN; Lin, AY; Wang, XH, 2014
)
3.29
"Ketamine has sustained its antimicrobial activity in a dose-dependent manner against some organisms in propofol, which is a strong microbial growth-promoting solution. "( The antimicrobial effects of ketamine combined with propofol: An in vitro study.
Begec, Z; Duman, Y; Durmus, M; Erdogan, MA; Ersoy, MO; Yakupogullari, Y; Yucel, A,
)
1.87
"Ketamine has a rapid antidepressant effect in treatment-resistant depression (TRD). "( Ketamine infusions for treatment resistant depression: a series of 28 patients treated weekly or twice weekly in an ECT clinic.
Atkinson, S; Cowen, PJ; Diamond, PR; Farmery, AD; Geddes, JR; Haldar, J; McShane, R; Williams, N, 2014
)
3.29
"Ketamine has a potential role in lowering the risk of chronification of pain, modified by analgesic and anti-inflammatory effects."( Role of novel drugs in sedation outside the operating room: dexmedetomidine, ketamine and remifentanil.
Coppens, M; Parashchanka, A; Schelfout, S, 2014
)
1.35
"Ketamine has received a resurgence of interest as an ECT anesthetic of late owing to its established independent antidepressant effects and to theoretical reasons why it might lessen the cognitive adverse effects of ECT."( Some considerations of the tolerability of ketamine for ECT anesthesia: a case series and review of the literature.
Rasmussen, KG; Ritter, MJ, 2014
)
1.39
"The ketamine wafer has comparable bioavailability with other oral transmucosal formulations of ketamine but with markedly reduced inter-subject variability, warranting further evaluation as an analgesic adjunct."( The absolute bioavailability of racemic ketamine from a novel sublingual formulation.
Lim, S; Liu, Y; Molnar, V; Rolan, P; Sunderland, V, 2014
)
1.15
"Ketamine has been used in combination with a variety of other agents for intra-articular analgesia, with promising results. "( Ketamine is toxic to chondrocyte cell cultures.
Demir, T; Ergun, MA; Gungor, I; Kaya, K; Ozturk, AM; Yilmaz, A, 2014
)
3.29
"Ketamine has anti-inflammatory, analgesic and antihyperalgesic effect and prevents pain associated with wind-up. "( Does intravenous ketamine enhance analgesia after arthroscopic shoulder surgery with ultrasound guided single-injection interscalene block?: a randomized, prospective, double-blind trial.
Baik, HJ; Chung, RK; Han, JI; Kim, YJ; Woo, JH, 2014
)
2.18
"Ketamine has been shown to reduce sepsis-induced pathological complications."( Ketamine inhibits LPS-induced HGMB1 release in vitro and in vivo.
Wu, H; Zhang, L; Zhang, Z; Zhou, C, 2014
)
2.57
"Ketamine has a role as an alternative induction anesthetic agent in ECT. "( Dosing and effectiveness of ketamine anesthesia for electroconvulsive therapy (ECT): a case series.
Ahle, GM; Aloysi, AS; Bryson, EO; Kellner, CH; Lapidus, KA; Liebman, LS; Majeske, MF, 2014
)
2.14
"Ketamine has been used as an anaesthetic drug for over 50 years and has an established safety record."( The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study: protocol for an international multicentre randomised controlled trial.
Arya, VK; Avidan, MS; Ben Abdallah, A; Chen, Y; Choi, S; Downey, RJ; Escallier, KE; Fritz, BA; Grocott, HP; Hudetz, JA; Inouye, SK; Jacobsohn, E; Kaiser, H; Mashour, GA; Maybrier, HR; Muench, MR; Noh, G; Pagel, PS; Pong, R; Pryor, K; Veselis, RA, 2014
)
1.12
"Ketamine has demonstrated rapid antidepressant effects in patients with treatment-resistant depression (TRD); however, the safety and tolerability of ketamine in this population have not been fully described. "( Ketamine safety and tolerability in clinical trials for treatment-resistant depression.
Brallier, JW; Chang, LC; Charney, DS; Foulkes, A; Iosifescu, DV; Levitch, CF; Mathew, SJ; Murrough, JW; Perez, AM; Wan, LB, 2015
)
3.3
"Ketamine has been shown to rapidly and robustly decrease symptoms of depression in depressed patients with bipolar disorder."( A single infusion of ketamine improves depression scores in patients with anxious bipolar depression.
Ionescu, DF; Luckenbaugh, DA; Niciu, MJ; Richards, EM; Zarate, CA, 2015
)
1.46
"Ketamine has been available for approximately 50 years as an anesthetic agent. "( Has psychiatry tamed the "ketamine tiger?" Considerations on its use for depression and anxiety.
Rasmussen, KG, 2016
)
2.18
"Ketamine has garnered substantial attention from researchers, clinicians, media outlets, and patients alike, but numerous questions remain."( Does ketamine have anti-suicidal properties? Current status and future directions.
Mathew, SJ; Price, RB, 2015
)
1.65
"Ketamine has been generally well tolerated across patient groups, with transient mild-to-moderate adverse effects during infusion."( Ketamine as a promising prototype for a new generation of rapid-acting antidepressants.
Abdallah, CG; Averill, LA; Krystal, JH, 2015
)
2.58
"Ketamine has recently been shown to be effective in the treatment of RSE."( Drug-induced EEG pattern predicts effectiveness of ketamine in treating refractory status epilepticus.
Alqallaf, A; Basha, MM; Shah, AK, 2015
)
1.39
"Ketamine has been linked to psychosis and used in the treatment of depression. "( Ketamine users have high rates of psychosis and/or depression.
Chan, F; Liang, HJ; Tang, KL; Tang, WK; Ungvari, GS,
)
3.02
"Ketamine, which has longer action times, might be preferred for reductions because orthopedic procedures could be lengthy."( Etomidate Versus Ketamine: Effective Use in Emergency Procedural Sedation for Pediatric Orthopedic Injuries.
Avci, A; Dişel, NR; Sertdemir, Y; Yeşilağaç, H; Yilmaz, HL, 2016
)
1.5
"Ketamine has recently shown a fast, potent antidepressant effect in acute, sub-anesthetic doses."( Antidepressant Effects of Ketamine Are Not Related to ¹⁸F-FDG Metabolism or Tyrosine Hydroxylase Immunoreactivity in the Ventral Tegmental Area of Wistar Rats.
Bagatini, PB; Baptista, PP; DaCosta, JC; Ferreira, Kdos R; Greggio, S; Jeckel, CM; Junqueira, JS; Lara, DR; Mestriner, RG; Saur, L; Vaz, SP; Venturin, GT; Xavier, LL, 2015
)
1.44
"Ketamine also has marked effects on brain connectivity; we predicted that these changes would also be modulated by compounds known to attenuate glutamate release."( Ketamine induces a robust whole-brain connectivity pattern that can be differentially modulated by drugs of different mechanism and clinical profile.
Brammer, M; Doyle, OM; Joules, R; Mehta, MA; O'Daly, OG; Schwarz, AJ; Williams, SC, 2015
)
2.58
"Ketamine has an appreciable effect on cortisol production. "( Effect of subanaesthetic ketamine on plasma and saliva cortisol secretion.
Dahan, A; Khalili-Mahani, N; Martini, CH; Niesters, M; Olofsen, E, 2015
)
2.16
"Ketamine toxicity has been demonstrated in nonhuman mammalian neurons. "( Ketamine causes mitochondrial dysfunction in human induced pluripotent stem cell-derived neurons.
Ito, H; Makita, K; Uchida, T, 2015
)
3.3
"Ketamine has features which make it an attractive agent for sedation during the higher risk endoscopy; the objectives of this pilot trial were to assess the effectiveness and tolerability of ketamine as a primary agent for sedation during endoscopy."( Alternative sedation for the higher risk endoscopy: a randomized controlled trial of ketamine use in endoscopic retrograde cholangiopancreatography.
Greer, S; Jaitly, V; Nandalan, S; Narayanan, S; Shannon, A, 2015
)
1.36
"Ketamine has a confounding effect on the psychomotor subscale of the pain scale studied, which may lead to erroneous administration of rescue analgesia. "( Effects of ketamine and alfaxalone on application of a feline pain assessment scale.
Buisman, M; Hasiuk, MM; Law, L; Pang, DS; Prebble, M; Wagner, MC, 2016
)
2.27
"Ketamine has proposed anti-inflammatory effects and has been used for treating CRPS."( Preventive Treatment with Ketamine Attenuates the Ischaemia-Reperfusion Response in a Chronic Postischaemia Pain Model.
Cheung, CW; Choi, SW; Irwin, M; Liman, S; Ng, KF; Qiu, Q; Tai, W; Wong, KL, 2015
)
1.44
"Ketamine has become a popular recreational drug of abuse in many parts of the world in recent years."( Potential benefit of lamotrigine in managing ketamine use disorder.
Chen, CK; Chen, LY; Huang, MC; Lin, SK, 2016
)
1.42
"Ketamine has emerged as a novel strategy to treat refractory depression, producing rapid remission, but elicits some side effects that limit its use. "( Creatine, Similar to Ketamine, Counteracts Depressive-Like Behavior Induced by Corticosterone via PI3K/Akt/mTOR Pathway.
Colla, AR; Cunha, MP; Lieberknecht, V; Oliveira, Á; Pazini, FL; Rodrigues, AL; Rosa, JM, 2016
)
2.2
"Ketamine has been reported to cause neonatal neurotoxicity via a neuronal apoptosis mechanism; however, no in vivo research has reported whether ketamine could affect postnatal neurogenesis in the hippocampal dentate gyrus (DG). "( Ketamine Affects the Neurogenesis of the Hippocampal Dentate Gyrus in 7-Day-Old Rats.
Hao, T; Huang, H; Liu, CM; Sun, J; Wang, D; Wu, YQ; Xu, CM, 2016
)
3.32
"ketamine) have been administered in rodent models to induce stereotyped behavior that resembles some motor symptoms of schizophrenia."( Effect of ketamine administration, alone and in combination with E-6837, on climbing behavior.
Briones-Aranda, A; Castellanos-Pérez, M; Picazo, O; Suárez-Santiago, JE, 2016
)
1.56
"Ketamine has attracted widespread attention as a potential rapid-acting antidepressant. "( KETAMINE: A POTENTIAL RAPID-ACTING ANTISUICIDAL AGENT?
Sanacora, G; Wilkinson, ST, 2016
)
3.32
"The ketamine lozenges have been shown to have acceptable storage stability, and t"( Subanesthetic, Subcutaneous Ketamine Infusion Therapy in the Treatment of Chronic Nonmalignant Pain.
Aggarwal, A; Gibson, SB; Zekry, O, 2016
)
1.21
"Ketamine has shown an important capacity to modulate SD; however, its impact on SD haemodynamic response is incompletely understood."( Ketamine modulation of the haemodynamic response to spreading depolarization in the gyrencephalic swine brain.
Kunzmann, K; Sakowitz, OW; Sánchez-Porras, R; Santos, E; Schöll, M; Silos, H; Stock, C; Unterberg, AW, 2017
)
2.62
"Ketamine has multiple safety issues, ranging from psychotomimetic and schizotypal symptoms, sympathetic stimulation, tachycardia and hypertension, and damage to the liver and the urogenital tract."( [Safety and efficacy of ketamine for pain relief].
Dahan, A; Niesters, M; van Kleef, M, 2016
)
1.46
"Ketamine has a unique mood controlling property and a number of studies have demonstrated a significant and rapid antidepressant effect of ketamine."( Ketamine abuse potential and use disorder.
Lin, D; Liu, Y; Wu, B; Zhou, W, 2016
)
2.6
"Ketamine has also been implicated in nonconsensual sexual intercourse."( A REVIEW OF KETAMINE ABUSE AND DIVERSION.
Baron, D; Esmaili, N; Gold, M; Juarez, G; Sassano-Higgins, S, 2016
)
1.53
"Ketamine has been shown to be an effective and rapid treatment for depression."( Efficacy and safety of ketamine in bipolar depression: A systematic review.
Alberich, S; González-Pinto, A; López, P; Martínez-Cengotitabengoa, M; Núñez, N; Vieta, E; Zorrilla, I,
)
1.16
"Ketamine has several advantages compared with conventional sedatives such as preserving pharyngeal and laryngeal protective reflexes, lowering airway resistance, increasing lung compliance, and being less likely to produce respiratory depression."( Ketamine for analgosedation in critically ill patients.
Erstad, BL; Patanwala, AE, 2016
)
2.6
"Ketamine has a unique pharmacological profile compared with more traditional agents such as opioids, which makes it an appealing alternative agent for analgosedation in the intensive care unit setting."( Ketamine for analgosedation in critically ill patients.
Erstad, BL; Patanwala, AE, 2016
)
3.32
"Ketamine has a rapid, predictable onset within three to four minutes when given by intramuscular (IM) injection."( Prehospital Ketamine is a Safe and Effective Treatment for Excited Delirium in a Community Hospital Based EMS System.
Glass, DM; Hutchcraft, MG; Scaggs, TR; Weir, WB, 2016
)
1.53
"Ketamine has been shown to produce rapid and robust antidepressant effects in depressed individuals; however, its abuse potential and adverse psychotomimetic effects limit its widespread use. "( Behavioral and biochemical effects of ketamine and dextromethorphan relative to its antidepressant-like effects in Swiss Webster mice.
Huber, JD; Logsdon, AF; Lucke-Wold, BP; Matsumoto, RR; Nguyen, L; Scandinaro, AL, 2016
)
2.15
"Ketamine has neuroprotective characteristics as well as beneficial cardiocirculatory properties and may thus reduce vasopressor consumption. "( Sedation of Patients with Acute Aneurysmal Subarachnoid Hemorrhage with Ketamine Is Safe and Might Influence the Occurrence of Cerebral Infarctions Associated with Delayed Cerebral Ischemia.
Lemcke, J; Meier, U; Rot, S; Sanft, C; Seifert, M; Tittel, A; Von der Brelie, C, 2017
)
2.13
"Ketamine has rapid antidepressant efficacy, but it is unknown if ketamine improves cognitive symptoms."( Ketamine Corrects Stress-Induced Cognitive Dysfunction through JAK2/STAT3 Signaling in the Orbitofrontal Cortex.
Girotti, M; Lodge, DJ; Morilak, DA; Patton, MS, 2017
)
2.62
"Ketamine has been used safely in clinics for decades for analgesia and anesthesia. "( Clinically Relevant Concentrations of Ketamine Inhibit Osteoclast Formation In Vitro in Mouse Bone Marrow Cultures.
Du, E; McAllister, P; Venna, VR; Xiao, L, 2017
)
2.17
"Ketamine has been well studied for its efficacy as an analgesic agent. "( Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety.
Gigi, R; Halpern, P; Nadav, D; Rozenek, M; Sarig-Meth, T; Shapira, A; Shimonovich, S; West, D, 2016
)
2.27
"R-ketamine has greater antidepressant actions than S-ketamine, without ketamine-related side-effects."( Risks Associated with Misuse of Ketamine as a Rapid-Acting Antidepressant.
Ding, Z; Hashimoto, K; Lu, L; Shi, J; Zhang, Y; Zhu, W, 2016
)
1.28
"Ketamine has been associated with pediatric risks that include neurocognitive impairment and long-term behavioral disorders. "( Behavioral alterations of zebrafish larvae after early embryonic exposure to ketamine.
Antunes, LM; Coimbra, AM; Félix, LM; Valentim, AM, 2017
)
2.13
"Ketamine has been reported to impair human cognitive function as a recreational drug of abuse. "( Changes in hippocampal AMPA receptors and cognitive impairments in chronic ketamine addiction models: another understanding of ketamine CNS toxicity.
Cui, W; Ding, R; Du, A; He, B; Li, L; Li, Y; Lu, Y; Shen, R; Wu, X; Yu, H; Zhang, G; Zhou, J, 2016
)
2.11
"Ketamine has emerged as an alternative for rapid sequence intubation induction."( Comparison of Etomidate and Ketamine for Induction During Rapid Sequence Intubation of Adult Trauma Patients.
Barrett, TW; Collins, SP; Ehrenfeld, JM; Grijalva, CG; High, K; Liu, D; McNaughton, CD; Rice, TW; Russ, S; Self, WH; Semler, MW; Upchurch, CP, 2017
)
1.47
"Ketamine has been suggested as a new treatment for this intractable population."( Ketamine Infusions for Treatment Refractory Headache.
Marmura, MJ; Nahas, SJ; Pomeroy, JL; Viscusi, ER, 2017
)
2.62
"As ketamine has serious self-limiting drawbacks that restrict its widespread use for this purpose, a safer alternative is needed."( What is the mechanism of Ketamine's rapid-onset antidepressant effect? A concise overview of the surprisingly large number of possibilities.
Bhimani, PM; Cavaretta, MJ; Kaabe, JH; Krysiak, JT; Nanchanatt, DL; Nguyen, TN; Pough, KA; Prince, TA; Raffa, RB; Ramsey, NS; Savsani, KH; Scandlen, L; Strasburger, SE, 2017
)
1.27
"Ketamine has been reported to be an efficacious antidepressant for major depressive disorder and posttraumatic stress disorder. "( Prophylactic Ketamine Attenuates Learned Fear.
Brachman, RA; Denny, CA; LaGamma, CT; Lim, SC; McGowan, JC; Neria, Y; Tsitsiklis, M, 2017
)
2.27
"Ketamine mouthwashes have been used for pain relief, but supporting evidence is limited."( Treatment of severe mucositis pain with oral ketamine mouthwash.
Craig, M; Cumpston, A; Hamadani, M; Kanate, AS; Shillingburg, A; Wen, S, 2017
)
1.44
"Ketamine has been reported to exert rapid and sustained antidepressant effects in patients with depression, including patients with treatment-resistant depression. "( Beyond Ketamine: New Approaches to the Development of Safer Antidepressants.
Chaki, S, 2017
)
2.35
"Ketamine has been extensively studied for its antidepressant potential, with promising results in both preclinical and clinical studies. "( Differential characteristics of ketamine self-administration in the olfactory bulbectomy model of depression in male rats.
Babinska, Z; Ruda-Kucerova, J, 2017
)
2.18
"Ketamine has been preferred in pediatric cardiovascular anesthesia."( Comparison of sevoflurane and ketamine for anesthetic induction in children with congenital heart disease.
Camci, E; Kartal, U; Orhan Sungur, M; Sungur Ulke, Z; Tugrul, M, 2008
)
1.36
"Ketamine has important anesthetic, analgesic, and psychotropic actions. "( HCN1 channel subunits are a molecular substrate for hypnotic actions of ketamine.
Bayliss, DA; Chen, X; Shu, S, 2009
)
2.03
"Ketamine has been reported to decrease the immune functions of phagocytes. "( Ketamine inhibits the phagocytic responses of canine peripheral blood polymorphonuclear cells through the upregulation of prostaglandin E2 in peripheral blood mononuclear cells in vitro.
Kang, JH; Son, KA; Yang, MP, 2009
)
3.24
"Ketamine has been shown to prevent these effects."( Ketamine-induced hepatoprotection: the role of heme oxygenase-1.
Adams, SD; Helmer, KS; Mercer, DW; Suliburk, JW; Ward, JL; Zuckerbraun, BS, 2009
)
2.52
"Ketamine has been traditionally contra-indicated in the presence of brain injury, but we argue in this review that any adverse effects of the drug on intracranial pressure or cerebral blood flow are in fact attenuated or reversed by controlled ventilation, subsequent anaesthesia and the greater general haemodynamic stability conferred by the drug."( Anaesthesia in haemodynamically compromised emergency patients: does ketamine represent the best choice of induction agent?
Klein, J; Mahoney, P; Morris, C; Perris, A, 2009
)
1.31
"Ketamine has previously been shown to induce delusion-like or referential beliefs, both acutely in healthy volunteers and naturalistically among nonintoxicated users of the drug. "( Superstitious conditioning as a model of delusion formation following chronic but not acute ketamine in humans.
Brandner, B; Curran, HV; Das, RK; Freeman, TP; Klaassen, E; Morgan, CJ; Stefanovic, A, 2009
)
2.02
"Ketamine has been used to induce a schizophrenia-like condition as an animal model in which to study this condition."( Different sub-anesthetic doses of ketamine increase oxidative stress in the brain of rats.
Bortolin, T; Canever, L; Dal-Pizzol, F; de Oliveira, L; Mina, FG; Petronilho, F; Quevedo, J; Spiazzi, CM; Zugno, AI, 2009
)
1.35
"Ketamine has become the drug most favoured by emergency physicians for sedation of children in the ED. "( What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?
Bell, A; Cardwell, R; Cashion, G; Chand, D; Fincher, G; Treston, G, 2009
)
2.02
"Ketamine has been reported to have immunomodulatory properties that affect immune cells, including macrophages and natural killer cells."( Ketamine inhibits maturation of bone marrow-derived dendritic cells and priming of the Th1-type immune response.
Fujino, Y; Ohashi, Y; Ohta, N, 2009
)
2.52
"Ketamine has found many applications in pediatric anesthetic practice. "( The evolution of ketamine applications in children.
Roelofse, JA, 2010
)
2.14
"Ketamine has been widely used in paediatric anaesthesia but its influence on development in infants and toddlers still remains unclear. "( The effect of ketamine on N-methyl-D-aspartate receptor subunit expression in neonatal rats.
Chai, W; Han, LC; Wu, SX; Xu, LX; Yang, YH; Yao, LN, 2010
)
2.16
"Ketamine has been shown to have a morphine-sparing effect soon after surgery. "( The early and delayed analgesic effects of ketamine after total hip arthroplasty: a prospective, randomized, controlled, double-blind study.
Baud, A; Couvret, C; Favard, L; Fusciardi, J; Laffon, M; Le Tendre, C; Pourrat, X; Remérand, F, 2009
)
2.06
"Ketamine has been shown to reduce the injection pain."( Ketamine eliminates propofol pain but does not affect hemodynamics during induction with double-lumen tubes.
Furuya, H; Inoue, S; Iwata, M; Kawaguchi, M; Kimura, T; Taniguchi, S; Tojo, T, 2010
)
2.52
"Ketamine has been used to model cognitive and behavioral symptoms of schizophrenia. "( Reversal of ketamine-induced working memory impairments by the GABAAalpha2/3 agonist TPA023.
Arriza, JL; Castner, SA; Christian, EP; Mrzljak, L; Roberts, JC; Williams, GV, 2010
)
2.18
"Ketamine has been used in humans to model cardinal symptoms of schizophrenia, including working memory impairments and behavioral disorganization. "( Amelioration of ketamine-induced working memory deficits by dopamine D1 receptor agonists.
Castner, SA; Roberts, BM; Schmidt, CJ; Seymour, PA; Williams, GV, 2010
)
2.15
"Ketamine abuse has been shown to have a deleterious impact on brain function. "( Frontal white matter abnormalities following chronic ketamine use: a diffusion tensor imaging study.
Chen, X; Fletcher, PC; Hao, W; Liao, Y; Liu, T; Ma, M; Tang, J; Wang, X; Wu, Z; Yang, M, 2010
)
2.05
"Ketamine has been repeatedly reviewed in this journal but novel developments have occurred in the last few years prompting an update. "( Wherefore ketamine?
Persson, J, 2010
)
2.21
"Ketamine has been recognized as an anesthetic agent of choice in areas with limited resources, particularly in emergency situations. "( Unique clinical situations in pediatric patients where ketamine may be the anesthetic agent of choice.
Iravani, M; Jamora, C,
)
1.82
"Ketamine has been shown to have neurotoxic properties, when administered neuraxially. "( Ketamine induces apoptosis via the mitochondrial pathway in human lymphocytes and neuronal cells.
Bauer, I; Braun, S; Durieux, ME; Gaza, N; Hermanns, H; Hollmann, MW; Stevens, MF; Werdehausen, R, 2010
)
3.25
"Ketamine has been demonstrated to be neurotoxic in animals as well as in patients. "( Benzethonium increases the cytotoxicity of S(+)-ketamine in lymphoma, neuronal, and glial cells.
Braun, S; Gaza, N; Hermanns, H; Hollmann, MW; Kremer, D; Küry, P; Stevens, MF; Werdehausen, R, 2010
)
2.06
"Ketamine anesthesia has been recommended for clinical situations of sepsis and hemodynamic instability, both frequent during intestinal I/R."( Ketamine reduces intestinal injury and inflammatory cell infiltration after ischemia/reperfusion in rats.
Alarcón-Galván, G; Ballesteros-Elizondo, RG; Cámara-Lemarroy, CR; Cordero-Pérez, P; Fernández-Garza, NE; Guzmán-De La Garza, FJ, 2010
)
2.52
"Ketamine has been shown to produce antihyperalgesic effects produced by incision and tissue or nerve damage, and has become popular in equine practice as an anesthetic and more recently as an analgesic for standing surgical procedures and the treatment of laminitis."( NMDA receptor antagonists and pain: ketamine.
Muir, WW, 2010
)
1.36
"Ketamine has become increasingly recognized as a drug of recreational use. "( Recreational ketamine: from pleasure to pain.
Baker, SC; Cottrell, A; Fulford, S; Gillatt, D; Harris, M; Southgate, J; Wood, D; Woodhouse, C, 2011
)
2.18
"Ketamine has been the focus of various studies involving the treatment of CRPS; however, currently, there is incomplete data from evidence-based studies."( Advances in translational neuropathic research: example of enantioselective pharmacokinetic-pharmacodynamic modeling of ketamine-induced pain relief in complex regional pain syndrome.
Cooper, N; Domsky, R; Goldberg, ME; Hirsh, RA; Sabia, M; Torjman, MC; Wainer, IW, 2011
)
1.3
"Ketamine has immunomodulating effects both in vitro and in vivo during experimental endotoxemia in humans, rodents, and dogs."( Clinical and immunomodulating effects of ketamine in horses with experimental endotoxemia.
Alcott, CJ; Davis, JL; Hsu, W; Soliman, AM; Sponseller, BA; Wang, C; Wong, DM,
)
1.84
"Ketamine has always been used in combination with propofol in paediatric patients. "( Ketamine and propofol in combination induce neuroapoptosis and down-regulate the expression of N-methyl-D-aspartate glutamate receptor NR2B subunit in rat forebrain culture.
Bao, N; Fu, L; Ma, H; Tang, R; Wang, J, 2011
)
3.25
"Ketamine has been shown to be neurotoxic and cardiotoxic in mammals."( L-Carnitine rescues ketamine-induced attenuated heart rate and MAPK (ERK) activity in zebrafish embryos.
Ali, SF; Cuevas, E; Kanungo, J; Paule, MG, 2012
)
1.42
"Ketamine has recently gained significant attention owing to its psychotomimetic and more recently discovered rapid antidepressant-like properties. "( ¹H-[¹³C]-nuclear magnetic resonance spectroscopy measures of ketamine's effect on amino acid neurotransmitter metabolism.
Behar, KL; Cho, W; Chowdhury, GM; Rothman, DL; Sanacora, G; Thomas, MA, 2012
)
2.06
"Ketamine has been shown to be comparable with sufentanil, and has even demonstrated anti-inflammatory properties."( Comparison of the effects of ketamine-dexmedetomidine and sevoflurane-sufentanil anesthesia on cardiac biomarkers after cardiac surgery: an observational study.
Březina, A; Hess, L; Kotulák, T; Kramář, P; Netuka, I; Pirk, J; Ríha, H; Szárszoi, O, 2012
)
1.39
"Ketamine has rapid antidepressant effects lasting as long as 1 week in patients with major depressive disorder (MDD) and bipolar depression (BD). "( Relationship of ketamine's plasma metabolites with response, diagnosis, and side effects in major depression.
Brutsche, N; Laje, G; Luckenbaugh, DA; Moaddel, R; Ramamoorthy, A; Venkata, SL; Wainer, IW; Zarate, CA, 2012
)
2.17
"Ketamine has been the commonest abusive substance used by Hong Kong teenager since 2005. "( Acute and chronic toxicity pattern in ketamine abusers in Hong Kong.
Yiu-Cheung, C, 2012
)
2.09
"Ketamine has a synergistic effect with alcohol on learning and memory impairment in mice, which may be related to the common inhibitive effect on the ACh and 5-HT."( [Effects of ketamine and alcohol on learning and memory impairment in mice].
Bian, SZ; Ding, F; Gu, ZL; Guo, CY; Jiang, XG; Wu, XX; Yang, MY, 2012
)
2.2
"Ketamine has been reported to exert anti-inflammatory effects on astrocytes stimulated by lipopolysaccharide (LPS) in vitro and in vivo. "( Ketamine inhibits lipopolysaccharide-induced astrocytes activation by suppressing TLR4/NF-ĸB pathway.
Cao, J; Gao, T; Li, W; Liu, Y; Lu, F; Wu, Y; Zhang, Y; Zhou, C, 2012
)
3.26
"Ketamine has bronchodilator properties and is used for severe bronchospasm in adults and children with asthma. "( Use of ketamine for refractory wheezing in an infant.
Azad, C; Guglani, V; Jat, KR, 2012
)
2.28
"Ketamine has opposite phase-shifting effects on circadian rhythms according to the time of administration, whereas pentobarbital has no effect. "( Day or night administration of ketamine and pentobarbital differentially affect circadian rhythms of pineal melatonin secretion and locomotor activity in rats.
Goto, T; Kamiya, Y; Kikuchi, T; Koga, M; Kurahashi, K; Mihara, T; Uchimoto, K, 2012
)
2.11
"Ketamine has been utilized to investigate NMDA receptor-mediated learning and memory and to model disorders such as schizophrenia."( Examination of ketamine-induced deficits in sensorimotor gating and spatial learning.
Bolton, MM; Heaney, CF; Kinney, JW; Murtishaw, AS; Sabbagh, JJ, 2012
)
1.45
"Ketamine has rapid antidepressant properties in major depressive disorder (MDD) as well as bipolar depression."( Family history of alcohol dependence and antidepressant response to an N-methyl-D-aspartate antagonist in bipolar depression.
Brutsche, N; Cassarly, C; Franco-Chaves, J; Ibrahim, L; Luckenbaugh, DA; Marquardt, CA; Mathews, D; Zarate, CA, 2012
)
1.1
"(S)-ketamine has a threefold higher affinity for the NMDA receptor, but relatively little is known about its specific effects on human motor cortex excitability."( Influence of (S)-ketamine on human motor cortex excitability.
Haussleiter, IS; Höffken, O; Lötsch, J; Maier, C; Schwenkreis, P; Tegenthoff, M; Westermann, A, 2013
)
1.21
"Ketamine has been used as part of a multimodal analgesia regime in opioid abusers undergoing general anesthesia. "( Opioid-sparing effect of preemptive bolus low-dose ketamine for moderate sedation in opioid abusers undergoing extracorporeal shock wave lithotripsy: a randomized clinical trial.
Aghamohammadi, H; Elyassi, H; Gharaei, B; Jafari, A; Kamranmanesh, M; Poorzamani, M; Rostamian, B; Salimi, A, 2013
)
2.08
"Ketamine has also been shown to possess anti-inflammatory effects."( Mechanisms of ketamine-induced immunosuppression.
Chen, RM; Chen, TL; Liu, FL, 2012
)
1.46
"Ketamine has a long history of use during pediatric procedural sedation. "( Pretreatment with midazolam blunts the rise in intracranial pressure associated with ketamine sedation for lumbar puncture in children.
Berkenbosch, JW; Michalczyk, K; Sullivan, JE, 2013
)
2.06
"Ketamine has proved a useful probe in the study of schizophrenia. "( Effects of ketamine on leading saccades during smooth-pursuit eye movements may implicate cerebellar dysfunction in schizophrenia.
Avila, MT; Lahti, AC; Tamminga, CA; Thaker, GK; Weiler, MA, 2002
)
2.15
"Ketamine has been used to "consciously" sedate patients for a variety of paediatric procedures in our department since 1998. "( Sedation with ketamine for paediatric procedures in the emergency department--a review of 500 cases.
Ang, SY; Ng, KC, 2002
)
2.12
"Ketamine has been shown to prolong analgesia produced by caudal local anaesthetic block and is now in common use. "( A comparison between local anaesthetic dorsal nerve block and caudal bupivacaine with ketamine for paediatric circumcision.
Gauntlett, I, 2003
)
1.98
"Ketamine has been known to the medical world for over 30 years, yet is not widely used to its full potential. "( Ketamine: its use in the emergency department.
Cromhout, A, 2003
)
3.2
"Ketamine has an opioid sparing effect following surgery in adults. "( Double-blind randomized placebo-controlled trial of the effect of ketamine on postoperative morphine consumption in children following appendicectomy.
Dix, P; Martindale, S; Stoddart, PA, 2003
)
2
"Ketamine has analgesic properties and can diminish the incidence of propofol infusion pain in adults."( Pretreatment with intravenous ketamine reduces propofol injection pain.
Barbi, E; Gagliardo, A; Gerarduzzi, T; Marchetti, F; Neri, E; Sarti, A; Ventura, A, 2003
)
1.33
"Ketamine has diverse effects that may be of relevance to chronic pain including: N-methyl-D-aspartic acid, alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid, kainate, gamma-aminobutyric acid(A) receptors; inhibition of voltage gated Na(+) and K(+) channels and serotonin, dopamine re-uptake. "( Ketamine in chronic pain management: an evidence-based review.
Cousins, MJ; Hocking, G, 2003
)
3.2
"Ketamine also has been reported to produce opioid dose sparing and good patient acceptance."( Ketamine as an analgesic: parenteral, oral, rectal, subcutaneous, transdermal and intranasal administration.
Kronenberg, RH, 2002
)
2.48
"Ketamine has been advocated for anesthesia in endotoxemic and other severely ill patients because it is a cardiovascular stimulant. "( Ketamine suppresses endotoxin-induced NF-kappaB activation and cytokines production in the intestine.
Liu, H; Sun, J; Wang, XD; Xu, JG, 2004
)
3.21
"S(+) ketamine has three-times the analgesic potency of R(-) ketamine and its antinociceptive effects after intrathecal administration in rats are known."( Effects of S(+) ketamine added to bupivacaine for spinal anaesthesia for prostate surgery in elderly patients.
Demirbilek, S; Ersoy, O; Koroglu, A; Togal, T; Yapici, E, 2004
)
1.12
"Ketamine has not elicited the HSR in this model of experimental burns and, therefore, its protective effects were not shown to be mediated through this mechanism."( Ketamine reduces mortality of severely burnt rats, when compared to midazolam plus fentanyl.
Lázaro Da Silva, A; Neder Meyer, T, 2004
)
2.49
"Ketamine (K) has become more and more popular for drug abuse in recent years. "( Use of SPE and LC/TIS/MS/MS for rapid detection and quantitation of ketamine and its metabolite, norketamine, in urine.
Cheng, SG; Shih, TS; Wang, KC, 2005
)
2.01
"Ketamine has been widely used in the operation as intravenous and intramuscular injections, since ketamine has dissociative anesthetic properties. "( [Preparing oral dosage form of ketamine in the hospital for simplicity and patient compliance--preparations using agar].
Iseki, K; Kaneuchi, M; Kohri, N; Sakai, H; Senbongi, K, 2005
)
2.06
"Ketamine has hepatoprotective effects against LPS-induced liver injury that appear to be mediated, at least in part, by differential modulation of the oxidative stress proteins iNOS and HO-1."( Differential effects of anesthetics on endotoxin-induced liver injury.
Gonzalez, EA; Helmer, KS; Kennison, SD; Mercer, DW; Suliburk, JW, 2005
)
1.05
"Ketamine has been advocated for anesthesia in endotoxemic and other severely ill patients because it is a cardiovascular stimulant."( Large dose ketamine inhibits lipopolysaccharide-induced acute lung injury in rats.
Duan, M; Li, W; Lin, N; Sun, J; Wang, Z; Xu, J; Yang, J; Zhou, Z, 2005
)
1.44
"Ketamine has been claimed to prevent acute opioid tolerance and hyperalgesia following acute exposure to opioids and its use has been proposed to decrease postoperative morphine consumption."( Low-dose ketamine failed to spare morphine after a remifentanil-based anaesthesia for ear, nose and throat surgery.
Abisseror, M; Chambost, V; Charpiat, B; Ganne, C; Ganne, O; Malhière, S; Menault, P; Viale, JP, 2005
)
2.19
"Ketamine has hepatoprotective effects, while isoflurane does not."( Ketamine attenuates liver injury attributed to endotoxemia: role of cyclooxygenase-2.
Gonzalez, EA; Helmer, KS; Mercer, DW; Robinson, EK; Suliburk, JW, 2005
)
2.49
"Ketamine has been reported to exert anti-inflammatory effects on macrophages stimulated with lipopolysaccharide (LPS) in vitro and in vivo. "( Effects of ketamine and propofol on inflammatory responses of primary glial cell cultures stimulated with lipopolysaccharide.
Andoh, T; Echigo, N; Goshima, Y; Kamiya, Y; Kurahashi, K; Sasaki, Y; Shibakawa, YS; Yamada, Y, 2005
)
2.16
"Ketamine has been effective in producing analgesia in patients receiving palliative care, especially when used in combination with opioids."( The potential role of ketamine in hospice analgesia: a literature review.
Ball, N; Elliott, DP; Legge, J, 2006
)
2.09
"Ketamine has a complex mechanism of action that is further complicated by stereoselectivity; however, antagonism of glutamate NDMA receptors is thought to underlie its analgesic, dissociative and neuroprotective effects."( Ketamine : from medicine to misuse.
Winstock, AR; Wolff, K, 2006
)
2.5
"Ketamine has a favorable cardiovascular profile related to central sympathetic stimulation and inhibition of neuronal catecholamine uptake."( Intravenous anesthesia for the patient with left ventricular dysfunction.
Bovill, JG, 2006
)
1.06
"Ketamine has been shown to improve intubating conditions when used in association with rocuronium."( Thiopental--ketamine association and low dose priming with rocuronium for rapid sequence in duction of anaesthesia for elective cesareum section.
Leykin, Y; Pellis, T; Zannier, G,
)
1.23
"Ketamine has demonstrated usefulness as an analgesic to treat nonresponsive neuropathic pain; however, it is not widely administered to outpatients due to fear of such side effects as hallucinations and other cognitive disturbances. "( Safety and efficacy of prolonged outpatient ketamine infusions for neuropathic pain.
Walker, MJ; Webster, LR,
)
1.84
"Ketamine has been shown to reduce injection pain."( Small-dose ketamine reduces the pain of propofol injection.
Cho, SJ; Ham, KD; Hwang, JH; Kim, YK; Koo, SW, 2006
)
1.45
"Oral ketamine has been used to treat postoperative stump pain following lower limb amputation."( Effect of oral ketamine on the postoperative pain and analgesic requirement following orthopedic surgery.
Hashemi, SJ; Heidari, SM; Parvazinia, P; Saghaei, M, 2006
)
1.14
"Ketamine has been shown to be effective in the treatment of neuropathic pain. "( Oral ketamine for the treatment of type I complex regional pain syndrome.
Bayona, MJ; Cerdá-Olmedo, G; De Andrés, JA; Mínguez, A; Monsalve, V; Samper, JM; Villanueva-Perez, VL, 2007
)
2.3
"Ketamine has been used successfully in various proportions of fibromyalgia (FM) patients. "( Predictive value of brain perfusion SPECT for ketamine response in hyperalgesic fibromyalgia.
Cammilleri, S; Colavolpe, C; de Laforte, C; Guedj, E; Mundler, O; Niboyet, J; Taieb, D, 2007
)
2.04
"Ketamine has been used for many years as a dissociative anesthetic; however, there is evidence of increasing abuse, especially at dance clubs and raves. "( Increased response to ketamine following treatment at long intervals: implications for intermittent use.
Trujillo, KA; Warmoth, KP; Zamora, JJ, 2008
)
2.1
"Ketamine has a longer elimination half-life (2.1 h) than norketamine (1.13 h). "( Modeling the norketamine metabolite in children and the implications for analgesia.
Anderson, BJ; Herd, DW; Holford, NH, 2007
)
2.13
"Ketamine has been used extensively for analgesia and anesthesia in many situations, including disaster surgery where extra personnel and advanced monitoring are not available. "( Ketamine for prehospital use: new look at an old drug.
Abernathy, MK; Svenson, JE, 2007
)
3.23
"Ketamine has a short half-life; the elimination half-life is about 2.5 h."( [Ketamine as a party drug].
Kramers, C; van Dongen, RT; Vantroyen, B; Vroegop, MP, 2007
)
1.97
"Oral ketamine has been found to be effective during invasive procedures in children with malignancy. "( Oral ketamine for pain relief in a child with abdominal malignancy.
Boyaci, A; Gulcu, N; Ugur, F, 2009
)
1.38
"Ketamine has been shown to induce rat cytochrome P-450 in a way similar to phenobarbital. "( Induction of hepatic glutathione S-transferase and UDP-glucuronosyltransferase activities by ketamine in rats.
Chan, WH; Fan, SZ; Hsiao, PN; Hung, MH; Su, HC; Sun, WZ; Ueng, TH, 2008
)
2.01
"Ketamine has not yet revealed all its interactions in humans. "( Something new about ketamine for pediatric anesthesia?
De Kock, M; Lois, F, 2008
)
2.11
"Ketamine has a lower incidence of adverse effects and generally produces greater CNS depression than PCP."( Ketamine, but not phencyclidine, selectively modulates cerebellar GABA(A) receptors containing alpha6 and delta subunits.
Amin, J; Hadley, SH; Hevers, W; Lüddens, H, 2008
)
2.51
"Ketamine has been recommended for anesthesia induction and maintenance in patients with asthma."( Cardiovascular effects of ketamine following administration of aminophylline in dogs.
Berger, JM; Ricker, SM; Roe, SD; Stirt, JA; Sullivan, SF, 1982
)
1.29
"Ketamine has been reported to increase plasma catecholamine concentrations. "( Plasma, urine, and CSF catecholamine concentrations during and after ketamine anesthesia.
Balestrieri, F; Casey, L; Chernow, B; Coyle, J; Cruess, D; Fletcher, JR; Hughes, P; Lake, CR; Rainey, TG, 1982
)
1.94
"Ketamine has been advocated as the drug of choice for maintaining cardiovascular performance during induction of anaesthesia in severely ill surgical patients."( Effects of low-dose ketamine and thiopentone on cardiac performance and myocardial oxygen balance in high-risk patients.
Engbaek, J; Klausen, NO; Pedersen, T; Sørensen, B; Wiberg-Jørgensen, F, 1982
)
1.31
"Ketamine has been evaluated for convulsant properties in animals and humans with contradictory results. "( Ketamine suppression of chemically induced convulsions in the two-day-old white leghorn cockerel.
Reder, BS; Trapp, LD; Troutman, KC, 1980
)
3.15
"Ketamine anesthesia has been considered suitable for use in patients suffering from acute hypovolemia. "( Influence of ketamine anesthesia on cardiac output and tissue perfusion in rats subjected to hemorrhage.
Idvall, J, 1981
)
2.07
"Ketamine alone has severe limitations in most species, but in combination has proved valuable."( Ketamine alone and combined with diazepam or xylazine in laboratory animals: a 10 year experience.
Green, CJ; Knight, J; Precious, S; Simpkin, S, 1981
)
2.43
"Ketamine has been compared with 'relaxant' anaesthesia in operations for fractured neck of femur in elderly women. "( Anaesthetic techniques for surgical correction of fractured neck of femur. A comparative study of ketamine and relaxant anaesthesia in elderly women.
Spreadbury, TH, 1980
)
1.92
"Ketamine has been used in patients with congenital heart disease and pulmonary hypertension with hypothetical controversy. "( Vasoactive effects of ketamine on isolated rabbit pulmonary arteries.
Hou, X; Lee, TS, 1995
)
2.05
"Ketamine has been used as an obstetrical and pediatric anesthetic.(ABSTRACT TRUNCATED AT 250 WORDS)"( The intensity of a fetal taste aversion is modulated by the anesthesia used during conditioning.
Chang, KS; Farrell, ST; Lovelace, JD; Mickley, GA, 1995
)
1.01
"As ketamine has local anaesthetic actions and local anaesthetics are known to have anti-inflammatory effects, ketamine could be expected to be an anti-inflammatory agent. "( Topical ketamine inhibits albumin extravasation in chemical peritonitis in rats.
Hirota, K; Matsuki, A; Rabito, SF; Zsigmond, EK, 1995
)
1.35
"Ketamine anesthesia has been reported to blunt the preovulatory LH surge in female rats and to decrease baseline LH levels in males immediately following administration, although its effect lasted less than 2 h."( Effect of neonatal diethylstilbestrol exposure on luteinizing hormone secretion following ketamine anesthesia and gonadotropin-releasing hormone in castrated postpubertal rats.
Faber, KA; Hughes, CL, 1993
)
1.23
"Ketamine has a faster onset and results in more rapid discharge from the pediatric emergency department while providing for less patient distress during procedures. "( Intramuscular ketamine is superior to meperidine, promethazine, and chlorpromazine for pediatric emergency department sedation.
Marx, CM; Petrack, EM; Wright, MS, 1996
)
2.1
"Ketamine has been administered epidurally and intrathecally for operative and post-operative pain control. "( Intrathecal ketamine reduces morphine requirements in patients with terminal cancer pain.
Chang, JY; Ho, ST; Wong, CS; Yang, CY, 1996
)
2.12
"Ketamine has been shown to have potent analgesic properties at low dosages. "( Ketamine in cancer pain: an update.
Mercadante, S, 1996
)
3.18
"Ketamine has been used parenterally for pain unresponsive to opioids, including neuropathic pain, and has also been used as an alternative analgesic agent after surgery. "( Ketamine injection used orally.
Broadley, KE; Kurowska, A; Tookman, A, 1996
)
3.18
"Ketamine (K) i.m. has been widely used for anesthetic induction in small children in the last decades, if mask induction has failed. "( A new route, jet-injection for anesthetic induction in children - II. ketamine dose-range finding studies.
Fekete, G; Kovacs, V; Zsigmond, EK, 1996
)
1.97
"Ketamine has been considered to be contraindicated for schizophrenic patients because it may induce psychological emergence reactions and psychiatric deterioration. "( Uneventful total intravenous anaesthesia with ketamine for schizophrenic surgical patients.
Ishihara, H; Kudo, A; Kudo, H; Matsuki, A; Murakawa, T; Takahashi, S, 1997
)
2
"S(+)-ketamine has a two- to four-fold higher affinity for the phencyclidine receptor of the NMDA receptor complex than ketamine racemate, and it is conceivable that the induction of a differentiated pattern of genes induces cellular growth activities via ketamine-mediated NMDA-receptor activation or blockade."( [Neuroprotection by ketamine at the cellular level].
Himmelseher, S; Pfenninger, E, 1997
)
1.08
"Ketamine, however, has been reported to have no effect on the AMLR."( Ketamine increases the amplitude of the 40-Hz auditory steady-state response in humans.
Baribeau, J; Bonhomme, V; Plourde, G, 1997
)
2.46
"Ketamine has been shown to enhance CSEP amplitude, but there is no previous study comparing its effects with those of other anaesthetic regimens."( Comparison of the effects of ketamine-midazolam with those of fentanyl-midazolam on cortical somatosensory evoked potentials during major spine surgery.
Coriat, P; Langeron, O; Lille, F; Orliaguet, G; Riou, B; Saillant, G; Zerhouni, O, 1997
)
1.31
"1. Ketamine has a number of effects that suggest that it may interact with alpha- and beta-adrenoceptors. "( Evidence for direct interaction of ketamine with alpha 1- and beta 2-adrenoceptors.
Bevan, RK; Duggan, KA; Rose, MA, 1997
)
1.2
"Ketamine has many properties that are advantageous to the practitioner in a rural setting, particularly if solo. "( Ketamine: the forgotten anaesthetic?
Radford, P, 1996
)
3.18
"Ketamine has been associated with a unique spectrum of subjective "psychedelic" effects in patients emerging from anesthesia. "( Psychedelic effects of ketamine in healthy volunteers: relationship to steady-state plasma concentrations.
Bowdle, TA; Cowley, DS; Kharasch, ED; Radant, AD; Roy-Byrne, PP; Strassman, RJ, 1998
)
2.05
"Ketamine (K) has been reported to produce bronchodilation in patients suffering from asthma. "( In vivo spasmolytic effect of ketamine and adrenaline on histamine-induced airway constriction. Direct visualization method with a superfine fibreoptic bronchoscope.
Hashimoto, Y; Hirota, K; Ishihara, H; Matsuki, A; Sakai, T; Sato, T, 1998
)
2.03
"Ketamine has been characterized as having psychotomimetic and sympathomimetic effects. "( Ketamine inhibits monoamine transporters expressed in human embryonic kidney 293 cells.
Nishimura, M; Okada, T; Sato, K; Schloss, P; Shimada, S; Tohyama, M; Yoshiya, I, 1998
)
3.19
"Ketamine has been found to be a useful agent for analgesia in burn-wound patients; a dose of 10 mg/kg qid per os was found to be an effective adjunct to pain therapy."( Ketamine hydrochloride--an adjunct for analgesia in dogs with burn wounds.
Joubert, K, 1998
)
2.46
"Ketamine has a species-dependent inotropic effect on myocardium. "( Actions of ketamine and its isomers on contractility and calcium transients in human myocardium.
Graf, BM; Hagl, S; Kunst, G; Martin, E; Vahl, CF, 1999
)
2.14
"Ketamine alone has little effect in the radiant heat tailflick assay."( Peripheral blockade of topical morphine tolerance by ketamine.
Kolesnikov, YA; Pasternak, GW, 1999
)
1.27
"Ketamine has a negative inotropic effect in isolated cardiomyocytes. "( Ketamine inhibits inositol 1,4,5-trisphosphate production depending on the extracellular Ca2+ concentration in neonatal rat cardiomyocytes.
Kudoh, A; Matsuki, A, 1999
)
3.19
"Ketamine has been reported to have little effect on MEPs but may produce adverse effects such as psychedelic effect and hypertension."( Low dose propofol as a supplement to ketamine-based anesthesia during intraoperative monitoring of motor-evoked potentials.
Furuya, H; Inoue, S; Kakimoto, M; Kawaguchi, M; Morimoto, T; Sakaki, T; Sakamoto, T, 2000
)
1.3
"Ketamine, 10 mg/kg, has a delayed onset but is as effective as 1 mg/kg midazolam for sedating healthy children before general anesthesia."( Reevaluation of rectal ketamine premedication in children: comparison with rectal midazolam.
Nishikawa, T; Saito, A; Sato, M; Tanaka, M, 2000
)
1.34
"Ketamine also has psychedelic properties, and there has been a recent increase in nonmedical use linked with the growth of the "dance culture." This has attracted little comment in the formal literature but has been the subject of many reports in the media."( A review of the nonmedical use of ketamine: use, users and consequences.
Jansen, KL,
)
1.13
"S(+) ketamine has a 2-3 times higher anesthetic potency compared with the ketamine-racemate and also shows a higher neuroprotective efficacy in vitro."( Neuroprotection of S(+) ketamine isomer in global forebrain ischemia.
Heimann, A; Kempski, O; Proescholdt, M, 2001
)
1.07
"S-ketamine has been found have a higher clearance and greater potency than R-ketamine as well as a greater therapeutic index."( Tissue uptake of ketamine and norketamine enantiomers in the rat: indirect evidence for extrahepatic metabolic inversion.
Edwards, SR; Mather, LE, 2001
)
1.21
"Ketamine has gained attention recently because of re-emergence of its abuse especially in combination with cocaine. "( The role of ketamine on plasma cocaine pharmacokinetics in rat.
Abdel-Rahman, MS; Rofael, HZ, 2002
)
2.14
"S(+)-ketamine has a higher affinity for the N-methyl-D-aspartate receptor and less-serious side effects than racemic ketamine."( Perioperative small-dose S(+)-ketamine has no incremental beneficial effects on postoperative pain when standard-practice opioid infusions are used.
Dann, K; Fitzal, S; Jaksch, W; Lang, S; Raab, G; Reichhalter, R, 2002
)
1.06
"Ketamine has been shown to suppress platelet aggregation, but its mechanisms of action have not been defined. "( Ketamine suppresses platelet aggregation possibly by suppressed inositol triphosphate formation and subsequent suppression of cytosolic calcium increase.
Fukuda, K; Hatano, Y; Hirakata, H; Nakagawa, T; Nakamura, K; Nakamura, T; Sato, M, 2002
)
3.2
"Ketamine has been found to exert antinociceptive effects in animals and to be analgesic at subanaesthetic doses in humans. "( Potentiation by ketamine of fentanyl antinociception. I. An experimental study in rats showing that ketamine administered by non-spinal routes targets spinal cord antinociceptive systems.
Bajunaki, E; Goodchild, CS; Nadeson, R; Tucker, A, 2002
)
2.1
"Ketamine has been found to be very useful in these patients."( The perioperative management of pericardial tamponade.
Bland, JW; Dunbar, RW; Kaplan, JA, 1976
)
0.98
"Ketamine has been employed as an anesthetic for 25 years. "( [Ketamine: clinically useful--pharmacologically interesting].
Maurset, A; Oye, I, 1990
)
2.63
"Ketamine has many neuromuscular effects in vitro. "( Ketamine potentiates nondepolarizing neuromuscular relaxants in a primate.
Lee, C; Tsai, SK, 1989
)
3.16
"Ketamine has been advocated as the drug of choice for maintaining cardiovascular performance during induction of anesthesia in high-risk surgical patients."( Hemodynamic response to ketamine and diazepam in dogs with acute cardiac tamponade.
Chao, CC; Chen, TL; Huang, FY; Lin, SY, 1989
)
1.31
"Ketamine has been associated with increased PVR in studies of adults; in these studies adults were spontaneously breathing through unprotected airways, despite ketamine's known effects of ventilatory depression and partial loss of airway."( Pulmonary and systemic hemodynamic responses to ketamine in infants with normal and elevated pulmonary vascular resistance.
Cramolini, GM; Hansen, DD; Hickey, PR; Lang, P; Vincent, RN, 1985
)
1.25

Actions

Ketamine appears to increase catecholamine levels and directly relax bronchial smooth muscle. Ketamine could increase myelination in the mPFC in female rats, but it did not induce learning dysfunction in adulthood; therefore, ketamine may be a safe drug for pediatric anesthesia.

ExcerptReferenceRelevance
"Ketamine can produce rapid-acting antidepressant effects. "( Long-term safety of ketamine and esketamine in treatment of depression.
Krystal, JH; Murphy, E; Nikayin, S; Wilkinson, ST, 2022
)
2.49
"Ketamine can cause a variety of neuropsychiatric adverse effects, such as hallucinations, dysphoria, and nightmares."( Risk Factors for the Development of Neuropsychiatric Adverse Effects in Ketamine-Treated Pain.
Quirk, K; Smith, MA, 2022
)
1.68
"But ketamine did enhance migration and invasion of EO771 cells."( Ketamine promotes breast tumor growth in a mouse breast tumor model involving with high expression of miR-27b-3p and EGFR.
Chang, YJ; Chen, KB; Chen, L; Chen, LK; Chen, SS; Chuang, TH; Huang, ZX; Shih, CH, 2022
)
2.64
"Ketamine could activate PI3K pathway and inhibit autophagy in hippocampal, thus maintain the loss of hippocampal neurons."( Prophylactic Effects of Sub-anesthesia Ketamine on Cognitive Decline, Neuroinflammation, and Oxidative Stress in Elderly Mice.
Chen, M; Dong, X; Gan, J; Han, Y; Que, B; Zhou, R,
)
1.12
"Ketamine can produce rapid-acting antidepressant effects in treatment-resistant patients with depression. "( A role of GABA
Diao, YG; Duan, GF; Hashimoto, K; Ren, ZY; Shen, JC; Tang, XH; Wang, XM; Yang, JJ; Zang, YY; Zhang, GF; Zhou, ZQ, 2023
)
2.35
"Ketamine does not suppress respiration when used for sedation and anesthesia."( Why ketamine.
Bleck, TP; Chamberlain, J; Cloyd, J; Coles, L; Elm, J; Kapur, J; Rosenthal, ES; Shinnar, S; Silbergleit, R; Zehtabchi, S, 2023
)
2.19
"Ketamine usage can produce undesirable psychological manifestations including hallucinations and long-term psychotomimetic effects."( Current approaches for the treatment of ketamine-induced cystitis.
Lehmann, C; Miab, ZR; Scott, C; Zhou, J, 2023
)
1.9
"Ketamine did not produce a differential effect in the OFT, EPM and MWM."( Chronic oral ketamine prevents anhedonia and alters neuronal activation in the lateral habenula and nucleus accumbens in rats under chronic unpredictable mild stress.
Kingir, E; Sevinc, C; Unal, G, 2023
)
2
"Ketamine did not cause an increase in neuronal network activity at sub-micromolar concentrations, but instead a decrease in spiking that was evident already at 500 nM concentration."( Ketamine reduces electrophysiological network activity in cortical neuron cultures already at sub-micromolar concentrations - Impact on TrkB-ERK1/2 signaling.
Ahtiainen, A; Annala, I; Hyttinen, J; Kohtala, S; Rantamäki, T; Rosenholm, M; Tanskanen, JMA, 2023
)
3.07
"Ketamine is shown to enhance excitatory synaptic drive in multiple brain areas, which is presumed to underlie its rapid antidepressant effects. "( Ketamine's rapid antidepressant effects are mediated by Ca
Bouckova, E; Khatri, L; Kim, S; Mendez-Vazquez, H; Schmidt, IG; Wiles, MJ; Wustrau, MH; Zaytseva, A, 2023
)
3.8
"Ketamine can produce sedation and we contrasted its effects with the effects of the anxiolytic drug midazolam."( Effects of ketamine and midazolam on resting state connectivity and comparison with ENIGMA connectivity deficit patterns in schizophrenia.
Adhikari, BM; Dukart, J; Eickhoff, SB; Forsyth, A; Hipp, JF; Hong, LE; Jahandshad, N; Kochunov, P; McMillan, R; Muthukumaraswamy, SD; Rowland, LM; Ryan, MC; Thompson, PM, 2020
)
1.67
"Ketamine is known to cause urinary tract dysfunction. "( Substance abuse effects on urinary tract: methamphetamine and ketamine.
Hong, YL; Lai, PT; Ng, CF; Tam, YH; Yee, CH, 2019
)
2.2
"Arketamine might produce fast-onset and sustained antidepressant effects in humans with favorable safety profile, like previously reported with animals; further controlled-trials are needed."( Intravenous arketamine for treatment-resistant depression: open-label pilot study.
Bandeira, ID; Bezerra, MLO; Caliman-Fontes, AT; Correia-Melo, FS; Dias-Neto, AL; Guerreiro-Costa, LNF; Jesus-Nunes, AP; Lacerda, ALT; Leal, GC; Lima, CS; Loo, C; Marback, RF; Marques, BLS; Mello, RP; Quarantini, LC; Sampaio, AS; Sanacora, G; Silva, SS; Telles, M; Turecki, G; Vieira, F, 2021
)
1.54
"Ketamine yielded an increase in subjects' PVB, consistent with lowered cortical excitation/inhibition balance from NMDA-R hypofunction predominantly onto excitatory neurons."( A circuit mechanism for decision-making biases and NMDA receptor hypofunction.
Cavanagh, SE; Hunt, LT; Kennerley, SW; Lam, NH; Murray, JD, 2020
)
1.28
"Ketamine and etomidate inhibit the enzyme expression and activity of the adrenal gland at the early stage."( Ketamine and Etomidate Down-regulate the Hypothalamic-Pituitary-Adrenal Axis in an Endotoxemic Mouse Model.
Besnier, E; Castel, H; Clavier, T; Compere, V; Dureuil, B; Lefevre-Scelles, A; Morin, F; Selim, J; Tamion, F; Tonon, MC, 2017
)
2.62
"Ketamine PCA led to lower cumulative opioid consumption and lower oxygen supplementation requirements, though hallucinations occurred more frequently with use of ketamine. "( Ketamine versus hydromorphone patient-controlled analgesia for acute pain in trauma patients.
Branson, RD; Droege, CA; Droege, ME; Ernst, N; Gerlach, TW; Johannigman, JA; Mueller, EW; Robinson, BRH; Takieddine, SC; Webb, M, 2018
)
3.37
"Ketamine treatment can produce rapid antidepressant effects in MDD patients, effects that are mediated-at least partially-through glutamatergic neurotransmission."( Ketamine and ketamine metabolites as novel estrogen receptor ligands: Induction of cytochrome P450 and AMPA glutamate receptor gene expression.
Correia, C; Ho, MF; Ingle, JN; Kaddurah-Daouk, R; Kaufmann, SH; Wang, L; Weinshilboum, RM, 2018
)
2.64
"Ketamine infusions can produce significant relief of neuropathic pain, but the treatment is resource intensive and can be associated with adverse effects."( Brain Dynamics and Temporal Summation of Pain Predicts Neuropathic Pain Relief from Ketamine Infusion.
Bhatia, A; Bosma, RL; Cheng, JC; Davis, KD; Hemington, KS; Kim, JA; Osborne, NR; Rogachov, A; Venkat Raghavan, L, 2018
)
1.43
"Ketamine induced an increase in all PANSS (p < 0.001) as well as 5D-ASC scores (p < 0.01) and increased response times (p < 0.001) and error rates (p < 0.01)."( Reduced auditory evoked gamma-band response and schizophrenia-like clinical symptoms under subanesthetic ketamine.
Andreou, C; Curic, S; Eichler, IC; Eichler, L; Gallinat, J; Leicht, G; Mulert, C; Polomac, N; Steinmann, S; Thiebes, S; Zöllner, C, 2019
)
1.45
"Ketamine could increase myelination in the mPFC in female rats, but it did not induce learning dysfunction in adulthood; therefore, ketamine may be a safe drug for pediatric anesthesia."( Neonatal exposure to the experimental environment or ketamine can induce long-term learning dysfunction or overmyelination in female but not male rats.
Chen, B; Deng, X; Liu, H; Wang, B; Zhang, J, 2019
)
1.48
"Ketamine failed to produce statistically significant cognitive deficits in either age group, although drug-treated adults showed a trend towards deficits in spatial learning."( Long-lasting effects of repeated ketamine administration in adult and adolescent rats.
Bates, MLS; Trujillo, KA, 2019
)
1.52
"Ketamine snorting may cause worse LUTS than smoking."( A survey for ketamine abuse and its relation to the lower urinary tract symptoms in Taiwan.
Cha, TL; Li, CC; Meng, E; Sun, GH; Wu, ST; Yu, DS, 2019
)
1.6
"Ketamine abuse may cause variable urinary tract injury."( Renal infarction secondary to ketamine abuse.
Cha, TL; Chen, CL; Chen, JL; Meng, E; Tang, SH; Tsao, CW; Wu, ST, 2013
)
1.4
"Ketamine prevented the increase in markers of oxidative stress and inflammation mediators, both in plasma and lung tissue."( Effects of ketamine, propofol, and ketofol on proinflammatory cytokines and markers of oxidative stress in a rat model of endotoxemia-induced acute lung injury.
Aricioglu, A; Cumaoglu, A; Ergin, V; Gokcinar, D; Menevse, A, 2013
)
1.5
"Ketamine did not allow for a reduction in propofol dose and caused increased respiratory depression, making ketamine a poor addition to propofol for laryngeal function examination."( Comparison of propofol and propofol/ketamine anesthesia for evaluation of laryngeal function in healthy dogs.
Gross, ME; McKeirnan, KL; Payton, M; Rochat, M,
)
1.13
"Ketamine may produce rapid and sustained antidepressant effects. "( Akt mediates GSK-3β phosphorylation in the rat prefrontal cortex during the process of ketamine exerting rapid antidepressant actions.
Dong, L; Shi, JY; Wang, N; Yang, JJ; Zhou, W; Zhou, ZQ; Zuo, ZY, 2014
)
2.07
"Ketamine is known to cause transient mood elevation or euphoria, psychotomimetic effects, and dissociative symptoms, but its use in unipolar or bipolar depression has not been reported to induce an affective switch amounting to persistent or prolonged hypomania/mania or manic-like syndrome."( Ketamine-induced affective switch in a patient with treatment-resistant depression.
Banwari, G; Desai, P; Patidar, P,
)
2.3
"Ketamine, at lower doses, did not produce significant changes in the 5-HT or 5-HIAA levels in 3 dpf (day post-fertilization) embryos."( Opposing effects of ketamine and acetyl L-carnitine on the serotonergic system of zebrafish.
Ali, SF; Dumas, M; Kanungo, J; Paule, MG; Robinson, BL, 2015
)
1.46
"Ketamine can inhibit HMGB1 and TLR4 expression in ALI, and alleviate LPS induced rat lung injury."( Ketamine effect on HMGB1 and TLR4 expression in rats with acute lung injury.
Gan, GS; Gu, QH; Li, BX; Luo, ZB; Qin, MZ; Song, XY; Tao, J, 2015
)
2.58
"Ketamine, at lower doses (0.1-0.3 mM), did not produce significant changes in DA, DOPAC or HVA levels in 52 h post-fertilization embryos treated for 24 h."( Distinct effects of ketamine and acetyl L-carnitine on the dopamine system in zebrafish.
Ali, SF; Cuevas, E; Dumas, M; Gu, Q; Kanungo, J; Paule, MG; Robinson, BL,
)
1.18
"Ketamine abuse causes lower urinary tract symptoms, with the underlying pathophysiology poorly understood."( Intact urothelial barrier function in a mouse model of ketamine-induced voiding dysfunction.
MacIver, B; Ong, TA; Rajandram, R; Razack, AH; Yu, W; Zeidel, M, 2016
)
1.4
"Ketamine abuse can cause serious damage to many aspects of the organism, mainly reflected in the nervous system and urinary system."( Ketamine inhibits human sperm function by Ca(2+)-related mechanism.
Chen, H; Du, X; He, Y; Li, B; Luo, T; Weng, S; Zeng, X; Zou, Q, 2016
)
2.6
"Ketamine did not increase the prevalence of either postoperative nausea and vomiting or psychotomimetic complications."( Opioid-Sparing Effect of Ketamine in Children: A Meta-Analysis and Trial Sequential Analysis of Published Studies.
Abdat, R; Brasher, C; Dahmani, S; Diallo, T; Hilly, J; Michelet, D; Skhiri, A, 2016
)
1.46
"Ketamine displays many interesting qualities for dealing with all symptoms relating to opioid withdrawal. "( Experience of the use of Ketamine to manage opioid withdrawal in an addicted woman: a case report.
Bertschy, G; Lalanne, L; Lang, JP; Nicot, C; Salvat, E, 2016
)
2.18
"Ketamine causes the increase of power density and the decrease of nonlinearity on γ-band neuronal oscillation, which cannot be found EEG responses of group B using Alfentanil."( Investigating Power Density and the Degree of Nonlinearity in Intrinsic Components of Anesthesia EEG by the Hilbert-Huang Transform: An Example Using Ketamine and Alfentanil.
Fan, SZ; Huang, NE; Lin, YS; Tsai, FF; Yeh, JR, 2016
)
1.35
"Ketamine could inhibit hHCN channels expressed in Xenopus oocytes in a concentration-dependent manner as a close-state blocker and decrease beat rates of isolated rabbit SAN. "( The Inhibitory Effects of Ketamine on Human Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels and Action Potential in Rabbit Sinoatrial Node.
Fan, X; Hao, J; Jiang, W; Liu, Z; Luo, A; Ma, J; Xing, J; Zhang, C; Zhang, P, 2017
)
2.2
"Ketamine promotes excitatory synaptic strength, likely by producing high"( A Negative Allosteric Modulator for α5 Subunit-Containing GABA Receptors Exerts a Rapid and Persistent Antidepressant-Like Action without the Side Effects of the NMDA Receptor Antagonist Ketamine in Mice.
Georgiou, P; Gould, TD; Highland, JN; Krimmel, SR; Nelson, ME; Thompson, SM; Zanos, P,
)
1.04
"Ketamine's ability to inhibit LTM was found not to be due to state dependent learning implying that ketamine's effects are therefore specific to the molecular process involved in procedural LTM formation."( Ketamine inhibits long-term, but not intermediate-term memory formation in Lymnaea stagnalis.
Browning, K; Lukowiak, K, 2008
)
2.51
"S(+)-ketamine displays clinically relevant sex differences in its pharmacokinetics. "( S(+)-ketamine effect on experimental pain and cardiac output: a population pharmacokinetic-pharmacodynamic modeling study in healthy volunteers.
Bauer, M; Dahan, A; Kest, B; Mooren, R; Olofsen, E; Sarton, E; Sigtermans, M, 2009
)
1.38
"Ketamine may inhibit CYP3A4 expression possibly through reducing calcium mobilization and mitochondrial ATP synthesis and consequently disturbing cytoskeleton remodeling."( Mechanisms of ketamine-involved regulation of cytochrome P450 gene expression.
Chen, JT; Chen, RM, 2010
)
2.16
"Ketamine is known to inhibit lipolysis and a decrease of ATP content in the heart."( L-Carnitine rescues ketamine-induced attenuated heart rate and MAPK (ERK) activity in zebrafish embryos.
Ali, SF; Cuevas, E; Kanungo, J; Paule, MG, 2012
)
1.42
"Ketamine can inhibit the proliferation of PC12 cell by inducing apoptosis of the PC12 cell in a concentrations-dependent manner. "( [Effects of ketamine on proliferation and apoptosis of pheochromocytoma cell].
Bian, SZ; Gu, ZL; Guo, CY; Jiang, XG; Zhao, YB; Zuo, YY, 2011
)
2.19
"Thus ketamine does not produce the underestimation of cognitive impairment typically seen with triazolam."( Cognitive effects of intramuscular ketamine and oral triazolam in healthy volunteers.
Carter, LP; Griffiths, RR; Kleykamp, BA; Mintzer, MZ, 2013
)
1.12
"Ketamine can enhance anesthetic and analgesic actions of a local anesthetic via a peripheral mechanism. "( No enhancement of sensory and motor blockade by ketamine added to ropivacaine interscalene brachial plexus blockade.
Choi, YS; Kim, NS; Kim, WK; Kong, MH; Lee, IO; Lee, MK; Lim, SH, 2002
)
2.01
"Ketamine could increase the expression of HSP70 in rat liver, restrain the release of TNF-alpha caused by endotoxin, and raise the survival rates of rats with septic shock."( [The effect of ketamine on the expression of HSP70 induced by endotoxin in liver of rat].
Liu, B; Wang, Q; Xiao, H; Zhang, L, 2001
)
2.11
"Ketamine could suppress not only the place preference but also the phosphorylation of CREB produced by morphine, F9202 and F9204."( Ohmefentanyl stereoisomers induce changes of CREB phosphorylation in hippocampus of mice in conditioned place preference paradigm.
Che, LW; Chen, J; Chi, ZQ; Gao, C; Xu, XJ, 2003
)
1.04
"Ketamine might suppress both peaks described above, but N-acetylcysteine, a free radical scavenger, was only able to partly reduce the peak activation elicited by 6 h reperfusion."( Free radicals are involved in continuous activation of nonreceptor tyrosine protein kinase c-Src after ischemia/reperfusion in rat hippocampus.
Guo, J; Meng, F; Zhang, G; Zhang, Q, 2003
)
1.04
"Ketamine was shown to increase coronary blood flow. "( [Ketamine attenuates the contractile response to vasoconstrictors in isolated coronary artery rings].
Frerichs, A; Hellige, G; Klockgether-Radke, AP, 2003
)
2.67
"Ketamine did not produce these changes."( Which anesthetic agent alters the hemodynamic status during pediatric catheterization? Comparison of propofol versus ketamine.
Bayindir, O; Bulutcu, FS; Cakali, E; Oklü, E; Ozbek, U; Yalçin, Y, 2003
)
1.25
"Ketamine can suppress endotoxin-induced production of proinflammatory cytokines such as TNF-alpha and IL-6 production in the intestine. "( Ketamine suppresses intestinal NF-kappa B activation and proinflammatory cytokine in endotoxic rats.
Liu, H; Sun, J; Wang, XD; Xu, JG, 2004
)
3.21
"Ketamine did not inhibit endotoxin-induced NF-kappaB activity or TNF-alpha expression in the liver; ketamine itself at a dose of 50 mg/kg enhanced NF-kappaB activity and TNF-alpha expression in the liver."( Effect of ketamine on NF-kappa B activity and TNF-alpha production in endotoxin-treated rats.
Chen, J; Li, F; Sun, J; Xu, J, 2004
)
1.45
"Ketamine is known to increase BIS in anaesthetized patients and may confound that index as a guide to steer administration of hypnotics."( Comparative effects of ketamine on Bispectral Index and spectral entropy of the electroencephalogram under sevoflurane anaesthesia.
Bonhomme, V; Brichant, JF; Dewandre, PY; Hans, P, 2005
)
1.36
"Ketamine can inhibit the production of TNF-alpha and IL-6 but not IL-10."( [Effects of subanesthetic dose of ketamine on perioperative serum cytokines in orthotopic liver transplantation].
Chen, ZQ; Jiang, XQ; Yang, Z, 2006
)
1.33
"Ketamine does not reproduce the full picture of schizophrenia. "( Psychological effects of ketamine in healthy volunteers. Phenomenological study.
Absalom, AR; Bullmore, ET; Corlett, PR; Fletcher, PC; Honey, GD; Lee, M; McKenna, PJ; Murray, GK; Pomarol-Clotet, E, 2006
)
2.08
"Ketamine has a lower incidence of adverse effects and generally produces greater CNS depression than PCP."( Ketamine, but not phencyclidine, selectively modulates cerebellar GABA(A) receptors containing alpha6 and delta subunits.
Amin, J; Hadley, SH; Hevers, W; Lüddens, H, 2008
)
2.51
"Ketamine alone did not produce motor block, but addition of adrenaline resulted in complete motor block, and may have intensified sensory blockade."( Intrathecal ketamine for war surgery. A preliminary study under field conditions.
Bion, JF, 1984
)
1.37
"Ketamine was chosen because with this agent the patient usually maintains a clear airway, even in unusual postures."( Repeat ketamine anaesthesia of a child for radiotherapy in the prone position.
Maltby, JR; Watkins, DM, 1983
)
1.44
"Ketamine was found to increase the amplitude of these responses by up to 100%."( Ketamine potentiates the responses of the rat superior cervical ganglion to GABA.
Atkinson, HD; Little, HJ, 1984
)
2.43
"S(+)-Ketamine is judged to produce more potent anesthesia than either the racemate or the R(-) ketamine isomer because of differential activation of specific cerebral receptors. "( Ketamine has stereospecific effects in the isolated perfused guinea pig heart.
Bosnjak, ZJ; Graf, BM; Martin, E; Stowe, DF; Vicenzi, MN, 1995
)
2.25
"Ketamine is said to increase intracranial pressure (ICP), cerebral blood flow (CBF) and cerebral metabolic rate for oxygen (CMRO2) and hence to be unsuitable for neuroanaesthesia. "( [Cerebral neuroprotection and ketamine].
Jantzen, JP, 1994
)
2.02
"Ketamine is known to increase the metabolic rate of limbic brain structures. "( Ketamine administration during waking increases delta EEG intensity in rat sleep.
Campbell, IG; Feinberg, I, 1993
)
3.17
"Ketamine caused an increase in the summation threshold compared to the placebo treatment."( The effect of Ketamine on stimulation of primary and secondary hyperalgesic areas induced by capsaicin--a double-blind, placebo-controlled, human experimental study.
Andersen, OK; Arendt-Nielsen, L; Bjerring, P; Felsby, S; Jensen, TS; Nicolaisen, L, 1996
)
1.38
"Ketamine is known to increase arterial pressure and heart rate with its sympathomimetic action. "( [The dual effect of ketamine on dopamine release from rat pheochromocytoma (PC-12) cells].
Okamoto, T; Okutani, R; Tashiro, C, 1996
)
2.06
"(R)-ketamine did not produce psychotic symptoms, but a state of relaxation."( Differential psychopathology and patterns of cerebral glucose utilisation produced by (S)- and (R)-ketamine in healthy volunteers using positron emission tomography (PET).
Angst, J; Hell, D; Leenders, KL; Oye, I; Vollenweider, FX, 1997
)
0.99
"Ketamine caused an increase in the amplitude of the 40-Hz ASSR (P < 0.01)."( Ketamine increases the amplitude of the 40-Hz auditory steady-state response in humans.
Baribeau, J; Bonhomme, V; Plourde, G, 1997
)
2.46
"The ketamine-induced increase in the total anaesthetic effect of bupivacaine may thus be explained by kinetic modifications i.e."( Ketamine effects on bupivacaine local anaesthetic activity and pharmacokinetics of bupivacaine in mice.
Abat, C; Attolini, L; Bruguerolle, B; Emperaire, N; Gantenbein, M; Pisano, P, 1997
)
2.22
"S(+) ketamine, because of its higher anesthetic potency and lower risk of psychotomimetic reactions, has been suggested to be superior to presently available racemic ketamine. "( Stereoselective differences in the vasorelaxing effects of S(+) and R(-) ketamine on rat isolated aorta.
Kanellopoulos, A; Lenz, G; Mühlbauer, B, 1998
)
1.05
"Ketamine failed to inhibit both secondary hyperalgesia and axon reflex flare as long as nonlocal anesthetic concentrations were applied."( The effects of intradermal fentanyl and ketamine on capsaicin-induced secondary hyperalgesia and flare reaction.
Blunk, JA; Koppert, W; Likar, R; Schmelz, M; Sittl, R; Zeck, S, 1999
)
1.29
"Ketamine causes an increase in the intracellular accumulation of cAMP in several non-human tissue preparations."( Ketamine inhibits agonist-induced cAMP accumulation increase in human airway smooth muscle cells.
Anderson, JL; Hill, GE; Whitten, CW, 1999
)
2.47
"Ketamine may produce "preemptive" analgesia when administered before surgically induced trauma. "( Does ketamine have preemptive effects in women undergoing abdominal hysterectomy procedures?
Dahl, V; Ernoe, PE; Raeder, JC; Steen, T; White, PF, 2000
)
2.26
"Ketamine and Mg2+ inhibit responses of recombinantly expressed NR1/NR2A and NR1/NR2B glutamate receptors, and combinations of the compounds act in a super-additive manner."( Modulation of NMDA receptor function by ketamine and magnesium: Part I.
Durieux, ME; Hoenemann, CW; Hollmann, MW; Liu, HT; Liu, WH, 2001
)
1.3
"Ketamine and Mg2+ inhibit functioning of recombinantly expressed NR1/NR2A and NR1/NR2B glutamate receptors, and combinations of the compounds act in a super-additive manner. "( Modulation of NMDA receptor function by ketamine and magnesium: Part I.
Durieux, ME; Hoenemann, CW; Hollmann, MW; Liu, HT; Liu, WH, 2001
)
2.02
"Ketamine did not cause disruption in PPI as expected."( Clinical and sensorimotor gating effects of ketamine in normals.
Angrist, B; Chakravorty, S; Chappell, PB; Duncan, EJ; Efferen, TR; Gonzenbach, S; Ko, GN; Madonick, SH; Parwani, A; Rajan, R; Rotrosen, JP; Stephanides, M; Szilagyi, S, 2001
)
1.29
"Ketamine did not cause vasodilation just after induction, whereas propofol rapidly induced vasodilation."( Induction of anesthesia with ketamine reduces the magnitude of redistribution hypothermia.
Ikeda, T; Kazama, T; Niwa, K; Sato, S; Sessler, DI; Shimada, C; Toriyama, S, 2001
)
1.32
"Ketamine was found to cause uterine contraction (mean increase 16.1 mm Hg) equal to ergometrine (mean increase 14.8 mm Hg) in early pregnancy, but exert no effect (mean decrease -- 1.33 mm Hg) in late pregnancy."( Effects of ketamine on the pregnant uterus.
Oats, JN; Vasey, DP; Waldron, BA, 1979
)
1.37
"Ketamine was found to increase acetylcholine blood level and activity of cholinergic enzymes in the blood due to the rise of parasympathetic nervous system tone and to the absence of depressing effect of the anesthetic upon the renal function."( [Blood cholinergic activity during ketamine anesthesia].
Belopukhov, VM; Kazantsev, FN, 1978
)
1.26
"Ketamine-induced increase of CSFP (p less than 0,01) was normalized by etomidate."( [The effect of etomidate on CSFP (author's transl)].
Ekhart, E; List, WF, 1978
)
0.98
"The ketamine-induced increase in norepinephrine overflow and the observed decrease in dihydroxyphenylglycol production suggest that inhibition of the neuronal uptake of norepinephrine is the primary mechanism of ketamine's effect in isolated myocardium."( Effect of ketamine HCl on norepinephrine disposition in isolated ferret ventricular myocardium.
Cook, DJ; Housmans, PR; Rorie, DK, 1992
)
1.17
"Ketamine appears to increase catecholamine levels and directly relax bronchial smooth muscle."( Use of ketamine in asthmatic children to treat respiratory failure refractory to conventional therapy.
L'Hommedieu, CS; Reyes de la Rocha, S; Rock, MJ; Truemper, E, 1986
)
1.45

Treatment

Ketamine is a novel treatment for treatment resistant depression (TRD) Esketamine was approved by the FDA in early 2019. Ketamine treatment was associated with significantly lower NRS scores and morphine doses.

ExcerptReferenceRelevance
"Esketamine treatment lik"( Ketamine and other glutamate receptor modulators for depression in adults with unipolar major depressive disorder.
Barnes, A; Cipriani, A; Cowen, PJ; Dean, RL; Hawton, K; Hollingsworth, S; Hurducas, C; Marquardt, T; McShane, R; Smith, R; Spyridi, S; Turner, EH, 2021
)
2.62
"Ketamine is a feasible treatment option for depressive symptoms after surgery due to its known antidepressant effect."( The effect of intravenous ketamine on depressive symptoms after surgery: A systematic review.
Ai, P; An, D; Cui, V; Shi, H; Sun, Y; Wang, J; Wei, C; Wu, A, 2022
)
1.74
"Ketamine-treated canines (n = 5; total dose 2.85 mg/kg) were compared to untreated controls (n = 10)."( Ketamine Mitigates Neurobehavioral Deficits in a Canine Model of Hypothermic Circulatory Arrest.
Baumgartner, WA; Blue, ME; Etchill, E; Giuliano, K; Lawton, JS; Troncoso, JC; Velez, AK; Wilson, MA, 2023
)
3.07
"Ketamine treatment decreases depressive symptoms within hours, but the mechanisms mediating these rapid antidepressant effects are unclear. "( Ketamine activates adult-born immature granule neurons to rapidly alleviate depression-like behaviors in mice.
Kessler, JA; McGuire, TL; Peng, CY; Rawat, R; Tunc-Ozcan, E, 2022
)
3.61
"Esketamine is a novel treatment for treatment resistant depression (TRD) and was approved by the FDA in early 2019. "( Adjunctive dopaminergic enhancement of esketamine in treatment-resistant depression.
Cook, J; Halaris, A, 2022
)
1.71
"The ketamine treatments also led to increased accumulation of endosomes, as evidenced by increased endosomal markers Rab5 and Rab7."( Ketamine Induces Delirium-Like Behavior and Interferes With Endosomal Tau Trafficking.
Dong, Y; Liang, F; Ren, X; Song, A; Wu, X; Xie, Z; Yang, Y; Zhang, S; Zhang, Y, 2023
)
2.83
"Ketamine-treated CRS rats showed a significant improvement in habenular nuclear neuroplasticity."( Ketamine May Exert Rapid Antidepressant Effects Through Modulation of Neuroplasticity, Autophagy, and Ferroptosis in the Habenular Nucleus.
Chen, S; Hong, W; Huang, H; Lyu, D; Shi, S; Wang, F; Wang, M; Wei, Z; Xu, Y; Yang, W; Zhang, M, 2022
)
2.89
"Ketamine treatment phenocopies neuronal migration and vulval invagination defects of chondroitin mutants despite wild-type like chondroitin staining pattern."( Ketamine induces apical extracellular matrix modifications in Caenorhabditis elegans.
Yücel, D, 2022
)
2.89
"Ketamine treatment was associated with significantly lower NRS scores and morphine doses."( Perioperative use of ketamine infusion versus dexmedetomidine infusion for analgesia in obese patients undergoing bariatric surgery: a double-blinded three-armed randomized controlled trial.
Ali, BEEH; El-Shaer, AN; Elderh, MSH; Khaja, MAR; Khalil, BNM; Taeimah, MOA, 2023
)
1.95
"Ketamine treatment prompts a rapid antidepressant response in treatment-resistant depression (TRD). "( Neurocognitive effects of subanesthetic serial ketamine infusions in treatment resistant depression.
Al-Sharif, NB; Espinoza, RT; Joshi, SH; Khalil, J; McClintock, SM; Narr, KL; Taraku, B; Zavaliangos-Petropulu, A, 2023
)
2.61
"Ketamine treatment significantly decreased number of the cross in open field test and pretreatment with resveratrol improved i (P < 0.05)."( Resveratrol plays neuroprotective role on ketamine-induced schizophrenia-like behaviors and oxidative damage in mice.
Farkhakfar, A; Hassanpour, S; Zendehdel, M, 2023
)
1.9
"Ketamine-treated pups showed increased cortical levels of glutamate (GLU) and glutamine, as well as similar GABA amount compared to controls, together with an early reduction of cortical PV levels."( Ketamine administration induces early and persistent neurochemical imbalance and altered NADPH oxidase in mice.
Bove, M; Colia, AL; Cuomo, V; Maffione, AB; Morgese, MG; Schiavone, S; Trabace, L; Tucci, P, 2020
)
2.72
"Ketamine treatment inhibited colon cancer cell viability and migration in HT29 and SW480 cells."( Ketamine inhibits aerobic glycolysis in colorectal cancer cells by blocking the NMDA receptor-CaMK II-c-Myc pathway.
Duan, W; Hu, J; Liu, Y, 2020
)
2.72
"Ketamine treatment resulted in resolved erection with delayed procedure in 7 (77.8%) cases, while conversion to general anesthesia was required in 2 (22.5%) cases."( The utility of intravenous ketamine for the management of intraoperative penile erection: a retrospective single-center analysis of endourological surgeries over a 4-year.
Ekin, RG; Eroğlu, A; Tuncalı, B, 2020
)
1.58
"Ketamine treatment was associated with elevated COX activity in nine brain sub-regions in sensory thalamus, basal ganglia, cortical areas, hippocampus and superior colliculi."( Comprehensive mapping of cytochrome c oxidase activity in the rat brain after sub-chronic ketamine administration.
Harro, J; Imbeault, S; Kanarik, M; Matrov, D; Miljan, E; Schikorra, P; Shimmo, R; Shkolnaya, M, 2020
)
1.5
"Ketamine-treated rats had more numerous but smaller and less circular PNN units than control rats."( Fine structure analysis of perineuronal nets in the ketamine model of schizophrenia.
Becker, A; Dityatev, A; Dvoeglazova, A; Kaushik, R; Kochneva, A; Lipachev, N; Matuszko, G; Paveliev, M, 2021
)
1.59
"Ketamine treatment was associated with a decrease in seizure burden in patients with SRSE. "( Ketamine to treat super-refractory status epilepticus.
Agarwal, S; Alkhachroum, A; Chiu, WT; Claassen, J; Connolly, ES; Der-Nigoghossian, CA; Doyle, K; Kromm, J; Letchinger, R; Massad, N; Mathews, E; Park, S; Roh, D; Rubinos, C; Velazquez, A, 2020
)
3.44
"Ketamine, a novel treatment for depression, has been shown to enhance, whereas fluoxetine has been shown to impair sexual motivation."( II. Antidepressants and sexual behavior: Acute fluoxetine, but not ketamine, disrupts paced mating behavior in sexually experienced female rats.
Guarraci, FA; Marshall, GE; Meerts, SH, 2020
)
1.52
"Ketamine, a novel treatment for depression, has generated considerable interest and research. "( Cognitive Behavioral Therapy, Ketamine, and Combination Treatment for Depression: Impressions of Credibility in Participants with Self-Reported Depressive Symptoms.
Altman, BR; De Leo, J; Earleywine, M,
)
1.86
"Ketamine treatment is capable of significant and rapid symptom improvement in adults with treatment-resistant depression (TRD). "( Strategies to Prolong Ketamine's Efficacy in Adults with Treatment-Resistant Depression.
Cao, B; Cha, DS; Gill, H; Ho, R; Lee, Y; Lipsitz, O; Lui, LMW; McIntyre, RS; McMullen, EP; Rodrigues, NB; Rosenblat, JD; Teopiz, KM; Vinberg, M, 2021
)
2.38
"Esketamine-treated patients with and without anxiety demonstrated significant reductions in MADRS (mean [SD] change from baseline at day 28: -21.0 [12.51] and -22.7 [11.98], respectively)."( The effect of esketamine in patients with treatment-resistant depression with and without comorbid anxiety symptoms or disorder.
Borentain, S; Daly, EJ; Fedgchin, M; Ionescu, DF; Salvadore, G; Singh, JB; Starr, HL; Thase, ME; Trivedi, MH; Turkoz, I, 2021
)
1.53
"The ketamine-treated rats displayed voiding dysfunction and decreased bladder compliance."( Ketamine-induced bladder fibrosis involves epithelial-to-mesenchymal transition mediated by transforming growth factor-β1.
Chen, J; Chen, Y; Gu, D; Wang, J; Wu, P; Zhang, G; Zhao, J, 2017
)
2.38
"Ketamine treatment elevates extracellular glutamate in the prefrontal cortex."( Ketamine-Induced Glutamatergic Mechanisms of Sleep and Wakefulness: Insights for Developing Novel Treatments for Disturbed Sleep and Mood.
Ballard, ED; Duncan, WC; Zarate, CA, 2019
)
2.68
"Ketamine-treated subjects spent significantly more time with the male stimulus than saline-treated subjects."( The effects of ketamine on sexual behavior, anxiety, and locomotion in female rats.
Abdel-Rahim, H; Boyette-Davis, J; DeVore, J; Gonzalez, CMF; Guarraci, FA; Kunkel, MN; Lucero, D; Quadlander, E; Stinnett, M; Womble, PD, 2018
)
1.56
"Ketamine treatment significantly reduced nicotine self-administration in a dose-dependent manner."( Sub-anesthetic doses of ketamine attenuate nicotine self-administration in rats.
Getachew, B; Levin, ED; Rezvani, AH; Slade, S; Tizabi, Y, 2018
)
1.51
"Ketamine treatment can produce rapid antidepressant effects in MDD patients, effects that are mediated-at least partially-through glutamatergic neurotransmission."( Ketamine and ketamine metabolites as novel estrogen receptor ligands: Induction of cytochrome P450 and AMPA glutamate receptor gene expression.
Correia, C; Ho, MF; Ingle, JN; Kaddurah-Daouk, R; Kaufmann, SH; Wang, L; Weinshilboum, RM, 2018
)
2.64
"Ketamine treatment significantly elevated PaO2 and PH, reduced W/D, declined MPO activity, enhanced SOD activity, inhibited HMGB-1 mRNA and secretion, and downregulated RAGE and NF-κB mRNA and protein (p < 0.05)."( Ketamine alleviates LPS induced lung injury by inhibiting HMGB1-RAGE level.
Shen, A; Wang, CY; Zhang, M; Zhang, Y, 2018
)
2.64
"Ketamine treatment also prevented the production of astrocytes 2 weeks after injury (sham + vehicle, 2,400 ± 3,200 cells/mm, n = 13; injury + vehicle, 10,500 ± 11,300 cells/mm, n = 12; P = 0.013 vs."( Ketamine Alters Hippocampal Cell Proliferation and Improves Learning in Mice after Traumatic Brain Injury.
Peters, AJ; Schnell, E; Villasana, LE, 2018
)
2.64
"Ketamine treatment resulted in a general increase in circulating sphingomyelins, levels which were not correlated with response."( Plasma metabolomic profiling of a ketamine and placebo crossover trial of major depressive disorder and healthy control subjects.
Ferrucci, L; Gould, TD; Kadriu, B; Khadeer, M; Lovett, J; Moaddel, R; Morris, PJ; Ravichandran, S; Shardell, M; Thomas, CJ; Yuan, P; Zarate, CA, 2018
)
1.48
"Ketamine treatment showed acute effectiveness in another 7 cases, especially in terms of reduction of suicidal ideation, albeit without significant long-term antidepressant effect."( Is Ketamine the Future Clozapine for Depression? A Case Series and Literature Review on Maintenance Ketamine in Treatment-resistant Depression With Suicidal Behavior.
Chan, LF; Chong, BTW; Eu, CL; Kahn, DA; Loo, JL; Loo, TH; Maniam, T; Ng, YP; Shahidii Kadir, Z; Sharip, S; Soh, SY; Wong, VCW, 2018
)
1.82
"The ketamine-treated sample included 157 unrelated European subjects with major depressive disorder (MDD) or bipolar disorder (BD)."( Exploratory genome-wide association analysis of response to ketamine and a polygenic analysis of response to scopolamine in depression.
Akula, N; Charney, DS; Drevets, W; Furey, M; Grunebaum, M; Guo, W; Henter, I; Kadriu, B; Machado-Vieira, R; Mann, JJ; Mathew, S; McMahon, FJ; Merikangas, K; Murrough, JW; Oquendo, MA; Shugart, YY; Yuan, P; Zarate, CA, 2018
)
1.2
"Ketamine treatment attenuated the effects of cocaine on both global and fronto-striatal FC in drug-naïve/abstinent subjects. "( Effects of ketamine treatment on cocaine-induced reinstatement and disruption of functional connectivity in unanesthetized rhesus monkeys.
Gopinath, KS; Howell, LL; Maltbie, EA, 2019
)
2.35
"Ketamine therapy for treatment-resistant depression in European national health systems may only be considered after attempting all evidence-based antidepressant strategies outlined in clinical guidelines. "( Off-label use of ketamine for treatment-resistant depression in clinical practice: European perspective.
López-Díaz, Á; Moreno-Mellado, E; Murillo-Izquierdo, M, 2019
)
2.3
"Ketamine treatment increased the binding of NF‑κB and permissive histone H3 lysine‑4 (H3K4)m3, but caused a decrease in the repressive histone H3K27m3 and H3K36m3 on the COX‑2 promoter ranging from ‑1,522 to ‑1,331 bp as determined by a chromatin immunoprecipitation assay."( Epigenetic regulation of COX‑2 expression by DNA hypomethylation via NF‑κB activation in ketamine‑induced ulcerative cystitis.
Chuang, SM; Hsiao, HP; Juan, YS; Lee, YC; Lin, KL; Long, CY; Lu, JH; Tsai, CC; Wu, WJ; Yang, HJ, 2019
)
1.46
"Ketamine treatment arrested dose escalation of opioids in 64% of patients, and 79% were discharged to home hospice."( Ketamine PCA for treatment of end-of-life neuropathic pain in pediatrics.
Howrie, D; Jakacki, R; Maurer, S; May, C; Taylor, M, 2015
)
2.58
"Ketamine-treated rats had increased urinary frequency compared to NS-treated rats at Week 16."( Long-term ketamine abuse induces cystitis in rats by impairing the bladder epithelial barrier.
Gu, D; Huang, J; Shan, Z; Wu, P; Yin, Y; Zheng, S, 2014
)
1.53
"Ketamine treatment reduced the number of cells that expressed PV in the PFC by ∼60% as previously described."( Ketamine administration during the second postnatal week induces enduring schizophrenia-like behavioral symptoms and reduces parvalbumin expression in the medial prefrontal cortex of adult mice.
Driskill, C; Jeevakumar, V; Kroener, S; Morris, B; Paine, A; Ramos, J; Sobhanian, M; Vakil, H, 2015
)
2.58
"Ketamine treatment dose-dependently attenuated the increased levels of proinflammatory mediators (HMGB1, nitric oxide, tumor necrosis factor α, and interleukin 1β) and increased the HO-1 protein expression in LPS-activated macrophages. "( Ketamine reduces LPS-induced HMGB1 via activation of the Nrf2/HO-1 pathway and NF-κB suppression.
Bi, X; She, Y; Tan, Y; Wang, Q; Zhao, B, 2015
)
3.3
"The ketamine-treated group displayed bladder hyperactivity and decreased bladder capacity."( Translocation of NF-κB and expression of cyclooxygenase-2 are enhanced by ketamine-induced ulcerative cystitis in rat bladder.
Chang, WC; Chuang, SM; Huang, YS; Jang, MY; Juan, YS; Lee, YL; Long, CY; Lu, JH; Wong, JH; Wu, WJ, 2015
)
1.13
"Ketamine-treated rats were found to display bladder hyperactivity."( Ketamine-induced ulcerative cystitis and bladder apoptosis involve oxidative stress mediated by mitochondria and the endoplasmic reticulum.
Chuang, SM; Ho, WT; Jang, MY; Juan, YS; Lee, YL; Lin, RJ; Liu, KM; Long, CY; Lu, JH; Lu, MC; Wang, CC; Wu, WJ, 2015
)
2.58
"Ketamine treated rats showed a significantly lower temperature in the ischaemic hindpaw compared to saline (P < 0.01) and methylprednisolone (P < 0.05) groups."( Preventive Treatment with Ketamine Attenuates the Ischaemia-Reperfusion Response in a Chronic Postischaemia Pain Model.
Cheung, CW; Choi, SW; Irwin, M; Liman, S; Ng, KF; Qiu, Q; Tai, W; Wong, KL, 2015
)
1.44
"Ketamine and ECT treatment were both associated with significant reductions in depressive symptoms."( Serum BDNF as a peripheral biomarker of treatment-resistant depression and the rapid antidepressant response: A comparison of ketamine and ECT.
Allen, AP; Clarke, G; Cryan, JF; Dinan, TG; Dowling, J; Ismail, F; McLoughlin, DM; Naughton, M; Scott, L; Shorten, G; Walsh, A, 2015
)
1.34
"Ketamine pretreatment reduced both of these responses."( Ketamine decreases inflammatory and immune pathways after transient hypoxia in late gestation fetal cerebral cortex.
Arndt, TJ; Chang, EI; Keller-Wood, M; Rabaglino, MB; Richards, EM; Wood, CE; Zárate, MA, 2016
)
2.6
"Ketamine treatment decreased the hippocampal membrane level of phosphorylated PSD-95 on Thr-19, the target of GSK3 that promotes AMPA receptor internalization."( Ketamine-induced inhibition of glycogen synthase kinase-3 contributes to the augmentation of α-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptor signaling.
Amadei, C; Beurel, E; Downey, K; Grieco, SF; Jope, RS, 2016
)
2.6
"Ketamine posttreatment at doses of 5, 7.5, and 10 mg/kg decreased LPS-induced evident lung histopathological changes, lung wet-to-dry weight ratio, and lung myeloperoxidase activity."( Suppression of RAGE and TLR9 by Ketamine Contributes to Attenuation of Lipopolysaccharide-Induced Acute Lung Injury.
Song, Y; Wang, H; Yang, C, 2017
)
1.46
"ketamine treatment induced hyperlocomotion and oxidative damage in cerebral cortex, hippocampus and striatum such as an increase in lipid peroxidation and a decrease in the antioxidant enzymes activities (superoxide dismutase, catalase e glutatione peroxidase)."( Preventive effects of blueberry extract on behavioral and biochemical dysfunctions in rats submitted to a model of manic behavior induced by ketamine.
Braganhol, E; Chaves, VC; Debom, G; do Couto, CA; Gazal, M; Ghisleni, GC; Kaster, MP; Lencina, C; Mattos, B; Reginatto, FH; Soares, MS; Spanevello, RM; Stefanello, F; Tavares, R, 2016
)
1.36
"Ketamine-treated rats displayed a selective MSO task impairment with tactile-visual and olfactory-visual sensory combinations, whereas basic unisensory perception was unaffected."( A Novel Multisensory Integration Task Reveals Robust Deficits in Rodent Models of Schizophrenia: Converging Evidence for Remediation via Nicotinic Receptor Stimulation of Inhibitory Transmission in the Prefrontal Cortex.
Bailey, CD; Chung, BY; Cloke, JM; De Lisio, S; Kim, JC; Nguyen, R; Wasserman, DI; Winters, BD, 2016
)
1.16
"Ketamine/xylazine treatment did not significantly affect testosterone concentrations."( The effect of ketamine/xylazine and carbon dioxide on plasma luteinizing hormone releasing hormone and testosterone concentrations in the male Norway rat.
Gould, EM, 2008
)
1.43
"The ketamine pretreatment attenuated the lidocaine-induced damage in the CA3 hippocampal region and the basolateral amygdala."( Ketamine prevents lidocaine-caused neurotoxicity in the CA3 hippocampal and basolateral amygdala regions of the brain in adult rats.
Cano-Europa, E; Lopez-Galindo, GE; Ortiz-Butron, R, 2008
)
2.27
"The ketamine-treated rat pups had increased neurodegeneration, BDNF and TrkB cDNA products and protein levels."( Prolonged exposure to ketamine increases brain derived neurotrophic factor levels in developing rat brains.
Bajic, D; Hayashi, H; Ibla, JC; Soriano, SG, 2009
)
1.15
"Ketamine-treated seized rats were healthier than acepromazine-treated seized rats or normal rats."( Large differences in blood measures, tissue weights, and focal areas of damage 1 year after postseizure treatment with acepromazine or ketamine.
Blomme, CG; Dupont, MJ; George, KR; Mazzuchin, A; Persinger, MA; Rico, T; St-Pierre, LS; Stewart, LS, 2009
)
1.28
"Ketamine treatment for 10 days, but not 5 days, increased the number of errors and days to re-achieve the criterion on the delayed task."( Disruptions in spatial working memory, but not short-term memory, induced by repeated ketamine exposure.
Enomoto, T; Floresco, SB, 2009
)
1.3
"Ketamine pretreatment tended to improve neurologic outcome, but there was no statistical significance."( [The effects of ketamine pretreated on cerebral edema and AQP4 expression after transient focal cerebral ischemia/reperfusion in rats].
Cai, SN; Zhu, SM, 2010
)
1.43
"Ketamine pretreatment did not seem to improve the neurologic deficit outcome and attenuate edema, which was involved in no change of AQP4 expression."( [The effects of ketamine pretreated on cerebral edema and AQP4 expression after transient focal cerebral ischemia/reperfusion in rats].
Cai, SN; Zhu, SM, 2010
)
2.15
"Ketamine pretreatment was administered by intraperitoneal injections at doses of 100, 50, 12.5, or 6.25 mg/kg."( Ketamine reduces intestinal injury and inflammatory cell infiltration after ischemia/reperfusion in rats.
Alarcón-Galván, G; Ballesteros-Elizondo, RG; Cámara-Lemarroy, CR; Cordero-Pérez, P; Fernández-Garza, NE; Guzmán-De La Garza, FJ, 2010
)
2.52
"ketamine bolus, were treated with 0.1, 0.15, or 0.2mg/kg/h ketamine infusion, respectively."( A strategy for conversion from subcutaneous to oral ketamine in cancer pain patients: effect of a 1:1 ratio.
Benítez-Rosario, MA; Feria, M; González-Guillermo, T; Salinas-Martín, A, 2011
)
1.34
"In ketamine-treated rats, cardiac collagen volume fraction and apoptotic cell number were higher than those of control animals; these effects were prevented by co-administration of metoprolol."( Ketamine-induced ventricular structural, sympathetic and electrophysiological remodelling: pathological consequences and protective effects of metoprolol.
Dong, DL; Geng, JQ; Gong, YT; Gong, ZH; Han, CL; Li, WM; Li, Y; Liu, GZ; Liu, L; Pan, ZW; Sheng, L; Shi, J; Sun, DH; Tan, XY; Yang, BF, 2012
)
2.34
"Ketamine treatment of Balb/c mice at 10 mg/kg dose caused an increase in locomotor activity and an increase in the amount of time spent in the centre in the open-field test, compared to the control group (p<0.05)."( Effect of ketamine on exploratory behaviour in BALB/C and C57BL/6 mice.
Akillioglu, K; Boga, A; Melik, E; Melik, EB, 2012
)
1.5
"Ketamine for treatment-resistant MDD requires further evaluation before it can be considered a viable treatment option."( Intravenous ketamine for treatment-resistant major depressive disorder.
Covvey, JR; Crawford, AN; Lowe, DK, 2012
)
2.2
"Ketamine-xylazine pre-treatment preserved retinal function and protected against light-induced retinal degeneration. "( Effects of combined ketamine/xylazine anesthesia on light induced retinal degeneration in rats.
Arango-Gonzalez, B; Bolz, S; Eslava-Schmalbach, J; Fischer, MD; Gekeler, F; Schatz, A; Willmann, G; Zhour, A; Zrenner, E, 2012
)
2.15
"Ketamine-treated mice showed no change in P20, but did show marked reductions in amplitude of the later N40 and P80 components, consistent with previous studies of acute ketamine exposure."( Subchronic ketamine treatment leads to permanent changes in EEG, cognition and the astrocytic glutamate transporter EAAT2 in mice.
Ehrlichman, RS; Featherstone, RE; Liang, Y; Saunders, JA; Siegel, SJ; Tatard-Leitman, VM, 2012
)
1.49
"Ketamine post-SE onset treatment prevented neuronal death in all regions assessed."( Ketamine reduces neuronal degeneration and anxiety levels when administered during early life-induced status epilepticus in rats.
Córdova, SD; de Oliveira, DL; Loss, CM, 2012
)
2.54
"Ketamine treatment dose-dependently increased impulsive choice, and this effect was selective for low-impulsive but not high-impulsive rats. "( The uncompetitive NMDA receptor antagonists ketamine and memantine preferentially increase the choice for a small, immediate reward in low-impulsive rats.
Cottone, P; Iemolo, A; Kwak, J; Momaney, D; Narayan, AR; Sabino, V, 2013
)
2.09
"Ketamine treatment resulted in bladder hyperactivity and the non-voiding contractions were significantly increased. "( Dual involvements of cyclooxygenase and nitric oxide synthase expressions in ketamine-induced ulcerative cystitis in rat bladder.
Chang, WC; Chuang, SM; Jang, MY; Juan, YS; Lee, HH; Levin, RM; Li, YL; Liu, KM; Wu, WJ, 2013
)
2.06
"Ketamine treatment affected bladder tissues by enhancing interstitial fibrosis and accelerating macrophages infiltration. "( Dual involvements of cyclooxygenase and nitric oxide synthase expressions in ketamine-induced ulcerative cystitis in rat bladder.
Chang, WC; Chuang, SM; Jang, MY; Juan, YS; Lee, HH; Levin, RM; Li, YL; Liu, KM; Wu, WJ, 2013
)
2.06
"Ketamine-treated mice showed cell degeneration mainly in the parietal cortex, whereas the Ethanol-High mice showed marked cell degeneration in both the parietal and laterodorsal cortex."( Hyperactivity following postnatal NMDA antagonist treatment: reversal by D-amphetamine.
Archer, T; Fredriksson, A, 2003
)
1.04
"Ketamine pretreatment prevented such a fentanyl-induced enhancement of postoperative pain and improved its management by morphine."( Ketamine improves the management of exaggerated postoperative pain observed in perioperative fentanyl-treated rats.
Laulin, JP; Maurette, P; Richebé, P; Rivat, C; Simonnet, G, 2005
)
2.49
"Ketamine-treated pilocarpine-seized rats and normal rats were exposed continuously either to a complex sequence magnetic field or to control conditions during the acquisition of a radial arm maze task for 8 consecutive days."( Weak, physiologically patterned magnetic fields do not affect maze performance in normal rats, but disrupt seized rats normalized with ketamine: possible support for a neuromatrix concept?
McKay, BE; Persinger, MA, 2006
)
1.26
"Ketamine pretreatment produced 5.4-, 3.4- and 1.7-fold increases in hepatic PROD activity, P-450 2B protein and mRNA, respectively. "( Propofol metabolism is enhanced after repetitive ketamine administration in rats: the role of cytochrome P-450 2B induction.
Chan, WH; Chen, RM; Chen, TL; Sun, WZ; Ueng, TH, 2006
)
2.03
"With ketamine treatment, the ERK1/2 phosphorylation in cingulum cortex and hippocampus CA1 and CA3 areas was found to be the same as that in normoglycemia rats."( Inhibitory effect of ketamine on phosphorylation of the extracellular signal-regulated kinase 1/2 following brain ischemia and reperfusion in rats with hyperglycemia.
Guo, FY; Jing, L; Ma, Y; Wang, YL; Zhang, JZ, 2007
)
1.11
"Ketamine treatment attenuated the increase in wet/dry lung weight ratio, neutrophil count, and protein contents in BALF in a dose-dependent manner."( [Protective effect of ketamine against acute rat lung injury induced by liopolysaccharide and its mechanism].
Huang, W; Lai, RC; Li, YP; Lu, YL; Wang, XD; Xu, M, 2007
)
1.38
"In ketamine-pretreated rats, a 2.6-fold increase in leukocyte adherence occurred during the first 20 mins after endotoxin exposure (2.40 +/- 0.46 vs."( Ketamine attenuates endotoxin-induced leukocyte adherence in rat mesenteric venules.
Bach, A; Bauer, H; Bohrer, H; Ebeling, D; Gebhard, MM; Martin, E; Schmidt, H, 1995
)
2.25
"The ketamine-treated group demonstrated a significantly greater tolerance to both lidocaine injection (P < 0.001) and suturing (P = 0.009) in comparison to the placebo-treated group."( Efficacy of oral ketamine for providing sedation and analgesia to children requiring laceration repair.
McFadden, MA; Mellis, PT; Qureshi, FA, 1995
)
1.11
"The ketamine-treated rats were injected with 100 mg/kg of ketamine intramuscularly 30 min before LPS (0.5 mg/kg) i.v."( Ketamine suppresses tumor necrosis factor-alpha activity and mortality in carrageenan-sensitized endotoxin shock model.
Koga, K; Matsumoto, T; Ogata, M; Shigematsu, A; Takenaka, I, 1994
)
2.21
"Ketamine pretreatment, which had no analgesic effect on its own, enhanced the earlier response (analgesia) and prevented the development of long-lasting hyperalgesia."( Long-lasting hyperalgesia induced by fentanyl in rats: preventive effect of ketamine.
Célèrier, E; Jun, Y; Larcher, A; Laulin, JP; Reynier, P; Rivat, C; Simonnet, G, 2000
)
1.26
"Ketamine-treated rats, however, displayed markedly more damage within the entorhinal cortices and amygdalohippocampal area."( Normal spatial memory following postseizure treatment with ketamine: selective damage attenuates memory deficits in brain-damaged rodents.
Cook, LL; O'Connor, RP; Persinger, MA; Santi, SA, 2001
)
1.28
"Ketamine- and saline-treated animals did not differ significantly in the swim tests with respect to other behavioral measures, namely diving, jumping, and head shakes."( Prolonged effect of an anesthetic dose of ketamine on behavioral despair.
Aksoy, A; Canbeyli, R; Schulz, D; Yilmaz, A,
)
1.12
"Ketamine pretreatment (10 mg/kg) increased the fentanyl analgesic effect (4 x 60 microg/kg), suppressed the immediate hyperalgesic phase, and restored the full effect of a subsequent morphine injection."( The role of ketamine in preventing fentanyl-induced hyperalgesia and subsequent acute morphine tolerance.
Chauvin, M; Corcuff, JB; Laulin, JP; Maurette, P; Rivat, C; Simonnet, G, 2002
)
1.41
"Ketamine pretreatment caused a 2-fold increase in the rate of its in vitro hepatic microsomal metabolism."( Biodisposition of ketamine in the rat: self-induction of metabolism.
Marietta, MP; Pudwill, CR; Trevor, AJ; Way, WL; White, PF, 1976
)
1.31
"Ketamine-treated dogs had returned partially to normal with an AD of 4.09 +/- 3.09 micrograms/kg/min, as had xylazine/ketamine-treated dogs, at 4.22 +/- 2.71 micrograms/kg/min."( Effects of xylazine and ketamine on epinephrine-induced arrhythmia in the dog.
Heath, RB; Wingfield, WE; Wright, M,
)
1.16
"Ketamine treatment had no significant effect on the number of animals per litter."( Teratologic effects of d,1-2-(o-chlorophenyl)-2-(methylamino) cyclohexanone hydrochloride (ketamine hydrochloride) in rats.
Aykac, I; Davidson, PP; Fraley, ED; Kochhar, MM, 1986
)
1.21
"Treatment with ketamine also documented a reduction in the values of the VAS/NRS for pain (random effects WMD: -8.27, 95% CI: -12.9 to -3.70; I2 = 0%)."( Pharmacological treatment in adult patients with CRPS-I: a systematic review and meta-analysis of randomized controlled trials.
Adami, G; Benini, C; Fassio, A; Gatti, D; Gavioli, I; Mantovani, A; Rossini, M; Viapiana, O, 2022
)
1.06
"Treatment with ketamine or R,R-HNK failed to influence the levels of perineuronal nets (PNNs) surrounding parvalbumin-positive interneurons."( Ketamine and its metabolite 2R,6R-hydroxynorketamine promote ocular dominance plasticity and release tropomyosin-related kinase B from inhibitory control without reducing perineuronal nets enwrapping parvalbumin interneurons.
Cannarozzo, C; Casarotto, P; Castrén, E; Rubiolo, A, 2023
)
2.69
"The treatment with ketamine and esketamine is contradicted in subjects at risk of an increase in blood pressure or intracranial pressure."( Short-term ketamine administration in treatment-resistant depression: focus on cardiovascular safety.
Cubała, WJ; Szarmach, J; Wiglusz, MS; Włodarczyk, A, 2019
)
1.22
"The treatment of ketamine users is substantially challenged by high dropout rates, raising questions regarding contributing factors. "( Cognitive impairment in chronic ketamine abusers.
Hao, W; Tang, WK; Xu, Y; Zhang, B; Zhang, C, 2020
)
1.18
"Treatment with ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, may be effective, but has many non-glutamatergic targets, and clinical and logistical problems are potential challenges."( Does mismatch negativity have utility for NMDA receptor drug development in depression?
Iqbal, S; Iqbal, T; Lijffijt, M; Mathew, SJ; Murphy, N; O'Brien, B; Ramakrishnan, N; Smith, MA; Swann, AC; Vo-Le, B,
)
0.47
"Treatment with ketamine increased while that with buspirone decreased the probability of avoidance from an aversive stimulus in the variable ratio 5 task, being consistent with previous reports."( A New Paradigm for Evaluating Avoidance/Escape Motivation.
Bouchekioua, Y; Mimura, M; Tanaka, KF; Tsutsui-Kimura, I, 2017
)
0.79
"Treatment with ketamine, minocycline and amitriptyline were able to exert antidepressant effects in the forced swimming test."( Acute treatment with ketamine and chronic treatment with minocycline exert antidepressant-like effects and antioxidant properties in rats subjected different stressful events.
Abelaira, HM; de Moura, AB; de Souza, TG; Fileti, ME; Garbossa, L; Goldim, MP; Maciel, AL; Mathias, K; Matos, D; Petronilho, F; Quevedo, J; Réus, GZ; Rosa, T; Strassi, AP; Tuon, T, 2018
)
1.14
"Pre-treatment of ketamine-challenged animals with vinpocetine significantly attenuated oxidative stress, inflammation, and neurotransmitter alterations."( Vinpocetine halts ketamine-induced schizophrenia-like deficits in rats: impact on BDNF and GSK-3β/β-catenin pathway.
Abdel-Sattar, SA; Ahmed, HI; Zaky, HS, 2018
)
1.14
"Rats treated with ketamine showed social withdrawal that was also attenuated by either SCH23390 or Tat-GluR23Y."( Acute ketamine induces hippocampal synaptic depression and spatial memory impairment through dopamine D1/D5 receptors.
Cao, J; Duan, TT; Tan, JW; Xu, L; Yuan, Q; Zhou, QX, 2013
)
1.19
"Pretreatment with ketamine (10mg/kg, IP) completely and specifically prevented this stress-induced cognitive inflexibility."( Ketamine prevents stress-induced cognitive inflexibility in rats.
Nikiforuk, A; Popik, P, 2014
)
2.17
"Pretreatment with ketamine alone or ketamine in combination with mesna reduced the IFS-induced increase of BWW (58,47% and 63,33%, respectively, P < 0.05). "( Protective effect of ketamine against hemorrhagic cystitis in rats receiving ifosfamide.
Onag, A; Ozguven, AA; Taneli, F; Ulman, C; Vatansever, S; Yılmaz, O,
)
0.78
"Rats treated with ketamine improved survival in rats and significantly reduced CLP-induced dysfunction/injury of organs."( Ketamine inhibits LPS-induced HGMB1 release in vitro and in vivo.
Wu, H; Zhang, L; Zhang, Z; Zhou, C, 2014
)
2.17
"Treatment with ketamine + COX-2 inhibitor prevented these bladder dysfunctions."( Translocation of NF-κB and expression of cyclooxygenase-2 are enhanced by ketamine-induced ulcerative cystitis in rat bladder.
Chang, WC; Chuang, SM; Huang, YS; Jang, MY; Juan, YS; Lee, YL; Long, CY; Lu, JH; Wong, JH; Wu, WJ, 2015
)
0.99
"Treatment with ketamine also significantly inhibited the activation of TLR2/4 and the nuclear translocation of NF-κB p50/p65."( Ketamine attenuates high mobility group box-1-induced inflammatory responses in endothelial cells.
Han, G; Huang, L; Jiang, J; Li, S; Liu, Z; Wang, Z, 2016
)
2.22
"Treatment with ketamine leads to enhanced VILIP-1 expression in interneurons in rat hippocampal CA1 region."( Implication of neuronal Ca2+ -sensor protein VILIP-1 in the glutamate hypothesis of schizophrenia.
Anand, R; Bernstein, HG; Braunewell, KH; Gierke, P; Heinemann, U; Noack, C; Zhao, C, 2008
)
0.69
"Treatment with ketamine or with ketamine-treated PBMCs culture supernatant simultaneously decreased the phagocytic capacity and OBA of PMNs."( Ketamine inhibits the phagocytic responses of canine peripheral blood polymorphonuclear cells through the upregulation of prostaglandin E2 in peripheral blood mononuclear cells in vitro.
Kang, JH; Son, KA; Yang, MP, 2009
)
2.14
"Co-treatment with ketamine and TLR4 siRNA synergistically ameliorated LPS-caused enhancement of IL-1 beta production."( Signal-transducing mechanisms of ketamine-caused inhibition of interleukin-1 beta gene expression in lipopolysaccharide-stimulated murine macrophage-like Raw 264.7 cells.
Chang, CC; Chen, RM; Chen, TL; Lin, YL; Ueng, YF, 2009
)
0.96
"Treatment with ketamine was safe with psychomimetic side effects that were acceptable to most patients."( Ketamine produces effective and long-term pain relief in patients with Complex Regional Pain Syndrome Type 1.
Arbous, SM; Bauer, MCR; Dahan, A; Marinus, J; Sarton, EY; Sigtermans, MJ; van Hilten, JJ, 2009
)
2.14
"Treatment with ketamine or S(+)-ketamine partially prevented GLUT3 inhibition by the protein kinase C activator phorbol-12-myrisate-13-acetate."( Effects of ketamine on glucose uptake by glucose transporter type 3 expressed in Xenopus oocytes: The role of protein kinase C.
Kaneko, M; Mikyu, T; Nakajo, N; Satomura, K; Tomioka, S, 2009
)
1.08
"DCs treated with ketamine also secreted less IL-12p40 and displayed greater endocytosis."( Ketamine inhibits maturation of bone marrow-derived dendritic cells and priming of the Th1-type immune response.
Fujino, Y; Ohashi, Y; Ohta, N, 2009
)
2.12
"Cotreatment with ketamine and PD98059 synergistically suppressed the LTA-induced translocation and transactivation of NFkappaB and biosyntheses of TNF-alpha and IL-6 mRNA."( Lipoteichoic acid-induced TNF-α and IL-6 gene expressions and oxidative stress production in macrophages are suppressed by ketamine through downregulating Toll-like receptor 2-mediated activation oF ERK1/2 and NFκB.
Chang, HC; Chen, JT; Chen, RM; Lin, KH; Tai, YT, 2010
)
0.9
"Treatment with ketamine significantly reduced pain in postamputation pain (pooled summary effect size: -1.18 [confidence interval (CI) 95% -1.98, -0.37], P = 0.004)."( NMDA receptor antagonists for the treatment of neuropathic pain.
Collins, S; Dahan, A; Perez, RS; Sigtermans, MJ; Zuurmond, WW, 2010
)
0.7
"Pretreatment with ketamine 0.2 mg/kg decreased EC(50)LMI from 3.59 (3.18 ∼ 4.19) to 2.39 (1.22 ∼ 2.99)."( Pretreatment with small-dose ketamine reduces predicted effect-site concentration of propofol required for loss of consciousness and Laryngeal Mask Airway insertion in women.
Inomata, S; Okubo, N; Okuyama, K; Watanabe, I, 2011
)
0.98
"Pretreatment with ketamine 0.2 mg/kg reduced the propofol concentration required for both LOC (22%) and LMA insertion (33%) in women."( Pretreatment with small-dose ketamine reduces predicted effect-site concentration of propofol required for loss of consciousness and Laryngeal Mask Airway insertion in women.
Inomata, S; Okubo, N; Okuyama, K; Watanabe, I, 2011
)
0.99
"Pretreatment with ketamine significantly reduced the increments of tumor necrosis factor-α mRNA, intracellular adhesion molecule-1 mRNA, and NF-κB/p65; and inhibited the aggregation of neutrophils in lung tissues following HIR."( A single small dose of ketamine prevents lung injury following hepatic ischemia-reperfusion in rabbits.
Jin, L; Shen, H; Zhou, Y; Zhuang, X, 2011
)
1
"Pretreatment with ketamine reduced the frequency of pain significantly to 56.5%, 17.0%, and 14.9% in Groups K1, K3, and K5, respectively."( Prevention of propofol-induced pain in children: pretreatment with small doses of ketamine.
Bao, SM; Guo, Y; Meng, LX; Zhang, LH; Zhao, GY, 2012
)
0.93
"co-treatment with ketamine and pregabalin at sub-effect low doses may be a useful therapeutic method for the treatment of neuropathic pain patients."( Intrathecal ketamine and pregabalin at sub-effective doses synergistically reduces neuropathic pain without motor dysfunction in mice.
Choi, JG; Jeon, BH; Kim, HW; Kim, JM; Ko, YK; Lee, JH; Lim, HS; Park, JB; Shin, YS, 2013
)
1.09
"Treatment with ketamine, morphine, and placebo produced CPM responses of 40.2 (10.9)%, 28.5 (7.0)%, and 22.1 (12.0)%, respectively (for all treatments, CPM effect P<0.05), with no statistical difference in the magnitude of CPM among treatments."( Influence of ketamine and morphine on descending pain modulation in chronic pain patients: a randomized placebo-controlled cross-over proof-of-concept study.
Aarts, L; Dahan, A; Niesters, M; Sarton, E, 2013
)
1.1
"Pretreatment with ketamine only transiently reduced the vigor of responses to UBD."( Ketamine, an N-methyl-D-aspartate receptor antagonist, inhibits the reflex responses to distension of the rat urinary bladder.
Castroman, PJ; Ness, TJ, 2002
)
2.08
"Pretreatment with ketamine did not have a preventive effect in this model of bladder nociception."( Ketamine, an N-methyl-D-aspartate receptor antagonist, inhibits the reflex responses to distension of the rat urinary bladder.
Castroman, PJ; Ness, TJ, 2002
)
2.08
"Pretreatment of ketamine into NRO attenuated the effect of glutamate, while pretreatment of CNQX had no effect on it."( Nucleus raphe obscurus participates in regulation of gallbladder motility through vagus and sympathetic nerves in rabbits.
Liu, CY; Liu, JZ; Xie, YF, 2002
)
0.65
"Pretreatment with ketamine (0.5 mg.kg-1) is very effective in preventing propofol infusion pain."( Pretreatment with intravenous ketamine reduces propofol injection pain.
Barbi, E; Gagliardo, A; Gerarduzzi, T; Marchetti, F; Neri, E; Sarti, A; Ventura, A, 2003
)
0.94
"Rats treated with ketamine following seizure onset were virtually indistinguishable from nonepileptic controls on a variety of behavioral tasks that included tests on learning, memory, and anxiety."( The neuromatrix and the epileptic brain: behavioral and learning preservation in limbic epileptic rats treated with ketamine but not acepromazine.
Fournier, NM; Persinger, MA, 2004
)
0.86
"Pretreatment of ketamine (10 mmol/L, 100 nl), the NMDA receptor antagonist, suppressed the gallbladder motor response to OT; but pretreatment of 6-Cyaon-7-Nitroquinoxaline-2,3-(1H,4H)-Dione (CNQX; 10 mmol/L, 100 nl), the non-NMDA receptor antagonist, did not affect it."( Oxytocin microinjected into dorsal motor nucleus of the vagus excites gallbladder motility via NMDA receptor-NO-cGMP pathway.
Liu, CY; Liu, JZ; Liu, KJ; Xie, DP; Zhou, YQ, 2005
)
0.66
"Treatment with ketamine and pethidine is effective in postoperative shivering. "( Efficacy of prophylactic ketamine in preventing postoperative shivering.
Akinci, SB; Aypar, U; Basgul, E; Dal, D; Honca, M; Kose, A, 2005
)
0.98
"Pre-treatment with ketamine dissociated these effects such that mossy fibre sprouting was attenuated significantly, while cell proliferation was unaffected."( Ketamine pre-treatment dissociates the effects of electroconvulsive stimulation on mossy fibre sprouting and cellular proliferation in the dentate gyrus.
Hill, R; Lamont, SR; Reid, IC; Stanwell, BJ; Stewart, CA, 2005
)
2.09
"Treatment with ketamine produced a dose-dependent increase of pentoxyresorufin O-dealkylation activity of liver microsomes."( Induction of rat hepatic cytochrome P-450 by ketamine and its toxicological implications.
Chan, WH; Sun, WZ; Ueng, TH, 2005
)
0.93
"Treatment with ketamine significantly decreased the expression of iNOS mRNA in Group C (0.65 +/- 0.07), Group D (0.58 +/- 0.09), Group E (0.56 +/- 1.00), and Group F (0.66 +/- 0.06) when compared with Group B (all P < 0.05)."( [Protective effects of ketamine on allergen-induced airway inflammatory injure and high airway reactivity in asthma: experiment with rats].
Ding, ZN; Fu, CZ; Qian, YN; Rong, HB; Xu, YM; Zhu, MM; Zhu, W, 2007
)
0.99
"Treatment with ketamine, a non-competitive glutamate N-methyl-d-aspartic acid (NMDA) receptor antagonist, is known to have paradoxical effects of neuroprotection and neurotoxicity."( The expression of Troponin T1 gene is induced by ketamine in adult mouse brain.
Lowe, XR; Lu, X; Marchetti, F; Wyrobek, AJ, 2007
)
0.93
"Pretreatment with ketamine attenuates endotoxin-induced leukocyte adherence by a shear rate-independent mechanism, suggesting reduced expression of adhesion molecules. "( Ketamine attenuates endotoxin-induced leukocyte adherence in rat mesenteric venules.
Bach, A; Bauer, H; Bohrer, H; Ebeling, D; Gebhard, MM; Martin, E; Schmidt, H, 1995
)
2.07
"Pretreatment with ketamine (10(-4) M) had no effect on the relaxation response to any concentration of acetylcholine or SNP in either control or PH rats."( Vasodilatory effects of ketamine on pulmonary arteries in rats with chronic hypoxic pulmonary hypertension.
Maruyama, J; Maruyama, K; Miyasaka, K; Muneyuki, M; Yokochi, A, 1995
)
0.92
"Pretreatment with ketamine caused a significant (P < 0.05 compared with untreated cells) increase in ISO or FSK-induced cAMP accumulation."( Ketamine inhibits the proinflammatory cytokine-induced reduction of cardiac intracellular cAMP accumulation.
Anderson, JL; Hill, GE; Lyden, ER, 1998
)
2.07
"Post-treatment with ketamine was associated with partial restoration of energy stores and amino acid content of the left cerebral hemisphere."( Effect of ketamine on hypoxic-ischemic brain damage in newborn rats.
Avgovstides-Savvopoulou, P; Guiba-Tziampiri, O; Karkavelas, G; Loizidis, T; Soubasi, V; Spandou, E, 1999
)
1.02
"Pretreatment with ketamine (10 mg/ kg, i.p.) or dizocilpine (0.1 and 0.2 mg/kg, i.p) suppressed the place preference produced by morphine in a dose-dependent manner."( Effects of the non-competitive NMDA receptor antagonist ketamine on morphine-induced place preference in mice.
Aoki, T; Kato, H; Misawa, M; Narita, M; Suzuki, T; Tsuda, M, 2000
)
0.88
"Pre-treatment with ketamine produced cross-tolerance to morphine, whereas pretreatment with morphine did not induce cross-tolerance to ketamine but rather augmented the cataleptic response; this augmentation was attributed to residual morphine in the brain."( Catalepsy induced by combinations of ketamine and morphine: potentiation, antagonism, tolerance and cross-tolerance in the rat.
Benthuysen, JL; Cadd, GG; Hance, AJ; Quam, DD; Winters, WD, 1989
)
0.87
"Treatment with ketamine had no influence on the specific binding of ketanserin, imipramine, prazosin or dihydroalprenolol in brain of rat, nor any influence on the concentrations of serotonin, 5-hydroxyindoleacetic acid, norepinephrine, epinephrine, dopamine, or dihydroxyphenylacetic acid in brain."( Comparison of ketamine, physical restraint, halothane and pentobarbital: lack of influence on serotonergic measures in monkeys and rats.
Brammer, GL; McGuire, MT; Raleigh, MJ; Rubinstein, EH, 1987
)
0.97

Toxicity

The most common treatment-emergent adverse events associated with ketamine/esketamine are dissociation, anxiety, nausea, increased blood pressure, and headache. Intraoperative ketamine is not associated with an increase in adverse events and may reduce postoperative nausea and vomiting.

ExcerptReferenceRelevance
" On several counts, the combination of ketamine and flunitrazepam was proved to reduce the adverse reactions seen with ketamine alone."( Reduction of psychotomimetic side effects of Ketalar (ketamine) by Rohypnol (flunitrazepam). A randomized, double-blind trial.
Freuchen, I; Kühl, JB; Mikkelsen, BO; Ostergaard, J, 1976
)
0.77
" The agents available--opioids, anesthetics, and NSAIDs--are efficacious, but each is capable of inducing a variety of adverse effects."( Opioids and other analgesics. Adverse effects in the intensive care unit.
Blumer, JL; Buck, ML, 1991
)
0.28
" However, neurotoxicity studies are required before these agents can be considered safe for clinical use."( Ketamine and midazolam neurotoxicity in the rabbit.
Cozian, A; Lepage, JY; Malinovsky, JM; Mussini, JM; Pinaud, M; Souron, R, 1991
)
1.72
" While patient safety in anaesthesia has greatly improved, the risk of neurological and psychiatric adverse effects of anaesthetics remains and is the focus of continued investigation."( Neurological and psychiatric adverse effects of anaesthetics: epidemiology and treatment.
Klafta, JM; Young, CJ; Zacny, JP, 1995
)
0.29
" Effectiveness of the sedation, recovery time, and adverse events associated with the sedative regimen were documented."( Efficacy and safety of intravenous midazolam and ketamine as sedation for therapeutic and diagnostic procedures in children.
Giugliano, D; Mahan, RA; Parker, MM; Parker, RI, 1997
)
0.55
" This side effect resolved spontaneously after 5 to 10 minutes in one patient and was effectively treated with diphenhydramine hydrochloride in the other."( Efficacy and safety of intravenous midazolam and ketamine as sedation for therapeutic and diagnostic procedures in children.
Giugliano, D; Mahan, RA; Parker, MM; Parker, RI, 1997
)
0.55
"This sedative regimen of intravenous midazolam and ketamine was found to be safe and effective."( Efficacy and safety of intravenous midazolam and ketamine as sedation for therapeutic and diagnostic procedures in children.
Giugliano, D; Mahan, RA; Parker, MM; Parker, RI, 1997
)
0.8
" Subsequent chart review was used to determine indications, adjunctive drugs, time to discharge, and adverse reactions for all patients."( Intramuscular ketamine for pediatric sedation in the emergency department: safety profile in 1,022 cases.
Garrett, W; Green, SM; Harris, T; Hestdalen, R; Ho, M; Hopkins, GA; Lynch, EL; Rothrock, SG; Westcott, K, 1998
)
0.66
" Sixteen of the dogs suffered an adverse effect, 13 of them vomited."( Clinical efficacy and safety of propofol or ketamine anaesthesia in dogs premedicated with medetomidine.
Hellebrekers, LJ; Hird, JF; Rosenhagen, CU; Sap, R; Vainio, O; van Herpen, H, 1998
)
0.56
" Records were reviewed for adverse effects, indication, dosing, adjunctive drugs, inadequate sedation, and time to release."( Intravenous ketamine for pediatric sedation in the emergency department: safety profile with 156 cases.
Garrett, W; Green, SM; Harris, T; Hopkins, GA; Rothrock, SG; Sherwin, T, 1998
)
0.68
" routes were comparable in terms of adverse effects, inadequate sedation, and time to release."( Intravenous ketamine for pediatric sedation in the emergency department: safety profile with 156 cases.
Garrett, W; Green, SM; Harris, T; Hopkins, GA; Rothrock, SG; Sherwin, T, 1998
)
0.68
"Clinically, in swine, subarachnoid ketamine without preservative is a safe and effective anesthetic and did not show significant neurotoxic effects."( Subarachnoid ketamine in swine--pathological findings after repeated doses: acute toxicity study.
Boils, P; Errando, CL; Gimeno, O; Mínguez, A; Moliner, S; Sifre, C; Valía, JC,
)
0.78
"To determine the adverse event and complication rate for the use of procedural sedation and analgesia for painful procedures and diagnostic imaging studies performed in a pediatric emergency department."( Adverse events of procedural sedation and analgesia in a pediatric emergency department.
Krauss, B; Peña, BM, 1999
)
0.3
" Adverse events and complications were recorded."( Adverse events of procedural sedation and analgesia in a pediatric emergency department.
Krauss, B; Peña, BM, 1999
)
0.3
"3%) experienced adverse events, which included oxygen desaturation less than 90% requiring intervention (10 patients) [supplemental oxygen (9), bag-mask ventilation (1)], paradoxical reactions (7), emesis (3), paradoxical reaction and oxygen desaturation requiring supplemental oxygen (2), apnea requiring bag-mask ventilation (1), laryngospasm requiring bag-mask ventilation (1), bradycardia (1), stridor and emesis (1) and oxygen desaturation requiring bag-mask ventilation with subsequent emesis (1)."( Adverse events of procedural sedation and analgesia in a pediatric emergency department.
Krauss, B; Peña, BM, 1999
)
0.3
"Ketamine is a safe and effective sedative for emergency department procedures in children."( Predictors of adverse events with intramuscular ketamine sedation in children.
Green, SM; Ho, M; Hummel, CB; Kuppermann, N; Rothrock, SG, 2000
)
2.01
"The goals of the study were to find a safe intraperitoneal injection anesthesia protocol for medium-duration surgery in mice (e."( Optimization of intraperitoneal injection anesthesia in mice: drugs, dosages, adverse effects, and anesthesia depth.
Arras, M; Autenried, P; Rettich, A; Rülicke, T; Spaeni, D, 2001
)
0.31
" The studied variables included procedures performed, anesthetic drug doses, procedure and recovery durations, and side effect occurrence."( Is propofol safe for procedural sedation in children? A prospective evaluation of propofol versus ketamine in pediatric critical care.
Barzilay, Z; Padeh, S; Paret, G; Salem, Y; Vardi, A, 2002
)
0.53
" Because transient respiratory depression and hypotension are associated with PL, it is considered safe only in a monitored environment (e."( Is propofol safe for procedural sedation in children? A prospective evaluation of propofol versus ketamine in pediatric critical care.
Barzilay, Z; Padeh, S; Paret, G; Salem, Y; Vardi, A, 2002
)
0.53
" They were followed up to 3 months postoperatively only to fail to detect any adverse events related directly to this method of anesthesia."( [A clinical study of total intravenous anesthesia by using mainly propofol, fentanyl and ketamine--with special reference to its safety based on 26,079 cases].
Hashimoto, H; Hirota, K; Ishihara, H; Koh, H; Kotani, N; Matsuki, A; Muraoka, M; Nagao, H; Sakai, T; Sato, Y; Takahashi, S; Tsubo, T; Wakayama, S, 2002
)
0.54
" Because concern about delayed adverse effects commonly delays discharge after sedation, we attempted to establish the timing of adverse effects in our cohort of procedural sedations."( When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1367 pediatric procedural sedations.
Azer, MM; Newman, DH; Pitetti, RD; Singh, S, 2003
)
0.32
" We determined the timing of serious (eg, hypoxia, stridor, hypotension) and other adverse effects from final medication administration and calculated adverse effect risk ratios in relation to sedation characteristics."( When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1367 pediatric procedural sedations.
Azer, MM; Newman, DH; Pitetti, RD; Singh, S, 2003
)
0.32
"7%) adverse effects, of which 159 (11."( When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1367 pediatric procedural sedations.
Azer, MM; Newman, DH; Pitetti, RD; Singh, S, 2003
)
0.32
"Adverse effects were common; however, serious adverse effects rarely occurred after 25 minutes from the final medication administration."( When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1367 pediatric procedural sedations.
Azer, MM; Newman, DH; Pitetti, RD; Singh, S, 2003
)
0.32
" We characterize the fasting status of patients receiving procedural sedation and analgesia in a pediatric ED and assess the relationship between fasting status and adverse events."( Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department.
Agrawal, D; Gupta, R; Krauss, B; Manzi, SF, 2003
)
0.32
" Preprocedural fasting state and adverse events were recorded."( Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department.
Agrawal, D; Gupta, R; Krauss, B; Manzi, SF, 2003
)
0.32
" Seventy-seven adverse events occurred in 68 (6."( Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department.
Agrawal, D; Gupta, R; Krauss, B; Manzi, SF, 2003
)
0.32
" There was no association between preprocedural fasting state and adverse events."( Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department.
Agrawal, D; Gupta, R; Krauss, B; Manzi, SF, 2003
)
0.32
" Intranasal ketamine was well tolerated with no serious adverse events."( Safety and efficacy of intranasal ketamine for the treatment of breakthrough pain in patients with chronic pain: a randomized, double-blind, placebo-controlled, crossover study.
Albin, R; Brennen, L; Brookoff, D; Carr, DB; Denman, WT; Firestone, L; Goudas, LC; Green, G; Hamilton, D; Lavin, PT; Mermelstein, F; Rogers, MC; Staats, PS, 2004
)
0.98
"The combination of midazolam and ketamine appears to provide safe and effective sedation for pediatric patients undergoing endoscopy."( Safety and effectiveness of ketamine as a sedative agent for pediatric GI endoscopy.
Dietrich, CL; Gilger, MA; Spearman, G; Spearman, RS; Wilsey, MJ; Zayat, MN, 2004
)
0.9
" Properly administered, diazepam and ketamine dissociative sedation is safe and effective for every aesthetic procedure, regardless of size or duration, and it should be available for all aesthetic surgeons."( Dissociative anesthesia for safety's sake: ketamine and diazepam--a 35-year personal experience.
Ersek, RA, 2004
)
0.86
"This article summarizes the short-term physiological toxicity and the adverse behavioral effects of four substances (GHB, ketamine, MDMA, and Rohypnol) that have been used at latenight dance clubs."( Acute toxic effects of club drugs.
Gable, RS, 2004
)
0.53
" Our experience prompted us to suggest that ketamine in a patient immunosuppressed with cyclosporine may not be safe and that alternative anesthetics may need to be considered for such procedures."( Is ketamine a safe anesthetic for percutaneous liver biopsy in a liver transplant recipient immunosuppressed with cyclosporine?
Agarwal, A; Dhiraaj, S; Pandey, R; Raza, M; Saxena, R; Singh, PK, 2005
)
1.21
"To compare the frequency and severity of adverse events associated with parenteral drugs commonly used for procedural sedation and analgesia (PSA) in a pediatric emergency department."( Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Bajaj, L; Bothner, JP; Roback, MG; Wathen, JE, 2005
)
0.33
" A total of 458 adverse events were observed in 426 patients (17%)."( Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Bajaj, L; Bothner, JP; Roback, MG; Wathen, JE, 2005
)
0.33
"Drug types used in pediatric PSA are associated with different adverse event profiles."( Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Bajaj, L; Bothner, JP; Roback, MG; Wathen, JE, 2005
)
0.33
"The aim of the study was to evaluate adverse events related to the use of anesthesia and anesthetic procedures associated with interventional radiology."( Adverse effects of anesthesia in interventional radiology.
Derbent, A; Memiş, A; Oran, I; Parildar, M; Uyar, M; Yurtseven, T, 2005
)
0.33
"Interventional radiological procedures seem to be safe from an anesthesiologist's point of view."( Adverse effects of anesthesia in interventional radiology.
Derbent, A; Memiş, A; Oran, I; Parildar, M; Uyar, M; Yurtseven, T, 2005
)
0.33
" We developed a ketamine administration protocol for nonanesthesiologists for the purpose of establishing safe monitoring and documentation during ketamine sedation procedures."( Ketamine: a safe and effective agent for painful procedures in the pediatric burn patient.
Comroe, CM; Conroy, JM; Greenhalgh, DG; Owens, VF; Palmieri, TL; Scavone, JA,
)
1.92
" Procedural sedation and analgesia (PSA) is the safe and effective control of pain, anxiety and motion so as to allow a necessary procedure to be performed and to provide an appropriate degree of memory loss or decreased awareness."( Safe and efficacious use of procedural sedation and analgesia by non-anesthesiologists in a pediatric hematology-oncology unit.
Advani, SH; Ambulkar, I; Borker, A; Gopal, R, 2006
)
0.33
" Adverse events occurred in 15 (27%) episodes and included transient drop in oxygen saturation, vomiting, dizziness and disinhibition with crying spells."( Safe and efficacious use of procedural sedation and analgesia by non-anesthesiologists in a pediatric hematology-oncology unit.
Advani, SH; Ambulkar, I; Borker, A; Gopal, R, 2006
)
0.33
"Procedural sedation and analgesia using midazolam and ketamine is a safe and efficient method of limiting anxiety and procedure related pain and can be successfully administered by non-anaesthesiologists."( Safe and efficacious use of procedural sedation and analgesia by non-anesthesiologists in a pediatric hematology-oncology unit.
Advani, SH; Ambulkar, I; Borker, A; Gopal, R, 2006
)
0.58
" There were 19 anesthesia-related adverse events occurring in the study group (Monitored Anesthesia Care Group): nausea and vomiting (n = 8), airway obstruction necessitating conversion to general anesthesia (n = 2), excessive pain (n = 2), urinary retention (n = 5), and hospital readmission (n = 2)."( Combination propofol/ketamine is a safe and efficient anesthetic approach to anorectal surgery.
Canete, JJ; Counihan, TC; Friel, JC; McDade, J; Paterson, CA; Singla, S; Sun, MY, 2006
)
0.65
"Combination deep intravenous sedation with local anesthesia based on propofol and ketamine is a safe and effective technique for prone-position anorectal surgery."( Combination propofol/ketamine is a safe and efficient anesthetic approach to anorectal surgery.
Canete, JJ; Counihan, TC; Friel, JC; McDade, J; Paterson, CA; Singla, S; Sun, MY, 2006
)
0.88
" Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.85
" The number and types of adverse events between patients with and without morphine pretreatment were examined."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.63
" Twenty-one adverse events were recorded in the group of patients without morphine pretreatment."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.63
"We found no increase in the number of adverse events with morphine pretreatment in ketamine sedations for children."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.85
" Prolonged analgesic doses of ketamine infusions were safe for the small sample studied."( Safety and efficacy of prolonged outpatient ketamine infusions for neuropathic pain.
Walker, MJ; Webster, LR,
)
0.68
" The adverse event (AE) rate was 18% and included apnea (10%), inadequate sedation (3%), bradycardia (2%), desaturation (1%), hypotension (1%) and bag-valve-mask use (1%)."( Emergency department procedural sedation and analgesia: A Canadian Community Effectiveness and Safety Study (ACCESS).
Mensour, M; Michaud, J; Pineau, R; Sahai, V, 2006
)
0.33
"Procedural sedation was safe and effective in our environment."( Emergency department procedural sedation and analgesia: A Canadian Community Effectiveness and Safety Study (ACCESS).
Mensour, M; Michaud, J; Pineau, R; Sahai, V, 2006
)
0.33
" We recommend KXA as a safe and reliable anesthetic for mice requiring a surgical plane of anesthesia."( Safety and efficacy of various combinations of injectable anesthetics in BALB/c mice.
Belicha-Villanueva, A; Buitrago, S; Martin, TE; Tetens-Woodring, J; Wilding, GE, 2008
)
0.35
" The aim of this prospective observational audit was to evaluate our practice and report the occurrence of adverse events and behavioral reactions related to the use of ketamine, propofol, and midazolam combinations."( Adverse events and behavioral reactions related to ketamine based anesthesia for anorectal manometry in children.
Dalal, PG; Seth, N; Somerville, N; Taylor, D, 2008
)
0.79
" Intra- and postoperative adverse events, times to spontaneous awakening and discharge from the PACU were noted."( Adverse events and behavioral reactions related to ketamine based anesthesia for anorectal manometry in children.
Dalal, PG; Seth, N; Somerville, N; Taylor, D, 2008
)
0.6
" Studying its effects in clinics can be expected to increase our knowledge necessary for the development of new, effective, and safe "antineuralgic drug."( Side effects of ketamine in the long-term treatment of neuropathic pain.
Cvrcek, P, 2008
)
0.69
"The objective of this study was to determine the association between recent administration of oral analgesics and frequency of adverse events during ketamine sedation in pediatric patients undergoing fracture reduction in the emergency department (ED)."( Oral analgesia before pediatric ketamine sedation is not associated with an increased risk of emesis and other adverse events.
Kanegaye, JT; McKee, MR; Sharieff, GQ; Stebel, M, 2008
)
0.83
" Secondary outcomes included adverse effects, hemodynamics alterations and recovery time."( To study the effectiveness and safety of ketamine and midazolam procedural sedation in the incision and drainage of abscesses in the adult emergency department.
Seet, CM; Sim, TB, 2008
)
0.61
" This specifically examined the rationale behind a doctor's choice of sedative agent, the depth of sedation achieved, adverse events and the time taken to regain full orientation."( Audit of the safety and effectiveness of ketamine for procedural sedation in the emergency department.
Balachandran, G; Dignon, N; Mukherjee, N; Sami, DM; Taylor, S; Vardy, JM, 2008
)
0.61
" The association between deep sedation with no response to pain and adverse events encountered with midazolam does not occur with ketamine."( Audit of the safety and effectiveness of ketamine for procedural sedation in the emergency department.
Balachandran, G; Dignon, N; Mukherjee, N; Sami, DM; Taylor, S; Vardy, JM, 2008
)
0.82
"Ketamine is both safe and effective and compares favourably with midazolam as an agent for procedural sedation in the emergency department."( Audit of the safety and effectiveness of ketamine for procedural sedation in the emergency department.
Balachandran, G; Dignon, N; Mukherjee, N; Sami, DM; Taylor, S; Vardy, JM, 2008
)
2.05
" This article discusses the limitations of the published animal research, the challenges in extrapolating such data to humans, the need for further animal and human investigations, and the potential adverse effect on current clinical practice that might result, should the use of ketamine be restricted or the drug removed from the market."( Ketamine and neurotoxicity: clinical perspectives and implications for emergency medicine.
Coté, CJ; Green, SM, 2009
)
1.97
" Emergency physicians use ketamine infrequently in adults, as it is believed to have a more significant side effect profile in this population."( Adverse events associated with ketamine for procedural sedation in adults.
Nelson, LS; Strayer, RJ, 2008
)
0.93
"We performed a literature review based on adverse effect research methodology recommendations."( Adverse events associated with ketamine for procedural sedation in adults.
Nelson, LS; Strayer, RJ, 2008
)
0.63
" Reports of significant cardiorespiratory adverse events are rare, despite ketamine's frequent use in austere, poorly monitored settings."( Adverse events associated with ketamine for procedural sedation in adults.
Nelson, LS; Strayer, RJ, 2008
)
0.86
" Although providers must be prepared to recognize and manage airway obstruction, cardiorespiratory adverse events are rare and typically do not affect outcomes."( Adverse events associated with ketamine for procedural sedation in adults.
Nelson, LS; Strayer, RJ, 2008
)
0.63
"Although ketamine is one of the most commonly used sedatives to facilitate painful procedures for children in the emergency department (ED), existing studies have not been large enough to identify clinical factors that are predictive of uncommon airway and respiratory adverse events."( Predictors of airway and respiratory adverse events with ketamine sedation in the emergency department: an individual-patient data meta-analysis of 8,282 children.
Agrawal, D; Brown, L; Garcia Pena, BM; Gerber, AC; Green, SM; Hostetler, MA; Krauss, B; Losek, JD; McGlone, RG; McKee, M; Pitetti, RD; Roback, MG; Treston, G; Wathen, JE; Weiss, M, 2009
)
1.02
"We pooled individual-patient data from 32 ED studies and performed multiple logistic regressions to determine which clinical variables would predict airway and respiratory adverse events."( Predictors of airway and respiratory adverse events with ketamine sedation in the emergency department: an individual-patient data meta-analysis of 8,282 children.
Agrawal, D; Brown, L; Garcia Pena, BM; Gerber, AC; Green, SM; Hostetler, MA; Krauss, B; Losek, JD; McGlone, RG; McKee, M; Pitetti, RD; Roback, MG; Treston, G; Wathen, JE; Weiss, M, 2009
)
0.6
"Risk factors that predict ketamine-associated airway and respiratory adverse events are high intravenous doses, administration to children younger than 2 years or aged 13 years or older, and the use of coadministered anticholinergics or benzodiazepines."( Predictors of airway and respiratory adverse events with ketamine sedation in the emergency department: an individual-patient data meta-analysis of 8,282 children.
Agrawal, D; Brown, L; Garcia Pena, BM; Gerber, AC; Green, SM; Hostetler, MA; Krauss, B; Losek, JD; McGlone, RG; McKee, M; Pitetti, RD; Roback, MG; Treston, G; Wathen, JE; Weiss, M, 2009
)
0.9
"Compare the frequency of respiratory adverse events between patients who received intramuscular (IM) versus intravenous ketamine."( Serious adverse events during procedural sedation with ketamine.
Bachur, R; Melendez, E, 2009
)
0.81
" Adverse events were defined as apnea, hypoxemia (oximetry <93%), hypoventilation, laryngospasm, and other upper airway obstruction."( Serious adverse events during procedural sedation with ketamine.
Bachur, R; Melendez, E, 2009
)
0.6
"4%) had respiratory adverse events, including 38 patients with severe adverse events (0."( Serious adverse events during procedural sedation with ketamine.
Bachur, R; Melendez, E, 2009
)
0.6
"Respiratory adverse events with ketamine are uncommon."( Serious adverse events during procedural sedation with ketamine.
Bachur, R; Melendez, E, 2009
)
0.88
"Two large database studies have helped to define the frequency and nature of adverse events in pediatric sedation/anesthesia practice from a multispecialty perspective."( Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room.
Cravero, JP, 2009
)
0.35
"The latest publications continue to document a relatively low risk to pediatric sedation yet also warn us about the potential adverse events in this field."( Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room.
Cravero, JP, 2009
)
0.35
" However, this leads to the serious question of the long-term adverse effects of ketamine on our nervous system, particularly the brain, because ketamine as an NMDA antagonist could cause neurons to commit apoptosis."( The toxic effect of ketamine on SH-SY5Y neuroblastoma cell line and human neuron.
Lam, WP; Lü, L; Mak, YT; Wong, YW; Yew, DT, 2010
)
0.91
" Psychotomimetic effects and adverse events were recorded repeatedly."( Safety and efficacy of repeated-dose intravenous ketamine for treatment-resistant depression.
aan het Rot, M; Charney, DS; Collins, KA; Mathew, SJ; Murrough, JW; Perez, AM; Reich, DL, 2010
)
0.62
" All patients tolerated the procedure well without any major adverse events."( Efficacy and safety of procedural sedation and analgesia by paediatric intensivist in paediatric oncology unit.
Fadoo, Z; Haque, A, 2010
)
0.36
" The remaining 10 experienced one side effect only."( Ketamine and botulinum: a safe combinationfor the management of childhood strabismus.
Al-Khalid, M; Noonan, CP; Owen, M; Rowe, FJ, 2010
)
1.8
" Overall, midazolam-ketamine provided safe and effective sedation for catheterization and intubation of both healthy and CI pigs."( Effective and safe anesthesia for Yorkshire and Yucatan swine with and without cardiovascular injury and intervention.
Abusakran-Monday, KA; Burkholder, TH; Foltz, CJ; Linkenhoker, JR; Linton, CG; Rosero, AP; Walden, A, 2010
)
0.68
"This multi-centre study of adjuvant "burst" ketamine in palliative care in-patients documents its effectiveness, duration of pain relief, and adverse effects (AE) profile."( The effectiveness and adverse effects profile of "burst" ketamine in refractory cancer pain: The VCOG PM 1-00 study.
Ashby, M; Brumley, D; Good, P; Howell, D; Jackson, K; Petersen, J; Pisasale, M; Wein, S; Woodruff, R, 2010
)
0.87
" Eight patients developed adverse reactions, 3 of which required further evaluation in the emergency department."( Safety of deep sedation in an urban oral and maxillofacial surgery training program.
Braidy, HF; Singh, P; Ziccardi, VB, 2011
)
0.37
" By acting via the NMDA receptor, S(+)-ketamine exerts its toxic effect through the suppression of neuronal Ca2+ oscillations, down-regulation of the CaMKII, and consecutively reduced synaptic integrity."( The toxic effects of s(+)-ketamine on differentiating neurons in vitro as a consequence of suppressed neuronal Ca2+ oscillations.
Friedrich, O; Graf, BM; Sinner, B; Zausig, Y; Zink, W, 2011
)
0.94
"The aim of this quantitative systematic review was to assess the efficacy and adverse effects of ketamine added to caudal local anaesthetics in comparison with local anaesthetics alone in children undergoing urological, lower abdominal, or lower limb surgery."( Efficacy and adverse effects of ketamine as an additive for paediatric caudal anaesthesia: a quantitative systematic review of randomized controlled trials.
Kranke, P; Poepping, DM; Pogatzki-Zahn, EM; Schnabel, A; Zahn, PK, 2011
)
0.87
"Caudally administered ketamine, in addition to a local anaesthetic, provides prolonged postoperative analgesia with few adverse effects compared with local anaesthetics alone."( Efficacy and adverse effects of ketamine as an additive for paediatric caudal anaesthesia: a quantitative systematic review of randomized controlled trials.
Kranke, P; Poepping, DM; Pogatzki-Zahn, EM; Schnabel, A; Zahn, PK, 2011
)
0.97
" Although its toxicity on the central nervous system (CNS) and urinary system had been reported, its potential adverse effects on the heart is still not addressed."( Cardiotoxicity induced in mice by long term ketamine and ketamine plus alcohol treatment.
Chan, WM; Hung, AS; Liang, Y; Wai, MS; Yew, DT, 2011
)
0.63
" We conclude that adding low-dose ketamine to morphine PCA is safe and post-thoracotomy may provide better pain control than PCA with morphine alone (PCA-MO), with reduced morphine consumption and possible improvement in respiratory function."( Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain?
Churchhouse, AM; Dunning, J; Housden, T; Mathews, TJ, 2012
)
1.04
" However, during cesarean section with neuraxial block, S-Ketamine might have adverse effects on the interaction between mothers and infants, including breastfeeding."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.94
" All side effects were rated as light and there were no serious adverse events."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.69
"Preventive administration of S-Ketamine via 12-hour infusion was safe and may have anti-hyperalgesic action after cesarean section."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.98
"Electroconvulsive therapy (ECT) is an effective and safe option in the treatment of affective disorders and schizophrenia."( Preliminary evaluation of clinical outcome and safety of ketamine as an anesthetic for electroconvulsive therapy in schizophrenia.
Hoyer, C; Janke, C; Kranaster, L; Sartorius, A, 2014
)
0.65
"Urological toxicity, hepatotoxicity and cognitive deficits are all reported as adverse effects of the recreational use of ketamine."( Ketamine for chronic noncancer pain: concerns regarding toxicity.
Bell, RF, 2012
)
2.03
"This review addressed the adverse effects of the frequently-used recreational drug, ketamine through using mice and monkey models."( Long term ketamine and ketamine plus alcohol toxicity - what can we learn from animal models?
Chan, WM; Fan, M; Jiang, Y; Lam, WP; Luan, P; Tang, HC; Tsui, TY; Wai, MS; Yew, DT, 2013
)
1.02
" It is necessary to seek strategies that avoid the possible adverse effects after anaesthesia."( Clonidine abolishes the adverse effects on apoptosis and behaviour after neonatal ketamine exposure in mice.
Eriksson, P; Fredriksson, A; Gordh, T; Pontén, E; Viberg, H, 2012
)
0.6
"The administration of clonidine eliminated the adverse effects of ketamine in this mouse model, suggesting a possible strategy for protection."( Clonidine abolishes the adverse effects on apoptosis and behaviour after neonatal ketamine exposure in mice.
Eriksson, P; Fredriksson, A; Gordh, T; Pontén, E; Viberg, H, 2012
)
0.84
" The depth of anaesthesia was sufficient to allow safe removal of the animals from the enclosure, intravenous catheter placement and manipulation; however, the anaesthetic effect was short-acting (20 (±7) minutes in orangutans, 16 (±14) in gorillas, and 10 (±4) minutes in chimpanzees, respectively) and isoflurane administration was necessary in the majority of the apes to prolong the duration of anaesthesia, especially when lengthier procedures were performed."( Evaluation of effectiveness, safety and reliability of intramuscular medetomidine-ketamine for captive great apes.
Adami, C; Bergadano, A; Hoby, S; Wenker, C, 2012
)
0.6
" In this study, we investigated the toxic effect of ketamine on neurons differentiated from hESCs."( Ketamine induces toxicity in human neurons differentiated from embryonic stem cells via mitochondrial apoptosis pathway.
Bai, X; Bosnjak, ZJ; Canfield, S; Corbett, JA; Kikuchi, C; Muravyeva, MY; Wells, CW; Yan, Y, 2012
)
2.07
" Because it is considered an anesthetic, widespread use by all sedation providers is often limited despite its long history as a safe sedative."( Use of ketamine during procedural sedation: indications, controversies, and side effects.
Jolly, T; McLean, HS,
)
0.59
" None of the patients experienced serious adverse events."( Efficacy and safety of ketamine in refractory status epilepticus in children.
Cecchi, C; Guerrini, R; Ilvento, L; L'Erario, M; Mirabile, L; Pisano, T; Rosati, A, 2012
)
0.69
"In this small, open-label, unblinded series with no concurrent control group, KE appears effective and safe in treating RSE in children."( Efficacy and safety of ketamine in refractory status epilepticus in children.
Cecchi, C; Guerrini, R; Ilvento, L; L'Erario, M; Mirabile, L; Pisano, T; Rosati, A, 2012
)
0.69
" Its toxic effects on the genitourinary system were first reported in 2007, and now attract extensive attention from urologists, pharmacologists, and toxicologists all over the world."( Genitourinary toxicity of ketamine.
Guo, Q; Liang, BL; Wei, YB; Yang, JR; Yin, Z; Zhou, KQ, 2013
)
0.69
" However, acetyl L-carnitine co-treatment prevented ketamine-induced adverse effects on the RB neurons."( Acetyl L-carnitine protects motor neurons and Rohon-Beard sensory neurons against ketamine-induced neurotoxicity in zebrafish embryos.
Ali, SF; Cuevas, E; Guo, X; Kanungo, J; Paule, MG; Trickler, WJ,
)
0.61
" Safety was evaluated using the frequency of clinically relevant hearing deterioration and adverse events."( Efficacy and safety of AM-101 in the treatment of acute inner ear tinnitus--a double-blind, randomized, placebo-controlled phase II study.
Cox, T; Lisowska, G; Maier, H; Meyer, T; Morawski, K; Muehlmeier, G; van de Heyning, P, 2014
)
0.4
" Safety and tolerability measures included attrition, adverse events (AEs), hemodynamic changes, and assessments of psychosis and dissociation."( Ketamine safety and tolerability in clinical trials for treatment-resistant depression.
Brallier, JW; Chang, LC; Charney, DS; Foulkes, A; Iosifescu, DV; Levitch, CF; Mathew, SJ; Murrough, JW; Perez, AM; Wan, LB, 2015
)
1.86
" There were no cases of persistent psychotomimetic effects, adverse medical effects, or increased substance use in a subgroup of patients with available long-term follow-up information."( Ketamine safety and tolerability in clinical trials for treatment-resistant depression.
Brallier, JW; Chang, LC; Charney, DS; Foulkes, A; Iosifescu, DV; Levitch, CF; Mathew, SJ; Murrough, JW; Perez, AM; Wan, LB, 2015
)
1.86
"In this relatively large group of patients with TRD, ketamine was safe and well tolerated."( Ketamine safety and tolerability in clinical trials for treatment-resistant depression.
Brallier, JW; Chang, LC; Charney, DS; Foulkes, A; Iosifescu, DV; Levitch, CF; Mathew, SJ; Murrough, JW; Perez, AM; Wan, LB, 2015
)
2.11
"This work summarizes the efficiency, failures and adverse effects of oral administration of ketamine at home for intractable pain."( Efficacy and safety of oral ketamine for the relief of intractable chronic pain: A retrospective 5-year study of 51 patients.
Bellanger, A; Bourgeois, P; Coutaux, A; Magneux, C; Marchetti, F; Mion, G, 2015
)
0.93
" Pain was evaluated on a numeric scale from 0 to 10, and evidence of adverse effects was collected every day."( Efficacy and safety of oral ketamine for the relief of intractable chronic pain: A retrospective 5-year study of 51 patients.
Bellanger, A; Bourgeois, P; Coutaux, A; Magneux, C; Marchetti, F; Mion, G, 2015
)
0.71
" Half of the patients experienced adverse effects, but only eight had to stop treatment."( Efficacy and safety of oral ketamine for the relief of intractable chronic pain: A retrospective 5-year study of 51 patients.
Bellanger, A; Bourgeois, P; Coutaux, A; Magneux, C; Marchetti, F; Mion, G, 2015
)
0.71
"Pain was reduced or abolished in two-thirds of patients under ketamine therapy; ketamine was effective for patients taking opioids and resulted in few adverse effects."( Efficacy and safety of oral ketamine for the relief of intractable chronic pain: A retrospective 5-year study of 51 patients.
Bellanger, A; Bourgeois, P; Coutaux, A; Magneux, C; Marchetti, F; Mion, G, 2015
)
0.95
"Tracheal intubation in PICUs is often associated with adverse tracheal intubation-associated events."( Current medication practice and tracheal intubation safety outcomes from a prospective multicenter observational cohort study.
Brown, CA; Howell, JD; Hsing, DD; Montgomery, V; Nadkarni, VM; Nishisaki, A; Parker, MM; Tarquinio, KM; Turner, DA; Walls, RM, 2015
)
0.42
" Adverse tracheal intubation-associated events were defined a priori."( Current medication practice and tracheal intubation safety outcomes from a prospective multicenter observational cohort study.
Brown, CA; Howell, JD; Hsing, DD; Montgomery, V; Nadkarni, VM; Nishisaki, A; Parker, MM; Tarquinio, KM; Turner, DA; Walls, RM, 2015
)
0.42
" Our aims were to examine the impact of the CYP2B6*6 allele on ketamine plasma clearance and on adverse effects in chronic pain patients."( CYP2B6*6 allele and age substantially reduce steady-state ketamine clearance in chronic pain patients: impact on adverse effects.
Coller, JK; Currow, DC; Franco, M; Hardy, JR; Hutchinson, MR; Jackson, KA; Li, Y; Poon, P; Slon, B; Somogyi, AA; William, L, 2015
)
0.9
" Patients who experienced adverse effects had lower plasma clearance (45."( CYP2B6*6 allele and age substantially reduce steady-state ketamine clearance in chronic pain patients: impact on adverse effects.
Coller, JK; Currow, DC; Franco, M; Hardy, JR; Hutchinson, MR; Jackson, KA; Li, Y; Poon, P; Slon, B; Somogyi, AA; William, L, 2015
)
0.66
" The decreased clearance and resultant higher plasma concentrations may be associated with a higher incidence of ketamine adverse effects."( CYP2B6*6 allele and age substantially reduce steady-state ketamine clearance in chronic pain patients: impact on adverse effects.
Coller, JK; Currow, DC; Franco, M; Hardy, JR; Hutchinson, MR; Jackson, KA; Li, Y; Poon, P; Slon, B; Somogyi, AA; William, L, 2015
)
0.87
" Apart from being valuable in drug development programs, the outlined approach can be used to determine the choice of drug and dose in the treatment of pain in patients with potent and toxic analgesics."( Pharmacotherapy for pain: efficacy and safety issues examined by subgroup analyses.
Dahan, A; Niesters, M; Olofsen, E, 2015
)
0.42
" No severe adverse events were observed."( The Efficacy and Safety of Procedural Sedoanalgesia with Midazolam and Ketamine in Pediatric Hematology.
Çakmak, E; Demirsoy, U; Gelen, SA; Sarper, N; Zengin, E, 2015
)
0.65
" There were no reported major adverse events such as death, prolonged desaturations (over 30 s), or injury resulting from ketamine use."( A Safe-Anesthesia Innovation for Emergency and Life-Improving Surgeries When no Anesthetist is Available: A Descriptive Review of 193 Consecutive Surgeries.
Ahn, R; Altawil, Z; Burke, T; Clark, R; Dickson, A; Manglani, Y; Okelo, S, 2015
)
0.62
" Moreover, no significant adverse effects were reported during and after the surgery."( Safety and Efficacy of Propranolol in Comparison With Combination of Fentanyl and Ketamine as Premedication in Cataract Surgery Under the Topical Anesthesia.
Fazel, F; Mahboubi, M; Rezaei, L; Saryazdi, H, 2015
)
0.64
" Behavioral and side-effect evaluation tests were applied to compare the two stereoisomers of ketamine."( R-ketamine: a rapid-onset and sustained antidepressant without psychotomimetic side effects.
Dong, C; Hashimoto, K; Ma, M; Ren, Q; Shirayama, Y; Yang, C; Yao, W; Zhang, JC, 2015
)
1.36
" Propofol-based sedation is simple, easy to use, and effective, but is not without cardiovascular and respiratory adverse effects."( A randomized, controlled trial to compare the efficacy and safety profile of a dexmedetomidine-ketamine combination with a propofol-fentanyl combination for ERCP.
Goyal, R; Hasnain, S; Mittal, S; Shreevastava, S, 2016
)
0.65
" The sedation-related adverse effects and recovery time were noted."( A randomized, controlled trial to compare the efficacy and safety profile of a dexmedetomidine-ketamine combination with a propofol-fentanyl combination for ERCP.
Goyal, R; Hasnain, S; Mittal, S; Shreevastava, S, 2016
)
0.65
"There were significantly fewer sedation-related adverse effects, but the recovery time was longer with DK."( A randomized, controlled trial to compare the efficacy and safety profile of a dexmedetomidine-ketamine combination with a propofol-fentanyl combination for ERCP.
Goyal, R; Hasnain, S; Mittal, S; Shreevastava, S, 2016
)
0.65
" Secondary outcomes included response, remission, all-cause discontinuation and adverse effects."( Single-dose infusion ketamine and non-ketamine N-methyl-d-aspartate receptor antagonists for unipolar and bipolar depression: a meta-analysis of efficacy, safety and time trajectories.
Bauer, M; Chawla, JM; Correll, CU; Hagi, K; Kane, JM; Kishimoto, T; Zarate, CA, 2016
)
0.75
" Although some adverse effects were more common with ketamine/NMDAR antagonists than placebo, these were transient and clinically insignificant."( Single-dose infusion ketamine and non-ketamine N-methyl-d-aspartate receptor antagonists for unipolar and bipolar depression: a meta-analysis of efficacy, safety and time trajectories.
Bauer, M; Chawla, JM; Correll, CU; Hagi, K; Kane, JM; Kishimoto, T; Zarate, CA, 2016
)
1
"We conducted a systematic review and meta-analysis to evaluate the incidence of adverse events in the emergency department (ED) during procedural sedation in the paediatric population."( Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis.
Anderson, JL; Barrionuevo, P; Bellolio, MF; Erwin, PJ; Gilani, WI; Hess, EP; Murad, MH; Puls, HA; Wang, Z, 2016
)
0.43
" The most common adverse events (all reported per 1000 sedations) were: vomiting 55."( Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis.
Anderson, JL; Barrionuevo, P; Bellolio, MF; Erwin, PJ; Gilani, WI; Hess, EP; Murad, MH; Puls, HA; Wang, Z, 2016
)
0.43
"Serious adverse respiratory events are very rare in paediatric procedural sedation in the ED."( Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis.
Anderson, JL; Barrionuevo, P; Bellolio, MF; Erwin, PJ; Gilani, WI; Hess, EP; Murad, MH; Puls, HA; Wang, Z, 2016
)
0.43
"Oral ketamine appears to be a safe and effective option in improving depressive symptoms of patients with chronic pain with mild-to-moderate depression."( Efficacy and safety of oral ketamine versus diclofenac to alleviate mild to moderate depression in chronic pain patients: A double-blind, randomized, controlled trial.
Afarideh, M; Agah, E; Akhondzadeh, S; Arbabi, M; Ghajar, A; Jafarinia, M; Noorbala, AA; Saravi, MA; Tafakhori, A, 2016
)
1.24
" According to data, ketamine seems to be an effective and safe treatment for bipolar depression, although the length of its effect is short."( Efficacy and safety of ketamine in bipolar depression: A systematic review.
Alberich, S; González-Pinto, A; López, P; Martínez-Cengotitabengoa, M; Núñez, N; Vieta, E; Zorrilla, I,
)
0.77
" It is demonstrated that ketamine administered by paramedics in the prehospital setting of a community hospital based Emergency Medical Services (EMS) system is a safe and effective treatment for ExDS."( Prehospital Ketamine is a Safe and Effective Treatment for Excited Delirium in a Community Hospital Based EMS System.
Glass, DM; Hutchcraft, MG; Scaggs, TR; Weir, WB, 2016
)
1.12
" The objective of this study was to elucidate the efficacy and adverse effects of a sub-dissociative dose of IN Ketamine compared to IV and IM morphine."( Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety.
Gigi, R; Halpern, P; Nadav, D; Rozenek, M; Sarig-Meth, T; Shapira, A; Shimonovich, S; West, D, 2016
)
1.04
" Pain relief and adverse effects were recorded for 1 h post-administration."( Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety.
Gigi, R; Halpern, P; Nadav, D; Rozenek, M; Sarig-Meth, T; Shapira, A; Shimonovich, S; West, D, 2016
)
0.82
" The majority of studies did not comprehensively examine cognition and adverse effects were not systematically studied."( The use of ketamine in ECT anaesthesia: A systematic review and critical commentary on efficacy, cognitive, safety and seizure outcomes.
Gálvez, V; Loo, CK; McGuirk, L, 2017
)
0.84
" The aim of our study is to assess the incidence of respiratory adverse events during upper digestive endoscopies in children under Ketamine sedation when performed without oxygen supplementation, in accordance with the latest recommendations."( Respiratory adverse events during upper digestive endoscopies in children under ketamine sedation.
Blanca García, JA; Cruzado García, MD; Flores-González, JC; Jimenez Gomez, G; Lechuga-Sancho, AM; Pérez Aragón, C; Saldaña Valderas, M, 2021
)
1.05
"The co-administration of ketamine and propofol (CoKP) is thought to maximize the beneficial profile of each medication, while minimizing the respective adverse effects of each medication."( Adverse Events During a Randomized Trial of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department.
Bajaj, L; Brent, A; Brou, L; Deakyne, SJ; Roosevelt, GE; Wathen, J; Weisz, K, 2017
)
1.02
"Our objective was to compare adverse events between ketamine monotherapy (KM) and CoKP for procedural sedation and analgesia (PSA) in a pediatric emergency department (ED)."( Adverse Events During a Randomized Trial of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department.
Bajaj, L; Brent, A; Brou, L; Deakyne, SJ; Roosevelt, GE; Wathen, J; Weisz, K, 2017
)
0.97
" Adverse events (e."( Adverse Events During a Randomized Trial of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department.
Bajaj, L; Brent, A; Brou, L; Deakyne, SJ; Roosevelt, GE; Wathen, J; Weisz, K, 2017
)
0.72
" There was no difference in adverse events or type of adverse event, except nausea was more common in the KM group."( Adverse Events During a Randomized Trial of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department.
Bajaj, L; Brent, A; Brou, L; Deakyne, SJ; Roosevelt, GE; Wathen, J; Weisz, K, 2017
)
0.72
"We found no significant differences in adverse events between the KM and CoKP groups."( Adverse Events During a Randomized Trial of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department.
Bajaj, L; Brent, A; Brou, L; Deakyne, SJ; Roosevelt, GE; Wathen, J; Weisz, K, 2017
)
0.72
" Adverse effects include dissociative and psychotomimetic changes that are almost always mild and transient, if present; transient elevation of heart rate and blood pressure often occur."( Ketamine for Depression, 1: Clinical Summary of Issues Related to Efficacy, Adverse Effects, and Mechanism of Action.
Andrade, C, 2017
)
1.9
" There were no serious or life-threatening adverse effects in either group."( Is Subdissociative Ketamine As Safe and Effective As Morphine for Pain Management in the Emergency Department?
Gisness, CM; Howard, PK,
)
0.46
"In this paper, we focused on the toxic effect of ketamine on the reproductive system in male rats and its underlying mechanisms."( Toxic effects of ketamine on reproductive system via disrupting hypothalamic-pituitary-testicular axis.
Jiang, JJ; Liu, JY; Liu, W; Liu, WB; Qi, L; Zhang, SD; Zhu, YL, 2017
)
1.05
"These results demonstrated that the ketamine had a toxic effect on the reproductive system via breaking the HPG equilibrium."( Toxic effects of ketamine on reproductive system via disrupting hypothalamic-pituitary-testicular axis.
Jiang, JJ; Liu, JY; Liu, W; Liu, WB; Qi, L; Zhang, SD; Zhu, YL, 2017
)
1.07
" There was no serious adverse event in both groups."( Adverse Events With Ketamine Versus Ketofol for Procedural Sedation on Adults: A Double-blind, Randomized Controlled Trial.
Ageron, FX; Boiffier, M; Contenti, J; Fournier, M; Giolito, D; Istria, J; Lemoel, F; Levraut, J; Rapp, J, 2017
)
0.78
" Adverse drug-drug interaction effects between ketamine and CsA have been reported in mammals and humans."( Cyclosporine exacerbates ketamine toxicity in zebrafish: Mechanistic studies on drug-drug interaction.
Ali, SF; Dumas, M; Gu, Q; Kanungo, J; Paule, MG; Robinson, BL, 2017
)
1.02
"The results of our study showed that the use of IV midazolam and ketamine during upper endoscopy in children was safe and effective."( Efficacy and safety of midazolam and ketamine in paediatric upper endoscopy.
Artan, R; Basturk, A; Yılmaz, A, 2017
)
0.97
" A literature review was performed to ascertain potential side effects and/or adverse events when using ketamine for analgesia purposes."( Ketamine for Pain Management-Side Effects & Potential Adverse Events.
Allen, CA; Ivester, JR, 2017
)
2.11
" The primary outcome was ketamine-related adverse events."( Safety and Feasibility of a Ketamine Package to Support Emergency and Essential Surgery in Kenya when No Anesthetist is Available: An Analysis of 1216 Consecutive Operative Procedures.
Burke, TF; Guha, M; Jani, P; Masaki, C; Nelson, BD; Rogo, D; Rogo, K; Senay, A; Sessler, DI; Suarez, S; Yusufali, T, 2017
)
1.05
"The ESM-Ketamine package appears safe and feasible and is capable of expanding access to emergency and essential surgeries in rural Kenya when no anesthetist is available."( Safety and Feasibility of a Ketamine Package to Support Emergency and Essential Surgery in Kenya when No Anesthetist is Available: An Analysis of 1216 Consecutive Operative Procedures.
Burke, TF; Guha, M; Jani, P; Masaki, C; Nelson, BD; Rogo, D; Rogo, K; Senay, A; Sessler, DI; Suarez, S; Yusufali, T, 2017
)
1.18
" However, ecotoxicity data and related toxic mechanism for neuroactive controlled or illicit drugs are still lacking, so assessing the associated hazardous risk is difficult."( Illicit drug ketamine induces adverse effects from behavioral alterations and oxidative stress to p53-regulated apoptosis in medaka fish under environmentally relevant exposures.
Chen, PJ; Hwang, CC; Liao, PH; Lin, CH; Yang, CH; Yang, WK, 2018
)
0.85
" In addition, there were fewer adverse effects in the ketamine groups."( Efficiency and safety of ketamine for pain relief after laparoscopic cholecystectomy: A meta-analysis from randomized controlled trials.
Chang, L; Chen, P; Xie, H; Zhang, L; Zhu, J, 2018
)
1.03
" Inhibiting GSK-3β may be an effective approach to counter toxic effect of ketamine on central neurons in clinical and experimental applications."( Inhibition of GSK-3beta Signaling Pathway Rescues Ketamine-Induced Neurotoxicity in Neural Stem Cell-Derived Neurons.
Cui, C; Li, Y; Xu, H; Zhang, J, 2018
)
0.96
" Three of 56 (5%) esketamine-treated participants during the double-blind phase vs none receiving placebo and 1 of 57 participants (2%) during the open-label phase had adverse events that led to study discontinuation (1 event each of syncope, headache, dissociative syndrome, and ectopic pregnancy)."( Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial.
Cooper, K; Daly, EJ; Drevets, WC; Fedgchin, M; Lim, P; Manji, H; Shelton, RC; Singh, JB; Thase, ME; Van Nueten, L; Winokur, A, 2018
)
1.08
" No infusions were discontinued due to instability of vital signs, adverse physiological consequences or acute psychotomimetic effects."( Blood pressure safety of subanesthetic ketamine for depression: A report on 684 infusions.
Dunlop, BW; Edwards, JA; Galendez, GC; Garlow, SJ; Job, GP; McDonald, WM; Reiff, CM; Riva-Posse, P; Saah, TC, 2018
)
0.75
" Adverse events during pediatric PSA that pose the most risk to patient safety involve airway compromise."( Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia.
Iyer, MS; Pitetti, RD; Vitale, M, 2018
)
0.48
" We defined adverse events as oxygen desaturation < 90%, apnea, laryngospasm, bag-valve-mask ventilation performed, repositioning of patient, emesis, and "other."( Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia.
Iyer, MS; Pitetti, RD; Vitale, M, 2018
)
0.48
" Overall, patients with Mallampati III/IV scores did not experience a higher proportion of adverse events compared to those with Mallampati scores of I/II."( Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia.
Iyer, MS; Pitetti, RD; Vitale, M, 2018
)
0.48
" Mallampati scores of I/II are not at an increased risk of adverse events during pediatric PSA."( Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia.
Iyer, MS; Pitetti, RD; Vitale, M, 2018
)
0.48
" The most common adverse events were nausea, dizziness and blurred vision."( Safety and efficacy of maintenance ketamine treatment in patients with treatment-refractory generalised anxiety and social anxiety disorders.
Glue, P; Gray, A; Kibby, G; McNaughton, N; Medlicott, NJ; Neehoff, SM, 2018
)
0.76
"Weekly ketamine dosing was safe and well tolerated, and post-dose dissociative symptoms tended to reduce after repeated dosing."( Safety and efficacy of maintenance ketamine treatment in patients with treatment-refractory generalised anxiety and social anxiety disorders.
Glue, P; Gray, A; Kibby, G; McNaughton, N; Medlicott, NJ; Neehoff, SM, 2018
)
1.21
" Our primary outcome was the proportion of patients experiencing any psychoperceptual side effect over 60 minutes."( Slow Infusion of Low-dose Ketamine Reduces Bothersome Side Effects Compared to Intravenous Push: A Double-blind, Double-dummy, Randomized Controlled Trial.
Clattenburg, EJ; Flores, S; Hailozian, C; Haro, D; Herring, AA; Louie, D; Yoo, T, 2018
)
0.78
"0% of the SI arm experienced any side effect (difference = 16."( Slow Infusion of Low-dose Ketamine Reduces Bothersome Side Effects Compared to Intravenous Push: A Double-blind, Double-dummy, Randomized Controlled Trial.
Clattenburg, EJ; Flores, S; Hailozian, C; Haro, D; Herring, AA; Louie, D; Yoo, T, 2018
)
0.78
"Most patients who are administered LDK experience a psychoperceptual side effect regardless of administration via SI or IVP."( Slow Infusion of Low-dose Ketamine Reduces Bothersome Side Effects Compared to Intravenous Push: A Double-blind, Double-dummy, Randomized Controlled Trial.
Clattenburg, EJ; Flores, S; Hailozian, C; Haro, D; Herring, AA; Louie, D; Yoo, T, 2018
)
0.78
" The most common adverse events among participants in the esketamine group were nausea, dizziness, dissociation, unpleasant taste, and headache."( Efficacy and Safety of Intranasal Esketamine for the Rapid Reduction of Symptoms of Depression and Suicidality in Patients at Imminent Risk for Suicide: Results of a Double-Blind, Randomized, Placebo-Controlled Study.
Alphs, L; Canuso, CM; Drevets, WC; Fedgchin, M; Hough, D; Lane, R; Lim, P; Manji, H; Pinter, C; Sanacora, G; Singh, JB, 2018
)
1
" This report suggests that repeated ketamine treatments are safe and may represent an efficacious treatment for individuals with comorbid PTSD and TRD."( Efficacy, Safety, and Durability of Repeated Ketamine Infusions for Comorbid Posttraumatic Stress Disorder and Treatment-Resistant Depression.
Albott, CS; Batres-Y-Carr, TM; Erbes, C; Forbes, MK; Grabowski, JG; Lim, KO; Shiroma, PR; Thuras, P; Tye, SJ; Wels, J,
)
0.67
" Here, we show that N-acetylcysteine prevents ketamine's adverse effects on development and monoaminergic neurons in zebrafish embryos."( N-acetylcysteine prevents ketamine-induced adverse effects on development, heart rate and monoaminergic neurons in zebrafish.
Dumas, M; Gu, Q; Kanungo, J; Robinson, B, 2018
)
1.04
"The administration of ketamine during burn wound care using a critical care RN-driven protocol was associated with reduced opioid and benzodiazepine requirements and few adverse effects."( CE: Original Research: The Efficacy and Safety of an RN-Driven Ketamine Protocol for Adjunctive Analgesia During Burn Wound Care.
Baumgartner, L; MacLaren, R; Townsend, N; Winkelman, K, 2018
)
1.04
" The safe preparation of medications during resuscitation requires attention, time and resources, and can be a source of medication error."( Predrawn prehospital medications are microbiologically safe for up to 48 hours.
Foster, A; Garner, A; Gutierrez, CH; Kitcher, J; Soeyland, T; Vidler, S, 2018
)
0.48
"Predrawing of the eight studied medications for urgent prehospital procedures appears to be a microbiologically safe practice with syringe dwell times up to 48 hours."( Predrawn prehospital medications are microbiologically safe for up to 48 hours.
Foster, A; Garner, A; Gutierrez, CH; Kitcher, J; Soeyland, T; Vidler, S, 2018
)
0.48
"Upper gastrointestinal endoscopies (UGEs) performed under ketamine sedation may increase the risk of respiratory adverse events (RAEs) due to pharyngeal stimulation."( Topical Pharyngeal Lidocaine Reduces Respiratory Adverse Events During Upper Gastrointestinal Endoscopies Under Ketamine Sedation in Children.
Estalella-Mendoza, A; Flores-González, JC; Lechuga-Sancho, AM; Rodríguez-Campoy, P; Saldaña-Valderas, M, 2019
)
0.97
"A short cut review was carried out to establish whether low-dose ketamine is a safe and effective alternative to opioids in ED patients in acute severe pain."( BET 2: Safety and efficacy of low-dose ketamine versus opioids for acute pain management in the ED.
AlSagre, A; BinKharfi, M, 2019
)
1.02
"Propofol dosages, adverse events, serious adverse events, and sedation time parameters were reviewed."( Safety and Efficacy of a Propofol and Ketamine Based Procedural Sedation Protocol in Children with Cerebral Palsy Undergoing Botulinum Toxin A Injections.
Abu-Sultaneh, S; Abulebda, K; Louer, R; Lutfi, R; McKinney, RC, 2019
)
0.78
" Adverse events were encountered in 10."( Safety and Efficacy of a Propofol and Ketamine Based Procedural Sedation Protocol in Children with Cerebral Palsy Undergoing Botulinum Toxin A Injections.
Abu-Sultaneh, S; Abulebda, K; Louer, R; Lutfi, R; McKinney, RC, 2019
)
0.78
"Our sedation protocol of propofol and ketamine is safe and effective in children with cerebral palsy undergoing procedural sedation for intramuscular injections with BoNT-A."( Safety and Efficacy of a Propofol and Ketamine Based Procedural Sedation Protocol in Children with Cerebral Palsy Undergoing Botulinum Toxin A Injections.
Abu-Sultaneh, S; Abulebda, K; Louer, R; Lutfi, R; McKinney, RC, 2019
)
1.06
" While (R)-ketamine has lower potency than (R,S)-ketamine to inhibit NMDA receptors in vitro, the extent to which (R)-ketamine shares the NMDA receptor-mediated adverse effects of (R,S)-ketamine in vivo has not been fully characterised."( (R)-Ketamine exerts antidepressant actions partly via conversion to (2R,6R)-hydroxynorketamine, while causing adverse effects at sub-anaesthetic doses.
Georgiou, P; Gould, TD; Highland, JN; Liu, X; Lovett, J; Moaddel, R; Morris, PJ; Stewart, BW; Thomas, CJ; Thompson, SM; Troppoli, TA; Zanos, P, 2019
)
1.46
" Adverse effects of (R)-ketamine require higher doses than those necessary for antidepressant-sensitive behavioural changes in mice."( (R)-Ketamine exerts antidepressant actions partly via conversion to (2R,6R)-hydroxynorketamine, while causing adverse effects at sub-anaesthetic doses.
Georgiou, P; Gould, TD; Highland, JN; Liu, X; Lovett, J; Moaddel, R; Morris, PJ; Stewart, BW; Thomas, CJ; Thompson, SM; Troppoli, TA; Zanos, P, 2019
)
1.38
" This paper delineates the findings related to the pharmacokinetics, adverse effects and drug-drug interactions as well as associated therapeutic implications for safe midazolam use."( Midazolam: Safety of use in palliative care: A systematic critical review.
Oduah, MT; Sopata, M; Stachowiak-Szymczak, K; Szymański, K; Zaporowska-Stachowiak, I; Łuczak, J, 2019
)
0.51
" Patient demographics and epidemiological data, the type and number of sedation-related adverse events, and interventions performed were extracted from the database."( Safety and effectiveness of intramuscular ketamine sedation in the management of children with oro-dental trauma in a paediatric emergency department.
Chay, PL; Tham, LP; Yee, R, 2020
)
0.82
" Nineteen adverse events were reported (11."( Safety and effectiveness of intramuscular ketamine sedation in the management of children with oro-dental trauma in a paediatric emergency department.
Chay, PL; Tham, LP; Yee, R, 2020
)
0.82
" However, few studies on the toxic effects induced by the combination of MA and KET have been reported."( Effects of combined toxicity of methamphetamine and ketamine on apoptosis, oxidative stress and genotoxicity in HepG2 cells.
Liang, Z; Yin, P; Zhao, L, 2019
)
0.76
" The most common (>20%) adverse events reported for esketamine/antidepressant were nausea, dissociation, dizziness, vertigo, and headache."( Efficacy and Safety of Fixed-Dose Esketamine Nasal Spray Combined With a New Oral Antidepressant in Treatment-Resistant Depression: Results of a Randomized, Double-Blind, Active-Controlled Study (TRANSFORM-1).
Ameele, HVD; Blier, P; Daly, EJ; Drevets, WC; Fava, M; Fedgchin, M; Gaillard, R; Hough, D; Lane, R; Liebowitz, M; Lim, P; Manji, H; Melkote, R; Preskorn, S; Ravindran, A; Singh, JB; Trivedi, M; Vitagliano, D, 2019
)
1.04
" Ketamine is generally well tolerated by patients and has a limited side effect profile; however, the effects of long-term use are unknown."( Efficacy and safety of ketamine in the management of anxiety and anxiety spectrum disorders: a review of the literature.
Banov, MD; Dunn, T; Szabo, ST; Young, JR, 2020
)
1.78
" However, there is a need to evaluate the benefits and risks regarding psychomimetic, psychiatric, neurologic, and cognitive adverse effects of ketamine administration."( Short-term ketamine administration in treatment-resistant depression patients: focus on adverse effects on the central nervous system.
Cubała, WJ; Małyszko, A; Szarmach, J; Wiglusz, MS; Włodarczyk, A, 2019
)
1.1
" The majority of ketamine studies in TRD treatment reported no serious adverse events regardless the administration route or regimen."( Short-term ketamine administration in treatment-resistant depression: focus on cardiovascular safety.
Cubała, WJ; Szarmach, J; Wiglusz, MS; Włodarczyk, A, 2019
)
1.24
"Data (ie, pain intensity, morphine consumption, gastrointestinal and psychotic adverse effects) were extracted by two reviewers independently."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
0.8
"001; four studies, 252 participants) postoperative periods, without increasing risks of gastrointestinal or psychotic adverse effects."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
0.8
"Intravenous administration of ketamine is effective and safe for postoperative pain relief in patients undergoing total knee or hip arthroplasty."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
1.08
" To the best of our knowledge, these studies for the first time show that nifedipine and the dietary supplement ALCAR together induce adverse effects while providing evidence on the therapeutic efficacy of subanesthetic doses of ketamine against nifedipine toxicity in vivo."( Nifedipine toxicity is exacerbated by acetyl l-carnitine but alleviated by low-dose ketamine in zebrafish in vivo.
Ali, SF; Dumas, M; Gu, Q; Kanungo, J; Robinson, BL; Tryndyak, V, 2020
)
0.97
" No serious drug-related adverse events or increased ketamine craving/abuse post-administration were observed."( Comprehensive assessment of side effects associated with a single dose of ketamine in treatment-resistant depression.
Acevedo-Diaz, EE; Cavanaugh, GW; Greenstein, D; Kadriu, B; Kraus, C; Park, LT; Zarate, CA, 2020
)
1.04
"5 mg/kg was generally safe and tolerated in patients undergoing painless gastroscopy."( Pharmacokinetics and Safety of Esketamine in Chinese Patients Undergoing Painless Gastroscopy in Comparison with Ketamine: A Randomized, Open-Label Clinical Study.
Cui, C; Huang, J; Pei, Q; Wang, J; Wang, SY; Yang, GP; Yang, S; Ye, L, 2019
)
0.8
" No significant differences were observed in response rate, remission rate, relapse rate and adverse events, while, the relapse time in riluzole group was longer than placebo group."( Efficacy and safety of riluzole for depressive disorder: A systematic review and meta-analysis of randomized placebo-controlled trials.
Wang, G; Wang, H; Wu, C; Yao, R; Yuan, M, 2020
)
0.56
" For adverse events, odds ratio (OR) [95% confidence interval] for esketamine/antidepressant versus antidepressant/placebo was calculated."( Cardiac Safety of Esketamine Nasal Spray in Treatment-Resistant Depression: Results from the Clinical Development Program.
Doherty, T; Melkote, R; Miller, J; Singh, JB; Wajs, E; Weber, MA, 2020
)
1.12
" We developed a standardized data collection form and used it to record patient information regarding ketamine use, concomitant medication use, and any comorbidities that could have impacted the incidence of adverse events."( Ketamine Safety and Use in the Emergency Department for Pain and Agitation/Delirium: A Health System Experience.
Campbell, MJ; Casserly, E; Fertel, BS; Lam, SW; Meldon, SW; Mo, H; Wells, EJ, 2020
)
2.22
" Neuropsychiatric adverse events were identified in 4% (9/210) of patients who received SDDK."( Ketamine Safety and Use in the Emergency Department for Pain and Agitation/Delirium: A Health System Experience.
Campbell, MJ; Casserly, E; Fertel, BS; Lam, SW; Meldon, SW; Mo, H; Wells, EJ, 2020
)
2
"Patients experienced limited neuropsychiatric adverse events from SDDK."( Ketamine Safety and Use in the Emergency Department for Pain and Agitation/Delirium: A Health System Experience.
Campbell, MJ; Casserly, E; Fertel, BS; Lam, SW; Meldon, SW; Mo, H; Wells, EJ, 2020
)
2
" The literature shows that treatment with ketamine is efficacious and safe, and the majority of adverse drug reactions are mild and tend to mostly disappear within 30 min to 2 h of ketamine administration."( Safety and Tolerability of Ketamine Use in Treatment-Resistant Bipolar Depression Patients with Regard to Central Nervous System Symptomatology: Literature Review and Analysis.
Cubała, WJ; Włodarczyk, A, 2020
)
1.12
" Our aim was to develop a comprehensive Ketamine Side Effect Tool (KSET) to capture acute and longer-term side effects associated with repeated ketamine treatments."( Development of the Ketamine Side Effect Tool (KSET).
Bayes, AJ; Dong, V; Fam, J; Fraguas, R; Gálvez, V; Glue, P; Loo, CK; Martin, D; McLoughlin, DM; McShane, R; Murrough, JW; Riva-Posse, P; Schoevers, R; Short, B; Vulovic, V; Zarate, CA, 2020
)
1.15
"The structured Ketamine Side Effect Tool (KSET) was developed, with confirmation of content and face validity via a Delphi consensus process."( Development of the Ketamine Side Effect Tool (KSET).
Bayes, AJ; Dong, V; Fam, J; Fraguas, R; Gálvez, V; Glue, P; Loo, CK; Martin, D; McLoughlin, DM; McShane, R; Murrough, JW; Riva-Posse, P; Schoevers, R; Short, B; Vulovic, V; Zarate, CA, 2020
)
1.24
" Pharmacokinetics, pharmacodynamics (brain-derived neurotropic factor), adverse events, and vital signs were assessed up to 72 hours."( Ascending-Dose Study of Controlled-Release Ketamine Tablets in Healthy Volunteers: Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability.
Glue, P; Hung, CT; Hung, N; Lam, F; Medlicott, NJ; Surman, P, 2020
)
0.82
" Common treatment-emergent adverse events (TEAEs) were dizziness (32."( Esketamine Nasal Spray Plus Oral Antidepressant in Patients With Treatment-Resistant Depression: Assessment of Long-Term Safety in a Phase 3, Open-Label Study (SUSTAIN-2).
Aluisio, L; Daly, EJ; Drevets, WC; George, JE; Grunfeld, J; Holder, R; Hough, D; Jeon, HJ; Kasper, S; Lane, R; Li, CT; Lim, P; Manji, H; Morrison, RL; Paik, JW; Sanacora, G; Singh, JB; Sulaiman, AH; Wajs, E; Wilkinson, ST; Young, AH, 2020
)
1.28
" Continuous infusion ketamine appears safe and effective for sedation in the MICU."( Safety and Effectiveness of Sedation With Adjunctive Ketamine Versus Nonketamine Sedation in the Medical Intensive Care Unit.
Attridge, RL; Gutierrez, GC; Jaeger, M; Neff, LA, 2021
)
1.19
"Rigorous clinical trials suggest ketamine is safe and well-tolerated in patients with treatment-resistant depression (TRD)."( Safety and tolerability of IV ketamine in adults with major depressive or bipolar disorder: results from the Canadian rapid treatment center of excellence.
Cha, DS; Gill, H; Ho, R; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; Lui, LMW; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2020
)
1.13
" Tolerability was evaluated through the reporting of adverse events and dissociation symptom severity, as measured by the Clinician-Administered Dissociative States Scale."( Safety and tolerability of IV ketamine in adults with major depressive or bipolar disorder: results from the Canadian rapid treatment center of excellence.
Cha, DS; Gill, H; Ho, R; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; Lui, LMW; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2020
)
0.85
" The most frequently reported adverse events included drowsiness (56."( Safety and tolerability of IV ketamine in adults with major depressive or bipolar disorder: results from the Canadian rapid treatment center of excellence.
Cha, DS; Gill, H; Ho, R; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; Lui, LMW; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2020
)
0.85
"Intravenous ketamine was safe and well-tolerated."( Safety and tolerability of IV ketamine in adults with major depressive or bipolar disorder: results from the Canadian rapid treatment center of excellence.
Cha, DS; Gill, H; Ho, R; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; Lui, LMW; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M, 2020
)
1.23
"Although ketamine is one of the commonest medications used in procedural sedation of children, to our knowledge, there is currently no published report on predictors of respiratory adverse events during ketamine sedation in Asian children."( Incidence and predictors of respiratory adverse events in children undergoing procedural sedation with intramuscular ketamine in a paediatric emergency department.
Lee, JL; Tham, LP, 2022
)
1.35
" Demographics and epidemiological data, including any adverse events and interventions, were extracted electronically from the prospective paediatric sedation database."( Incidence and predictors of respiratory adverse events in children undergoing procedural sedation with intramuscular ketamine in a paediatric emergency department.
Lee, JL; Tham, LP, 2022
)
0.93
"9%) developed respiratory adverse events."( Incidence and predictors of respiratory adverse events in children undergoing procedural sedation with intramuscular ketamine in a paediatric emergency department.
Lee, JL; Tham, LP, 2022
)
0.93
" Based on low-to-moderate quality evidence, we concluded that the use of propofol and ketamine may result in a slight-to-small reduction in the risk of hypotension, bradycardia, and apnea, and a slight increase in the risk of tachycardia, hypertension, and other respiratory adverse events, such as cough or laryngospasm."( Safety and Efficacy of the Combination of Propofol and Ketamine for Procedural Sedation/Anesthesia in the Pediatric Population: A Systematic Review and Meta-analysis.
Aljuhani, T; De Oliveira, K; Hayes, JA; Johnston, BC, 2021
)
1.09
"The use of propofol and ketamine had a minimal effect on the incidence of adverse events and other secondary outcomes."( Safety and Efficacy of the Combination of Propofol and Ketamine for Procedural Sedation/Anesthesia in the Pediatric Population: A Systematic Review and Meta-analysis.
Aljuhani, T; De Oliveira, K; Hayes, JA; Johnston, BC, 2021
)
1.18
"Using the FDA Adverse Event Reporting System (FAERS) database (March 2019-March 2020), we analysed esketamine-related adverse events (AEs) to detect and characterize relevant safety signals."( Post-Marketing Safety Concerns with Esketamine: A Disproportionality Analysis of Spontaneous Reports Submitted to the FDA Adverse Event Reporting System.
Barbui, C; Gastaldon, C; Kane, JM; Raschi, E; Schoretsanitis, G, 2021
)
1.11
"To describe ketamine's adverse event profile when used to treat patients with severe agitation resulting from PDIT."( Description of Adverse Events in a Cohort of Dance Festival Attendees with Stimulant-Induced Severe Agitation Treated with Dissociative-Dose Ketamine.
Drapkin, J; Friedman, MS; Haaland, A; Likourezos, A; Saloum, D; Strayer, RJ,
)
0.71
" Medications used, adverse events and the need for repeat dosing were abstracted from prehospital care reports."( Description of Adverse Events in a Cohort of Dance Festival Attendees with Stimulant-Induced Severe Agitation Treated with Dissociative-Dose Ketamine.
Drapkin, J; Friedman, MS; Haaland, A; Likourezos, A; Saloum, D; Strayer, RJ,
)
0.33
" There were four serious adverse events (5."( Description of Adverse Events in a Cohort of Dance Festival Attendees with Stimulant-Induced Severe Agitation Treated with Dissociative-Dose Ketamine.
Drapkin, J; Friedman, MS; Haaland, A; Likourezos, A; Saloum, D; Strayer, RJ,
)
0.33
" In spite of severe neuropsychiatric adverse effects, esketamine (racemic enantiomer of ketamine) has been approved for the treatment of conventional monoaminergic antidepressant-resistant depression."( Candidate Strategies for Development of a Rapid-Acting Antidepressant Class That Does Not Result in Neuropsychiatric Adverse Effects: Prevention of Ketamine-Induced Neuropsychiatric Adverse Reactions.
Fukuyama, K; Kawano, Y; Motomura, E; Okada, M; Shiroyama, T, 2020
)
1
" There are limited data to determine if ketamine is safe in the longer term, but there were no indications that psychotic symptoms re-occurred after the first hour and in the days following administration."( The time course of psychotic symptom side effects of ketamine in the treatment of depressive disorders: a systematic review and meta-analysis.
Dragovic, M; Ford, A; Gabriel, L; Tashakkori, M; Waters, F, 2021
)
1.14
" Both substances have been detected in environmental matrices, but studies about their enantioselective toxic effects are scarce."( Ketamine and Norketamine: Enantioresolution and Enantioselective Aquatic Ecotoxicity Studies.
Carrola, JS; Gonçalves, R; M F Gonçalves, V; Pereira, JA; Pérez-Pereira, A; Pires, C; Ribeiro, C; Teles, F; Tiritan, ME, 2022
)
2.16
" Therefore, we carried out a meta-analysis to assess adverse effect profiles of esketamine for the treatment of MDD."( Adverse Effects of Esketamine for the Treatment of Major Depression Disorder: Findings from Randomized Controlled Trials.
Chen, G; Li, X; Wang, J; Wang, T; Xu, X; Xu, Z; Yang, S; Zhou, X, 2022
)
1.27
" This study assessed associations between ketamine dose and adverse events."( Prehospital Ketamine Use for Rapid Sequence Intubation: Are Higher Doses Associated With Adverse Events?
Brenna, CC; Buderer, N; Fulton, S; Hutchison, H; Jackson, J; Krebs, W; Paplaskas, AM; Rodgers, M; Stausmire, J; Swecker, KA; Werman, H,
)
0.77
" Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for adverse events."( Prehospital Ketamine Use for Rapid Sequence Intubation: Are Higher Doses Associated With Adverse Events?
Brenna, CC; Buderer, N; Fulton, S; Hutchison, H; Jackson, J; Krebs, W; Paplaskas, AM; Rodgers, M; Stausmire, J; Swecker, KA; Werman, H,
)
0.51
" High-dose ketamine was associated with greater odds of adverse events including hypotension (OR = 7."( Prehospital Ketamine Use for Rapid Sequence Intubation: Are Higher Doses Associated With Adverse Events?
Brenna, CC; Buderer, N; Fulton, S; Hutchison, H; Jackson, J; Krebs, W; Paplaskas, AM; Rodgers, M; Stausmire, J; Swecker, KA; Werman, H,
)
0.9
"Ketamine at higher doses was associated with increased odds of adverse events."( Prehospital Ketamine Use for Rapid Sequence Intubation: Are Higher Doses Associated With Adverse Events?
Brenna, CC; Buderer, N; Fulton, S; Hutchison, H; Jackson, J; Krebs, W; Paplaskas, AM; Rodgers, M; Stausmire, J; Swecker, KA; Werman, H,
)
1.95
" Drowsiness was the most commonly reported adverse event (50% of infusions; n = 73)."( Safety, Tolerability, and Real-World Effectiveness of Intravenous Ketamine in Older Adults With Treatment-Resistant Depression: A Case Series.
Cao, B; Cha, DS; Di Vincenzo, JD; Flint, AJ; Greenberg, D; Ho, RC; Kratiuk, K; Lee, Y; Lin, K; Lipsitz, O; McIntyre, RS; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M; Teopiz, KM, 2021
)
0.86
" Preanesthetic inhaled ketamine is also reported effective and safe in children."( Preanesthetic nebulized ketamine vs preanesthetic oral ketamine for sedation and postoperative pain management in children for elective surgery: A retrospective analysis for effectiveness and safety.
Chen, C; Cheng, X; Fu, F; Lin, L, 2021
)
1.24
" Ketamine appears to be safe and well-tolerated in adolescents and older adults."( The effectiveness, safety and tolerability of ketamine for depression in adolescents and older adults: A systematic review.
Cao, B; Di Vincenzo, JD; Gill, H; Ho, R; Lin, K; Lipsitz, O; Lui, LMW; McIntyre, RS; Ng, J; Rodrigues, NB; Rosenblat, JD; Siegel, A; Teopiz, KM, 2021
)
1.79
" Despite its use for decades in chronic non-malignant pain, there is no published long-term data on safety, side-effects or adverse drug reactions."( Long-term safety and efficacy of sublingual ketamine troches/lozenges in chronic non-malignant pain management.
Aggarwal, A; Gibson, SB; Maudlin, B, 2022
)
0.98
" Side-effects were reported in 24%, but only 7% discontinued the treatment due to the side-effect (drowsiness)."( Long-term safety and efficacy of sublingual ketamine troches/lozenges in chronic non-malignant pain management.
Aggarwal, A; Gibson, SB; Maudlin, B, 2022
)
0.98
"This retrospective case-series has demonstrated that sublingual ketamine is a safe and effective analgesic agent to use in chronic non-malignant pain management."( Long-term safety and efficacy of sublingual ketamine troches/lozenges in chronic non-malignant pain management.
Aggarwal, A; Gibson, SB; Maudlin, B, 2022
)
1.22
" Ketamine offers a safe and effective alternative to standard depression treatment, but many patients and providers are often unaware of this option."( Ketamine: Safe and Effective Treatment for Severe Depression.
Koss, TB,
)
2.48
"Nasal esketamine spray produces the adverse effects of dizziness, vertigo, and blurred vision severe enough to cause discontinuation in 4% of patients; it also can produce transient elevation of blood pressure (SOR: A, meta-analyses)."( Is ketamine effective and safe for treatment-resistant depression?
Jenkinson, M; Kelsberg, G; Linn, S; Neher, JO; Safranek, S; Zorn, A, 2021
)
1.68
" The most common treatment-emergent adverse events associated with ketamine/esketamine are dissociation, anxiety, nausea, increased blood pressure, and headache."( Prevention and Management of Common Adverse Effects of Ketamine and Esketamine in Patients with Mood Disorders.
Cao, B; Ceban, F; Chau, EH; Gill, H; Ho, RC; Kratiuk, K; Kumar, A; Lee, JG; Lee, Y; Lin, K; Lipsitz, O; Lui, LMW; Mansur, RB; McIntyre, RS; Nasri, F; Rodrigues, NB; Rosenblat, JD; Subramaniapillai, M; Swainson, J, 2021
)
1.1
"The number of therapeutic endoscopic procedures in elderly individuals keeps increasing and this population has a high risk of adverse events related to sedation and general anesthesia."( Efficacy and safety of endoscopic retrograde cholangiopancreatography in the very elderly by using a combination of intravenous midazolam, ketamine and pethidine.
Cetin, MF; Tokmak, S; Torun, S, 2021
)
0.82
" The most common treatment-emergent adverse events during the DB induction phase in the combined esketamine group (incidences ranging from 12."( Efficacy and safety of fixed doses of intranasal Esketamine as an add-on therapy to Oral antidepressants in Japanese patients with treatment-resistant depression: a phase 2b randomized clinical study.
Goto, R; Shimizu, H; Shiraishi, A; Takahashi, N; Tominaga, Y; Yamada, A, 2021
)
1.09
" All esketamine doses were safe and tolerated."( Efficacy and safety of fixed doses of intranasal Esketamine as an add-on therapy to Oral antidepressants in Japanese patients with treatment-resistant depression: a phase 2b randomized clinical study.
Goto, R; Shimizu, H; Shiraishi, A; Takahashi, N; Tominaga, Y; Yamada, A, 2021
)
1.33
"We conducted a retrospective case series analysis, utilizing reports identified from the US Food and Drug Administration Adverse Event Reporting System database as well as the medical literature."( Repeated or Continuous Medically Supervised Ketamine Administration Associated with Hepatobiliary Adverse Events: A Retrospective Case Series.
Avigan, M; Chai, G; Cotter, S; Foster, D; Gada, N; Gill, R; Jones, SC; Mundkur, M; Wong, J, 2021
)
0.88
"We identified 14 unique cases that met selection criteria with 21 hepatobiliary adverse events including liver enzyme elevation in all cases, biliary dilation with liver cirrhosis (n = 1), biliary dilation with cholangitis (n = 1), and pericholeductal fibrosis (n = 1)."( Repeated or Continuous Medically Supervised Ketamine Administration Associated with Hepatobiliary Adverse Events: A Retrospective Case Series.
Avigan, M; Chai, G; Cotter, S; Foster, D; Gada, N; Gill, R; Jones, SC; Mundkur, M; Wong, J, 2021
)
0.88
"We report an association between repeated or continuous administration of ketamine and hepatobiliary adverse events."( Repeated or Continuous Medically Supervised Ketamine Administration Associated with Hepatobiliary Adverse Events: A Retrospective Case Series.
Avigan, M; Chai, G; Cotter, S; Foster, D; Gada, N; Gill, R; Jones, SC; Mundkur, M; Wong, J, 2021
)
1.11
" Treatment-emergent adverse events (TEAEs) reported in younger versus older patients, respectively, were: induction, 86."( Comparison of Long-Term Efficacy and Safety of Esketamine Nasal Spray Plus Oral Antidepressant in Younger Versus Older Patients With Treatment-Resistant Depression: Post-Hoc Analysis of SUSTAIN-2, a Long-Term Open-Label Phase 3 Safety and Efficacy Study.
Daly, EJ; Drevets, WC; Hough, D; Jamieson, C; Lane, R; Lim, P; Manji, H; Ochs-Ross, R; Sanacora, G; Singh, JB; Steffens, DC; Wajs, E; Zhang, Y, 2022
)
0.98
" The adverse effects of ketamine are known to cause overall developmental and multi-organ toxicity, including cardio-, neuro-, and skeletal toxicity."( Zebrafish (Danio rerio): A potential model to assess developmental toxicity of ketamine.
Huang, W; Wu, K; Wu, T, 2022
)
1.26
" Beside adverse events that may be sought for abuse purpose (e."( Safety concerns on the abuse potential of esketamine: Multidimensional analysis of a new anti-depressive drug on the market.
Baudot, J; Mezaache, S; Micallef, J; Navarro, N; Soeiro, T; Tambon, M; Veyrac, G, 2022
)
0.98
" Secondary endpoints are postoperative NRS scores, the anaesthesia recovery time, time of first rescue analgesia, the incidence of rescue analgesia, the incidence of postoperative delirium, patient questionnaire for effect, changes from baseline in cognitive function and anxiety and depression, as well as the adverse events and pharmacoeconomic outcomes."( Perioperative intravenous S(+)-ketamine for acute postoperative pain in adults: study protocol for a multicentre, randomised, open-label, positive-controlled, pragmatic clinical trial (SAFE-SK-A trial).
Chen, PY; Chu, HC; Diao, YG; Duan, CY; Hua, Z; Huang, WQ; Li, H; Liu, CM; Liu, YH; Meng, QT; Mi, WD; Wang, H; Wang, Q; Zhang, XY; Zhao, P; Zhou, LZ, 2021
)
0.91
"To evaluate the effects of pre- and intraprocedural opioids on adverse events in children undergoing procedural sedation with ketamine in the emergency department (ED)."( Opioids Safety in Pediatric Procedural Sedation with Ketamine.
Cohen, N; Finkelstein, Y; Pasternak, Y; Ratnapalan, S; Schneeweiss, S; Schuh, S; Singer-Harel, D; Test, G, 2022
)
1.18
" We explored predictors of serious adverse events (SAEs), desaturation or respiratory intervention, and vomiting."( Opioids Safety in Pediatric Procedural Sedation with Ketamine.
Cohen, N; Finkelstein, Y; Pasternak, Y; Ratnapalan, S; Schneeweiss, S; Schuh, S; Singer-Harel, D; Test, G, 2022
)
0.97
" Pre- and intraprocedural opioids were not independent predictors of sedation-related adverse events."( Opioids Safety in Pediatric Procedural Sedation with Ketamine.
Cohen, N; Finkelstein, Y; Pasternak, Y; Ratnapalan, S; Schneeweiss, S; Schuh, S; Singer-Harel, D; Test, G, 2022
)
0.97
"Pre- and intraprocedural opioids do not increase the likelihood of sedation-related adverse events."( Opioids Safety in Pediatric Procedural Sedation with Ketamine.
Cohen, N; Finkelstein, Y; Pasternak, Y; Ratnapalan, S; Schneeweiss, S; Schuh, S; Singer-Harel, D; Test, G, 2022
)
0.97
" The most common adverse events in esketamine-treated patients were nausea, dissociation, dizziness, and vertigo, each reported at a rate higher in women than men."( Efficacy and safety of esketamine nasal spray by sex in patients with treatment-resistant depression: findings from short-term randomized, controlled trials.
Canuso, CM; Cooper, K; Daly, EJ; Freeman, MP; Jones, RR; Kornstein, SG; Nicholson, S, 2022
)
1.3
" The treatment appears to be safe with respect to urotoxic side effects, combination treatment with tranylcypromine and in comorbid posttraumatic stress disorder."( [Practical aspects of ketamine treatment-Safety, combination treatment and comorbidities].
Bauer, M; Findeis, H; Graff, J; Ludwig, V; Mikolas, P; Ritter, P, 2022
)
1.04
" In addition, Ketamine administration was safe well-tolerated, with transient dissociation as the main side effect reported."( The safety and efficacy of ketamine NMDA receptor blocker as a therapeutic intervention for PTSD review of a randomized clinical trial.
Chao, T; Jain, S; Jumaili, WA; Kubosumi, A; Trivedi, C, 2022
)
1.38
"01; I2<1%), dropouts due to adverse events (RR=1."( Efficacy and safety of racemic ketamine and esketamine for depression: a systematic review and meta-analysis.
Bahji, A; Vazquez, GH; Zarate, CA, 2022
)
1.01
" Secondary outcome measures were vital signs, quality of sedation, time need for the procedure, recovery time, intra-operative and post-operative adverse sequelae."( A double-blind randomized controlled trial to compare the safety and efficacy of dexmedetomidine alone and in combination with ketamine in uncooperative and anxious paediatric dental patients requiring pulpectomy.
Gupta, N; Haider, K; Mittal, N; Srivastava, B, 2022
)
0.93
"Dexmedetomidine either alone or in combination with ketamine proved to be a safe and efficacious agent for paediatric dental sedation."( A double-blind randomized controlled trial to compare the safety and efficacy of dexmedetomidine alone and in combination with ketamine in uncooperative and anxious paediatric dental patients requiring pulpectomy.
Gupta, N; Haider, K; Mittal, N; Srivastava, B, 2022
)
1.18
"After pooling data from seven randomized controlled trials, treatment with adjunctive IN esketamine vs IN placebo was safe overall, and more effective at decreasing depressive symptoms (d = -0."( The efficacy and safety of adjunctive intranasal esketamine treatment in major depressive disorder: a systematic review and meta-analysis.
Alnafeesi, Y; Ceban, F; Di Vincenzo, JD; Gillissie, ES; Jaberi, S; Jawad, MY; Lui, LMW; McIntyre, RS; Rosenblat, JD, 2022
)
1.19
"We recommend the Ketamine Side Effect Tool (KSET) as a comprehensive safety monitoring tool for acute and longer term side effects."( The Ketamine Side Effect Tool (KSET): A comprehensive measurement-based safety tool for ketamine treatment in psychiatry.
Bayes, A; Brunoni, AR; Fam, J; Galvez, V; Glue, P; Loo, CK; Martin, D; McLoughlin, DM; McShane, R; Murrough, JW; Parikh, S; Park, L; Riva-Posse, P; Schoevers, R; Short, B; Tor, PC; Veraart, J; Zarate, CA, 2022
)
1.62
" Hence, our preclinical studies demonstrated that dry powder inhalation is a highly efficacious and safe delivery route for esketamine and may be a viable alternative administration route meriting further clinical development."( Esketamine inhaled as dry powder: Pharmacokinetic, pharmacodynamic and safety assessment in a preclinical study.
Abramski, K; Dera, P; Gajos-Draus, A; Janicka, M; Janowska, S; Kamil, K; Mach, M; Matłoka, M; Moszczyński-Pętkowski, R; Pankiewicz, P; Perko, P; Pieczykolan, J; Teska-Kamińska, M; Tratkiewicz, E; Wieczorek, M; Ziółkowski, H, 2022
)
1.65
" Finally, continuing to monitor research subjects and patients long-term for the emergence of adverse effects on cognition or other organ systems is critical."( Key considerations for the use of ketamine and esketamine for the treatment of depression: focusing on administration, safety, and tolerability.
Kritzer, MD; Masand, PS; Pae, CU, 2022
)
1
" Ketamine can cause a variety of neuropsychiatric adverse effects, such as hallucinations, dysphoria, and nightmares."( Risk Factors for the Development of Neuropsychiatric Adverse Effects in Ketamine-Treated Pain.
Quirk, K; Smith, MA, 2022
)
1.86
"Intravenous, subcutaneous, and possibly oral esketamine may offer an effective and safe addition to the depression treatment armamentarium."( The antidepressant effect and safety of non-intranasal esketamine: A systematic review.
Aan Het Rot, M; Kamphuis, J; Schoevers, RA; Smith-Apeldoorn, SY; Veraart, JK; Vischjager, M, 2022
)
1.22
" Methohexital, a barbiturate, is less frequently used due to concerns for adverse events associated with this drug class."( A Safety Comparison of Single-Agent Methohexital, Ketamine, or Propofol for Musculoskeletal Procedural Sedation in the Emergency Department.
Kruggel, S; Mishler, A; Sullivan, L, 2022
)
0.97
" Overall adverse events occurred in 34."( A Safety Comparison of Single-Agent Methohexital, Ketamine, or Propofol for Musculoskeletal Procedural Sedation in the Emergency Department.
Kruggel, S; Mishler, A; Sullivan, L, 2022
)
0.97
"Methohexital is a safe and effective option for procedural sedation for musculoskeletal procedures in the ED when compared with ketamine and propofol."( A Safety Comparison of Single-Agent Methohexital, Ketamine, or Propofol for Musculoskeletal Procedural Sedation in the Emergency Department.
Kruggel, S; Mishler, A; Sullivan, L, 2022
)
1.18
" Demographics, adverse events, and patient-reported dissociation were also analyzed."( At-home, sublingual ketamine telehealth is a safe and effective treatment for moderate to severe anxiety and depression: Findings from a large, prospective, open-label effectiveness trial.
Akiki, TJ; Arden, K; Gazzaley, A; Hull, TD; Klotz, M; Madan, A; Malgaroli, M; Paleos, C; Swain, J; Vando, L, 2022
)
1.04
" Four patients left treatment early due to side effects or clinician disqualification, and two more due to adverse events."( At-home, sublingual ketamine telehealth is a safe and effective treatment for moderate to severe anxiety and depression: Findings from a large, prospective, open-label effectiveness trial.
Akiki, TJ; Arden, K; Gazzaley, A; Hull, TD; Klotz, M; Madan, A; Malgaroli, M; Paleos, C; Swain, J; Vando, L, 2022
)
1.04
" Patient screening and remote monitoring maintained low levels of adverse events."( At-home, sublingual ketamine telehealth is a safe and effective treatment for moderate to severe anxiety and depression: Findings from a large, prospective, open-label effectiveness trial.
Akiki, TJ; Arden, K; Gazzaley, A; Hull, TD; Klotz, M; Madan, A; Malgaroli, M; Paleos, C; Swain, J; Vando, L, 2022
)
1.04
" In addition to other clinical and environmental confounders, prior information on the pharmacodynamic and pharmacokinetic determinants of response variability to ketamine and esketamine may inform on dose optimization and identification of individuals at risk of adverse drug reactions."( Pharmacogenetic and drug interaction aspects on ketamine safety in its use as antidepressant - implications for precision dosing in a global perspective.
Just, KS; Langmia, IM; Müller, JP; Stingl, JC; Yamoune, S, 2022
)
1.17
" Hemodynamic index, pulse oxygen saturation, operative time, induction time, awakening status, orientation recovery time, adverse events, and Mini-Mental State Examination (MMSE) were also recorded during gastrointestinal endoscopy."( Efficacy and safety of subanesthetic doses of esketamine combined with propofol in painless gastrointestinal endoscopy: a prospective, double-blind, randomized controlled trial.
Li, J; Li, S; Li, Y; Liang, S; Liang, Z; Luo, Q; Yang, Z; Zhan, Y, 2022
)
0.98
"2 mg/kg esketamine and propofol was effective and safe in painless gastrointestinal endoscopy as evidenced by less propofol consumption per minute, shorter induction time, and lower incidence of cough and body movement relative to propofol alone."( Efficacy and safety of subanesthetic doses of esketamine combined with propofol in painless gastrointestinal endoscopy: a prospective, double-blind, randomized controlled trial.
Li, J; Li, S; Li, Y; Liang, S; Liang, Z; Luo, Q; Yang, Z; Zhan, Y, 2022
)
1.38
" Esketamine was safe and well tolerated."( Efficacy and Safety of Subcutaneous Esketamine in the Treatment of Suicidality in Major Depressive Disorder and Bipolar Depression.
Abdo, GL; Barbosa, MG; de Oliveira Cerqueira, R; Del Porto, JA; Del Sant, LC; Delfino, RS; Fava, VAR; Grossi, JD; Lacerda, ALT; Lucchese, AC; Magalhães, E; Nakahira, C; Sarin, LM; Steglich, MS; Surjan, J; Tuena, MA, 2022
)
1.61
"Ketamine may be a safe and feasible analgesic for medical and cardiac ICU patients who received mechanical ventilation support as an opioid-sparing agent without adverse hemodynamic effects."( Safety and feasibility of continuous ketamine infusion for analgosedation in medical and cardiac ICU patients who received mechanical ventilation support: A retrospective cohort study.
Ahn, HY; Chung, CR; Jung, H; Ko, RE; Lee, J; Suh, GY; Yang, JH, 2022
)
2.44
" There has been no report on adverse events after discharge from the recovery room."( Delayed Adverse Events after Procedural Sedation in Pediatric Patients with Hematologic Malignancies.
Joo, J; Koh, HJ; Yu, S, 2022
)
0.72
" This study aimed to evaluate the clinical characteristics, treatment patterns, clinical outcomes, and adverse events of patients receiving IM ketamine treatment."( Real-world depression, anxiety and safety outcomes of intramuscular ketamine treatment: a retrospective descriptive cohort study.
Ahuja, S; Brendle, M; Moore, C; Robison, R; Smart, L; Thielking, P, 2022
)
1.16
" An adverse event occurred during 59 of 2532 treatments (2."( Real-world depression, anxiety and safety outcomes of intramuscular ketamine treatment: a retrospective descriptive cohort study.
Ahuja, S; Brendle, M; Moore, C; Robison, R; Smart, L; Thielking, P, 2022
)
0.96
" Demographic and clinical data, including age, length of the procedure, recovery time, medication doses, and adverse events, were collected."( Safety and Efficacy of Propofol- and Ketamine-Based Procedural Sedation Regimen in Pediatric Patients During Burn Repetitive Dressing Change: 10 Years Single Center Experience.
Abu-Sultaneh, S; Abulebda, K; Lutfi, R; Shieh Yu, J; Slaven, JE; Yabrodi, M, 2023
)
1.18
"The cognitive adverse effects (AEs) of electroconvulsive therapy (ECT) limit the wider use of the treatment."( Reconsideration of the Benefits of Pharmacological Interventions for the Attenuation of the Cognitive Adverse Effects of Electroconvulsive Therapy.
Andrade, C, 2022
)
0.72
" Adverse events were not observed in patients treated with ketamine."( Efficacy and safety in ketamine-guided prehospital analgesia for abdominal pain.
Dorau, W; Eppler, F; Häske, D; Heinemann, N; Schempf, B; Schopp, T, 2022
)
1.28
"Prospective observational study of adverse events (AEs) related to pediatric ED specialists' use of analgesia and sedation when reducing fractures in children under the age of 14 years between 2011 and 2019."( Safety of ketamine for reducing fractures in a pediatric emergency department.
Benito, J; García, S; Intxauspe Maritxalar, A; Lejarzegi Anakabe, E; Mintegi, S; Olabarri, M, 2022
)
1.12
" The efficacy and safety of the sedations including sedation time intervals, nausea score, vomiting episodes, pain score, adverse effects, and parent's satisfaction were evaluated."( The efficacy and safety of midazolam with fentanyl versus midazolam with ketamine for bedside invasive procedural sedation in pediatric oncology patients: A randomized, double-blinded, crossover trial.
Lertvivatpong, N; Malaithong, W; Monsereenusorn, C; Photia, A; Rujkijyanont, P; Traivaree, C, 2022
)
0.95
" Safety outcomes included serious adverse events (eg, suicide attempts and deaths) and other adverse events."( Efficacy and Safety of Ketamine vs Electroconvulsive Therapy Among Patients With Major Depressive Episode: A Systematic Review and Meta-analysis.
Forester, BP; Krystal, JH; McIntyre, RS; Nierenberg, AA; Papakostas, GI; Rhee, TG; Sanacora, G; Shim, SR; Wilkinson, ST, 2022
)
1.03
" Significant differences were not observed between groups for studies that assessed cognition/memory or serious adverse events."( Efficacy and Safety of Ketamine vs Electroconvulsive Therapy Among Patients With Major Depressive Episode: A Systematic Review and Meta-analysis.
Forester, BP; Krystal, JH; McIntyre, RS; Nierenberg, AA; Papakostas, GI; Rhee, TG; Sanacora, G; Shim, SR; Wilkinson, ST, 2022
)
1.03
" Therefore, intranasal (2R, 6R)-HNK is suggested as a safe candidate for further clinical study in the management of acute pain."( Intranasal (2R, 6R)-hydroxynorketamine for acute pain: Behavioural and neurophysiological safety analysis in mice.
Aleem, M; Goswami, N; Manda, K, 2023
)
1.2
" Frequency of response to specific CADSS items was examined to investigate qualitative differences in the pattern of symptoms reported across investigator-reported levels of adverse event severity."( Adverse Events and Measurement of Dissociation After the First Dose of Esketamine in Patients With TRD.
Borentain, S; Drevets, WC; Singh, JB; Turkoz, I; Wajs, E; Williamson, D, 2023
)
1.14
"Dissociation was reported as an adverse event in 14."( Adverse Events and Measurement of Dissociation After the First Dose of Esketamine in Patients With TRD.
Borentain, S; Drevets, WC; Singh, JB; Turkoz, I; Wajs, E; Williamson, D, 2023
)
1.14
"CADSS scores and severity of dissociation adverse events move generally in the same direction; however, there is substantial variability in this relationship."( Adverse Events and Measurement of Dissociation After the First Dose of Esketamine in Patients With TRD.
Borentain, S; Drevets, WC; Singh, JB; Turkoz, I; Wajs, E; Williamson, D, 2023
)
1.14
" Acceptability, tolerability, and safety, including adverse and serious adverse events (AEs and SAEs), blood pressure changes, dissociation, craving, in addition to rates of depression response and remission were evaluated."( Intravenous Ketamine for Late-Life Treatment-Resistant Depression: A Pilot Study of Tolerability, Safety, Clinical Benefits, and Effect on Cognition.
Brown, PJ; Butters, MA; Ciarleglio, A; Farber, NB; Flint, AJ; Gebara, MA; Karp, JF; Lavretsky, H; Lenze, EJ; Mulsant, BH; Oughli, HA; Reynolds, CF; Roose, SP; Yang, L, 2023
)
1.29
" Condition of parental separation, anesthesia induction or facemask acceptance, sedation level, different hemodynamic parameters and adverse events were considered as the outcomes in our study."( Efficacy and safety of intranasal midazolam versus intranasal ketamine as sedative premedication in pediatric patients: a meta-analysis of randomized controlled trials.
Chen, S; Fu, Y; Huang, L; Jia, ZJ; Lang, B; Wang, H; Zeng, L; Zhang, L; Zhang, Q, 2022
)
0.96
" Current evidences also indicated that the differences of various adverse effects between two groups were not significant."( Efficacy and safety of intranasal midazolam versus intranasal ketamine as sedative premedication in pediatric patients: a meta-analysis of randomized controlled trials.
Chen, S; Fu, Y; Huang, L; Jia, ZJ; Lang, B; Wang, H; Zeng, L; Zhang, L; Zhang, Q, 2022
)
0.96
" Eleven patients had adverse events potentially related to ketamine (hypersalivation, systemic hypertension, dystonia/dyskinesia, tachycardia, and agitation) and six patients required intervention (dose reduction, suspension, or pharmacologic therapy)."( Is ketamine infusion effective and safe as an adjuvant of sedation in the PICU? Results from the Ketamine Infusion Sedation Study (KISS).
Amigoni, A; Daverio, M; Mondardini, MC; Pece, F; Pettenazzo, A; Pettenuzzo, G; Poletto, E; Porcellato, N; Sperotto, F; Tessari, A, 2023
)
1.77
" Adverse events are minor and easily reversible."( Is ketamine infusion effective and safe as an adjuvant of sedation in the PICU? Results from the Ketamine Infusion Sedation Study (KISS).
Amigoni, A; Daverio, M; Mondardini, MC; Pece, F; Pettenazzo, A; Pettenuzzo, G; Poletto, E; Porcellato, N; Sperotto, F; Tessari, A, 2023
)
1.53
"Although ketamine is generally safe and potentially useful, its efficacy in palliative care settings remains unclear."( Efficacy and safety of ketamine for the treatment of depressive symptoms in palliative care: A systematic review.
Barbosa, MG; Garcia, GT; Jackowski, AP; Sarin, LM, 2023
)
1.64
"The combination of ketamine-dexmedetomidine for procedural sedation during ERCP is a safe alternative to ketamine-propofol with a better respiratory profile."( Ketamine and dexmedetomidine (Keto-dex) or ketamine and propofol (Keto-fol) for procedural sedation during endoscopic retrograde cholangiopancreatography: Which is safer? A randomized clinical trial.
Ahuja, V; Aravindan, A; Datta, PK; Ganesh, V; Iyer, KV; Khanna, P; Maitra, S; Sarkar, S; Singh, A, 2022
)
2.49
" Secondary outcomes included postoperative visual analog scale (VAS) scores for pain and adverse effects associated with ketamine."( Efficacy and safety of perioperative application of ketamine on postoperative depression: A meta-analysis of randomized controlled studies.
Gu, HW; Guo, J; Hashimoto, K; Qiu, D; Wang, XM; Yang, JJ; Zhang, GF, 2023
)
1.37
"To determine the anesthetic approach with the least adverse events and better cardiorespiratory stability profile, used in infants undergoing laser photocoagulation for retinopathy of prematurity."( Safety profile of anesthetic modalities during laser treatment for retinopathy of prematurity: a systematic review.
Arvanitaki, Z; Gavriilidou, A; Haidich, AB; Mataftsi, A; Seliniotaki, AK; Ziakas, N, 2023
)
0.91
" This study aimed to evaluate differences in pain management and adverse effects of ketamine and opioid administration."( Treating Prehospital Pain in Children: A Retrospective Chart Review Comparing the Safety and Efficacy of Prehospital Pediatric Ketamine and Opioid Analgesia.
Brent, C; Cranford, JA; Hunt, N; Mahmood, A; Masiewicz, S; Noel, S; Wagner, D, 2023
)
1.34
" Despite study limitations related to the inherent nature of the study, a limited number of patients, and a short follow-up period, ESK-NS showed to be effective and safe in patients diagnosed with TRD comorbid with a SUD."( Esketamine in treatment-resistant depression patients comorbid with substance-use disorder: A viewpoint on its safety and effectiveness in a subsample of patients from the REAL-ESK study.
Andriola, I; Barlati, S; Bassetti, R; Chiappini, S; Clerici, M; d'Andrea, G; De Filippis, S; Dell'Osso, B; Di Nicola, M; Martinotti, G; Pettorruso, M; Sensi, S; Vita, A, 2023
)
1.63
" Included studies were those reporting adverse events when ketamine was given repeatedly to children aged 5-18, for any condition."( The safety of repeated ketamine dosing in paediatrics: A systematic review.
James, IG; James, L; Wakefield, J, 2023
)
1.46
" There were no serious adverse events."( The safety of repeated ketamine dosing in paediatrics: A systematic review.
James, IG; James, L; Wakefield, J, 2023
)
1.22
"These results suggest that, despite methodological limitations of the studies, ketamine is well tolerated and safe for use in children, even when given repeatedly in regimens analogous to those used for the treatment of depression in adults."( The safety of repeated ketamine dosing in paediatrics: A systematic review.
James, IG; James, L; Wakefield, J, 2023
)
1.45
" Response (≥50% improvement in total score from baseline for Montgomery-Åsberg Depression Rating Scale [MADRS] and Patient Health Questionnaire 9-item [PHQ-9]), remission (MADRS score ≤12; PHQ-9 total score <5), changes in depression rating scores (measured as mean change from baseline), and safety were evaluated (incidence of treatment-emergent and serious adverse events [AE])."( Efficacy and Safety of Esketamine Nasal Spray in Patients with Treatment-Resistant Depression Who Completed a Second Induction Period: Analysis of the Ongoing SUSTAIN-3 Study.
Al Jurdi, RK; Borentain, S; Brown, B; Cabrera, P; Castro, M; Fu, DJ; Petrillo, MP; Sun, L; Turkoz, I; Wilkinson, ST; Zaki, N, 2023
)
1.21
"Limited published data exists that collates serious adverse outcomes involving ketamine as a psychiatric intervention."( A systematic review of the incidence of medical serious adverse events in sub-anesthetic ketamine treatment of psychiatric disorders.
Frizzell, W; Gerrish, W; Hovda, N; Shackelford, R, 2024
)
1.89
" Only studies that reported adverse events were included, and the incidence of MSAEs was calculated."( A systematic review of the incidence of medical serious adverse events in sub-anesthetic ketamine treatment of psychiatric disorders.
Frizzell, W; Gerrish, W; Hovda, N; Shackelford, R, 2024
)
1.66
" There were no serious cardiac adverse events or deaths observed in any participants; however, most trials' study designs excluded those with high cardiovascular complication risk."( A systematic review of the incidence of medical serious adverse events in sub-anesthetic ketamine treatment of psychiatric disorders.
Frizzell, W; Gerrish, W; Hovda, N; Shackelford, R, 2024
)
1.66
"Findings suggest that with basic medical screening there is a very low incidence of MSAEs including adverse cardiac or cerebrovascular events in individuals receiving sub-anesthetic ketamine for psychiatric disorders."( A systematic review of the incidence of medical serious adverse events in sub-anesthetic ketamine treatment of psychiatric disorders.
Frizzell, W; Gerrish, W; Hovda, N; Shackelford, R, 2024
)
1.86

Pharmacokinetics

The aim of this study was to evaluate the pharmacokinetic variability of S-ketamine in children aged 0-18 years during long-term sedation. Ketamine's half-life of ∼2 h cannot explain antidepressant effects that last for 1 week, suggesting the triggering of long-lasting neuroplasticity.

ExcerptReferenceRelevance
" The apparent elimination half-life was longer and the total voluem of distribution at steady state larger during halothane anesthesia."( Effect of different anesthetics on the pharmacokinetics and pharmacodynamics of pancuronium in the cat.
Agoston, S; Booij, LH; Crul, JF; Miller, RD; van der Pol, F, 1979
)
0.26
" The plasma concentration of ketamine was measured several times after administration of the drug and these data were used to develop a two-compartment pharmacokinetic model."( Pharmacokinetics of ketamine in the horse.
Hayton, WL; Kaka, JS; Klavano, PA, 1979
)
0.87
" Plasma half-life of ketamine was 79 +/- 8 min."( Ketamine infusions: pharmacokinetics and clinical effects.
Ahlgren, I; Aronsen, KR; Idvall, J; Stenberg, P, 1979
)
2.02
" The pharmacokinetic behaviour of ketamine after intravenous injection may be described in terms of an open two-compartment model."( Pharmacokinetics of ketamine in man.
Dengler, HJ; Gugler, R; Hengstmann, JH; Wieber, J, 1975
)
0.86
" By means of pharmacodynamic models, the effects on the CBF could be predicted from the arterial drug concentrations."( Ketamine and midazolam decrease cerebral blood flow and consequently their own rate of transport to the brain: an application of mass balance pharmacokinetics with a changing regional blood flow.
Akeson, J; Björkman, S; Messeter, K; Nilsson, F; Roth, B, 1992
)
1.73
" Pharmacokinetic studies were undertaken to investigate these findings."( Pharmacokinetics and efficacy of structurally related spirohydantoin and spirosuccinimide aldose reductase inhibitors.
Barker, R; Barratt, D; Brazzell, K; DuPriest, M; Griffin, B; Mayer, P; Park, YH; York, B, 1992
)
0.28
" The elimination half-life values of the parent drug for both biological fluids were similar (4."( Pharmacokinetics and distribution of ketamine after extradural administration to dogs.
Calvo, MB; Dominguez-Gil, A; Gascon, AR; Hernandez, R; Muriel, C; Pedraz, JL; Torres, LM, 1991
)
0.55
" As a prelude to pharmacodynamic studies, we investigated ketamine pharmacokinetics in eight dogs anesthetized with enflurane and correlated ketamine concentration in plasma (KET) with its ability to reduce the enflurane concentration required for anesthesia (enflurane EC50: MAC--the end-tidal concentration at which half the dogs moved in response to clamping of the tail and half did not move)."( The pharmacokinetics and pharmacodynamics of ketamine in dogs anesthetized with enflurane.
Hug, CC; Schwieger, IM; Szlam, F, 1991
)
0.79
" The results of our study suggest that this type of anesthesia of prolonged duration is safe as judged by the present pharmacokinetic study."( [Clinical study on total intravenous anesthesia with droperidol, fentanyl and ketamine--3. Pharmacokinetics during prolonged continuous ketamine infusion].
Ishihara, H; Kotani, N; Kudo, M; Kudo, T; Matsuki, A, 1991
)
0.51
"Ten surgical patients who received various operative procedures including abdominal surgery and ENT surgery were the subjects of the pharmacokinetic study of total intravenous anesthesia with droperidol, fentanyl and ketamine."( [A clinical study on total intravenous anesthesia with droperidol, fentanyl and ketamine--2. Pharmacokinetics following the end of continuous ketamine infusion].
Ishihara, H; Kotani, N; Kudo, T; Matsuki, A; Ogasawara, E; Takahashi, S, 1991
)
0.69
" The concentration-effect relationship was described by an inhibitory sigmoid Emax pharmacodynamic model, yielding estimates of both maximal effect (Emax) and sensitivity (IC50) to the racemic and enantiomeric forms of ketamine."( Pharmacodynamic modeling of the EEG effects of ketamine and its enantiomers in man.
Horai, Y; Schüttler, J; Sheiner, LB; Stanski, DR; Trevor, AJ; Verotta, D; White, PF, 1987
)
0.72
" The pharmacokinetic model of thiopental is a three compartment model."( [Pharmacokinetics of intravenous non-steroidal anesthetics].
Chardon, P; Kienlen, J, 1981
)
0.26
" The pharmacokinetic data may lead to the conclusion that analgesia starts above plasma levels of 100 ng/ml."( [Intramuscular ketamine analgesia in emergency patients. I. Clinico--pharmacokinetic study].
Dick, W; Hirlinger, WK; Knoche, E, 1983
)
0.62
" Plasma ketamine concentration-time curves were fitted by a two-compartment open model with a terminal half-life of 186 min."( Bioavailability, pharmacokinetics, and analgesic activity of ketamine in humans.
Clements, JA; Grant, IS; Nimmo, WS, 1982
)
0.94
" A pharmacokinetic model that included two compartments for ketamine and one compartment for each metabolite was developed."( Pharmacokinetics of ketamine and two metabolites in the dog.
Hayton, WL; Kaka, JS, 1980
)
0.83
" The elimination half-life was 186 min."( Pharmacokinetics and analgesic effect of ketamine in man.
Clements, JA; Nimmo, WS, 1981
)
0.53
" The tmax was 2 to 4 hours after dosing, with nonlinear increases in Cmax and the AUC0-4th for HP 749."( The pharmacokinetics and cardiovascular pharmacodynamics of HP 749 (besipirdine HCl) and metabolite P86-7480 in the conscious monkey.
Dean, R; Dileo, EM; Griffiths, L; Hintze, TH; Hsu, RS; Hubbard, JW; Natarajan, C, 1995
)
0.29
"There are still divergent opinions regarding the pharmacodynamic effects of ketamine on the brain."( Cerebral pharmacodynamics of anaesthetic and subanaesthetic doses of ketamine in the normoventilated pig.
Akeson, J; Björkman, S; Helfer, M; Messeter, K; Rosén, I, 1993
)
0.75
" The mean elimination half-life of propofol was 56."( Pharmacokinetics of propofol infusions, either alone or with ketamine, in sheep premedicated with acepromazine and papaveretum.
Correia, D; Nolan, AM; Reid, J, 1996
)
0.54
" A linear pharmacokinetic model for ketamine was used to achieve target blood concentrations and was implemented using a palmtop PC."( Development of a pharmacokinetic model-based infusion system for ketamine analgesia.
Linkens, DA; Mason, DG; Reilly, CS; Swinhoe, CF, 1996
)
0.81
" However, the following main changes in N-acetylprocainamide (metabolite) pharmacokinetic parameters were found: 1) increase of the penetration rate constants between the compartments and mean residence time during propofol anesthesia 2) prolongation of the mean residence time during thiopental anesthesia 3) increase of mean residence time of N-acetylprocainamide during anesthesia with ketamine, pentobarbital or propofol."( The influence of selected general anesthetics on pharmacokinetic parameters of some antiarrhythmic drugs in rabbits. Part I. Procainamide and its active metabolite-N-acetylprocainamide.
Orszulak-Michalak, D,
)
0.3
"The influence of general anesthesia with thiopental (10 mg/kg), ketamine (4 mg/kg), propofol (10 mg/kg) or pentobarbital (20 mg/kg) on the N-acetylprocainamide (15 mg/kg) pharmacokinetic parameters was studied in rabbits."( The influence of selected general anesthetics on pharmacokinetic parameters of some antiarrhythmic drugs in rabbits. Part II. N-acetylprocainamide.
Orszulak-Michalak, D,
)
0.37
"3 mg/kg) pharmacokinetic parameters was studied in rabbits."( The influence of selected general anesthetics on pharmacokinetic parameters of some antiarrhythmic drugs in rabbits. Part III. Propranolol.
Orszulak-Michalak, D,
)
0.13
"The influence of selected general anesthetics: thiopental, propofol, ketamine and pentobarbital on the lidocaine pharmacokinetic parameters was studied in rabbits."( The influence of selected general anesthetics on pharmacokinetic parameters of some antiarrhythmic drugs in rabbits. Part IV. Lidocaine.
Orszulak-Michalak, D,
)
0.37
"2 mg/kg) pharmacokinetic parameters was studied in rabbits."( The influence of selected general anesthetics on pharmacokinetic parameters of some antiarrhythmic drugs in rabbits. Part V. Verapamil.
Orszulak-Michalak, D,
)
0.13
" From the pharmacokinetic point of view, PFK may be safely applied even for neonates."( [Clinical indication of propofol for pediatric patients--pharmacokinetics of propofol and ketamine during and after total intravenous anesthesia with propofol, fentanyl and ketamine (PFK) in a neonate].
Komoda, Y; Kudo, M; Kudo, T; Matsuki, A; Mi, WD; Sakai, T, 1998
)
0.52
" There was great variability in the calculated pharmacokinetic parameters, possibly due to circulatory changes associated with periods of apnoea which characterise this animal's response to anaesthetics."( Pharmacokinetics of intravenously administered ketamine in southern elephant seals (Mirounga leonina).
Burton, HR; McLean, S; Woods, R, 1999
)
0.56
" Marker and drug dispositions were described by recirculatory pharmacokinetic models based on frequent early and less-frequent later arterial blood samples."( Ketamine distribution described by a recirculatory pharmacokinetic model is not stereoselective.
Avram, MJ; Enders-Klein, C; Henthorn, TK; Krejcie, TC; Niemann, CU; Shanks, CA, 1999
)
1.75
" Ketamine exerts differential pharmacodynamic effects on behavior in animals stratified according to a measure of central serotonergic turnover."( Ondansetron modulates pharmacodynamic effects of ketamine on electrocardiographic signals in rhesus monkeys.
Bennett, AJ; Dee Higley, J; DePetrillo, PB; Karimullah, K; Shoaf, SE; Speers, D; Suomi, SJ, 2000
)
1.47
" The use of ketamine as an anaesthetic agent in rabbits is questionable, while the use of fentanyl in pigs, methohexitone in rats and ketamine in rats and pigs is well supported by the pharmacokinetic data."( Clearance of fentanyl, alfentanil, methohexitone, thiopentone and ketamine in relation to estimated hepatic blood flow in several animal species: application to prediction of clearance in man.
Björkman, S; Redke, F, 2000
)
0.92
" Concentrations of the ketamine enantiomers were determined from arterial blood, and pharmacokinetic parameters were estimated with a 2- and 3-compartment model."( Stereoselective pharmacokinetics of ketamine: R(-)-ketamine inhibits the elimination of S(+)-ketamine.
Geisslinger, G; Ihmsen, H; Schüttler, J, 2001
)
0.9
" When more than one drug is present simultaneously, the potential for drug--drug interaction exists, which can be pharmacokinetic, pharmacodynamic or both in nature."( The role of ketamine on plasma cocaine pharmacokinetics in rat.
Abdel-Rahman, MS; Rofael, HZ, 2002
)
0.69
" We determined the pharmacokinetics of ketamine and alfentanil, alone and together, in three groups of adult male rats, to assess any pharmacokinetic interaction."( Concurrent ketamine and alfentanil administration: pharmacokinetic considerations.
Edwards, SR; Mather, LE; Minto, CF, 2002
)
0.97
" Due to its narrow therapeutic window, well-defined pharmacokinetic parameters are essential for its successful use in these situations."( Pharmacokinetics and non-analgesic effects of S- and R-ketamines in healthy volunteers with normal and reduced metabolic capacity.
Almqvist, O; Gustafsson, LL; Hasselström, J; Maurset, A; Oye, I; Persson, J; Scheinin, H; Svensson, JO, 2002
)
0.56
" There were no salient differences between the subjects with reduced and normal metabolic capacity in pharmacokinetic parameters or in side effects."( Pharmacokinetics and non-analgesic effects of S- and R-ketamines in healthy volunteers with normal and reduced metabolic capacity.
Almqvist, O; Gustafsson, LL; Hasselström, J; Maurset, A; Oye, I; Persson, J; Scheinin, H; Svensson, JO, 2002
)
0.56
"There are large differences between arterial and venous data in the pharmacokinetic parameters that are heavily dependent on distribution processes."( Pharmacokinetics and non-analgesic effects of S- and R-ketamines in healthy volunteers with normal and reduced metabolic capacity.
Almqvist, O; Gustafsson, LL; Hasselström, J; Maurset, A; Oye, I; Persson, J; Scheinin, H; Svensson, JO, 2002
)
0.56
"To develop and establish a conscious rabbit model for ocular pharmacokinetic studies and to delineate the effects of anesthesia and probe implantation on the ocular disposition of ganciclovir."( Posterior segment ocular pharmacokinetics using microdialysis in a conscious rabbit model.
Dias, CS; Mitra, AK, 2003
)
0.32
" The vitreous half-life of ganciclovir was significantly shorter in the groups with a recovery period of more than 5 days compared with the group with no recovery period."( Posterior segment ocular pharmacokinetics using microdialysis in a conscious rabbit model.
Dias, CS; Mitra, AK, 2003
)
0.32
" The increase in the volume of distribution is greater than the increase in clearance, resulting in a longer estimated half-life of ketamine in this patient group."( Pharmacokinetics and haemodynamics of ketamine in intensive care patients with brain or spinal cord injury.
Bodonian, C; Bolon, M; Boulieu, R; Hijazi, Y; Salord, F, 2003
)
0.79
" The elimination half-life of ketamine was calculated."( Analgesic effects and pharmacokinetics of a low dose of ketamine preoperatively administered epidurally or intravenously.
Liu, G; Wang, G; Wang, X; Xie, H,
)
0.67
" Compared with intravenous administration, epidural administration of ketamine resulted in higher plasma concentrations from 90 minutes to 48 hours after injection, and much longer elimination half-life of ketamine, but a lower maximum plasma concentration of ketamine."( Analgesic effects and pharmacokinetics of a low dose of ketamine preoperatively administered epidurally or intravenously.
Liu, G; Wang, G; Wang, X; Xie, H,
)
0.61
" The prolonged half-life and high plasma sustained concentration of epidural ketamine might account for the difference in analgesic effects."( Analgesic effects and pharmacokinetics of a low dose of ketamine preoperatively administered epidurally or intravenously.
Liu, G; Wang, G; Wang, X; Xie, H,
)
0.61
"Modeling of pharmacokinetic parameters and pharmacodynamic actions requires knowledge of the arterial blood concentration."( Physiologically based pharmacokinetic modeling of arterial - antecubital vein concentration difference.
Levitt, DG, 2004
)
0.32
"A physiologically based pharmacokinetic (PBPK) model for the tissues drained by the antecubital vein (referred to as "arm") is developed."( Physiologically based pharmacokinetic modeling of arterial - antecubital vein concentration difference.
Levitt, DG, 2004
)
0.32
" Pharmacokinetic profiles were analyzed using standard noncompartmental and compartmental modeling methods."( Effects of protein calorie malnutrition on the pharmacokinetics of ketamine in rats.
Gudi, G; Mager, DE; Mulheran, M; Parenteau, H; Tracy, TS; Wainer, IW; Williams, ML, 2004
)
0.56
" Most lidocaine pharmacokinetic variables also differed between groups."( Influence of general anesthesia on pharmacokinetics of intravenous lidocaine infusion in horses.
Feary, DJ; Mama, KR; Thomasy, S; Wagner, AE, 2005
)
0.33
" Norketamine rapidly appeared in plasma following ketamine administration and had a terminal half-life of 63."( Pharmacokinetics of ketamine and its metabolite, norketamine, after intravenous administration of a bolus of ketamine to isoflurane-anesthetized dogs.
Ilkiw, JE; Pypendop, BH, 2005
)
1.21
" The aim of the study was to assess the performance of the pharmacokinetic model for S(+) ketamine used in the delivery algorithm of the device."( Pharmacokinetics of S(+) ketamine derived from target controlled infusion.
de Graaff, P; Dzoljic, M; Renshof, B; van Kan, E; White, M, 2006
)
0.86
" New pharmacokinetic constants were derived from the observed data which provided, on pharmacokinetic simulation, improved prediction of the measured values of S(+) ketamine."( Pharmacokinetics of S(+) ketamine derived from target controlled infusion.
de Graaff, P; Dzoljic, M; Renshof, B; van Kan, E; White, M, 2006
)
0.83
"It was necessary to modify the original published pharmacokinetic parameters incorporated into the S(+) ketamine delivery system in order to simulate improved PK performance during short procedures (<1 h duration) where propofol was concurrently administered."( Pharmacokinetics of S(+) ketamine derived from target controlled infusion.
de Graaff, P; Dzoljic, M; Renshof, B; van Kan, E; White, M, 2006
)
0.85
" AQUAVAN injection (fospropofol disodium), a phosphorylated prodrug of propofol, is an investigational agent possessing a unique and distinct pharmacokinetic and pharmacodynamic profile."( Pharmacokinetic and pharmacodynamic characteristics of medications used for moderate sedation.
Gan, TJ, 2006
)
0.33
" The observed pharmacokinetic values are different than those reported for single-dose IV bolus administration of this drug."( Pharmacokinetics and clinical effects of a subanesthetic continuous rate infusion of ketamine in awake horses.
Brumbaugh, GW; Fielding, CL; Matthews, NS; Peck, KE; Roussel, AJ, 2006
)
0.56
" However, data describing the pharmacodynamic effects and safety of constant rate infusion (CRI) of KET and its pharmacokinetic profile in nonpremedicated horses are missing."( Pharmacodynamic effects and pharmacokinetic profile of a long-term continuous rate infusion of racemic ketamine in healthy conscious horses.
Driessen, B; Hellebrekers, LJ; Lankveld, DP; Moate, PJ; Rudy, J; Soma, LR; Uboh, CE; van Dijk, P, 2006
)
0.55
"The pharmacokinetic parameters of S- and R-ketamine administered in the racemic mixture or S-ketamine administered separately did not differ significantly."( Stereoselective pharmacokinetics of ketamine and norketamine after racemic ketamine or S-ketamine administration during isoflurane anaesthesia in Shetland ponies.
Knobloch, M; Kronen, PW; Landoni, MF; Larenza, MP; Levionnois, OL; Schatzmann, U; Theurillat, R; Thormann, W, 2007
)
0.88
" The elimination half-life (t(1/2 z)) obtained was 62."( Pharmacokinetics of intramuscular ketamine in young ostriches premedicated with romifidine.
Ballesteros, C; De Lucas, JJ; González, F; Marín, M; Rodríguez, C; San Andrés, MI, 2007
)
0.62
" The first-order elimination rate constant was significantly higher and elimination half-life and mean residence time were lower for S-ketamine after S-ketamine compared to R-/S-ketamine administration."( Stereoselective pharmacokinetics of ketamine and norketamine after racemic ketamine or S-ketamine administration in Shetland ponies sedated with xylazine.
Knobloch, M; Kronen, PW; Landoni, MF; Larenza, MP; Levionnois, OL; Schatzmann, U; Theurillat, R; Thormann, W, 2008
)
0.82
" Pharmacokinetic data were collected in 54 of these children and there were 43 children available for PD study."( Investigating the pharmacodynamics of ketamine in children.
Anderson, BJ; Herd, DW; Holford, NH; Keene, NA, 2008
)
0.62
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
" Significant differences between treatments were found for the AUC of S-ketamine and within the racemic ketamine CRI for the AUC and Cmax of norketamine isomers."( Stereoselective pharmacokinetics of ketamine and norketamine after constant rate infusion of a subanesthetic dose of racemic ketamine or S-ketamine in Shetland ponies.
Landoni, MF; Larenza, MP; Levionnois, OL; Peterbauer, C; Schatzmann, U; Spadavecchia, C; Thormann, W, 2009
)
0.86
"Sex differences observed were restricted to pharmacokinetic model parameters, with a 20% greater elimination clearance of S(+)-ketamine and S(+)-norketamine in women resulting in higher drug plasma concentrations in men."( S(+)-ketamine effect on experimental pain and cardiac output: a population pharmacokinetic-pharmacodynamic modeling study in healthy volunteers.
Bauer, M; Dahan, A; Kest, B; Mooren, R; Olofsen, E; Sarton, E; Sigtermans, M, 2009
)
1.07
"To develop a means of euthanasia to support rapid time-course pharmacokinetic studies in mice, we compared retroorbital and intravenous lateral tail vein injection of ketamine-xylazine with regard to preparation time, utility, tissue distribution, and time to onset of euthanasia."( Euthanasia method for mice in rapid time-course pulmonary pharmacokinetic studies.
Chiang, PC; Heyde, BR; Hu, Y; Schoell, AR; Tung, DK; Weir, DE, 2009
)
0.55
"The objective of this study was to assess a pharmacokinetic algorithm to predict ketamine plasma concentration and drive a target-controlled infusion (TCI) in ponies."( Assessing the efficiency of a pharmacokinetic-based algorithm for target-controlled infusion of ketamine in ponies.
Levionnois, OL; Mevissen, M; Spadavecchia, C; Thormann, W, 2010
)
0.81
" The pharmacodynamic responses to racemic ketamine and norketamine were examined."( Pharmacodynamic profiles of ketamine (R)- and (S)- with 5-day inpatient infusion for the treatment of complex regional pain syndrome.
Goldberg, ME; Mager, DE; Schwartzman, RJ; Torjman, MC; Wainer, IW,
)
0.69
" (R)- and (S)-Ketamine and (R)- and (S)-norketamine pharmacokinetic and pharmacodynamic studies were performed."( Enantioselective pharmacokinetics of (R)- and (S)-ketamine after a 5-day infusion in patients with complex regional pain syndrome.
Goldberg, ME; Mager, DE; Schwartzman, RJ; Torjman, MC; Wainer, IW, 2011
)
0.98
" When comparing the pharmacokinetic parameters of the patients who responded to ketamine treatment with those who did not, no differences were observed in ketamine clearance and the first-order elimination of norketamine."( Enantioselective pharmacokinetics of (R)- and (S)-ketamine after a 5-day infusion in patients with complex regional pain syndrome.
Goldberg, ME; Mager, DE; Schwartzman, RJ; Torjman, MC; Wainer, IW, 2011
)
0.85
" Pharmacokinetic parameters were estimated using a noncompartmental method."( Pharmacokinetics of ketamine in plasma and milk of mature Holstein cows.
Duran, SH; Givens, MD; Lin, HC; Lin, YJ; Ravis, WR; Riddell, MG; Sellers, G, 2010
)
0.68
" The aim of this study was to evaluate the pharmacodynamic effects of interactions caused by concomitants in MDMA tablets on extracellular dopamine and serotonin (5-HT) by microdialysis in the striatum of ethylcarbamate-anesthetized rats."( Pharmacodynamic interactions between MDMA and concomitants in MDMA tablets on extracellular dopamine and serotonin in the rat brain.
Fuchigami, Y; Igari, Y; Ikeda, R; Kuroda, N; Nakashima, K; Wada, M, 2011
)
0.37
"To determine the pharmacokinetic parameters of xylazine, ketamine, and butorphanol (XKB) administered IM and sodium salicylate (SAL) administered PO to calves and to compare drug effects on biomarkers of pain and distress following sham and actual castration and dehorning."( Pharmacokinetics and physiologic effects of intramuscularly administered xylazine hydrochloride-ketamine hydrochloride-butorphanol tartrate alone or in combination with orally administered sodium salicylate on biomarkers of pain in Holstein calves followi
Baldridge, SL; Coetzee, JF; Dritz, SS; Gehring, R; Havel, J; Kukanich, B; Reinbold, JB, 2011
)
0.83
" The pharmacokinetic parameters were deduced by a two-compartment bolus plus infusion model for propofol and ketamine and a monocompartmental model for norketamine."( Pharmacokinetics of ketamine and propofol combination administered as ketofol via continuous infusion in cats.
Cagnardi, P; Carli, S; Gallo, M; Montesissa, C; Ravasio, G; Villa, R; Zonca, A, 2012
)
0.91
"To construct a population pharmacokinetic (popPK) model for ketamine (Ket), norketamine (norKet), dehydronorketamine (DHNK), hydroxynorketamine (2S,6S;2R,6R)-HNK) and hydroxyketamine (HK) in patients with treatment-resistant bipolar depression."( Simultaneous population pharmacokinetic modelling of ketamine and three major metabolites in patients with treatment-resistant bipolar depression.
Brutsche, NE; Ibrahim, L; Luckenbaugh, DA; Mager, DE; Moaddel, R; Venkata, SL; Wainer, IW; Zarate, CA; Zhao, X, 2012
)
0.87
"001), but shortened only moderately the elimination half-life of intravenous and oral S-ketamine."( Rifampicin has a profound effect on the pharmacokinetics of oral S-ketamine and less on intravenous S-ketamine.
Hagelberg, NM; Kurkinen, KJ; Laine, K; Neuvonen, PJ; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2012
)
0.84
" The rate constant of elimination of both drugs was greatly decreased and the elimination half-life was significantly greater in old compared with young rats."( Pharmacokinetics of ketamine and xylazine in young and old Sprague-Dawley rats.
Beaudry, F; Carrier, D; Castel, A; Vachon, P; Veilleux-Lemieux, D, 2013
)
0.71
" Steady-state pharmacodynamic differences between these blockers have been reported, but it is unclear whether the compounds differentially affect dynamic physiologic signaling."( Indistinguishable synaptic pharmacodynamics of the N-methyl-D-aspartate receptor channel blockers memantine and ketamine.
Eisenman, LN; Emnett, CM; Izumi, Y; Mennerick, S; Taylor, AM; Zorumski, CF, 2013
)
0.6
"This study aims at developing a population pharmacokinetic model for ketamine in children with cardiac diseases in order to rationalize an effective 2-h anesthetic medication, personalized based on cardiac function and age."( Population pharmacokinetics of ketamine in children with heart disease.
Drover, DR; Elkomy, MH; Galinkin, JL; Hammer, GB; Ramamoorthy, C, 2015
)
0.94
" A population pharmacokinetic model was built to describe S-ketamine and norketamine pharmacokinetics."( Population pharmacokinetics of S-ketamine and norketamine in healthy volunteers after intravenous and oral dosing.
Backman, JT; Fanta, S; Kalso, E; Kinnunen, M, 2015
)
0.94
" The ideal drug for intravenous anaesthesia has high reliability and pharmacokinetic properties indicating short elimination and lack of accumulation when administered for prolonged periods."( Clinical and pharmacokinetic evaluation of S-ketamine for intravenous general anaesthesia in horses undergoing field castration.
Casoni, D; Levionnois, OL; Spadavecchia, C; Thormann, W; Wampfler, B, 2015
)
0.68
"Noninvasive, real-time pharmacokinetic (PK) monitoring of ketamine, propofol, and valproic acid, and their metabolites was achieved in mice, using secondary electrospray ionization and high-resolution mass spectrometry."( Drug Pharmacokinetics Determined by Real-Time Analysis of Mouse Breath.
Bregy, L; Brown, SA; Dallmann, R; Detmar, M; Hollmén, M; Kohler, M; Li, X; Martinez-Lozano Sinues, P; Proulx, S; Zenobi, R, 2015
)
0.66
" Pharmacokinetic parameters (T1/2 and AUC) increased and drug clearance decreased with aging, which strongly suggests that drug exposure is associated with the physiological results."( Physiological, pharmacokinetic and liver metabolism comparisons between 3-, 6-, 12- and 18-month-old male Sprague Dawley rats under ketamine-xylazine anesthesia.
Beaudry, F; Burns, P; Giroux, MC; Hélie, P; Santamaria, R; Vachon, P, 2016
)
0.64
" Importantly, our findings posit that 40 Hz ASSR is a pharmacodynamic biomarker for cortical NMDA function that is also robustly translatable."( 40 Hz Auditory Steady-State Response Is a Pharmacodynamic Biomarker for Cortical NMDA Receptors.
Ahlijanian, MK; Benitex, Y; Chen, P; Fernandes, A; Li, YW; Senapati, A; Sivarao, DV; Whiterock, V; Yang, Y, 2016
)
0.43
" Because of extensive first-pass metabolism, oral bioavailability is poor and ketamine is vulnerable to pharmacokinetic drug interactions."( Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy.
Hagelberg, NM; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2016
)
2.11
"The aims of this study were to measure plasma levels of R- and S-ketamine and their major metabolites R- and S-norketamine following single intravenous bolus administration of racemic or S-ketamine in sevoflurane anaesthetised dogs and to calculate the relevant pharmacokinetic profiles."( Pharmacokinetics of ketamine and norketamine enantiomers after racemic or S-ketamine IV bolus administration in dogs during sevoflurane anaesthesia.
Barbarossa, A; Bektas, RN; Bettschart-Wolfensberger, R; Hartnack, S; Kutter, AP; Romagnoli, N; Roncada, P, 2017
)
1.02
" In this study we developed a pharmacokinetic model of inhalation of nebulized esketamine with special emphasis on pulmonary absorption and bioavailability."( Pharmacokinetics and Bioavailability of Inhaled Esketamine in Healthy Volunteers.
Aarts, L; Dahan, A; Duma, A; Henthorn, T; Jonkman, K; Mooren, R; Niesters, M; Olofsen, E; Siebers, L; van den Beukel, J; van Velzen, M, 2017
)
0.93
" A multicompartmental pharmacokinetic model was developed using population nonlinear mixed-effects analyses."( Pharmacokinetics and Bioavailability of Inhaled Esketamine in Healthy Volunteers.
Aarts, L; Dahan, A; Duma, A; Henthorn, T; Jonkman, K; Mooren, R; Niesters, M; Olofsen, E; Siebers, L; van den Beukel, J; van Velzen, M, 2017
)
0.71
"The pharmacokinetic model consisted of three esketamine, two esnorketamine disposition and three metabolism compartments."( Pharmacokinetics and Bioavailability of Inhaled Esketamine in Healthy Volunteers.
Aarts, L; Dahan, A; Duma, A; Henthorn, T; Jonkman, K; Mooren, R; Niesters, M; Olofsen, E; Siebers, L; van den Beukel, J; van Velzen, M, 2017
)
0.97
" This article explores potential pharmacokinetic and pharmacodynamic drug interactions of relevance to the use of ketamine in depression."( Ketamine for Depression, 5: Potential Pharmacokinetic and Pharmacodynamic Drug Interactions.
Andrade, C, 2017
)
2.11
"The aim of this study was to evaluate the pharmacokinetic variability of S-ketamine in children aged 0-18 years during long-term sedation."( Pharmacokinetics of S-ketamine during prolonged sedation at the pediatric intensive care unit.
Bos, AP; Brouwer, CNM; Flint, RB; Kränzlin, ASC; Lie-A-Huen, L; Mathôt, RAA, 2017
)
1
" A multicompartmental pharmacokinetic model with front-end arterial mixing and venous blood components was developed using nonlinear mixed effects analyses."( Combined Recirculatory-compartmental Population Pharmacokinetic Modeling of Arterial and Venous Plasma S(+) and R(-) Ketamine Concentrations.
Avram, MJ; Dahan, A; Gustafsson, LL; Henthorn, TK; Krejcie, TC; Olofsen, E; Persson, J, 2018
)
0.69
"A three-compartment base pharmacokinetic model with additional arterial mixing and arm venous compartments and with shared S(+)/R(-) distribution kinetics proved superior to standard compartmental modeling approaches."( Combined Recirculatory-compartmental Population Pharmacokinetic Modeling of Arterial and Venous Plasma S(+) and R(-) Ketamine Concentrations.
Avram, MJ; Dahan, A; Gustafsson, LL; Henthorn, TK; Krejcie, TC; Olofsen, E; Persson, J, 2018
)
0.69
" Front-end kinetics suggest the partially mixed concentration is proportional to the ratio of infusion rate and total pharmacokinetic flow."( Combined Recirculatory-compartmental Population Pharmacokinetic Modeling of Arterial and Venous Plasma S(+) and R(-) Ketamine Concentrations.
Avram, MJ; Dahan, A; Gustafsson, LL; Henthorn, TK; Krejcie, TC; Olofsen, E; Persson, J, 2018
)
0.69
" The objective of this study was to determine the pharmacokinetic profile of ketamine and its active metabolite, norketamine, in F344 rats following single or repeated intramuscular administrations of subanesthetic levels (7."( The pharmacokinetics of ketamine following intramuscular injection to F344 rats.
Doyle-Eisele, M; Espelien, B; Garcia, E; Garner, CE; Kuehl, P; Laney, J; McDonald, JD; Moeller, B; Raulli, R; Weber, W, 2019
)
1.05
"Low-dose oral S-ketamine is increasingly used in chronic pain therapy, but extensive cytochrome P450 (CYP) mediated metabolism makes it prone to pharmacokinetic drug-drug interactions (DDIs)."( Semimechanistic Population Pharmacokinetic Model to Predict the Drug-Drug Interaction Between S-ketamine and Ticlopidine in Healthy Human Volunteers.
Ashraf, MW; Neuvonen, PJ; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2018
)
1.04
" Ketamine's half-life of ∼2 h cannot explain antidepressant effects that last for 1 week, suggesting the triggering of long-lasting neuroplasticity."( (2R,6R)-Hydroxynorketamine promotes dendrite outgrowth in human inducible pluripotent stem cell-derived neurons through AMPA receptor with timing and exposure compatible with ketamine infusion pharmacokinetics in humans.
Cavalleri, L; Chiamulera, C; Collo, G; Merlo Pich, E, 2018
)
1.72
" This study evaluates the outcomes of adult anesthetic doses in a pediatric population through pharmacokinetic modeling and computer simulations in an attempt to recommend an adequate ketamine dosing regimen."( Assessment of Ketamine Adult Anesthetic Doses in Pediatrics Using Pharmacokinetic Modeling and Simulations.
Alruwaili, N; Drover, DR; Elkomy, MH; Elmowafy, M; Ramamoorthy, C; Shalaby, K, 2019
)
1.07
"5 to 67 kg) were analyzed according to a non-compartmental pharmacokinetic approach."( Assessment of Ketamine Adult Anesthetic Doses in Pediatrics Using Pharmacokinetic Modeling and Simulations.
Alruwaili, N; Drover, DR; Elkomy, MH; Elmowafy, M; Ramamoorthy, C; Shalaby, K, 2019
)
0.87
" The data suggest that the assay is well suited for pharmacokinetic purposes."( Enantioselective capillary electrophoresis for pharmacokinetic analysis of methadone and 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine in equines anesthetized with ketamine and isoflurane.
Braun, C; Gittel, C; Larenza Menzies, MP; Sandbaumhüter, FA; Theurillat, R; Thormann, W, 2019
)
0.71
" A pharmacokinetic study demonstrated an exponential decrease in the plasma concentration of ketamine after intravenous application and much slower kinetics for intraperitoneal application."( Rapid electrophoretic monitoring of the anaesthetic ketamine and its metabolite norketamine in rat blood using a contactless conductivity detector to study the pharmacokinetics.
Sommerová, B; Tůma, P; Vaculín, Š, 2019
)
0.98
" Blood samples were collected for pharmacokinetic analysis."( Pharmacokinetics and Safety of Esketamine in Chinese Patients Undergoing Painless Gastroscopy in Comparison with Ketamine: A Randomized, Open-Label Clinical Study.
Cui, C; Huang, J; Pei, Q; Wang, J; Wang, SY; Yang, GP; Yang, S; Ye, L, 2019
)
0.8
" Noncompartmental analysis was used to estimate pharmacokinetic parameters for the MLK group."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.78
"During the CRI of the MLK solution, steady-state serum concentrations were achieved for lidocaine and ketamine, but not morphine, likely owing to the fairly long half-life of morphine."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
1
"To assess the differences in the pharmacokinetic profiles of S-ketamine, R-ketamine and their metabolites, S-norketamine and R-norketamine, and to measure relevant physiologic variables after intravenous administration of racemic (RS) ketamine or S-ketamine alone in Beagle dogs sedated with medetomidine."( Pharmacokinetics of S-ketamine and R-ketamine and their active metabolites after racemic ketamine or S-ketamine intravenous administration in dogs sedated with medetomidine.
Barbarossa, A; Bektas, RN; Bettschart-Wolfensberger, R; Hartnack, S; Kutter, APN; Romagnoli, N; Roncada, P, 2020
)
1.11
"S-ketamine showed a two-compartment kinetic profile; no statistically significant differences were observed between its concentrations or in the calculated pharmacokinetic parameters following S- or RS-ketamine."( Pharmacokinetics of S-ketamine and R-ketamine and their active metabolites after racemic ketamine or S-ketamine intravenous administration in dogs sedated with medetomidine.
Barbarossa, A; Bektas, RN; Bettschart-Wolfensberger, R; Hartnack, S; Kutter, APN; Romagnoli, N; Roncada, P, 2020
)
1.59
" Area under the concentration-time curve and peak concentration were dose proportional."( Ascending-Dose Study of Controlled-Release Ketamine Tablets in Healthy Volunteers: Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability.
Glue, P; Hung, CT; Hung, N; Lam, F; Medlicott, NJ; Surman, P, 2020
)
0.82
" However, Several questions remain unsolved, including the exact identification of the neural substrate of consciousness and its components, the pharmacodynamic interactions between anaesthetic agents, the mechanisms of cognitive alterations that follow an anaesthetic procedure, the identification of an eventual unitary mechanism of anaesthesia-induced alteration of consciousness, the relationship between network effects and the biochemical targets of anaesthetic agents, leading to difficulties in between-studies comparisons."( Pharmacodynamic elucidation of glutamate & dopamine in ketamine-induced anaesthesia.
Fan, YY; Sun, LH; Wang, X; Zheng, HB, 2020
)
0.81
"The model is of adequate quality for use in future pharmacokinetic and pharmacodynamic studies into the efficacy and side-effects of ketamine and metabolites."( Pharmacokinetics of ketamine and its major metabolites norketamine, hydroxynorketamine, and dehydronorketamine: a model-based analysis.
Aarts, L; Dahan, A; Jonkman, K; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2020
)
1.09
" A systematic review of the literature was performed, as well as a meta-analysis of pharmacokinetic data and construction of a pharmacokinetic model from raw data sets to qualitatively and quantitatively evaluate existing ketamine pharmacokinetic models and construct a general ketamine pharmacokinetic model."( Ketamine Pharmacokinetics.
Dahan, A; Henthorn, TK; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2020
)
2.19
"Extracted pharmacokinetic parameters from the literature (volume of distribution and clearance) were standardized to allow comparison among studies."( Ketamine Pharmacokinetics.
Dahan, A; Henthorn, TK; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2020
)
2
" The pharmacokinetic model created from 14 raw data sets consisted of one central arterial compartment with two peripheral compartments linked to two venous delay compartments."( Ketamine Pharmacokinetics.
Dahan, A; Henthorn, TK; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2020
)
2
"To evaluate the pharmacokinetics and selected pharmacodynamic effects of a commercially available l-methadone/fenpipramide combination administered to isoflurane anaesthetized ponies."( Pharmacokinetics and pharmacodynamics of l-methadone in isoflurane-anaesthetized and mechanically ventilated ponies.
Braun, C; Gittel, C; Larenza Menzies, MP; Sandbaumhüter, FA; Schulz-Kornas, E; Theurillat, R; Thormann, W; Vervuert, I, 2021
)
0.62
"During drinking of 40% alcohol, the AUC(0-t), AUC(0-∞), and Cmax of ketamine and norketamine significantly increased, while V and CL significantly decreased with time (p < 0."( Effects of long-term alcohol exposure on the pharmacokinetic profiles of ketamine and norketamine in rats.
Chen, Y; Hu, L; Wen, C; Wu, Y; Ying, L; Zhong, Z, 2021
)
1.09
"The recent repurposing of ketamine as treatment for pain and depression has increased the need for accurate population pharmacokinetic (PK) models to inform the design of new clinical trials."( Predictive performance of parent-metabolite population pharmacokinetic models of (S)-ketamine in healthy volunteers.
Bergmann, KR; Jacobs, G; Otto, ME; van Esdonk, MJ, 2021
)
1.15
" We therefore developed a pharmacodynamic model derived from data from a randomised clinical trial."( Stereoselective ketamine effect on cardiac output: a population pharmacokinetic/pharmacodynamic modelling study in healthy volunteers.
Aarts, L; Dahan, A; Kamp, J; Niesters, M; Olofsen, E; van Velzen, M, 2021
)
0.97
" The stereoisomers of ketamine and metabolites were quantified in serum and urine by validated tandem mass-spectrometric assays and evaluated by noncompartmental pharmacokinetic analysis."( Chiral Pharmacokinetics and Metabolite Profile of Prolonged-release Ketamine Tablets in Healthy Human Subjects.
Adler, S; Dokter, A; Grube, M; Hasan, M; Link, A; Meissner, K; Modess, C; Rey, H; Roustom, T; Siegmund, W, 2021
)
1.17
" With this review, we aim to provide an overview of the pharmacodynamic interactions between ketamine and mood stabilizers, benzodiazepines, monoamine oxidase-inhibitors, antipsychotics, and psychostimulants."( Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review.
Bakker, IM; Kamphuis, J; Schoevers, RA; Smith-Apeldoorn, SY; Touw, DJ; Veraart, JKE; Visser, BAE, 2021
)
1.11
" More studies are needed to provide insight into pharmacodynamic interactions with ketamine."( Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review.
Bakker, IM; Kamphuis, J; Schoevers, RA; Smith-Apeldoorn, SY; Touw, DJ; Veraart, JKE; Visser, BAE, 2021
)
1.12
" It has a slightly slower pharmacokinetic profile than ketamine, which is consistent with its reported longer duration of action."( Pharmacokinetic, pharmacodynamic, and behavioural studies of deschloroketamine in Wistar rats.
Danda, H; Dehaen, W; Hájková, K; Horsley, RR; Jurásek, B; Kohout, M; Krausová, BH; Kuchař, M; Kysilov, B; Mazoch, V; Páleníček, T; Pinterová-Leca, N; Šíchová, K; Smejkalová, T; Štefková-Mazochová, K; Svozil, D; Vyklický, L, 2022
)
1.2
"This preliminary clinical investigation of the pharmacokinetic behavior of the main metamizole (dipyrone) metabolites 4-methylaminoantipyrine (4-MAA) and 4-aminoantipyrine (4-AA) in calves undergoing umbilical surgery is part of an already published main study."( Pharmacokinetics of metamizole (dipyrone) as an add-on in calves undergoing umbilical surgery.
Baumgartner, C; Behrendt-Wippermann, M; Brandl, J; Feist, M; Fux, D; Metzner, M; von Thaden, A, 2022
)
0.72
" Esketamine showed a clinically relevant pharmacokinetic profile, with high bioavailability (62%) and relatively low maximum concentration peaks."( Esketamine inhaled as dry powder: Pharmacokinetic, pharmacodynamic and safety assessment in a preclinical study.
Abramski, K; Dera, P; Gajos-Draus, A; Janicka, M; Janowska, S; Kamil, K; Mach, M; Matłoka, M; Moszczyński-Pętkowski, R; Pankiewicz, P; Perko, P; Pieczykolan, J; Teska-Kamińska, M; Tratkiewicz, E; Wieczorek, M; Ziółkowski, H, 2022
)
2.06
"The simulated and observed (171 healthy volunteers) plasma pharmacokinetic profiles of intranasal esketamine/noresketamine showed a good match."( Prediction of Drug-Drug Interactions After Esketamine Intranasal Administration Using a Physiologically Based Pharmacokinetic Model.
de Zwart, L; Mannens, G; Snoeys, J; Willemin, ME; Zannikos, P, 2022
)
1.2
" These structural derivatives have pharmacokinetic and pharmacodynamic properties that are sometimes very different from ketamine."( Arylcyclohexylamine Derivatives: Pharmacokinetic, Pharmacodynamic, Clinical and Forensic Aspects.
Ferron, PJ; Gicquel, T; Kernalléguen, A; Le Bouëdec, D; Le Daré, B; Morel, I; Pelletier, R, 2022
)
0.93
" A population pharmacokinetic (popPK) model of esketamine and its metabolite (noresketamine) has been previously developed, which included Asian race and Japanese ethnicity as covariates on their exposures."( Evaluation of Ethnicity Effect on Intranasal Esketamine Pharmacokinetics by Population Pharmacokinetic Modeling Using Data From a Japanese Phase 2b Study.
Kurosawa, K; Pérez-Ruixo, C; Shibuya, M; Shimizu, H, 2023
)
1.42

Compound-Compound Interactions

The present study aimed to investigate the effects of the typical antipsychotic chlorpromazine (CP) alone or combined with the natural antioxidant alpha-lipoic acid (ALA) on changes in the hippocampal average spectral power induced by ketamine (KET)

ExcerptReferenceRelevance
"Fifty-six young and 29 middle-aged adults who were scheduled for lower abdominal, anorectal or extremity surgery under epidural, sacral or brachial plexus blockades received intravenous analgesic or anaesthetic doses of ketamine, combined with diazepam, immediately before the start of the operation."( Untoward effects of ketamine combined with diazepam for supplementing conduction anaesthesia in young and middle-aged adults.
Korttila, K; Levänen, J, 1978
)
0.77
"The behavioral effects of phencyclidine (PCP) and ketamine administered alone and in combination with naloxone, atropine, methyl atropine, chlorpromazine and d-amphetamine were studied in squirrel monkeys trained to press a response lever under a fixed-ratio 30 schedule maintained by the termination of a stimulus associated with electric shock presentation."( Behavioral effects of phencyclidine and ketamine alone and in combination with other drugs.
Byrd, LD; Howell, LL; Standish, LJ, 1987
)
0.79
"Guaifenesin was administered alone and in combination with ketamine or sodium pentobarbital to adult New Zealand white rabbits."( Guaifenesin alone or in combination with ketamine or sodium pentobarbital as an anesthetic in rabbits.
McCabe, K; Olson, ME; Walker, RL, 1987
)
0.78
"Sixty-four women undergoing non-abdominal operations were anaesthetized with ketamine administered as continuous intravenous drip combined with diazepam."( Ketamine as continuous intravenous infusion combined with diazepam in non-abdominal surgery. A randomized double-blind study.
Pedersen, T, 1981
)
1.93
"Fifteen cats had anaesthesia induced by intramuscular injection of medetomidine combined with ketamine."( Cardiovascular changes associated with anaesthesia induced by medetomidine combined with ketamine in cats.
Dobromylskyj, P, 1996
)
0.73
" combined with epidural bupivacaine at 0-24 h, or epidural morphine at 24-48 h after renal surgery."( Effect of i.v. ketamine in combination with epidural bupivacaine or epidural morphine on postoperative pain and wound tenderness after renal surgery.
Brennum, J; Dahl, JB; Hansen, TM; Ilkjaer, S; Nikolajsen, L; Wernberg, M, 1998
)
0.65
"We reported anesthetic management combined with hypothermia for carotid endarterectomy under somatosensory evoked potential monitoring."( [Total intravenous anesthesia with propofol, fentanyl and ketamine for carotid endarterectomy under somatosensory evoked potential monitoring--combination with intraoperative hypothermia].
Fujimine, T; Kakinohana, M; Okuda, Y; Tomiyama, N, 1999
)
0.55
"We report our experience with total intravenous anesthesia (TIVA) with propofol and ketamine combined with continuous epidural analgesia in a 72-year-old-male patient with dilated cardiomyopathy scheduled for a total prostatectomy."( [Anesthetic management of a patient with dilated cardiomyopathy under total intravenous anesthesia with propofol and ketamine combined with continuous epidural analgesia].
Kitajima, T; Mishio, M; Okuda, Y; Wake, K; Yamaguchi, S, 1999
)
0.74
"Pre-incisional epidural K+M+B treatment combined with continuous epidural anaesthesia and general anaesthesia provides an ideal pre-emptive analgesic therapy, exhibiting better postoperative pain relief than general anaesthesia and post-incisional K+M+B treatment."( Pre-incisional epidural ketamine, morphine and bupivacaine combined with epidural and general anaesthesia provides pre-emptive analgesia for upper abdominal surgery.
Ho, ST; Lee, MM; Tao, PL; Wong, CS; Wu, CT; Yeh, CC; Yu, JC, 2000
)
0.61
"The effects of ketamine, a noncompetitive antagonist of NMDA receptors, on the striatal dopaminergic system were evaluated multiparametrically in the monkey brain using high-resolution positron emission tomography (PET) in combination with microdialysis."( Ketamine decreased striatal [(11)C]raclopride binding with no alterations in static dopamine concentrations in the striatal extracellular fluid in the monkey brain: multiparametric PET studies combined with microdialysis analysis.
Fukumoto, D; Harada, N; Kakiuchi, T; Nishiyama, S; Ohba, H; Sato, K; Tsukada, H, 2000
)
2.1
"Patients were randomly allocated to one of the two treatment groups: patients in Group 1 received epidural morphine 50 microg/kg whereas patients in Group 2 received epidural ketamine 1 mg/kg combined with 50 microg/kg of morphine postoperatively."( Evaluation of the safety and efficacy of epidural ketamine combined with morphine for postoperative analgesia after major upper abdominal surgery.
Kumar, L; Pawar, DK; Subramaniam, B; Subramaniam, K, 2001
)
0.76
" These patients were randomly allocated to one of the two treatment groups: patients in Group 1 received epidural morphine 50 microg/kg, whereas those in Group 2 received epidural ketamine 1 mg/kg combined with 50 microg/kg of morphine 30 min before incision."( Preoperative epidural ketamine in combination with morphine does not have a clinically relevant intra- and postoperative opioid-sparing effect.
Pawar, DK; Sennaraj, B; Subramaniam, B; Subramaniam, K, 2001
)
0.82
"15 mg/kg) were administered subcutaneously in the rat in combination with KET (50 mg/kg), in the presence or not of YOH (2 mg/kg)."( Corneal toxicity of xylazine and clonidine, in combination with ketamine, in the rat.
Bordi, F; Casini, ML; Corubolo, C; Fehér, J; Fumagalli, E; Guidolin, D; Leone, MG; Mattioli, F; Romanelli, L; Saso, L; Tita, B,
)
0.37
"To evaluate effects of infusion of guaifenesin, ketamine, and medetomidine in combination with inhalation of sevoflurane versus inhalation of sevoflurane alone for anesthesia of horses."( Infusion of guaifenesin, ketamine, and medetomidine in combination with inhalation of sevoflurane versus inhalation of sevoflurane alone for anesthesia of horses.
Abrahamsen, E; Izumisawa, Y; Kotani, T; Lerch, P; Muir, WW; Tsubakishita, S; Yamashita, K, 2002
)
0.87
"To determine the minimum infusion rate (MIR50) for propofol alone and in combination with ketamine required to attenuate reflexes commonly used in the assessment of anesthetic depth in cats."( Effect of variable-dose propofol alone and in combination with two fixed doses of ketamine for total intravenous anesthesia in cats.
Ilkiw, JE; Pascoe, PJ; Tripp, LD, 2003
)
0.77
"Propofol alone or combined with ketamine may be used for total IV anesthesia in healthy cats at the infusion rates determined in this study for attenuation of specific reflex activity."( Effect of variable-dose propofol alone and in combination with two fixed doses of ketamine for total intravenous anesthesia in cats.
Ilkiw, JE; Pascoe, PJ; Tripp, LD, 2003
)
0.83
"To compare cardiovascular effects of equipotent infusion doses of propofol alone and in combination with ketamine administered with and without noxious stimulation in cats."( Cardiovascular effects of propofol alone and in combination with ketamine for total intravenous anesthesia in cats.
Ilkiw, JE; Pascoe, PJ, 2003
)
0.77
"We designed this double-blinded, randomized, controlled study to evaluate the effect of small-dose ketamine IV in combination with epidural morphine and bupivacaine on postoperative pain after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.83
" We demonstrated that IV ketamine had an improved analgesic or opioid-sparing effect when it was combined with epidural bupivacaine and morphine after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.92
"After a 2- to 3-day period of habituation to test procedures, mice were given intraperitoneal injections of ketamine alone (0, 5, 10, 20, 30, and 60 mg/kg) or in combination with 1 or 2 g/kg ethanol."( Sensitivity to ketamine, alone or in combination with ethanol, is altered in mice selectively bred for sensitivity to ethanol's locomotor effects.
Meyer, PJ; Phillips, TJ, 2003
)
0.88
"To evaluate the analgesic and adverse effects of epidurally administered levogyral (S[+]) ketamine alone or in combination with morphine on intraoperative and postoperative pain in dogs undergoing ovariohysterectomy."( Analgesic effects of epidurally administered levogyral ketamine alone or in combination with morphine on intraoperative and postoperative pain in dogs undergoing ovariohysterectomy.
Acosta, AD; Bopp, S; Correa-Natalini, C; Gomar, C; Polydoro, A; Sala-Blanch, X, 2005
)
0.8
"Our results show that although both techniques proved effective for sedation in patients undergoing fiberoptic bronchoscopy, ketamine is superior to alfentanil when used in combination with propofol because of the high patient satisfaction and amnesia."( Comparison of alfetanil and ketamine in combination with propofol for patient-controlled sedation during fiberoptic bronchoscopy.
Hwang, J; Jeon, Y; Lim, YJ; Oh, YS; Park, HP, 2005
)
0.83
"To evaluate the preemptive effects of diclofenac sodium, in combination with remifentanil and ketamine."( The preemptive use of diclofenac sodium in combination with ketamine and remifentanil does not enhance postoperative analgesia after laparoscopic gynecological procedures.
Aypar, U; Canbay, O; Celebi, N; Coskun, F; Karakas, O; Peker, L, 2006
)
0.8
"To investigate the clinical efficacy of and complications arising from low-dose ketamine combined with fentanyl for intravenous postoperative analgesia in comparison with the exclusive use of fentanyl in elderly patients."( [Low-dose ketamine combined with fentanyl for intravenous postoperative analgesia in elderly patients].
Chen, YM; Liang, SW; Lin, CS, 2006
)
0.96
"For producing comparable postoperative analgesic effect, low-dose ketamine combined with fentanyl can markedly reduce fentanyl requirement in the elderly patients and lowers the incidences of nausea, vomiting and itching in comparison with the exclusive use of fentanyl."( [Low-dose ketamine combined with fentanyl for intravenous postoperative analgesia in elderly patients].
Chen, YM; Liang, SW; Lin, CS, 2006
)
0.97
"To determine the anesthetic dose and cardiopulmonary effects of xylazine hydrochloride when used alone or in combination with ketamine hydrochloride and evaluate the efficacy of yohimbine hydrochloride to reverse anesthetic effects in captive Axis deer."( Anesthesia induced by administration of xylazine hydrochloride alone or in combination with ketamine hydrochloride and reversal by administration of yohimbine hydrochloride in captive Axis deer (Axis axis).
Reddy, AP; Shivaji, S; Sontakke, SD; Umapathy, G, 2007
)
0.77
"The study was conducted in 9 healthy adult goats of either sex, weighing 15-20 kg, to evaluate and compare the clinicophysiological effects of spinally administered ketamine alone and in combination with xylazine and medetomidine."( Clinicophysiological effects of spinally administered ketamine and its combination with xylazine and medetomidine in healthy goats.
Aithal, HP; Kinjavdekar, P; Pawde, AM; Singh, GR, 2007
)
0.78
" Male ICR mice were treated with ketamine alone or ketamine combined with various doses of caffeine, then the locomotor activity, rotarod test, prepulse inhibition of acoustic startle, loss of righting reflex, and mortality rate were examined."( Behavioural and toxic interaction profile of ketamine in combination with caffeine.
Chen, HH; Chiu, PH; Hsu, HR; Mei, YY; Wu, CY, 2009
)
0.89
"Data ascertained in a study of club drug use among 450 gay and bisexual men indicate that at least one class of PDE-5 (phosphodiesterase type 5 inhibitor, sildenafil [Viagra]) is used frequently in combination with club drugs such as methamphetamine, MDMA (3,4 methylenedioxymethamphetamine [ecstasy]), ketamine, cocaine, and GHB (gamma hydroxy butyrate)."( Sildenafil (Viagra) and club drug use in gay and bisexual men: the role of drug combinations and context.
Green, KA; Halkitis, PN, 2007
)
0.51
"To evaluate the effects of patient-controlled analgesia (PCA) with small dose ketamine combined with morphine on analgesia and influence thereof on the plasma beta-endorphin (EP) level in the patients after radical operation for esophageal carcinoma."( [Effects of patient-controlled analgesia with small dose ketamine combined with morphine and the influence thereof on plasma beta-endorphin level in patients after radical operation for esophageal carcinoma].
Feng, J; Huang, XM; Li, H; Ma, LY; Wu, YQ; Xiong, JC; Xu, ZM; Zhang, DT, 2009
)
0.83
" With 20 microgram/ml remifentanil in normal saline, postoperative PCA was administered with a background infusion at 2 ml/h following 2 ml as a loading dose and 1ml demand dose with a 3-minute lockout period."( Remifentanil combined with low-dose ketamine for postoperative analgesia of lower limb fracture: a double-blind, controlled study.
Deng, GF; Tian, B; Wang, S; Zhang, SG; Zheng, JP, 2009
)
0.63
" We, therefore, investigated the analgesic effect of gabapentin, dexamethasone and low-dose ketamine in combination with paracetamol and ketorolac as compared with paracetamol and ketorolac alone after hip arthroplasty."( Multimodal analgesia with gabapentin, ketamine and dexamethasone in combination with paracetamol and ketorolac after hip arthroplasty: a preliminary study.
Christensen, BV; Dahl, JB; Dierking, G; Hilsted, KL; Larsen, TK; Mathiesen, O; Rasmussen, ML, 2010
)
0.85
"Preoperative gabapentin, dexamethasone and ketamine combined with paracetamol and ketorolac reduced overall pain scores in patients after hip arthroplasty as compared with paracetamol and ketorolac alone."( Multimodal analgesia with gabapentin, ketamine and dexamethasone in combination with paracetamol and ketorolac after hip arthroplasty: a preliminary study.
Christensen, BV; Dahl, JB; Dierking, G; Hilsted, KL; Larsen, TK; Mathiesen, O; Rasmussen, ML, 2010
)
0.89
" The purpose of this study was to identify the effects of daily serial sedation using ketamine (K) or ketamine combined with medetomidine (KM)."( The effect of daily repeated sedation using ketamine or ketamine combined with medetomidine on physiology and anesthetic characteristics in rhesus macaques.
Lugo-Roman, LA; Rico, PJ; Settle, TL, 2010
)
0.85
"To study the effects of ketamine combined with penehyclidine hydrochloride on the learning and memory abilities and the expression of synaptophysin in the hippocampus CA3 region in the brain of neonatal rats."( [Effect of ketamine combined with penehyclidine hydrochloride on the expression of synaptophysin in the brain of neonatal rats].
Guo, YZ; Lin, L; Zhang, LC, 2010
)
1.06
"Ketamine combined with penehyclidine hydrochloride may inhibit more significantly learning and memory abilities and the synaptophysin expression in the hippocampus CA3 region than ketamine alone in neonatal rats."( [Effect of ketamine combined with penehyclidine hydrochloride on the expression of synaptophysin in the brain of neonatal rats].
Guo, YZ; Lin, L; Zhang, LC, 2010
)
2.19
"To evaluate the effects of xylazole (an analogue of xylazine), also known as Jingsongling, alone and in combination with ketamine, on metabolic and neurohumoral responses in healthy dogs."( Effects of xylazole alone and in combination with ketamine on the metabolic and neurohumoral responses in healthy dogs.
Changmin, H; Dongming, L; Guohong, L; Jianguo, C; Mingxing, D, 2010
)
0.82
"This study demonstrates that xylazole administered alone or in combination with ketamine in healthy dogs results in physiological, metabolic and neurohumoral responses similar to those seen after xylazine."( Effects of xylazole alone and in combination with ketamine on the metabolic and neurohumoral responses in healthy dogs.
Changmin, H; Dongming, L; Guohong, L; Jianguo, C; Mingxing, D, 2010
)
0.84
"The objective of this study was to determine the effects of a constant rate of infusion of lidocaine and ketamine in combination with either morphine or fentanyl on the minimum alveolar concentration of isoflurane (MAC(ISO)) during ovariohysterectomy in dogs."( Reduction of the minimum alveolar concentration of isoflurane in dogs using a constant rate of infusion of lidocaine-ketamine in combination with either morphine or fentanyl.
Aguado, D; Benito, J; Gómez de Segura, IA, 2011
)
0.79
"A method of hollow fiber (HF) liquid phase microextraction (LPME) combined with gas chromatography (GC)-flame ionization detection (FID) was developed for the simultaneous quantification of trace amphetamine (AP), methamphetamine (MA), methylenedioxyamphetamine (MDA), methylenedioxymethamphetamine (MDMA), caffeine and ketamine (KT) in drug abuser urine samples."( Simultaneous quantification of amphetamines, caffeine and ketamine in urine by hollow fiber liquid phase microextraction combined with gas chromatography-flame ionization detector.
Chen, J; He, M; Hu, B; Xiong, J, 2010
)
0.78
"Ten common marmosets (Callithrix jacchus) and 10 black-tufted marmosets (Callithrix penicillata) were immobilized to compare the anesthetic effects of racemic ketamine and (S+) ketamine in combination with midazolam."( Comparison of racemic ketamine versus (S+) ketamine when combined with midazolam for anesthesia of Callithrix jacchus and Callithrix penicillata.
Cortopassi, SR; Furtado, MM; Intelizano, TR; Nunes, AL; Teixeira, RH, 2010
)
0.87
"To compare efficacy and cardiorespiratory effects of dexmedetomidine and ketamine in combination with butorphanol, hydromorphone, or buprenorphine (with or without reversal by atipamezole) in dogs undergoing castration."( Evaluation of dexmedetomidine and ketamine in combination with opioids as injectable anesthesia for castration in dogs.
Austin, BR; Barletta, M; Inoue, T; Ko, JC; Payton, ME; Weil, AB, 2011
)
0.88
"To compare the efficacy and cardiorespiratory effects of dexmedetomidine-ketamine in combination with butorphanol, hydromorphone, or buprenorphine with or without reversal by atipamezole in cats undergoing castration."( Evaluation of dexmedetomidine and ketamine in combination with various opioids as injectable anesthetic combinations for castration in cats.
Austin, BR; Barletta, M; Ko, JC; Krimins, RA; Payton, ME; Weil, AB, 2011
)
0.88
"0 mg/kg) combination with (n = 7) or without (8) dexmedetomidine (0."( Evaluation of a ketamine-propofol drug combination with or without dexmedetomidine for intravenous anesthesia in cats undergoing ovariectomy.
Beccaglia, M; Bronzo, V; Comazzi, S; Fonda, D; Gallo, M; Gelain, ME; Ravasio, G; Zonca, A, 2012
)
0.72
" This study aimed to compare the onset and depth of anaesthesia, and changes in vital signs, after intraperitoneal (IP) or subcutaneous (SC) administration of ketamine (75 mg kg(-1)) combined with medetomidine (1 mg kg(-1)) or dexmedetomidine (0."( A comparison of medetomidine and its active enantiomer dexmedetomidine when administered with ketamine in mice.
Burnside, WM; Cameron, AI; Flecknell, PA; Thomas, AA, 2013
)
0.81
"This study failed to demonstrate clinical advantages of the enantiomer dexmedetomidine over medetomidine when combined with ketamine to produce general anaesthesia in mice."( A comparison of medetomidine and its active enantiomer dexmedetomidine when administered with ketamine in mice.
Burnside, WM; Cameron, AI; Flecknell, PA; Thomas, AA, 2013
)
0.82
"The aim of the present study is to explore the impact of butorphanol in combination with ketamine via nasal inhalation (NI) on neuropathic pain induced by chronic constriction injury (CCI) to the sciatic nerve in a rat model."( Nasal inhalation of butorphanol in combination with ketamine quickly elevates the mechanical pain threshold in the model of chronic constriction injury to the sciatic nerve of rat.
Chen, F; Chen, S; Chen, Z; Li, Z; Wang, L; Zhai, D; Zhou, X, 2014
)
0.87
"NI of butorphanol in combination with ketamine quickly elevates the mechanical pain threshold in a rat neuropathic pain model induced by CCI to the sciatic nerve."( Nasal inhalation of butorphanol in combination with ketamine quickly elevates the mechanical pain threshold in the model of chronic constriction injury to the sciatic nerve of rat.
Chen, F; Chen, S; Chen, Z; Li, Z; Wang, L; Zhai, D; Zhou, X, 2014
)
0.92
"To investigate the effects of low-dose ketamine combined with propofol on the antidepressant efficacy in stressed rats undergoing electroconvulsive shock (ECS) and its impact on phosphorylation of alpha-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid receptor subunit glutamate receptor 1 (GluR1) and γ-aminobutyric acid receptor subunit A (GABAAR)."( Effects of low-dose ketamine combined with propofol on phosphorylation of AMPA receptor GluR1 subunit and GABAA receptor in hippocampus of stressed rats receiving electroconvulsive shock.
Ao, L; Chen, J; Hao, XC; Li, P; Liu, L; Luo, J; Lv, F; Min, S; Peng, LH, 2015
)
1.01
"Low-dose ketamine combined with propofol may play a role in enhancing the antidepressant efficacy of ECS in stressed rats, ameliorating the cognitive impairment associated with ECS by balancing the expression of p-GluR1 and p-GABAAR in the hippocampus of stressed rats."( Effects of low-dose ketamine combined with propofol on phosphorylation of AMPA receptor GluR1 subunit and GABAA receptor in hippocampus of stressed rats receiving electroconvulsive shock.
Ao, L; Chen, J; Hao, XC; Li, P; Liu, L; Luo, J; Lv, F; Min, S; Peng, LH, 2015
)
1.16
"This study evaluated the use of the injectable anesthetic, alphaxalone, as a single agent and in combination with ketamine, xylazine, and morphine in the Chilean rose tarantula, Grammostola rosea."( The use of injectable alphaxalone as a single agent and in combination with ketamine, xylazine, and morphine in the Chilean rose tarantula, Grammostola rosea.
Gjeltema, J; Posner, LP; Stoskopf, M, 2014
)
0.84
"To evaluate and compare the use of intramuscular (IM) premedication with dexmedetomidine in combination with ketamine or alfaxalone in pigs."( Effects of intramuscular dexmedetomidine in combination with ketamine or alfaxalone in swine.
Bertrán de Lis, BT; Santos, M; Tendillo, FJ, 2016
)
0.89
"IM dexmedetomidine in combination with ketamine in pigs induced moderate to deep sedation and fair to smooth induction of anaesthesia."( Effects of intramuscular dexmedetomidine in combination with ketamine or alfaxalone in swine.
Bertrán de Lis, BT; Santos, M; Tendillo, FJ, 2016
)
0.94
"To evaluate the effects of a constant rate infusion of remifentanil, alone or in combination with ketamine, in healthy cats anesthetized with isoflurane."( Clinical effects of a constant rate infusion of remifentanil, alone or in combination with ketamine, in cats anesthetized with isoflurane.
Aucoin, M; Burns, PM; Monteiro, BP; Moreau, M; Simon, BT; Steagall, PV, 2015
)
0.85
"5 improved most of the parameters evaluated in this study without causing motor impairment demonstrating, thus, that possibly when combined with ALA a lower dose of CLZ is required."( Alpha-lipoic acid alone and combined with clozapine reverses schizophrenia-like symptoms induced by ketamine in mice: Participation of antioxidant, nitrergic and neurotrophic mechanisms.
de Lucena, DF; de Sousa, CN; Gama, CS; Lima, LL; Macêdo, D; Oliveira, Tde Q; Vasconcelos, GS; Vasconcelos, SM; Ximenes, NC, 2015
)
0.63
"To determine the effects of diazepam combined with ketamine hydrochloride or propofol for induction of anesthesia (IOA) following premedication with sustained-release buprenorphine hydrochloride (SRB) on intraocular pressure (IOP) in sheep."( Effects of premedication with sustained-release buprenorphine hydrochloride and anesthetic induction with ketamine hydrochloride or propofol in combination with diazepam on intraocular pressure in healthy sheep.
Gatson, BJ; Granone, TD; Pablo, L; Plummer, CE, 2015
)
0.88
"01 mg/kg, SC); after > 4 weeks, each sheep received the other induction combination with no premedication."( Effects of premedication with sustained-release buprenorphine hydrochloride and anesthetic induction with ketamine hydrochloride or propofol in combination with diazepam on intraocular pressure in healthy sheep.
Gatson, BJ; Granone, TD; Pablo, L; Plummer, CE, 2015
)
0.63
"The aim of the present study is to compare the success rate and complications of caudal epidural bupivacaine alone or in combination with intravenous (IV) midazolam and ketamine in awake infants undergoing lower abdominal surgery."( The success rate and complications of awake caudal epidural bupivacaine alone or in combination with intravenous midazolam and ketamine in pre-term infants.
Azarfarin, R; Mashhoori, M; Seyedhejazi, M; Shekhzadeh, D; Taghizadieh, N,
)
0.53
" The present study evaluates the effect of ketamine (5 and 10 mg/kg), alone and in combination with the 5-HT6R agonist E-6837, on the climbing behavior of male mice."( Effect of ketamine administration, alone and in combination with E-6837, on climbing behavior.
Briones-Aranda, A; Castellanos-Pérez, M; Picazo, O; Suárez-Santiago, JE, 2016
)
1.1
" The aim of the study was to determine the effects of constant-rate infusion of lidocaine and ketamine combined with either morphine or fentanyl on the MAC of sevoflurane in pigs."( Effect of Lidocaine-Ketamine Infusions Combined with Morphine or Fentanyl in Sevoflurane-Anesthetized Pigs.
Canfrán, S; Gómez de Segura, IA; Largo, C; Re, M, 2016
)
0.98
" Even though ketamine alone and in combination with midazolam or dexmedetomidine are frequently used in laboratory animals, the side-effects of such protocols are not well known."( Ketamine alone or combined with midazolam or dexmedetomidine does not affect anxiety-like behaviours and memory in adult Wistar rats.
Antunes, L; Magalhães, A; Melo, P; Pereira, M; Summavielle, T; Valentim, A; Venâncio, C, 2017
)
2.27
"Objectives Cardiorespiratory parameters and anaesthesia quality in cats anaesthetised with either intramuscular (IM) alfaxalone or ketamine both combined with dexmedetomidine and butorphanol for castration were evaluated."( Comparison of intramuscular alfaxalone and ketamine combined with dexmedetomidine and butorphanol for castration in cats.
Broussaud, S; Khenissi, L; Nikolayenkova-Topie, O; Touzot-Jourde, G, 2017
)
0.92
" Fasted pigs rotationally received either no drug, a single intravenous administration of A or X, or A or X combined with ketamine (AK or XK, respectively), and plasma concentrations of glucose, lactate, non-esterified fatty acids (NEFA), triglycerides (TG), glucagon, insulin, and cortisol were determined for a 5-h period following administration."( Effects of general anesthesia with ketamine in combination with the neuroleptic sedatives xylazine or azaperone on plasma metabolites and hormones in pigs.
Brüssow, KP; Daş, G; Görs, S; Kanitz, E; Metges, CC; Vernunft, A; Weitzel, JM, 2016
)
0.92
" The present study aimed to investigate the effects of the typical antipsychotic chlorpromazine (CP) alone or combined with the natural antioxidant alpha-lipoic acid (ALA) on changes in the hippocampal average spectral power induced by ketamine (KET)."( Electroencephalographic study of chlorpromazine alone or combined with alpha-lipoic acid in a model of schizophrenia induced by ketamine in rats.
Barbosa, TM; Borges, LTN; Gularte, VN; Lima, RF; Macêdo, D; Matos, NCB; Oliveira, MN; Patrocínio, MCA; Sampaio, LRL; Vale, OCD; Vasconcelos, SMM, 2017
)
0.84
"Our primary objective was test the hypothesis that oral methadone combined with oral ketamine is more effective than oral methadone or ketamine alone in reducing neuropathic pain."( Management of Neuropathic Chronic Pain with Methadone Combined with Ketamine: A Randomized, Double Blind, Active-Controlled Clinical Trial.
Caumo, W; Dalmolin, GD; Ferreira, J; Godoy, MC; Menezes, MS; Rigo, FK; Rossato, MF; Silva, MA; Trevisan, G, 2017
)
0.91
" Methods Thirty-six patients (30 males and 6 females, aged 19-38 years) with KAC, who had previously taken a muscarinic receptor blocker and/or antibiotics, but without symptomatic relief, were treated with botulinum toxin A injection combined with bladder hydrodistention."( Effective treatment of ketamine-associated cystitis with botulinum toxin type a injection combined with bladder hydrodistention.
Huang, Z; Lai, H; Wang, S; Wei, L; Zeng, J; Zheng, D; Zhong, L; Zou, W, 2017
)
0.77
" Adverse drug-drug interaction effects between ketamine and CsA have been reported in mammals and humans."( Cyclosporine exacerbates ketamine toxicity in zebrafish: Mechanistic studies on drug-drug interaction.
Ali, SF; Dumas, M; Gu, Q; Kanungo, J; Paule, MG; Robinson, BL, 2017
)
1.02
"5 mg/kg over 2 h) combined with magnesium sulfate (3000 mg over 30 min) in an outpatient setting."( Ketamine Infusion Combined With Magnesium as a Therapy for Intractable Chronic Cluster Headache: Report of Two Cases.
Clavelou, P; Dallel, R; Lauxerois, M; Moisset, X; Picard, P, 2017
)
1.9
"To determine the intubation dose and select physiologic effects of alfaxalone alone or in combination with midazolam or ketamine in dogs."( Alfaxalone alone or combined with midazolam or ketamine in dogs: intubation dose and select physiologic effects.
Muñoz, KA; Robertson, SA; Wilson, DV, 2017
)
0.92
" Serum glucose and insulin concentrations were not influenced by administration of alfaxalone alone or when administered with midazolam or ketamine."( Alfaxalone alone or combined with midazolam or ketamine in dogs: intubation dose and select physiologic effects.
Muñoz, KA; Robertson, SA; Wilson, DV, 2017
)
0.91
" Data from clinical trials indicate that most conventional antidepressants can probably be combined with ketamine without compromising efficacy or increasing the adverse effect burden."( Ketamine for Depression, 5: Potential Pharmacokinetic and Pharmacodynamic Drug Interactions.
Andrade, C, 2017
)
2.11
" Deep sedation by intravenous propofol combined with an opioid has recently become the preferred sedation technique."( Sedation with propofol during ERCP: is the combination with esketamine more effective and safer than with alfentanil? Study protocol for a randomized controlled trial.
de Jong, E; Eberl, S; Hollmann, MW; Koers, L; Preckel, B; Schneider, T; van Hooft, JE, 2017
)
0.7
" PROCEDURES In a randomized crossover study, each dog received 5 premedication protocols (medetomidine [10 μg/kg, IV] alone [MED] and in combination with MK-467 at doses of 50 [MMK50], 100 [MMK100], and 150 [MMK150] μg/kg and 15 minutes after glycopyrrolate [10 μg/kg, SC; MGP]), with at least 14 days between treatments."( Cardiovascular effects of premedication with medetomidine alone and in combination with MK-467 or glycopyrrolate in dogs subsequently anesthetized with isoflurane.
Bennett, RC; Kuusela, E; Raekallio, MR; Salla, KM; Scheinin, M; Tuns, CI; Vainio, OM, 2017
)
0.46
"OBJECTIVE To determine global and peripheral perfusion and oxygenation during anesthesia with equipotent doses of desflurane and propofol combined with a constant rate infusion of dexmedetomidine in horses."( Comparison of desflurane and propofol at equipotent doses in combination with a constant rate infusion of dexmedetomidine on global and peripheral perfusion and oxygenation in horses.
Hopster, K; Kästner, SBR; Neudeck, S; Rohn, K; Wittenberg-Voges, L, 2018
)
0.48
"Low-dose oral S-ketamine is increasingly used in chronic pain therapy, but extensive cytochrome P450 (CYP) mediated metabolism makes it prone to pharmacokinetic drug-drug interactions (DDIs)."( Semimechanistic Population Pharmacokinetic Model to Predict the Drug-Drug Interaction Between S-ketamine and Ticlopidine in Healthy Human Volunteers.
Ashraf, MW; Neuvonen, PJ; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2018
)
1.04
" This study was designed to investigate the effect of ketamine combined with DHA on lipopolysaccharide-induced depression-like behavior."( Effect of ketamine combined with DHA on lipopolysaccharide-induced depression-like behavior in rats.
Chang, D; Du, X; Gao, L; Lian, H; Wen, Y; Yuan, R; Zhang, X; Zhao, J, 2019
)
1.16
"Ketamine combined with lidocaine may be beneficial in shortening the onset of anesthesia, promoting postoperative awake, prolonging elimination half-life, increasing area under curve, and decreasing plasma clearance rate and incidence of adverse reactions."( Effect of ketamine combined with lidocaine in pediatric anesthesia.
Fang, H; Li, HF; Liao, R; Wang, QY; Wang, RR; Yang, M; Zhang, FX; Zhang, JP; Zheng, PC, 2020
)
2.4
"The objective of this study was to compare intravenous (IV) xylazine and detomidine as sedatives in combination with midazolam and ketamine for induction of anaesthesia in horses undergoing field castration."( Comparison of xylazine and detomidine in combination with midazolam/ketamine for field castration in Quarter Horses.
Bass, L; Damone, J; Mama, K; Rao, S; Smith, MC, 2020
)
1
"To evaluate the sedative, analgesic and recovery characteristics of two subanaesthetic ketamine doses in combination with dexmedetomidine and methadone for intramuscular sedation in healthy Beagles."( Sedative and analgesic effects of two subanaesthetic doses of ketamine in combination with methadone and a low dose of dexmedetomidine in healthy dogs.
Aguado, D; Arenillas, M; Canfrán, S; Gómez de Segura, IA, 2021
)
1.08
"To compare the sedative effects of intramuscular xylazine alone or combined with levomethadone or ketamine in calves before cautery disbudding."( A comparison of sedative effects of xylazine alone or combined with levomethadone or ketamine in calves prior to disbudding.
Adam, M; Aho, R; Hänninen, L; Hokkanen, AH; Norring, M; Raekallio, M; Salla, K; Taponen, S, 2021
)
1.06
" This study was designed to evaluate the feasibility and safety of sedation with inhaled sevoflurane in combination with intravenous esketamine during PP in patients with COVID-19-ARDS (CARDS)."( Sevoflurane in combination with esketamine is an effective sedation regimen in COVID-19 patients enabling assisted spontaneous breathing even during prone positioning.
Bansbach, J; Heinrich, S; Kalbhenn, J; Kaufmann, K; Wenz, J, 2022
)
1.2
" Patients were sedated with inhaled sevoflurane in combination with eske-tamine during PP and not or only lightly sedated during the supine position."( Sevoflurane in combination with esketamine is an effective sedation regimen in COVID-19 patients enabling assisted spontaneous breathing even during prone positioning.
Bansbach, J; Heinrich, S; Kalbhenn, J; Kaufmann, K; Wenz, J, 2022
)
1
" Inhaled sedation with sevoflurane in combination with esketamine, however, safely enables prolonged prone positioning in patients with CARDS."( Sevoflurane in combination with esketamine is an effective sedation regimen in COVID-19 patients enabling assisted spontaneous breathing even during prone positioning.
Bansbach, J; Heinrich, S; Kalbhenn, J; Kaufmann, K; Wenz, J, 2022
)
1.25
"To compare the sedation regimen Dexmedetomidine alone and its combination with low dose Ketamine through intravenous route in terms of safety, efficacy and recovery profile in uncooperative paediatric dental patients requiring pulpectomy."( A double-blind randomized controlled trial to compare the safety and efficacy of dexmedetomidine alone and in combination with ketamine in uncooperative and anxious paediatric dental patients requiring pulpectomy.
Gupta, N; Haider, K; Mittal, N; Srivastava, B, 2022
)
1.15
"Dexmedetomidine either alone or in combination with ketamine proved to be a safe and efficacious agent for paediatric dental sedation."( A double-blind randomized controlled trial to compare the safety and efficacy of dexmedetomidine alone and in combination with ketamine in uncooperative and anxious paediatric dental patients requiring pulpectomy.
Gupta, N; Haider, K; Mittal, N; Srivastava, B, 2022
)
1.18
"The objective of this study was to determine which symptoms measured by the Patient Health Questionnaire (PHQ-9) and Montgomery-Asberg Depression Rating Scale (MADRS) improve in those treated with esketamine nasal spray in combination with oral antidepressant (AD) compared with those treated with placebo plus AD for adult patients with treatment-resistant depression (TRD)."( Evaluation of Individual Items of the Patient Health Questionnaire (PHQ-9) and Montgomery-Asberg Depression Rating Scale (MADRS) in Adults with Treatment-Resistant Depression Treated with Esketamine Nasal Spray Combined with a New Oral Antidepressant.
Cooper, K; Drevets, WC; Floden, L; Hudgens, S; Jamieson, C; Popova, V; Singh, J, 2022
)
1.1
"The TRANSFORM 2 study evaluated the efficacy and safety of esketamine nasal spray in combination with AD."( Evaluation of Individual Items of the Patient Health Questionnaire (PHQ-9) and Montgomery-Asberg Depression Rating Scale (MADRS) in Adults with Treatment-Resistant Depression Treated with Esketamine Nasal Spray Combined with a New Oral Antidepressant.
Cooper, K; Drevets, WC; Floden, L; Hudgens, S; Jamieson, C; Popova, V; Singh, J, 2022
)
1.15
" Dexmedetomidine must, however, be combined with a powerful analgesic."( Procedural Sedation With Dexmedetomidine in Combination With Ketamine in the Emergency Department.
Cren, R; De Kock, M; Grégoire, C; Henrie, J; Lavand'homme, P; Penaloza, A; Verschuren, F, 2022
)
0.96
" In antidepressant drug therapy, usually multiple drugs are administered which are substrates of CYP enzymes, increasing the risk for drug-drug interactions."( Pharmacogenetic and drug interaction aspects on ketamine safety in its use as antidepressant - implications for precision dosing in a global perspective.
Just, KS; Langmia, IM; Müller, JP; Stingl, JC; Yamoune, S, 2022
)
0.98
" Studies have shown that the application of propofol combined with ketamine in painless gastrointestinal endoscopy is beneficial to reduce the dosage of propofol and the incidence of related complications."( Efficacy and safety of subanesthetic doses of esketamine combined with propofol in painless gastrointestinal endoscopy: a prospective, double-blind, randomized controlled trial.
Li, J; Li, S; Li, Y; Liang, S; Liang, Z; Luo, Q; Yang, Z; Zhan, Y, 2022
)
1.21
"To evaluate the anesthetic and cardiopulmonary effects of ketamine-dexmedetomidine combined with local anesthesia, associated or not in the postoperative period with different doses of atipamezole, for orchiectomy in cats."( Ketamine-dexmedetomidine combined with local anesthesia, with or without different doses of atipamezole in the postoperative period, for orchiectomy in cats.
Cappelli, N; da Silva, MFA; de Carvalho, WTS; Gomes, VH; Mignani, BTG; Pimentel, VC, 2022
)
2.41
"Cats received ketamine (7 mg/kg) combined with dexmedetomidine (10 µg/kg) IM, and 1 mL of saline (group KDSAL), 25 µg/kg (group KDAT25), or 50 µg/kg (group KDAT50) of atipamezole IV, postoperatively."( Ketamine-dexmedetomidine combined with local anesthesia, with or without different doses of atipamezole in the postoperative period, for orchiectomy in cats.
Cappelli, N; da Silva, MFA; de Carvalho, WTS; Gomes, VH; Mignani, BTG; Pimentel, VC, 2022
)
2.52
"At the doses used, ketamine-dexmedetomidine combined with local anesthesia allowed the performance of orchiectomy."( Ketamine-dexmedetomidine combined with local anesthesia, with or without different doses of atipamezole in the postoperative period, for orchiectomy in cats.
Cappelli, N; da Silva, MFA; de Carvalho, WTS; Gomes, VH; Mignani, BTG; Pimentel, VC, 2022
)
2.49
"To explore the effects and safety of low dose of esketamine combined with propofol in elderly patients undergoing fibronchoscopy."( Low dose of esketamine combined with propofol in painless fibronchoscopy in elderly patients.
Chen, Z; Du, T; Feng, Y; Wang, J, 2022
)
1.33
"The aim of this study was to compare the effects of constant rate infusions (CRI) of fentanyl alone or combined with lidocaine and ketamine (FLK), on physiological parameters, isoflurane requirements and the number of postoperative analgesic rescues in dogs undergoing unilateral mastectomy."( Influence of Constant Rate Infusions of Fentanyl Alone or in Combination With Lidocaine and Ketamine on the Response to Surgery and Postoperative Pain in Isoflurane Anesthetized Dogs Undergoing Unilateral Mastectomy: A Randomized Clinical Trial.
Alievi, MM; de Oliveira, TF; Herrera-Becerra, JR; Marques, ÉJ; Monteiro, ER; Rovaris, IB; Tomazeli, D; Valle, SF,
)
0.56
"The authors sought to quantify the clinical impacts of granisetron, ketamine, dexmedetomidine, and lidocaine combined with fentanyl, for procedural sedation and analgesia in cystoscopy and for bladder catheter tolerance."( Efficacy appraisal of four regimens (granisetron, ketamine, dexmedetomidine, and lidocaine combined with fentanyl) for cystoscopy-associated sedation and analgesia and catheter-related bladder tolerance: a randomized clinical trial.
Almasi-Hashiani, A; Jafarirismani, R; Modir, H; Shamaii, K,
)
0.62
" Propofol is a commonly used sedative, frequently combined with an opioid or low-dose ketamine as an analgesic."( Low-dose ketamine or opioids combined with propofol for procedural sedation in the emergency department: a systematic review.
De Vries, LJ; Lameijer, H; Van Roon, EN; Veeger, NJGM, 2023
)
1.55
" The effect of esketamine combined with other common anesthetics on IOP has been underinvestigated."( Effect of intravenous induction with different doses of Esketamine combined with propofol and sufentanil on intraocular pressure among pediatric strabismus surgery: a randomized clinical trial.
Luo, J; Sun, R; Yin, K; Zhang, Z; Zhao, D, 2023
)
1.49
"Propofol combined with sufentanil significantly decreased IOP during the induction of general anesthesia."( Effect of intravenous induction with different doses of Esketamine combined with propofol and sufentanil on intraocular pressure among pediatric strabismus surgery: a randomized clinical trial.
Luo, J; Sun, R; Yin, K; Zhang, Z; Zhao, D, 2023
)
1.15

Bioavailability

Sublingual administration of ketamine renders better bioavailability (~30%) and less conversion to norketamine than oral administration. Ketamine lozenges have been shown to have sufficiently high bioavailability to support their use as a preventive treatment in a number of conditions causing intractable neuropathic pain.

ExcerptReferenceRelevance
" We conclude that 5 to 10 mg/kg oral ketamine in water which has a bioavailability of approximately 20% is a useful agent for the preinduction of patients who aggressively refuse medical treatment."( [Oral ketamine as preferred preanesthetic medication of uncooperative patients].
Jacobs, FE; Neckel, W; Tolksdorf, W, 1992
)
1.04
" Irradiation at a power density of 60 mW/cm2 (whole-body average specific absorption rate of approximately 14 W/kg) was conducted for sufficient duration to increase colonic temperature from 38."( Cardiovascular changes in unanesthetized and ketamine-anesthetized Sprague-Dawley rats exposed to 2.8-GHz radiofrequency radiation.
Frei, MR; Jauchem, JR, 1991
)
0.54
" Irradiation was conducted at a power density of 60 mW/cm2 (whole-body average specific absorption rate of 14."( Effects of 2.8-GHz microwaves on restrained and ketamine-anesthetized rats.
Frei, MR; Jauchem, JR, 1989
)
0.53
" The failure rates of 17% during the preoperative evaluation and 23% during the operation were not negligible and were probably due to the very low bioavailability of ketamine administered orally and the variability of digestive absorption of ketamine from 1 subject to another."( [Anesthesia with oral ketamine].
Amadei, B; Amiot, JF; Palacci, JH; Roessler, JG,
)
0.64
" Intramuscular injection resulted in peak-plasma levels around the twentieth minute, elimination half life was fifty-two minutes, bioavailability 90%."( [Comparative study of analgesia and plasma level following rectal, intramuscular and intravenous administration of ketamine].
Erdmann, K; Hilley, D; Jantzen, JP; Klein, AM, 1985
)
0.48
" Diazepam, which produces good tranquilization, is well absorbed when given orally though absorption is influenced by other drugs given at the same time."( New drugs--boon or bane? Premedication and intravenous induction agents.
Clarke, RS, 1983
)
0.27
" Plasma concentrations of ketamine and norketamine were measured in eight children and revealed a pharmacokinetic pattern indicating comparatively low bioavailability probably due to incomplete absorption from the rectum and a high 'first-pass' metabolism."( Rectal ketamine for induction of anaesthesia in children.
Holasek, J; Idvall, J; Stenberg, P, 1983
)
1.02
" Absorption after intramuscular injection was rapid and the bioavailability was 93%."( Bioavailability, pharmacokinetics, and analgesic activity of ketamine in humans.
Clements, JA; Grant, IS; Nimmo, WS, 1982
)
0.51
" In the present study, ketamine-anesthetized Sprague-Dawley rats were exposed to 2450-MHz microwaves at an average power density of 60 mW/cm2 (whole-body specific absorption rate of approximately 14 W/kg) until lethal temperatures were attained."( Tolazoline decreases survival time during microwave-induced lethal heat stress in anesthetized rats.
Chang, KS; Frei, MR; Jauchem, JR, 1996
)
0.6
" Bioavailability is high when it is given parenterally, but low after oral or rectal administration."( Ketamine in cancer pain: an update.
Mercadante, S, 1996
)
1.74
"22 GHz with a peak specific absorption rate of 420 W/kg and corresponding incident power density of 15 mW/cm2 for 15 min or sham-exposed."( Electromagnetic millimeter waves increase the duration of anaesthesia caused by ketamine and chloral hydrate in mice.
Rojavin, MA; Ziskin, MC, 1997
)
0.52
"The present study was designed to evaluate the oral efficacy and bioavailability of ketamine."( Oral ketamine is antinociceptive in the rat formalin test: role of the metabolite, norketamine.
Elliott, KJ; Gorman, AL; Inturrisi, CE; Shimoyama, M; Shimoyama, N, 1999
)
1.04
" Ketamine-anesthetized male Sprague-Dawley rats (n = 58) were exposed individually to one of three conditions: 1-GHz, 10-GHz, or combined 1- and 10-GHz MWs at an equivalent whole-body specific absorption rate of 12 W/kg."( Cardiovascular and thermal effects of microwave irradiation at 1 and/or 10 GHz in anesthetized rats.
Frei, MR; Jauchem, JR; Ryan, KL, 2000
)
1.22
"The quantitative structure-bioavailability relationship of 232 structurally diverse drugs was studied to evaluate the feasibility of constructing a predictive model for the human oral bioavailability of prospective new medicinal agents."( QSAR model for drug human oral bioavailability.
Topliss, JG; Yoshida, F, 2000
)
0.31
" Furthermore, the stability (chemical and metabolic) and bioavailability of radiopharmaceuticals have in general proved to be a challenge during development and clinical administration."( Effect of cyclodextrin complexation on the in vivo disposition of the brain imaging radiopharmaceutical 99mTechnetium ethyl cysteinate dimer (99mTc-ECD).
de Beco, V; Dormehl, IC; Kilian, E; Louw, W; Morretti, JL; Oliver, DW, 2000
)
0.31
" The bioavailability of the tablet was estimated to be approximately 20%; the area under the plasma concentration-time curve, (AUC)(0-->8 h), of norketamine was approximately 500 ng h/ml in both enantiomers."( Plasma concentration profiles of ketamine and norketamine after administration of various ketamine preparations to healthy Japanese volunteers.
Aoyama, T; Ashizawa, N; Hiraishi, T; Iga, T; Kariya, S; Ohtani, M; Uchino, K; Yamada, Y; Yamamura, Y; Yanagihara, Y, 2003
)
0.8
" The KET absorption rate was also increased in PCM rats."( Effects of protein calorie malnutrition on the pharmacokinetics of ketamine in rats.
Gudi, G; Mager, DE; Mulheran, M; Parenteau, H; Tracy, TS; Wainer, IW; Williams, ML, 2004
)
0.56
" All three enzymes enhanced the absorption rate of xylazine and ketamine determined by measurement of the concentration in the perfusate."( [Use of hyaluronic acid cleaving enzymes for absorption acceleration. Results of an in vitro study with xylazine and ketamine].
Gross, C; Kietzmann, M, 2006
)
0.78
" The objective of the study was to develop a lozenge formulation of ketamine for use in patients with neuropathic pain, and to investigate its storage stability and bioavailability after oral or sublingual administration."( Development of a sublingual/oral formulation of ketamine for use in neuropathic pain: Preliminary findings from a three-way randomized, crossover study.
Chong, C; Ilett, KF; Jenkins, B; Page-Sharp, M; Schug, SA, 2009
)
0.84
" Bioavailability after both oral and sublingual administration was evaluated in six patients with chronic neuropathic pain."( Development of a sublingual/oral formulation of ketamine for use in neuropathic pain: Preliminary findings from a three-way randomized, crossover study.
Chong, C; Ilett, KF; Jenkins, B; Page-Sharp, M; Schug, SA, 2009
)
0.61
" Bioavailability was sufficiently high and reproducible to support its use in routine pain management."( Development of a sublingual/oral formulation of ketamine for use in neuropathic pain: Preliminary findings from a three-way randomized, crossover study.
Chong, C; Ilett, KF; Jenkins, B; Page-Sharp, M; Schug, SA, 2009
)
0.61
" In this case, the drug administration per os in the form of a tabletization mixture with poly(vinyl pyrrolidone) and lactose was more effective compared to a mixture of the parent substance with Tween-80, which can be explained by the favorable effect of additives on the bioavailability of dilept."( [Neurotensine dipeptide analog dilept decreases the deficiency of prestimulus startle reflex inhibition: a prognostic sign of antipsychotic activity].
Gudasheva, TA; Krupina, NA; Ostrovskaia, RU; Seredenin, SB; Voronina, TA,
)
0.13
" There is low relative bioavailability (<0."( Exploring the pharmacokinetics of oral ketamine in children undergoing burns procedures.
Anderson, BJ; Brunette, KE; Herd, DW; Schulein, S; Thomas, J; Wiesner, L, 2011
)
0.64
" Sublingual administration of ketamine renders better bioavailability (~30%) and less conversion to norketamine than oral administration."( Antidepressant, mood stabilizing and procognitive effects of very low dose sublingual ketamine in refractory unipolar and bipolar depression.
Bisol, LW; Lara, DR; Munari, LR, 2013
)
0.9
" The bioavailability of sufentanil and ketamine was 24."( Intranasal sufentanil/ketamine analgesia in children.
Anderson, BJ; Ferreirós, N; Friis, SM; Henneberg, SW; Labocha, S; Nielsen, BN; Rømsing, J; Schmiegelow, K, 2014
)
0.99
" Quinidine, a cytochrome P450 (CYP) 2D6 inhibitor, was also evaluated in conjunction with dextromethorphan to increase the bioavailability of dextromethorphan and reduce exposure to additional metabolites."( Involvement of sigma-1 receptors in the antidepressant-like effects of dextromethorphan.
Healy, JR; Matsumoto, RR; Nguyen, L; Robson, MJ; Scandinaro, AL, 2014
)
0.4
"The principal study objective was to investigate the pharmacokinetic characteristics of a new sublingual ketamine wafer and to establish its absolute bioavailability and local tolerability."( The absolute bioavailability of racemic ketamine from a novel sublingual formulation.
Lim, S; Liu, Y; Molnar, V; Rolan, P; Sunderland, V, 2014
)
0.88
"The median (90% CI lower, upper limit) absolute bioavailability of sublingual ketamine was 29% (27, 31%)."( The absolute bioavailability of racemic ketamine from a novel sublingual formulation.
Lim, S; Liu, Y; Molnar, V; Rolan, P; Sunderland, V, 2014
)
0.9
" The ketamine wafer has comparable bioavailability with other oral transmucosal formulations of ketamine but with markedly reduced inter-subject variability, warranting further evaluation as an analgesic adjunct."( The absolute bioavailability of racemic ketamine from a novel sublingual formulation.
Lim, S; Liu, Y; Molnar, V; Rolan, P; Sunderland, V, 2014
)
1.18
" The oral bioavailability of S-ketamine was low, 8% (11% interindividual variability), and its clearance was high, 95 L/h/70 kg (13% interindividual variability)."( Population pharmacokinetics of S-ketamine and norketamine in healthy volunteers after intravenous and oral dosing.
Backman, JT; Fanta, S; Kalso, E; Kinnunen, M, 2015
)
0.98
" Bioavailability after oral administration vs."( Drug Pharmacokinetics Determined by Real-Time Analysis of Mouse Breath.
Bregy, L; Brown, SA; Dallmann, R; Detmar, M; Hollmén, M; Kohler, M; Li, X; Martinez-Lozano Sinues, P; Proulx, S; Zenobi, R, 2015
)
0.42
" Because of extensive first-pass metabolism, oral bioavailability is poor and ketamine is vulnerable to pharmacokinetic drug interactions."( Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy.
Hagelberg, NM; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2016
)
2.11
"Cell membrane permeability is an important determinant for oral absorption and bioavailability of a drug molecule."( Highly predictive and interpretable models for PAMPA permeability.
Jadhav, A; Kerns, E; Nguyen, K; Shah, P; Sun, H; Xu, X; Yan, Z; Yu, KR, 2017
)
0.46
" Although the reduction in dose-independent bioavailability is best explained by retention of drug and particle exhalation, the reduction in dose-dependent bioavailability is probably due to sedation-related loss of drug into the air."( Pharmacokinetics and Bioavailability of Inhaled Esketamine in Healthy Volunteers.
Aarts, L; Dahan, A; Duma, A; Henthorn, T; Jonkman, K; Mooren, R; Niesters, M; Olofsen, E; Siebers, L; van den Beukel, J; van Velzen, M, 2017
)
0.71
" The use of MAD even gives as better bioavailability of drugs."( Intranasal drug administration for procedural sedation in children admitted to pediatric Emergency Room.
Chiaretti, A; Fabrizio, GC; Fantacci, C; Ferrara, P; Franceschi, F, 2018
)
0.48
" Oral bioavailability is low and erratic, limiting application of this route for chronic use."( Intranasal Ketamine and Its Potential Role in Cancer-Related Pain.
Gillespie, TW; Harvey, RD; Singh, V, 2018
)
0.87
" The PK data demonstrated a significantly increased oral bioavailability and serum exposure of ketamine in dKO > Pgp KO > Bcrp KO mice compared with WT mice."( Ketamine Pharmacokinetics and Pharmacodynamics Are Altered by P-Glycoprotein and Breast Cancer Resistance Protein Efflux Transporters in Mice.
Ganguly, S; Panetta, JC; Roberts, JK; Schuetz, EG, 2018
)
2.14
" Ketamine response resulted in more pronounced effects in the kynurenine pathway and the arginine pathway at 4 h post-infusion, where a larger decrease in circulating kynurenine levels and a larger increase in the bioavailability of arginine were observed in responders to ketamine treatment, suggesting possible mechanisms for response to ketamine treatment."( Plasma metabolomic profiling of a ketamine and placebo crossover trial of major depressive disorder and healthy control subjects.
Ferrucci, L; Gould, TD; Kadriu, B; Khadeer, M; Lovett, J; Moaddel, R; Morris, PJ; Ravichandran, S; Shardell, M; Thomas, CJ; Yuan, P; Zarate, CA, 2018
)
1.67
" The bioavailability of oral ketamine and interindividual variations thereof have been poorly studied; possibly only 20%-25% of an oral dose reaches the bloodstream."( Oral Ketamine for Depression, 1: Pharmacologic Considerations and Clinical Evidence.
Andrade, C, 2019
)
1.32
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" Therefore, this study aimed to examine the pharmacokinetics, absolute bioavailability and tolerability of intranasal ketamine administration compared with intravenous administration."( Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs.
Croubels, S; Devreese, M; Dockx, R; Duchateau, L; Peremans, K; Polis, I; Vlerick, L, 2020
)
1.01
" Recently, ketamine lozenges have been shown to have sufficiently high bioavailability to support their use as a preventive treatment in a number of conditions causing intractable neuropathic pain."( Ketamine as a potential option in the treatment of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing.
Aggarwal, A,
)
1.96
" Preanesthetic oral ketamine is generally used in children but has less bioavailability due to the first-pass effect."( Preanesthetic nebulized ketamine vs preanesthetic oral ketamine for sedation and postoperative pain management in children for elective surgery: A retrospective analysis for effectiveness and safety.
Chen, C; Cheng, X; Fu, F; Lin, L, 2021
)
1.25
" The nebulised route of drug delivery carries the advantage of good bioavailability and safety profile."( Comparison of single-shot nebuliser protocol between dexmedetomidine and ketamine in children undergoing magnetic resonance imaging.
Geetha, K; Karishma, K; Padhy, S, 2022
)
0.95
" However, the poor bioavailability of curcumin is a significant pharmacological barrier for its antioxidant activities."( Neuroprotective effects of curcumin-loaded nanophytosome on ketamine-induced schizophrenia-like behaviors and oxidative damage in male mice.
Bavaghar, B; Maboudi, K; Moghaddam, AH; Sangdehi, SRM; Zare, M, 2021
)
0.86
" Esketamine showed a clinically relevant pharmacokinetic profile, with high bioavailability (62%) and relatively low maximum concentration peaks."( Esketamine inhaled as dry powder: Pharmacokinetic, pharmacodynamic and safety assessment in a preclinical study.
Abramski, K; Dera, P; Gajos-Draus, A; Janicka, M; Janowska, S; Kamil, K; Mach, M; Matłoka, M; Moszczyński-Pętkowski, R; Pankiewicz, P; Perko, P; Pieczykolan, J; Teska-Kamińska, M; Tratkiewicz, E; Wieczorek, M; Ziółkowski, H, 2022
)
2.06
" When the delayed dissolution rate was used to fit the oral data, the estimated bioavailability was nearly identical to that obtained with the full model."( Relationship Between Dissolution Rate in Vitro and Absorption Rate in Vivo of Ketamine Prolonged-Release Tablets.
Weiss, M, 2023
)
1.14
"A comparison of the time course of the absorption rate with that of the dissolution rate can reveal more details of the absorption process."( Relationship Between Dissolution Rate in Vitro and Absorption Rate in Vivo of Ketamine Prolonged-Release Tablets.
Weiss, M, 2023
)
1.14
" In rats, compound 7k had better pharmacokinetic properties and oral bioavailability (F = 67."( 3,4-Dihydrobenzo[e][1,2,3]oxathiazine 2,2-dioxide analogs act as potential AMPA receptor potentiators with antidepressant activity.
Deng, W; Guo, W; Hu, X; Li, T; Luo, X; Ma, X; Ni, P; Qi, X; Wang, Q; Wei, L; Wei, Y; Yu, X; Zhao, L; Zheng, Y, 2023
)
0.91
"Absorption of ketamine is rapid though the rate of uptake and bioavailability is determined by the route of exposure."( The clinical toxicology of ketamine.
Gee, P; Mackenzie, E; Schep, LJ; Slaughter, RJ; Watts, M, 2023
)
1.57
" Despite bioavailability and peak plasma concentrations both being lower than when administered parenterally, evidence suggests that low-dose oral ketamine is clinically effective in treating pain."( Oral ketamine may offer a solution to the ketamine conundrum.
Can, AT; Dutton, M; Hermens, DF; Lagopoulos, J, 2023
)
1.62

Dosage Studied

Methamphetamine (4mg/kg)-induced place preference mice model was successfully established. ketamine (15mg/ kg), rhynchophylline (40mg/ kilo) and rhyn chophyllin (80mg/kilo) can eliminate place preference. The number of NR2B-positive neurons in hippocampus was increased in the methamphetamine model group, whereas less NR2b- positive neurons were found in the ketamine group, low and high dosage rhyn Chophiline group.

ExcerptRelevanceReference
" The dosage of ketamine was 2 mg/kg body weight, supplemented if necessary by 1 mg/kg, in combination with either 2 mg flunitrazepam or placebo."( Reduction of psychotomimetic side effects of Ketalar (ketamine) by Rohypnol (flunitrazepam). A randomized, double-blind trial.
Freuchen, I; Kühl, JB; Mikkelsen, BO; Ostergaard, J, 1976
)
0.86
" To evaluate this possibility, the authors devised a technique for determining the minimal arrhythmic dosage of epinephrine that permitted graded assessment of changes in the sensitivity of the heart to epinephrine-induced arrhythmias."( Effects of pharmacologic alterations of adrenergic mechanisms by cocaine, tropolone, aminophylline, and ketamine on epinephrine-induced arrhythmias during halothane-nitrous oxide anesthesia.
Koehntop, DE; Liao, JC; Van Bergen, FH, 1977
)
0.47
" There was no significant difference between the mothers and babies in the three meperidine dosage groups for maternal parity, maternal age, birth weight, number of forceps deliveries or duration of labour."( Double-blind comparison of the neurobehaviour of neonates following the administration of different doses of meperidine to the mother.
Bhatt, M; Hodgkinson, R; Wang, CN, 1978
)
0.26
"A procedure is described which allows chronic dosing and blood collection from awake monkeys."( Chronic intravenous dosing and blood collection in the unanesthetized monkey.
Bedford, JA; Kibbe, AH; Wilson, MC, 1977
)
0.26
" A minimal effective dosage of 90 mg/kg for ketamine and 10 mg/kg for xylazine provided satisfactory anesthesia in 92% of the subjects, without adverse effects on gestation or the fetuses."( Ketamine/xylazine anesthesia in the pregnant rat.
Stickrod, G, 1979
)
1.96
" The duration of sleep, determined by failure of the animals to right themselves, was then used to construct dose-response curves for the two drugs in the hyperbaric environments."( Ketamine and thiopental sleep responses in guinea pigs in hyperbaric helium-oxygen.
Bailey, RC; McCracken, LE; Nicodemus, HF; Tobey, RE, 1979
)
1.7
" Both drugs were suitable and three dogs immobilized with ketamine HCl at a dosage rate of 7 mg/kg had smoother and shorter recovery periods than the three animals immobilized with phencyclidine HCl."( The restraint of the Cape Hunting dog Lycaon pictus with phencyclidine hydrochloride and ketamine hydrochloride.
Ebedes, H; Grobler, M, 1979
)
0.73
" Dose-response curves were obtained using mice at pressures ranging from 1 to 125 atm for five agents, namely alpha-chloralose, ethylcarbamate, phenobarbital and, for comparison, nitrogen and argon."( The pressure reversal of a variety of anesthetic agents in mice.
Miller, KW; Wilson, MW, 1978
)
0.26
" The amount of ketamine required for anaesthesia has been analysed in detail and recommendations on dosage are given."( Ketamine infusions. Observations on technique, dosage and cardiovascular effects.
Dundee, JW; Lilburn, JK; Moore, J, 1978
)
2.05
"Five anesthetic agents (C1744, etorphine, fentanyl, ketamine hydrochloride, and halothane) were tested to establish the dosage of a safe, effective, short-acting anesthetic for use in the sea otter."( Comparison of anesthetic agents in the sea otter.
Kocher, FH; Williams, TD, 1978
)
0.51
" We used a combination of droperidol and fentanyl as premedication in low dosage to obtain a maximal efficiency of the possibly minimal medication of intravenously injected ketamine."( [General anaesthesia with ketamine for electro-cochleography in children (author's transl)].
Innitzer, J; Schmid, E, 1977
)
0.75
" It is suggested that ketamine should be re-evaluated, using a lower dosage schedule, for Caesarean section."( Ketamine for anaesthetic induction at Caesarean section.
Allen, PJ; Downing, JW; Jeal, DE; Mahomedy, MC, 1976
)
2.01
" Change in anesthesiologists may have been a factor in increasing apprehension and anesthetic dosage in later treatments."( Low-dose intramuscular ketamine for pediatric radiotherapy: a case report.
Amberg, HL; Gordon, G,
)
0.44
" Parenteral administration of ketamine, at the dosage rate studied, quickly produced an immobilizing effect of variable duration (0."( Disposition kinetics of ketamine in the domestic cat.
Baggot, JD; Blake, JW, 1976
)
0.85
" Ketamine produced significant decreases in contractility and there were some indications of a dose-response pattern."( Effects of ketamine on canine cardiovascular function.
Beer, N; Bello, A; Bianco, JA; Diaz, FA; Izquierdo, JP; Jaen, R; Velarde, H, 1976
)
1.56
" Consistent results have been obtained with a dosage related to the metabolic rate of the child."( Anaesthesia for electrocochleography.
Hutton, JN, 1976
)
0.26
" With regard to the dosage and method of administration, ketamine was shown to be less effective than morphine for the first 3 hours postoperatively, but equally effective subsequently, whereas the patients who received ketamine showed a greater progressive tendency for their respiratory parameters to improve with time."( Intravenous ketamine for postoperative analgesia.
Clausen, L; Sinclair, DM; Van Hasselt, CH, 1975
)
0.88
" Linear dose effect curves relating discriminability (sessions to criterion) to dosage were obtained with all three drugs."( A comparison of the discriminable CNS effects of ketamine, phencyclidine and pentobarbital.
Overton, DA, 1975
)
0.51
"In a comparison of digitalis tolerance in dogs anesthetized with ketamine, Innovar Vet, or pentobarbital, the dosage of ouabain needed to cause ventricular tachycardia was significantly higher, as was the LD50 of ouabain, with ketamine or Innovar than with pentobarbital."( The effects of ketamine and of Innovar anesthesia on digitalis tolerance in dogs.
El-Etr, AA; Ivankovich, AD; Janeczko, GF; Maronic, JP,
)
0.72
" The doses of the anasthetic agents were selected from the dose-response experiments."( Effect of lithium and rubidium on the sleeping time caused by various intravenous anaesthetics in the mouse.
Männistö, PT; Saarnivaara, L, 1976
)
0.26
" A dose of 300 mg/kg of NMDA significantly shifted the dose-response curve of ketamine for loss of righting reflex to the right."( Ketamine-induced anesthesia involves the N-methyl-D-aspartate receptor-channel complex in mice.
Fukuda, T; Irifune, M; Nomoto, M; Shimizu, T, 1992
)
1.95
" In order to evaluate the anaesthetic and antinociceptive properties of S(+)-ketamine, a dose-response relationship of the compound on the EEG, somatosensory-evoked potentials (SEP), and respiration was established."( [Pharmacodynamic effects of S-(+)-ketamine on EEG, evoked potentials and respiration. A study in the awake dog].
Freye, E; Latasch, L; Schmidhammer, H, 1992
)
0.79
"2% isoflurane for general surgical procedures; and for electrophysiological recordings in the eighth nerve we recommend barbiturate anesthesia of appropriate dosage in combination if possible with an opioid agent to provide additional analgesic action."( A comparison of anesthetic agents and their effects on the response properties of the peripheral auditory system.
Capranica, RR; Dodd, F, 1992
)
0.28
" If dosage is kept low, the rate of recovery is acceptable, and some of the drugs commonly used in the regimen with ketamine are reversible with appropriate antagonists."( Advantages and guidelines for using ketamine for induction of anesthesia.
Hartsfield, SM, 1992
)
0.77
" Dose-response curves for thiopentone, ketamine and their combinations were determined with a probit procedure and compared with isobolographic analysis."( Anaesthetic interaction between thiopentone and ketamine.
Bradley, EL; Gesztes, T; Katz, J; Kissin, I; Roytblat, L; Rozentsveig, V, 1992
)
0.81
" Although this dosing regimen produced the desired anaesthetic effects, it caused untoward cardiopulmonary effects."( Physiological responses of sheep to two hours anaesthesia with diazepam-ketamine.
Coulson, NM; Januszkiewicz, AJ; Ripple, GR, 1991
)
0.51
" Five 2-year-old male Macaca fuscata monkeys were given rectal ketamine at a dosage of 60 mg/kg and 90 mg/kg one week apart."( Conscious sedation and analgesia with rectal ketamine in the Macaca fuscata monkey.
Bellinger, L; Harris, M; Seale, NS; Steelman, R; Wagner, M; Williams, F,
)
0.63
" An examination of the descending limb of the dose-response functions revealed that lowered response rates for cocaine and ketamine were correlated with increases in run time and small and inconsistent effects on postreinforcement pause time."( Analysis of fixed-ratio behavior maintained by drug reinforcers.
Skjoldager, P; Winger, G; Woods, JH, 1991
)
0.49
" When YOH was used as an anesthetic antagonist at dosage of 20 mg/kg, 20% mortality was observed and was attributable to acute respiratory arrest."( Antagonism of ketamine-xylazine anesthesia in rats by administration of yohimbine, tolazoline, or 4-aminopyridine.
Komulainen, A; Olson, ME, 1991
)
0.64
" During the course of the study, mean catecholamine dosage increased significantly in the fentanyl group from 12."( [The use of ketamine and midazolam for analgesia and sedation in ventilated patients subject to obligatory treatment with catecholamines].
Adams, HA; Biscoping, J; Claussen, E; Gebhardt, B; Hempelmann, G, 1991
)
0.66
" Guaifenesin amplifies the effect of several anaesthetics, which complement one another, allowing the dosage to be decreased and thereby reducing the cardiovascular stress."( [Combination anesthesia in sheep with ketamine-(fentanyl)-guaifenesin (My 301)-laughing gas-halothane].
Blättchen, C; Blümel, G; Brosch, W; Erhardt, W; Roder, J; Schindele, M, 1990
)
0.55
" Perturbed recovery from ketamine anaesthesia might be largely prevented by psychological preoperative preparation and adequate dosage of the benzodiazepine used for premedication."( [Ketamine infusion in tympanoplasty].
Gregoriades, S, 1990
)
1.49
" Ketamine, 3 X 10(-4) M, produced a shift to the right of the dose-response curve without altering the maximum contractile responses to carbachol, but had no effect on dose-response curves to substance P, the putative noncholinergic transmitter in these bronchial segments."( Differential effect of ketamine on cholinergic- and noncholinergic-induced contractions of isolated guinea-pig bronchi.
Brunson, DB; Buckner, CK; Laravuso, RB; Leblanc, PH; Will, JA, 1987
)
1.49
" With increasing ketamine concentration (5 x 10(-5)-10(-3) mol l-1), the amplitude of glutamate potentials was reduced and dose-response curves for ionophoresis of L-glutamate were shifted to the right, particularly after concanavalin A treatment."( Enhancement of desensitization of quisqualate-type glutamate receptor by the dissociative anaesthetic ketamine.
Ashford, ML; Boden, P; Ramsey, RL; Usherwood, PN, 1989
)
0.83
" Ketamine was injected peritoneally in dosage of 4 mg/kg and 20 mg/kg respectively."( [Effect of ketamine on acupuncture analgesia].
Chen, ZQ; Xu, W; Yan, YS, 1989
)
1.58
" The above parameters as well as mean arterial blood pressure, righting, palpebral, pedal, and jaw reflexes were monitored ten minutes after the intramuscularly administered dosage and throughout 4 hours of infusion."( The effects of prolonged ketamine-xylazine intravenous infusion on arterial blood pH, blood gases, mean arterial blood pressure, heart and respiratory rates, rectal temperature and reflexes in the rabbit.
Richardson, ME; Scott, RA; Wyatt, JD, 1989
)
0.58
" Using a dosage of 3-5 mg/kg there is a marked negative effect on the cardio-vascular system."( [The antagonism of ketamine/xylazine anesthesia ("Hellabrunn mixture") in wild zoo ruminants].
Erhardt, W; Hafner, S; Halm, S; von Hegel, G; Wiesner, H, 1989
)
0.61
" Dosage requirements for anesthetic agents are shown."( Fentanyl-midazolam-flumazenil anesthesia for induced abortion.
Garamvölgyi, G; Hamar, O; Kálmán, A, 1989
)
0.28
"The systemic administration of an anesthetic dosage of a combination of xylazine and ketamine hydrochloride produced an acute exposure keratopathy which progressed into a syndrome resembling keratoconjunctivitis sicca."( Keratoconjunctivitis sicca with associated secondary uveitis elicited in rats after systemic xylazine/ketamine anesthesia.
Fox, A; Kufoy, EA; Pakalnis, VA; Parks, CD; Wells, A; Yang, CH, 1989
)
0.72
" CGS 19755 was studied using single and cumulative dosing procedures up to a dose of 10."( The competitive N-methyl-D-aspartate (NMDA) antagonist CGS 19755 attenuates the rate-decreasing effects of NMDA in rhesus monkeys without producing ketamine-like discriminative stimulus effects.
France, CP; Ornstein, P; Woods, JH, 1989
)
0.48
" Experimental conditions provided several different doses of drug during each of two daily 130 min sessions; as a result, a dose-response curve relating rate of responding to dose/injection for self-administered drug was obtained within each session."( Drug-reinforced responding: rapid determination of dose-response functions.
Palmer, RK; Winger, G; Woods, JH, 1989
)
0.28
" The low dosage reduced total AD accrued during each kindling stage but failed to alter kindling rate."( The NMDA-receptor antagonist, MK-801, suppresses limbic kindling and kindled seizures.
Gilbert, ME, 1988
)
0.27
" In this preparation, all these antagonists shifted the NMDA dose-response curve to the right in a parallel manner."( Quantitative studies on some antagonists of N-methyl D-aspartate in slices of rat cerebral cortex.
Harrison, NL; Simmonds, MA, 1985
)
0.27
" The dose-response curves for phencylidine and ketamine were shifted to the right in the presence of TRH (0."( Effects of thyrotropin-releasing hormone on phencyclidine- and ketamine-induced spinal depression in neonatal rats.
Ohno, Y; Warnick, JE, 1988
)
0.77
" However, the slope of midazolam's dose-response curve for sedation appeared to be steeper (i."( Comparison of midazolam and diazepam for sedation during plastic surgery.
Mathes, SA; Vasconez, LO; Way, WL; Wender, LA; White, PF, 1988
)
0.27
"The purpose of this article is to document that ketamine hydrochloride, administered at an anesthetic dosage of about 100 mg/kg, produces tongue contractile activity in the rat."( Ketamine as a pharmacological model for tongue dyskinesia.
Aldes, LD; Chronister, RB; Marco, LA; Prater, SR, 1988
)
1.97
" The dosage of anesthetic agents was calculated according to body weight."( [Combined midazolam-ketamine anesthesia in traumatologic interventions. Patterns of endocrine reactions].
Bornscheuer, A; Hamkens, A; Lübbe, N; Seitz, W, 1988
)
0.6
"Ten dogs were studied to determine the effects of xylazine, ketamine, and xylazine combined with ketamine on the dosage of epinephrine required to produce ventricular arrhythmia."( Effects of xylazine and ketamine on epinephrine-induced arrhythmia in the dog.
Heath, RB; Wingfield, WE; Wright, M,
)
0.68
" Generally, an orderly inverted U-shaped dose-response curve for rates of self-injection has been observed."( Animal models of intravenous phencyclinoid self-administration.
Marquis, KL; Moreton, JE, 1987
)
0.27
" A solution of 5% guaifenesin in 5% dextrose given intravenously at a dosage of 200 mg/kg, abolished the pedal, palpebral and corneal reflexes for up to 15 minutes with little influence on cardiopulmonary function."( Guaifenesin alone or in combination with ketamine or sodium pentobarbital as an anesthetic in rabbits.
McCabe, K; Olson, ME; Walker, RL, 1987
)
0.54
" This study, performed with a noninvasive respiratory monitoring technique, confirms that droperidol infused over 5 min at a clinically used dosage does not cause respiratory depression in healthy subjects, whereas ketamine produces an important ventilatory stimulation."( Noninvasive evaluation of breathing pattern and thoraco-abdominal motion following the infusion of ketamine or droperidol in humans.
Forster, A; Gemperle, M; Morel, DR, 1986
)
0.67
" The non-parallel shift of the NMDA dose-response curve suggests that ketamine is not acting as a competitive antagonist of NMDA."( Effect of ketamine on amino acid-evoked release of acetylcholine from rat cerebral cortex in vitro.
Johnston, GA; Lodge, D, 1985
)
0.91
" The degree of drug tolerance was assessed by determining cumulative dose-response functions for morphine before, during and after chronic administration."( Modification of morphine tolerance by behavioral variables.
Sannerud, CA; Young, AM, 1986
)
0.27
" Ten animals received the same dosage of indomethacin beginning 2 h after the start of endotoxin infusion."( Prophylactic and delayed treatment with indomethacin in a porcine model of early adult respiratory distress syndrome induced by endotoxaemia.
Borg, T; Gerdin, B; Modig, J, 1986
)
0.27
" The dosage rates of the immobilization combinations for mammmals, birds and reptiles are presented in tabular form."( [Practical advice concerning the immobilization of wild and zoo animals].
von Hegel, G; Wiesner, H, 1985
)
0.27
"Ketamine, ketamine-xylazine, and ketamine-diazepam were evaluated clinically in 15 ferrets, and safe dosage was determined for each."( Evaluation of ketamine, ketamine-xylazine and ketamine-diazepam anesthesia in the ferret.
Glaser, C; Moreland, AF, 1985
)
2.07
"1 to 1 mM) or verapamil (3 to 30 nM) induced parallel, concentration-dependent rightward displacements of the dose-response curves to Ca2+ (0."( Ketamine-inhibition of calcium-induced contractions in depolarized rat uterus: a comparison with other calcium antagonists.
Calixto, JB; Loch, S, 1985
)
1.71
"The dose-response curves of vecuronium and pancuronium were compared during ketamine anaesthesia in 60 patients (ASA I)."( Dose-response relationships and neuromuscular blocking effects of vecuronium pancuronium during ketamine anaesthesia.
Engbaek, J; Ording, H; Pedersen, T; Viby-Mogensen, J, 1984
)
0.72
" The first five received varying doses from 5 to 50 mg in a volume of 3 ml of 5% dextrose, to determine a dose-response curve (Group 1)."( Intrathecal ketamine for war surgery. A preliminary study under field conditions.
Bion, JF, 1984
)
0.65
"The dose-response effects of ketamine, an intravenous anesthetic with psychotomimetic properties which is a ketone derivative of phencyclidine, were evaluated in several experimental animal models of aggression."( Effects of ketamine on experimental animal models of aggression.
Monteiro-de-Lima, TC; Morato, GS; Takahashi, RN, 1984
)
0.95
" The dosage of 1 mg/kg however was followed by a transient impairment of the levels of consciousness."( [Intramuscular ketamine analgesia in emergency patients. I. Clinico--pharmacokinetic study].
Dick, W; Hirlinger, WK; Knoche, E, 1983
)
0.62
" min-1) significantly decreases the drug dosage requirement, improves intraoperative conditions, and decreases recovery time compared with the traditional intermittent bolus technique."( Use of continuous infusion versus intermittent bolus administration of fentanyl or ketamine during outpatient anesthesia.
White, PF, 1983
)
0.49
" Log-probit dose-response curves of the inhibitory effects of the anesthetics on the catecholamine releases induced by acetylcholine, nicotine, and muscarine were determined."( Selective actions of intravenous anesthetics on nicotinic- and muscarinic-receptor-mediated responses of the dog adrenal medulla.
Amakata, Y; Amenomori, Y; Hirano, H; Matsumoto, T; Sumikawa, K, 1983
)
0.27
"The action of ketamine on intracranial pressure in the presence of haemorrhagic shock, at both the dosage levels used for emergency cases and for in-patient treatment, was investigated using an animal model."( [Animal experiment study on intracranial pressure, after ketamine administration].
Dick, W; Grünert, A; Lotz, P; Pfenninger, E, 1984
)
0.87
" Dose-response curves and median effective doses were determined for phencyclidine, N-ethyl-1-phenylcyclohexylamine, 1-(1-(2-thienyl) cyclohexyl) piperidine and ketamine."( Comparison of phencyclidine and three analogues on fixed-interval performance in rhesus monkeys.
Balster, RL; Brady, KT; Meltzer, LT; Schwertz, D, 1980
)
0.46
" When rates and patterns of responding reached stability, dose-response curves for phencyclidine (0."( Tolerance to phencyclidine in pigeons: cross-tolerance to ketamine.
Wenger, GR, 1983
)
0.51
" Little dose-response effect was evident for any of the drugs."( Alteration of renal hemodynamics by thiopental, diazepam, and ketamine in conscious dogs.
Priano, LL, 1982
)
0.5
" After reliable discriminative control of lever choice was established, dose-response determinations for generalization to the training dose of PCP were made with several doses of PCP, a racemic mixture of ketamine and the pure levo (-) and dextro (+) salts of ketamine."( Discriminative stimulus properties of ketamine stereoisomers in phencyclidine-trained rats.
Balster, RL; Brady, KT, 1982
)
0.72
" ketamine infusion, mean dosage 39 micrograms/kg/min."( Influence of ketamine on non-pregnant uterus in vivo.
Idvall, J; Sandahl, B; Stenberg, P; Ulmsten, U, 1982
)
1.54
" Particular attention was focused on the establishment of an LD50 and the development of a dose-response curve."( Evaluation of ketamine/xylazine anesthesia in the guinea pig: toxicological parameters.
D'Alleinne, CP; Mann, DD, 1982
)
0.62
" Ketamine was found to have little effect at the dosage used while halothane proved to be a rapid induction agent providing a safe, continued level of surgical anaesthesia."( Anesthetization of a Cape fur seal (Arctocephalus pusillus) for the treatment of a chronic eye infection and amputation of a metatarsal bone.
Barrow, S; Downes, SJ; Thurman, GD, 1982
)
1.17
" Control and experimental animals were given a central nervous system stimulant, pentylenetetrazol (Medtrazol) at a dosage level (100 mg/kg) causing convulsions in 90% of animals."( Ketamine suppression of chemically induced convulsions in the two-day-old white leghorn cockerel.
Reder, BS; Trapp, LD; Troutman, KC, 1980
)
1.7
" For a correct anaesthesia the right dosage is of 0,40 mg/ml."( [The use of continuous-infusion ketamine in pediatric anesthesia].
Lipari, A, 1980
)
0.54
"Cumulative dose-response curves have been widely used in many areas of pharmacology."( Cumulative dose-response curves in behavioral pharmacology.
Wenger, GR, 1980
)
0.26
" Dose-response curves of NOS activity versus anesthetic concentration were constructed."( Selective anesthetic inhibition of brain nitric oxide synthase.
Breslow, MJ; Martin, LD; Tobin, JR; Traystman, RJ, 1994
)
0.29
" The control group and the test groups were comparable with regard to biological data, duration of operation, applied dosage of local anaesthetics and actual anxiety before operation."( [Analgesia-sedation for maxillo-facial surgery with midazolam-pentazocine and miazolam-ketamine. Clinical double-blind study of anxiety, analgesia, sedation and amnesia].
Daubländer, M; Dick, W; Lipp, M; Sebastian, M, 1995
)
0.51
" Cerebral function monitoring, if possible, will allow correlation of depth of anaesthesia with drug dosage and can ensure appropriate anaesthetic depth and recovery."( Comparison of conventional anaesthesia, total intravenous ketamine and epidural block for abdominal hysterectomy.
Oberoi, GS; Yaubihi, N, 1994
)
0.53
" Ketamine-fentanyl-propofol combination at a dosage of 30-0."( Comparison of anesthesia induced by ketamine-fentanyl combination and maintained by propofol or etomidate in New Zealand white rabbits.
Griffith, JW; Lang, CM; Luo, Y; Russell, GB, 1995
)
1.48
"Quantal dose-response curves were determined in 180 female patients to whom the drugs were administered individually and in combination."( Additive interactions between propofol and ketamine when used for anesthesia induction in female patients.
Gin, T; Hong, W; Hui, TW; Plummer, J; Short, TG; Suen, T, 1995
)
0.55
" Inadequate doses or dosing regimens should be avoided."( Pharmacology of intravenous sedatives and opioids in critically ill patients.
Levine, RL, 1994
)
0.29
" Ketamine (1, 5, 10 and 20 mg/kg) showed relatively weak antinociceptive effects with no apparent dose-response relationship."( Antinociceptive effects of ketamine-opioid combinations in the mouse tail flick test.
Dambisya, YM; Lee, TL, 1994
)
1.5
" Ketamine, an NMDA-receptor antagonist prevented completely the QUIN-induced hippocampal damage at a dosage of 40 mg/kg (140 mumol/kg, intraperitoneally applied)."( Ketamine, but not glycine modulates quinolinate-induced neurodegeneration.
Henschke, G; Keilhoff, G; Wolf, G,
)
2.48
" Reversal with yohimbine hydrochloride using a mean dosage of 83 mg/animal resulted in a mean (SD) recovery time of 22."( Postpartum immobilization of adult female moose using xylazine, ketamine and yohimbine hydrochlorides.
Addison, EM; Garner, DL, 1994
)
0.53
" Dose-response estimation in 2 patients with PNS-related neuropathic pain revealed that ketamine was effective in dose-related fashion."( Response of chronic neuropathic pain syndromes to ketamine: a preliminary study.
Arndt, G; Backonja, M; Check, B; Gombar, KA; Zimmermann, M, 1994
)
0.76
" Ketamine, in the dosage range studied (5-500 microM), inhibited the increase in [Ca2+]i stimulated by potassium-depolarization in a dose-dependent manner."( Ketamine inhibition of cytoplasmic calcium signalling in rat pheochromocytoma (PC-12) cells.
Martin, CD; Wong, BS, 1993
)
2.64
"Quantal dose-response curves were determined in 170 female patients for the drugs, individually and in combination."( Hypnotic and anesthetic interactions between ketamine and midazolam in female patients.
Hong, W; Hui, TW; Short, TG, 1993
)
0.55
" Two dosage levels were administered intraperitoneally."( Evaluation of ketamine-xylazine in Syrian hamsters.
Clark, JA; Dixon, D; Forsythe, DB; Myers, PH; Payton, AJ; Snipe, JR, 1993
)
0.65
" A slow and progressive increase of ketamine and morphine dosage (400 mg and 200 mg by the subcutaneous route, respectively) continued to provide adequate pain relief after 13 months of therapy despite signs of progressive disease."( Long-term ketamine subcutaneous continuous infusion in neuropathic cancer pain.
Calligara, M; Lodi, F; Mercadante, S; Sapio, M; Serretta, R, 1995
)
0.97
" Eleven muskrats were intramuscularly injected using a high (n = 7) or low (n = 4) dosage of a 20:1 mixture of ketamine (12 or 20 mg) and xylazine (0."( Immobilization of muskrats (Ondatra zibethicus) with ketamine and xylazine.
Belant, JL, 1996
)
0.76
" Optimal length was determined, a dose-response curve to acetylcholine was established, and the 50% effective dose (ED50) of acetylcholine was calculated."( Direct relaxant effects of intravenous anesthetics on airway smooth muscle.
Bosnjak, ZJ; Cheng, EY; Coon, RL; Kampine, JP; Mazzeo, AJ, 1996
)
0.29
"Using an isolated, electrically stimulated rat left afrium model, the dose-response curves to the muscarinic agonist carbachol and the anesthetics ketamine and thiopental were compared under conditions of high (10(-6)M isoproterenol bath concentration) or low (10(-6)M propranolol) beta-adrenergic tone."( In vitro myocardial depression by ketamine or thiopental is dependent on the underlying beta-adrenergic tone.
Mathew, BP; Thurston, TA, 1996
)
0.77
" There were wide variations in the blood propofol concentrations reached in individual sheep by using this standard dosing regimen."( Pharmacokinetics of propofol infusions, either alone or with ketamine, in sheep premedicated with acepromazine and papaveretum.
Correia, D; Nolan, AM; Reid, J, 1996
)
0.54
"To describe the serum concentrations of ketamine following a clinically relevant dosing schedule during cardiopulmonary bypass (CPB)."( Ketamine concentrations during cardiopulmonary bypass.
Baker, AJ; Harrington, EM; Mazer, CD; McLean, RF; Walker, SE; Wong, BI, 1996
)
2
"To describe the serum concentrations of ketamine following a clinically relevant dosing schedule during cardiopulmonary bypass (CPB)."( Ketamine concentrations during cardiopulmonary bypass.
Baker, AJ; Harrington, EM; Mazer, CD; McLean, RF; Walker, SE; Wong, BI, 1996
)
2
"This dosage regimen maintained general anaesthetic concentrations of ketamine throughout the operative period."( Ketamine concentrations during cardiopulmonary bypass.
Baker, AJ; Harrington, EM; Mazer, CD; McLean, RF; Walker, SE; Wong, BI, 1996
)
1.97
"IVPCA ketamine in combination with morphine provides superior postsurgical pain relief at lower dosage and with fewer side effects than morphine alone."( Comparison of morphine and morphine with ketamine for postoperative analgesia.
Colclough, GW; Javery, KB; Steger, HG; Ussery, TW, 1996
)
1.04
" The addition of methoxyflurane significantly potentiated the anaesthetic and analgesic properties of the high dosage ketamine-xylazine combination."( Evaluation of anaesthetic regimens in guineapigs.
Crenshaw, D; Hinson, A; Radde, GR; Toth, LA, 1996
)
0.5
" In the third, a parallel dose-response relationship, similar to that known for chronic tolerance, was observed for rapid tolerance."( Characterization of the Phenomenon of rapid tolerance to ethanol.
Chau, A; Khanna, JM; Shah, G,
)
0.13
" This was done to evaluate the dose-response effect of these drugs when used for postoperative pain relief, and the results were applied to phase II of the study, in which all patients received ketamine pretreatment (total 30 mg) with each dose of lidocaine administered before and during surgery."( Ketamine potentiates analgesic effect of morphine in postoperative epidural pain control.
Ho, ST; Liaw, WJ; Su, YF; Tung, CS; Wong, CS,
)
1.76
" The resulting lowered dosage of epidural morphine needed for postoperative pain relief reduces, in turn, the incidence of side effects."( Ketamine potentiates analgesic effect of morphine in postoperative epidural pain control.
Ho, ST; Liaw, WJ; Su, YF; Tung, CS; Wong, CS,
)
1.57
" To improve anesthesia control, microprocessor infusion pumps Ohmeda and Becton-Dickinson, allowing for prompt dosage correction, consistent with individual needs, are employed."( [Total intravenous anesthesia (TIVA) with propofol/ketamine as an alternative for patients at risk in abdominal surgery].
Bochev, D; Gerzilova, L; Petrov, P; Vankov, I, 1996
)
0.55
"Tolerance was produced in mice given morphine subcutaneously and was assessed by a cumulative dose-response analysis using the tail-flick test."( Ketamine attenuates and reverses morphine tolerance in rodents.
Elliott, KJ; Inturrisi, CE; Shimoyama, M; Shimoyama, N, 1996
)
1.74
"Prospective dose-response study."( Hemodynamic effects of carcinine in the anesthetized, instrumented, open-chest rat.
Notterman, DA; Steinberg, C, 1996
)
0.29
" The result strongly suggests a synergy from this combination that warrants a formal study of the dose-response relationship involved in this treatment and the mechanism by which this effect is achieved."( Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report.
Cherng, CH; Ho, ST; Liaw, WJ; Shen, TT; Wong, CS, 1996
)
0.59
" A thorough dose-response study using microdialysis in conscious rats indicated that low doses of ketamine (10, 20, and 30 mg/kg) increase glutamate outflow in the PFC, suggesting that at these doses ketamine may increase glutamatergic neurotransmission in the PFC at non-NMDA glutamate receptors."( Activation of glutamatergic neurotransmission by ketamine: a novel step in the pathway from NMDA receptor blockade to dopaminergic and cognitive disruptions associated with the prefrontal cortex.
Adams, B; Daly, D; Moghaddam, B; Verma, A, 1997
)
0.77
" Dosage based on mg/m2 body surface area or mg/kg body weight provided similar blood levels of ketamine."( A new route, jet injection for anesthetic induction in children--III. Ketamine pharmacokinetic studies.
Domino, EF; Fekete, G; Kovacs, V; Stetson, P; Zsigmond, EK, 1997
)
0.75
" Thus, a 50% reduction of dosage is possible to achieve comparable clinical results."( [From the racemate to the eutomer: (S)-ketamine. Renaissance of a substance?].
Adams, HA; Werner, C, 1997
)
0.57
" Skunks were immobilized with a mean (+/- SD) dosage of 15."( Field immobilization of pygmy spotted skunks from Mexico.
Cantú Salazar, L; Casariego Madorell, MA; De Villa Meza, A; González-Romero, A; Hidalgo Mihart, MG; Laundré, JW; López González, CA; Martínez Meyer, E, 1998
)
0.3
" The results demonstrate that the behavioral hyperalgesia associated with carrageenan-induced hindpaw inflammation in rats is attenuated by the intrathecal administration of racemic and S(+)-ketamine, but not R(-)-ketamine, which only displayed an insignificant trend toward a dose-response relationship."( Antinociceptive effect of the S(+)-enantiomer of ketamine on carrageenan hyperalgesia after intrathecal administration in rats.
Benedek, G; Dobos, I; Horváth, G; Klimscha, W; Szikszay, M, 1998
)
0.74
" Propofol but not ketamine, however, caused a leftward shift in the dose-response curve to extracellular Ca2+ for shortening, with no concomitant effect on peak [Ca2+]i."( Propofol and ketamine only inhibit intracellular Ca2+ transients and contraction in rat ventricular myocytes at supraclinical concentrations.
Damron, DS; Kanaya, N; Murray, PA, 1998
)
1
" An increased dosage of physostigmine has yet to be studied, but is likely to cause a higher rate of side effects such as nausea, vomiting, bradycardia and possibly even tonic-clonic seizures."( [Recovery time after (S)-ketamine or ketamine racemate. Recovery time after short anesthesia in volunteers].
Engelhardt, W; Hartung, E; Marouche, A; Stahl, K, 1998
)
0.6
" Medetomidine was administered intramuscularly at a dose of 1000 micrograms/m2 body surface area 10 to 15 minutes before the induction of anaesthesia by the administration of propofol (n = 44) or ketamine (n = 40) dosed to effect."( Clinical efficacy and safety of propofol or ketamine anaesthesia in dogs premedicated with medetomidine.
Hellebrekers, LJ; Hird, JF; Rosenhagen, CU; Sap, R; Vainio, O; van Herpen, H, 1998
)
0.75
" The authors wished to quantify the dose-response of ketamine with respect to sedation adequacy, time to discharge, and adverse effects in order to identify an optimal dose."( What is the optimal dose of intramuscular ketamine for pediatric sedation?
Garrett, W; Green, SM; Hopkins, GA; Hummel, CB; Rothrock, SG; Wittlake, WA, 1999
)
0.82
" produced adequate sedation in 93%-100% of children, suggesting that this dosing range may be optimal for ED procedural sedation."( What is the optimal dose of intramuscular ketamine for pediatric sedation?
Garrett, W; Green, SM; Hopkins, GA; Hummel, CB; Rothrock, SG; Wittlake, WA, 1999
)
0.57
" These effects had short time courses and steep dose-response curves."( Behavioral effects of ketamine, an NMDA glutamatergic antagonist, in non-human primates.
Casey, DE; Shiigi, Y, 1999
)
0.62
" In 5 children, the dosing error was not discovered until late in the sedation, often when the child was not waking at the expected time."( Inadvertent ketamine overdose in children: clinical manifestations and outcome.
Carlson, D; Clark, R; Cohen, M; Green, SM; Hostetler, MA; Rothrock, SG, 1999
)
0.68
" In addition, we obtained dose-response curves for possible local anesthetic effects."( The effects of intradermal fentanyl and ketamine on capsaicin-induced secondary hyperalgesia and flare reaction.
Blunk, JA; Koppert, W; Likar, R; Schmelz, M; Sittl, R; Zeck, S, 1999
)
0.57
" However, there was an increase in postoperative nausea and vomiting, psychomimetic side effects, and delay in discharge times with the largest ketamine dosage (Group 4)."( The use of a ketamine-propofol combination during monitored anesthesia care.
Avramov, MN; Badrinath, S; Ivankovich, AD; Shadrick, M; Witt, TR, 2000
)
0.88
" The dose that yielded 50% of the maximum possible effect (ED50) and dose-response and time-course curves were determined for the ketamines (30-300 microg), morphine (0."( The effects of ketamine and its enantiomers on the morphine- or dexmedetomidine-induced antinociception after intrathecal administration in rats.
Benedek, G; Dobos, I; Horvath, G; Joó, G; Kekesi, G; Klimscha, W; Szikszay, M, 2000
)
0.86
" Ketamine and N(2)O were administered alone or in combination by various dosing regimens to adult female rats for a duration of 3 h and the severity of cerebrocortical neurotoxic changes was quantified histologically."( Ketamine potentiates cerebrocortical damage induced by the common anaesthetic agent nitrous oxide in adult rats.
Benshoff, N; Jevtovic-Todorovic, V; Olney, JW, 2000
)
2.66
"Results of previous studies of rectal ketamine as a pediatric premedication are clouded because of lack of dose-response relation, inappropriate time of assessing sedative effects, and previous administration or coadministration of benzodiazepines."( Reevaluation of rectal ketamine premedication in children: comparison with rectal midazolam.
Nishikawa, T; Saito, A; Sato, M; Tanaka, M, 2000
)
0.89
" Increasing doses of ketamine were administered 60 min after stimulation to generate a dose-response curve."( Ketamine controls prolonged status epilepticus.
Bertram, EH; Borris, DJ; Kapur, J, 2000
)
2.07
" Dose-response studies of S(+)-ketamine for rectal premedication in pediatric anesthesia may be warranted."( S(+)-ketamine for rectal premedication in children.
Erlacher, W; Freitag, H; Greher, M; Höchtl, A; Marhofer, P; Semsroth, M, 2001
)
1.11
" Pretreatment with phencyclidine [PCP] at a dose of 3 mg/kg shifted the DOM dose-response relationship to the left."( Potentiation of DOM-induced stimulus control by non-competitive NMDA antagonists: a link between the glutamatergic and serotonergic hypotheses of schizophrenia.
Doat, M; Rabin, RA; Winter, JC, 2000
)
0.31
"To develop a dosage correlated with shoulder height (SH) in centimeters for effective immobilization of free-ranging giraffes, using a combination of medetomidine (MED) and ketamine (KET) and reversal with atipamezole (ATP)."( Use of medetomidine and ketamine for immobilization of free-ranging giraffes.
Bush, M; Grobler, DG; Lance, WR; Phillips, LG; Raath, JP; Stamper, MA, 2001
)
0.81
" The iteration and the prediction procedures may be used to reduce the number of experimental animals in dose-response studies in other species."( Determination of optimal immobilizing doses of a medetomidine hydrochloride and ketamine hydrochloride combination in captive reindeer.
Arnemo, JM; Larsen, S; Ryeng, KA, 2001
)
0.54
"001) but times from dosing to discharge (medians 105 and 110 minutes) were similar."( Sedation for children requiring wound repair: a randomised controlled double blind comparison of oral midazolam and oral ketamine.
Kendall, JM; Younge, PA, 2001
)
0.52
" Thirty healthy adult turtles were assigned randomly to one of two dosage groups."( Medetomidine-ketamine anesthesia in red-eared slider turtles (Trachemys scripta elegans).
Diggs, HE; Greer, LL; Jenne, KJ, 2001
)
0.68
" Success rates were 28% for the 8 mg/kg dosage and 44% for the 10 mg/kg dosage."( A comparison of two oral ketamine-diazepam regimens for the sedation of anxious pediatric dental patients.
Sullivan, DC; Webb, MD; Wilson, CF,
)
0.43
" The magnitude of ketamine-induced changes in positive symptoms was similar, although the psychosis baseline differed, and the dose-response profiles over time were superimposable across the two populations."( Effects of ketamine in normal and schizophrenic volunteers.
Lahti, AC; Parwani, A; Tamara Michaelidis, BA; Tamminga, CA; Weiler, MA, 2001
)
1.03
" Dose-response curves were determined for endomorphin-1 (0."( The synergistic antinociceptive interactions of endomorphin-1 with dexmedetomidine and/or S(+)-ketamine in rats.
Benedek, G; Dobos, I; Horvath, G; Joo, G; Klimscha, W; Toth, G, 2001
)
0.53
" In contrast, BCl causes a parallel shift in the ACh dose-response curve at the alpha7 nAChR suggesting competitive inhibition."( Ketamine and its preservative, benzethonium chloride, both inhibit human recombinant alpha7 and alpha4beta2 neuronal nicotinic acetylcholine receptors in Xenopus oocytes.
Coates, KM; Flood, P, 2001
)
1.75
" We assessed the involvement of the mu-opioid receptor in S(+) ketamine-induced respiratory depression and antinociception by performing dose-response curves in exon 2 mu-opioid receptor knockout mice (MOR(-/-)) and their wild-type littermates (WT)."( The involvement of the mu-opioid receptor in ketamine-induced respiratory depression and antinociception.
Dahan, A; Kieffer, BL; Matthes, HW; Nieuwenhuijs, D; Olievier, C; Sarton, E; Teppema, LJ, 2001
)
0.81
" The ED50 for hypnosis and the LD50 were determined for each drug separately, and a dose-response curve was prepared for each drug, using combinations of propofol-lidocane and ketamine-lidocaine at three different dose ratios."( Changes in effective and lethal doses of intravenous anesthetics and lidocaine when used in combination in mice.
Barak, M; Ben-Shlomo, I; Katz, Y, 2001
)
0.5
" This study concludes that the addition of ketamine to morphine, in this dosage regimen, administered via PCAS for postoperative pain control, does not confer benefit following total abdominal hysterectomy."( Effect of the addition of ketamine to morphine in patient-controlled analgesia.
Crooks, BA; Miller, CD; Murdoch, CJ, 2002
)
0.88
"Of the 5,766 cats for which dosing records were complete, 4,584 (79."( Use of the anesthetic combination of tiletamine, zolazepam, ketamine, and xylazine for neutering feral cats.
Centonze, LA; Cistola, AM; Levy, JK; Robertson, SA; Williams, LS, 2002
)
0.56
" Anesthesia was rapidly and completely reversed by intravenous injections of naltrexone at 30 times the THAI dosage (0."( Anesthesia of boma-captured Lichtenstein's hartebeest (Sigmoceros lichtensteinii) with a combination of thiafentanil, medetomidine, and ketamine.
Bush, M; Citino, SB; Grobler, D; Lance, W, 2002
)
0.52
" Blood pressure and heart rate were also monitored before dosing and after the dosing regimen."( Assessment of the effect of dextromethorphan and ketamine on the acute nociceptive threshold and wind-up of the second pain response in healthy male volunteers.
Fisher, G; Growcott, JW; Hughes, AM; Rhodes, J; Sellers, M, 2002
)
0.57
" Dose-response curves for the antinociceptive effects of ketamine alone and ketamine in conjunction with the mu opioid fentanyl were constructed."( Potentiation by ketamine of fentanyl antinociception. I. An experimental study in rats showing that ketamine administered by non-spinal routes targets spinal cord antinociceptive systems.
Bajunaki, E; Goodchild, CS; Nadeson, R; Tucker, A, 2002
)
0.91
" Dose-response determinations for dizocilpine [IG and intramuscular (IM)], PCP (IM) and ketamine (IM) were made under two training intervals (30 and 60 min)."( Characterization of the discriminative stimulus effects of N-methyl- D-aspartate ligands under different ethanol training conditions in the cynomolgus monkey ( Macaca fascicularis).
Grant, KA; Jordan, K; Szeliga, KT; Vivian, JA; Waters, CA, 2002
)
0.54
" We report here that many parameters, such as anaesthesia, position of animal during and post delivery, and dosing schedule, must be optimized in concert with each other and that results from one species cannot be extrapolated directly to another animal model."( Tracking the tissue distribution of marker dye following intranasal delivery in mice and chinchillas: a multifactorial analysis of parameters affecting nasal retention.
Bakaletz, LO; Hjemdahl-Monsen, EJ; Novotny, LA; Thanavala, Y; Visweswaraiah, A, 2002
)
0.31
" Using a mouse hot-plate test, dose-response relationships were first determined for all compounds individually and then for opioids co-administered with fixed doses of ketamine or dextromethorphan."( Dextromethorphan and ketamine potentiate the antinociceptive effects of mu- but not delta- or kappa-opioid agonists in a mouse model of acute pain.
Baker, AK; Hoffmann, VL; Meert, TF, 2002
)
0.83
"Systemic or regional administration of the non-competitive NMDA antagonist dizocilpine into the VTA significantly increased the rate of heroin SA and shifted the heroin dose-response curve to the right."( Blockade of ionotropic glutamatergic transmission in the ventral tegmental area reduces heroin reinforcement in rat.
Stein, EA; Xi, ZX, 2002
)
0.31
" Using a mouse hot-plate test, dose-response relationships were first determined for all compounds individually and then for opioids co-administered with fixed doses of clonidine, ketamine or dextromethorphan."( Interactions of NMDA antagonists and an alpha 2 agonist with mu, delta and kappa opioids in an acute nociception assay.
Baker, AK; Hoffmann, VL; Meert, TF, 2002
)
0.51
" We propose that the type of ketamine preparation should be selected in accordance with the patient's disease condition and the required dosage amount of ketamine."( Plasma concentration profiles of ketamine and norketamine after administration of various ketamine preparations to healthy Japanese volunteers.
Aoyama, T; Ashizawa, N; Hiraishi, T; Iga, T; Kariya, S; Ohtani, M; Uchino, K; Yamada, Y; Yamamura, Y; Yanagihara, Y, 2003
)
0.89
" Between October 1998-July 1999, we conducted four trials, evaluating three different dosage ratios of ketamine and xylazine (2."( Immobilization of swift foxes with ketamine hydrochloride-xylazine hydrochloride.
Sovada, MA; Telesco, RL, 2002
)
0.81
" The dosage required to achieve a satisfactory level of anesthesia was smaller for subantarctic fur seals than for most other species of seals and was less for animals in better body condition."( Response of wild subantarctic fur seal (Arctocephalus tropicalis) females to ketamine and tiletamine-zolazepam anesthesia.
Beauplet, G; Dabin, W; Guinet, C, 2002
)
0.54
" The mean dosage (0."( Tiletamine-zolazepam, ketamine, and xylazine anesthesia of captive cheetah (Acinonyx jubatus).
Bonar, CJ; Evans, SE; Lewandowski, AH, 2002
)
0.63
" FFTs of raw signals were generated at baseline (predose) and after intraperitoneal dosing of the rats with atropine (30 min postdose; 6 mg/kg), caffeine (90 and 150 min postdose; 30 mg/kg), ketamine (15 and 30 min postdose; 50 mg/kg), and pentobarbarbital (60 and 90 min postdose; 40 mg/kg)."( Development of a quantitative method for evaluation of the electroencephalogram of rats by using radiotelemetry.
Cain, C; Fitzgerald, AL; Juneau, P; Southwick, K, 2003
)
0.51
" Each animal received a 8-13 mL/kg body weight dosage of barium liquid (30% weight:volume)."( The normal upper gastrointestinal examination in the ferret.
Fox, JG; Manning, A; Marini, RP; Schwarz, LA; Solano, M,
)
0.13
" However, critical hemoglobin was significantly higher in the animals receiving the higher anesthetic dosage (1."( Tolerance to acute isovolemic hemodilution. Effect of anesthetic depth.
De Hert, S; Degroote, F; Mathieu, N; Schmartz, D; Van der Linden, P; Vincent, JL; Zhang, H, 2003
)
0.32
" An initial dose-response trial determined the efficacy of either propofol (3."( Evaluation of propofol and medetomidine-ketamine for short-term immobilization of Gulf of Mexico sturgeon (Acipenser oxyrinchus de soti).
Fleming, GJ; Francis Floyd, R; Heard, DJ; Riggs, A, 2003
)
0.59
"5 mg kg(-1) at 15 min after induction of anaesthesia directly followed by a maintenance dosage of 50 microg kg(-1) min(-1), while the control group received saline (i."( Effects of intravenous lidocaine on isoflurane concentration, physiological parameters, metabolic parameters and stress-related hormones in horses undergoing surgery.
Dzikiti, TB; Hellebrekers, LJ; van Dijk, P, 2003
)
0.32
" The differences between the racemic ketamine/midazolam and the S(+)-ketamine/midazolam groups were investigated regarding the total dosage of sedative drugs, side effects, and the awakening period."( Comparison of analgesic/sedative effect of racemic ketamine and S(+)-ketamine during cardiac catheterization in newborns and children.
Berger, F; Ewert, P; Haas, NA; Lange, PE; Pees, C,
)
0.66
"We propose that sensitivities to ethanol- and ketamine-induced locomotion are genetically correlated and that the combined effects of ethanol and ketamine in FAST mice reflect a leftward shift in ethanol's biphasic dose-response curve."( Sensitivity to ketamine, alone or in combination with ethanol, is altered in mice selectively bred for sensitivity to ethanol's locomotor effects.
Meyer, PJ; Phillips, TJ, 2003
)
0.93
" Most reports demonstrate no or mild psychotomimetic effects when ketamine is dosed at sub-anesthetic doses."( Ketamine as an analgesic: parenteral, oral, rectal, subcutaneous, transdermal and intranasal administration.
Kronenberg, RH, 2002
)
1.99
" The rationale for this treatment, along with dosing guidelines and possible drawbacks, is discussed."( Ketamine patient-controlled analgesia for dysesthetic central pain.
Cohen, SP; DeJesus, M, 2004
)
1.77
" However the least dosage of ketamine to inhibit IL-6 was 5 mg/kg in our experiment."( Ketamine suppresses intestinal NF-kappa B activation and proinflammatory cytokine in endotoxic rats.
Liu, H; Sun, J; Wang, XD; Xu, JG, 2004
)
2.06
" No significant difference in blood concentration was observed at different dosing times (10:00 and 22:00)."( Chronopharmacological studies of ketamine in normal and NMDA epsilon1 receptor knockout mice.
Hakamata, Y; Kobahashi, M; Kobayashi, E; Mishina, M; Murayama, T; Sato, Y; Seo, N; Wainai, T, 2004
)
0.6
" They did not, however, show discriminative behavior according to the type and dosage of the drugs."( Visual discrimination of normal and drug induced behavior in quails (Coturnix coturnix japonica).
Shinohara, N; Watanabe, S; Yamazaki, Y, 2004
)
0.32
"0001) with pain relief within 10 min of dosing and lasting for up to 60 min."( Safety and efficacy of intranasal ketamine for the treatment of breakthrough pain in patients with chronic pain: a randomized, double-blind, placebo-controlled, crossover study.
Albin, R; Brennen, L; Brookoff, D; Carr, DB; Denman, WT; Firestone, L; Goudas, LC; Green, G; Hamilton, D; Lavin, PT; Mermelstein, F; Rogers, MC; Staats, PS, 2004
)
0.6
"Compared to other laboratory animals, little is known about the use of anesthetics in birds, potentially resulting in the use of improper dosing regimens."( Lack of efficacy of injectable ketamine with xylazine or diazepam for anesthesia in chickens.
Broderson, JR; Clifton, KR; Poulos, S; Varner, J; Wyatt, RD, 2004
)
0.61
" The authors prospectively assessed inter- and intra-individual variability in ketamine dosage for sedation in repetitive invasive procedures in children with malignancies."( Inter- and intraindividual variability in ketamine dosage in repetitive invasive procedures in children with malignancies.
Aliani, S; Gottschling, S; Graf, N; Meyer, S, 2004
)
0.82
"This study was performed to determine the optimal reversal dosage of atipamezole on medetomidine-ketamine combination anesthesia."( Reversal of medetomidine-ketamine combination anesthesia in rabbits by atipamezole.
Jeong, SM; Kim, MS; Nam, TC; Park, JH; Seo, KM, 2004
)
0.84
"The purpose of the case study was to investigate the effect from the bolus dosing of midazolam and ketamine on the autonomic hemostasis in patients with ischemic heart disease (IHD) with the prevalence of the activity of sympathetic or parasympathetic parts in the autonomic nervous system."( [Effect of intravenous hypnotics on autonomic response in patients with ischemic heart disease].
Aksel'rod, BA; Babalian, GV; Shmyrin, MM,
)
0.35
" We assessed the suitable dosage of narcotics and its correlation to severe respiratory adverse events in 269 cases of ketamine/xylazine anesthesia in male Wistar rats for performance of magnetic resonance imaging after middle cerebral artery occlusion (MCAO) or sham surgery."( Ketamine/xylazine anesthesia for radiologic imaging of neurologically impaired rats: dose response, respiratory depression, and management of complications.
Dittmar, MS; Fehm, NP; Horn, M; Vatankhah, B, 2004
)
1.97
" In the present study, we prepared oral gel dosage forms of ketamine using agar."( [Preparing oral dosage form of ketamine in the hospital for simplicity and patient compliance--preparations using agar].
Iseki, K; Kaneuchi, M; Kohri, N; Sakai, H; Senbongi, K, 2005
)
0.86
" Patients above 61 years had smaller dosage of pentazocine compared with those in patients under 61 years."( [Anesthetic management by total intravenous anesthesia with propofol, pentazocine and ketamine].
Abe, F; Imamura, M; Masamune, T; Nonaka, A; Suzuki, S, 2005
)
0.55
" Younger children required a higher dosage (p=0."( Use of midazolam and ketamine as sedation for children undergoing minor operative procedures.
Chan, GC; Cheuk, DK; Ha, SY; Lau, YL; Lee, TL; Ma, E; Wong, WH, 2005
)
0.65
" The optimum dosage for nyala was a combination of A3080 (40-50 microg/kg), MED (60-80 microg/kg) plus 200 mg of KET/animal."( Anaesthesia of nyala (Tragelaphus angasi) with a combination of thiafentanil (A3080), medetomidine and ketamine.
Bush, M; Cooper, DV; Grobler, D; Jessup, D; Lance, W, 2005
)
0.54
"Anesthesia has an influence on the disposition of lidocaine in horses, and a change in dosing during anesthesia should be considered."( Influence of general anesthesia on pharmacokinetics of intravenous lidocaine infusion in horses.
Feary, DJ; Mama, KR; Thomasy, S; Wagner, AE, 2005
)
0.33
" At present, the best options for medication treatment are tricyclic antidepressants in lower dosage than usual in psychiatric disorders and a wide range of anticonvulsants."( Current trends in neuropathic pain treatments with special reference to fibromyalgia.
Ackenheil, M; Offenbaecher, M, 2005
)
0.33
" A combination of 500 mg zolazepam, 500 mg tiletamine, 500 mg xylazine, and 1000 mg (10 ml) ketamine, administered in a dosage of 1 ml per 100-150 kg bodyweight (depending on the species), proved to be most reliable and effective."( [Immobilization of cattle and bison with a combination of xylazine, zolazepam-tiletamine and ketamine].
Hofkes, LM; Hoyer, MJ; Overgaauw, PA; van Dijk, P, 2005
)
0.77
" Sedation levels of patients were maintained between scores 3 and 4 according to Ramsey sedation scores; when necessary, half of the starting drug dosage was administered for the maintenance of sedation."( Comparison of propofol with propofol-ketamine combination in pediatric patients undergoing auditory brainstem response testing.
Akin, A; Aydogan, H; Boyaci, A; Esmaoglu, A; Gulcu, N; Tosun, Z, 2005
)
0.6
"Additional dosage was needed for 21 cases in group P and eight cases in group PK (p=0."( Comparison of propofol with propofol-ketamine combination in pediatric patients undergoing auditory brainstem response testing.
Akin, A; Aydogan, H; Boyaci, A; Esmaoglu, A; Gulcu, N; Tosun, Z, 2005
)
0.6
" However, various dosing regimens when used alone or in combination have variable efficacy and side effect profile."( Comparative evaluation of midazolam and ketamine with midazolam alone as oral premedication.
Chari, P; Ghai, B; Grandhe, RP; Kumar, A, 2005
)
0.6
" Reproducible shifts in the dose-response of skeletal muscle to caffeine and halothane are the basis of the current in vitro diagnostic caffeine-halothane contracture test."( Effects of caffeine, halothane, and 4-chloro-m-cresol on skeletal muscle lactate and pyruvate in malignant hyperthermia-susceptible and normal swine as assessed by microdialysis.
Bina, S; Bünger, R; Cowan, G; Karaian, J; Mongan, P; Muldoon, S, 2006
)
0.33
" Our findings suggest that a single preoperative dose of ketamine provided less analgesia compared with other dosing regimens that included intraoperative infusions or postoperative administration."( The influence of timing of systemic ketamine administration on postoperative morphine consumption.
Alev, T; Bilgin, H; Bilgin, T; Kerimoğlu, B; Osma, S; Ozcan, B; Toker, A; Uçkunkaya, N, 2005
)
0.85
"The present dose-response study sought to determine the effects of subanesthetic dosages (4-16 mg/kg) of ketamine on locomotion, sensorimotor gating (PPI), working memory, as well as c-fos expression in various limbic regions implicated in the pathogenesis of schizophrenia."( Dose-response characteristics of ketamine effect on locomotion, cognitive function and central neuronal activity.
Den Boer, JA; Fokkema, DS; Imre, G; Ter Horst, GJ, 2006
)
0.83
" There was a direct correlation between the concentration of K in cavy hair and the dose and DHNK was detected only in high dosage group."( Hair analysis for ketamine and its metabolites.
Shen, M; Xiang, P; Zhuo, X, 2006
)
0.67
" Pain unpleasantness declined as ketamine dosage was increased (55."( Imaging pain modulation by subanesthetic S-(+)-ketamine.
Freynhagen, R; Kochs, EF; Sprenger, T; Tölle, TR; Valet, M; Wagner, KJ; Woltmann, R; Zimmer, C, 2006
)
0.87
" Twenty-four hours after ischemia, five rats in each group were killed by injecting the above dosage of ketamine or ketamine-midazolam intraperitoneally and infarct size was measured."( Effects of ketamine-midazolam anesthesia on the expression of NMDA and AMPA receptor subunit in the peri-infarction of rat brain.
Liu, Y; Qiu, SD; Tian, YF; Wang, Y; Zhang, PB; Zhang, YL, 2006
)
0.94
"The authors conclude that repeated intrathecal administration of preservative-free S(+)-ketamine in a clinically relevant concentration and dosage has, considering the extent and severity of the lesions, a toxic effect on the central nervous system of rabbits."( Severe toxic damage to the rabbit spinal cord after intrathecal administration of preservative-free S(+)-ketamine.
de Haan, P; Dijkgraaf, MG; Hollmann, MW; Pennings, FA; Troost, D; van der Vegt, MH; Vranken, JH, 2006
)
0.77
" A noninvasive dosing line was placed in the duodenum by use of endoscopy, and 50% dextrose (3 ml/kg) was administered."( Comparison of three anesthetic protocols for intraduodenal drug administration using endoscopy in rhesus monkeys (Macaca mulatta).
Authier, S; Breault, C; Chaurand, F; Legaspi, M; Troncy, E, 2006
)
0.33
"The total analgesic dosage and PCA dosage in the two groups were similar (P>0."( [Low-dose ketamine combined with fentanyl for intravenous postoperative analgesia in elderly patients].
Chen, YM; Liang, SW; Lin, CS, 2006
)
0.74
"Using a crossover design, the effects of the addition of ketamine to a previously determined optimal hand-injected immobilization dosage of carfentanil/xylazine were evaluated in 11 adult white-tailed deer (Odocoileus virginianus)."( Effects of ketamine on carfentanil and xylazine immobilization of white-tailed deer (Odocoileus virginianus).
Miller, KV; Osborn, DA; Ramsay, EC; Schumacher, J; Storms, TN, 2006
)
0.97
" To explore the optimal KX dosage and observation time for murine echocardiography, we compared the effects of various KX combinations on echocardiographic measurement."( Optimizing dosage of ketamine and xylazine in murine echocardiography.
Dart, AM; Du, XJ; Ming, Z; Xu, Q,
)
0.45
"Three series of trials involving 10 domestic short-haired cats were carried out to determine the influence of dosage of contrast media or type of chemical restraint on feline excretory urography."( Influence of dosage and chemical restraints on feline excretory urography.
Adetunji, A; Ajadi, RA; Okoh, JU; Omoerah, VO, 2006
)
0.33
"Adjuvants are compounds which by themselves have undesirable side-effects or low potency but in combination with opioids allow a reduction of narcotic dosing for postoperative pain control."( Useful adjuvants for postoperative pain management.
Buvanendran, A; Kroin, JS, 2007
)
0.34
"(1) In the OVA-sensitized and challenged rats, the dose-response curve of the expiratory resistance (Re) shifted to the upper-left +/- ward compared with that of PBS control rats."( [Protective effects of ketamine on allergen-induced airway inflammatory injure and high airway reactivity in asthma: experiment with rats].
Ding, ZN; Fu, CZ; Qian, YN; Rong, HB; Xu, YM; Zhu, MM; Zhu, W, 2007
)
0.65
" Adolescent and adult male rats were injected once daily with saline or with a dose of one of the test drugs for two 5-day dosing periods, separated by a 2-day drug holiday during which they remained in their home cages."( Age-dependent differences in sensitivity and sensitization to cannabinoids and 'club drugs' in male adolescent and adult rats.
Evans, RL; Grainger, DB; Nicholson, KL; Wiley, JL, 2008
)
0.35
" Dosage C in contrast had fewer side effects but less favourable cardiovascular results and a longer recovery period."( A comparative clinical study of three different dosages of intramuscular midazolam-medetomidine-ketamine immobilization in cats.
Busch, R; Ebner, J; Erhardt, W; Henke, J; Wehr, U, 2007
)
0.56
" To reach an adequate cerebral perfusion pressure (CPP), the norepinephrine dosage was adapted successively."( Effects of fentanyl and S(+)-ketamine on cerebral hemodynamics, gastrointestinal motility, and need of vasopressors in patients with intracranial pathologies: a pilot study.
Bertsch, T; Horn, P; Muench, E; Quintel, M; Schmittner, MD; Vajkoczy, P; Vajkoczy, SL, 2007
)
0.63
" The addition of flumazenil showed no significant difference to atipamezole alone, but subcutaneous administration of atipamezole alone was not sufficient in the dosage used to show an advantage compared to non-reversed cats."( Partial antagonization of midazolam-medetomidine-ketamine in cats--atipamezole versus combined atipamezole and flumazenil.
Baumgartner, C; Ebner, J; Erhardt, W; Henke, J; Wehr, U, 2007
)
0.59
" Nursing considerations include close monitoring of vital signs during the initial dosage and follow-up observations of the effectiveness of the medications."( The use of ketamine as adjuvant therapy to control severe pain.
Campbell-Fleming, JM; Williams, A, 2008
)
0.74
" Since ketamine's analgesic potency and duration of effect in neuropathic pain are directly dose-dependant, we investigated the efficacy of ketamine in anesthetic dosage in refractory CRPS patients that had failed available standard therapies."( Efficacy of ketamine in anesthetic dosage for the treatment of refractory complex regional pain syndrome: an open-label phase II study.
Altemeyer, KH; Dieterich, HJ; Grothusen, J; Kiefer, RT; Koffler, S; Ploppa, A; Rohr, P; Schwartzman, RJ; Unertl, K, 2008
)
1.18
"Twenty ASA I-III patients suffering from refractory CRPS received ketamine in anesthetic dosage over 5 days."( Efficacy of ketamine in anesthetic dosage for the treatment of refractory complex regional pain syndrome: an open-label phase II study.
Altemeyer, KH; Dieterich, HJ; Grothusen, J; Kiefer, RT; Koffler, S; Ploppa, A; Rohr, P; Schwartzman, RJ; Unertl, K, 2008
)
0.96
" The aim of this study was to clarify whether low-dose S(+)-ketamine used to prevent chronic pain similarly stimulates the cardiovascular system and to determine the impact of propofol dosage on this effect."( [Sympathomimetic effects of low-dose S(+)-ketamine. Effect of propofol dosage].
Linstedt, U; Maier, C; Timm, C; Weiss, T; Zenz, M, 2008
)
0.85
" In the presence of a propofol dosage >3 mg/kg BW/h the stimulatory cardiovascular effect could no longer be observed."( [Sympathomimetic effects of low-dose S(+)-ketamine. Effect of propofol dosage].
Linstedt, U; Maier, C; Timm, C; Weiss, T; Zenz, M, 2008
)
0.61
" This stimulatory effect is nullified in the presence of a continuous propofol infusion at a dosage of more than 3 mg/kg BW/h."( [Sympathomimetic effects of low-dose S(+)-ketamine. Effect of propofol dosage].
Linstedt, U; Maier, C; Timm, C; Weiss, T; Zenz, M, 2008
)
0.61
" Addictive/dependent patterns of behaviour were also a concern: the majority of frequent users reported using the drug without stopping until supplies ran out and the mean increase in dosage in this group was six-fold from initiation to current use."( Journey through the K-hole: phenomenological aspects of ketamine use.
Curran, HV; Kamboj, SK; Morgan, CJ; Muetzelfeldt, L; Rees, H; Taylor, J, 2008
)
0.59
" Dose-response functions determined with both training compounds revealed a clear dissociation between the discriminative stimulus effects of these drugs."( Differentiating the discriminative stimulus effects of gamma-hydroxybutyrate and ethanol in a three-choice drug discrimination procedure in rats.
Baker, LE; Poling, A; Pynnonen, DM; Searcy, GD, 2008
)
0.35
" Morphine equivalent units were calculated using standard dosage conversion factors."( The correlation between ketamine and posttraumatic stress disorder in burned service members.
Black, IH; Garza, TH; Gaylord, KM; Maani, CV; McGhee, LL, 2008
)
0.65
"In a dose-response study, male adult Wistar rats were treated with 10, 20, 40 or 80 mg/kg ketamine intraperitoneally twice daily for 4 days."( Induction of hepatic glutathione S-transferase and UDP-glucuronosyltransferase activities by ketamine in rats.
Chan, WH; Fan, SZ; Hsiao, PN; Hung, MH; Su, HC; Sun, WZ; Ueng, TH, 2008
)
0.79
"The results of the dose-response study showed that treatment of rats with 10, 20, 40, or 80 mg/kg ketamine produced 19%, 20%, 18%, and 25% increases respectively in the catalytic activity of hepatic cytosolic GST, and 41%, 41%, 35%, and 38% increases respectively in the catalytic activity of microsomal UGT."( Induction of hepatic glutathione S-transferase and UDP-glucuronosyltransferase activities by ketamine in rats.
Chan, WH; Fan, SZ; Hsiao, PN; Hung, MH; Su, HC; Sun, WZ; Ueng, TH, 2008
)
0.78
" Ketamine, PCP, and MK-801 enhanced catalepsy along inverted U-shaped dose-response curves likely because higher doses affected motor coordination, which limited their catalepsy-enhancing effects."( Cataleptic effects of gamma-hydroxybutyrate (GHB) and baclofen in mice: mediation by GABA(B) receptors, but differential enhancement by N-methyl-d-aspartate (NMDA) receptor antagonists.
France, CP; Koek, W, 2008
)
1.26
" To further validate this model the mRNA levels of neurotrophic factors NGF, NT-3, and BDNF and their receptors TrkA, TrkB, and TrkC, respectively, were measured in different brain areas in Ket-pretreated rats subchronically dosed with the atypical antipsychotic drug risperidone (Ris)."( Expression of mRNA of neurotrophic factors and their receptors are significantly altered after subchronic ketamine treatment.
Becker, A; Grecksch, G; Roskoden, T; Schwegler, H, 2008
)
0.56
"Ketamine decreases postoperative morphine consumption, but its optimal dosing and duration of administration remain unclear."( Postoperative ketamine administration decreases morphine consumption in major abdominal surgery: a prospective, randomized, double-blind, controlled study.
Beloucif, S; Dupont, H; Lorne, E; Montravers, P; Moubarak, M; Samarcq, D; Zakine, J, 2008
)
2.15
" In addition, the effects of dosing route on haematological stress markers were evaluated."( The efficacy of orally dosed ketamine and ketamine/medetomidine compared with intramuscular ketamine in rhesus macaques (Macaca mulatta) and the effects of dosing route on haematological stress markers.
Bates, WA; Feng, C; Winterborn, AN; Wyatt, JD, 2008
)
0.64
" Animals were trained to accept oral dosing and then randomly assigned to one of three drug regimens: (1) ketamine IM, (2) ketamine PO, (3) Ketamine/medetomidine PO."( The efficacy of orally dosed ketamine and ketamine/medetomidine compared with intramuscular ketamine in rhesus macaques (Macaca mulatta) and the effects of dosing route on haematological stress markers.
Bates, WA; Feng, C; Winterborn, AN; Wyatt, JD, 2008
)
0.85
"Oral dosing alone was not sufficient to achieve a plane of sedation that allowed for safe handling."( The efficacy of orally dosed ketamine and ketamine/medetomidine compared with intramuscular ketamine in rhesus macaques (Macaca mulatta) and the effects of dosing route on haematological stress markers.
Bates, WA; Feng, C; Winterborn, AN; Wyatt, JD, 2008
)
0.64
" Leukogram profiles indicated that orally dosed animals experienced a higher level of stress."( The efficacy of orally dosed ketamine and ketamine/medetomidine compared with intramuscular ketamine in rhesus macaques (Macaca mulatta) and the effects of dosing route on haematological stress markers.
Bates, WA; Feng, C; Winterborn, AN; Wyatt, JD, 2008
)
0.64
"To describe intravenous ketamine dosing regimens for children requiring brief procedural sedation."( Dosing ketamine for pediatric procedural sedation in the emergency department.
Anderson, BJ; Dallimore, D; Herd, DW; Short, T, 2008
)
1.11
"5-h intervals) 12 h prior to the MDMA dosing regimen (20 mg/kg x 3 at 2-h intervals) aggravated the MDMA-induced dopaminergic toxicity."( Ketamine pretreatment exacerbated 3,4-methylenedioxymethamphetamine-induced central dopamine toxicity.
Cherng, CG; Ho, MC; Ke, JJ; Tsai, CW; Tsai, YP; Yu, L, 2008
)
1.79
" Administration and dosage of ketamine preceding the stimulation of dorsal roots was determined from the anesthetic record."( Does ketamine affect intraoperative electrophysiological monitoring in children undergoing selective posterior rhizotomy?
Brown, K; Farmer, JP; Frigon, C; Poulin, C; Sedeek, K, 2008
)
1.15
" Arterial rings were mounted in isolated tissue chambers equipped with isometric tension transducers to obtain pharmacologic dose-response curves."( N-methyl-D-aspartate (NMDA) antagonists--S(+)-ketamine, dextrorphan, and dextromethorphan--act as calcium antagonists on bovine cerebral arteries.
Carlsson, C; Chen, D; Harakal, C; Kamel, IR; Wendling, KS; Wendling, WW, 2008
)
0.6
" We conclude that a well-designed, randomized study of IV ketamine "bursts" in cancer patients suffering from depression is needed to further establish the role and appropriate dosing of ketamine in this patient population."( Intravenous ketamine "burst" for refractory depression in a patient with advanced cancer.
Demas, M; Oneschuk, D; Stefanczyk-Sapieha, L, 2008
)
0.97
" This study evaluated dose-response and time-course effects of ketamine, levels of ketamine in plasma and brain, and the relationship between altered NMDA receptor expression and ketamine-induced neuronal cell death during development."( Potential neurotoxicity of ketamine in the developing rat brain.
Doerge, DR; Fu, X; Hanig, JP; Patterson, TA; Paule, MG; Sadovova, N; Slikker, W; Twaddle, NC; Wang, C; Zhang, X; Zou, X, 2009
)
0.89
"75), high intravenous dosing (initial dose > or =2."( Predictors of airway and respiratory adverse events with ketamine sedation in the emergency department: an individual-patient data meta-analysis of 8,282 children.
Agrawal, D; Brown, L; Garcia Pena, BM; Gerber, AC; Green, SM; Hostetler, MA; Krauss, B; Losek, JD; McGlone, RG; McKee, M; Pitetti, RD; Roback, MG; Treston, G; Wathen, JE; Weiss, M, 2009
)
0.6
" Rats were trained on the task prior to drug exposure, after which they were subjected to one of two dosing regimes of ketamine (30 mg/kg twice a day for either 5 or 10 days)."( Disruptions in spatial working memory, but not short-term memory, induced by repeated ketamine exposure.
Enomoto, T; Floresco, SB, 2009
)
0.78
" The injection coordinates and the dosage of quinolinic acid were identical."( Ketamine anaesthesia interferes with the quinolinic acid-induced lesion in a rat model of Huntington's disease.
Büchele, F; Döbrössy, M; Jiang, W; Nikkhah, G; Papazoglou, A, 2009
)
1.8
"In conclusion, addition of low dose ketamine to propofol-fentanyl combination decreased the risk of desaturation and it also decreased the need for supplemental propofol dosage in pediatric patients at interventional radiology procedures."( Comparison of propofol-fentanyl with propofol-fentanyl-ketamine combination in pediatric patients undergoing interventional radiology procedures.
Akinci, SB; Aypar, U; Erden, IA; Koseoglu, A; Pamuk, AG, 2009
)
0.88
"The influence of increasing the dosage of ketamine on anaesthesia induced by a combination of ketamine, xylazine and midazolam in pigs was determined by assessing the onset of action (OAN), duration of analgesia (DAN), anaesthesia time (ANT), and recovery time (RCT) in 10 growing pigs (Mean weight: 18."( Increasing ketamine dose enhances the anaesthetic properties of ketamine-xylazine-midazolam combinations in growing pigs.
Adeleye, OE; Ajadi, RA; Makinde, AF; Smith, OF, 2008
)
1
"2-day intravenous infusion of low-dose ketamine (n=30) or placebo (n=30) using an individualized stepwise tailoring of dosage based on effect (pain relief) and side effects (nausea/vomiting/psychomimetic effects)."( Ketamine produces effective and long-term pain relief in patients with Complex Regional Pain Syndrome Type 1.
Arbous, SM; Bauer, MCR; Dahan, A; Marinus, J; Sarton, EY; Sigtermans, MJ; van Hilten, JJ, 2009
)
2.06
" The fentanyl was used systematically during induction at the dosage of 5 microg/kg."( [Prevention of the acute tolerence with fentanyl by ketamine].
Diatta, B; Khalil, Y; Ndiaye, M; Ndoye Diop, M; Niang, B; Seck, M; Wade, A; Wade, KH, 2008
)
0.6
" The ELISA kit was validated to include an assessment of the dose-response curve, intra- and interday precision, limit of detection (LOD), and cross-reactivity."( Validation of an enzyme-linked immunosorbent assay screening method and a liquid chromatography-tandem mass spectrometry confirmation method for the identification and quantification of ketamine and norketamine in urine samples from Malaysia.
Anderson, RA; Harun, N; Miller, EI,
)
0.32
"Although the dosage and duration of ketamine abuse causing severe side-effects are still unclear, some patients develop irreversible histological changes in the urinary tract."( Ketamine-associated bladder dysfunction.
Cha, TL; Chang, SY; Chuang, FP; Lin, CM; Sun, GH; Tang, SH; Tsai, TH; Tsao, CW; Wu, ST; Yu, DS, 2009
)
2.07
" Higher dosing elicited significantly more side effects."( Effects of low-dose intranasal (S)-ketamine in patients with neuropathic pain.
Azad, SC; Beyer, A; Huge, V; Lauchart, M; Magerl, W; Schelling, G; Thieme, D, 2010
)
0.64
" Therefore, we tested the dose-response direct cardiac effects of clinically available induction agents in an isolated septic rat heart model."( Cardiac effects of induction agents in the septic rat heart.
Busse, H; Graf, BM; Lunz, D; Sinner, B; Zausig, YA; Zink, W, 2009
)
0.35
" In the present retrospective study we evaluated the impact of these vendor changes on ketamine dosing to establish anaesthesia, on pilocarpine-induced seizure susceptibility, and on basal extracellular hippocampal noradrenaline, dopamine, serotonin, gamma-amino butyric acid, and glutamate levels of all pilocarpine-treated rats included in our studies."( Intrastrain differences in seizure susceptibility, pharmacological response and basal neurochemistry of Wistar rats.
Aourz, N; Clinckers, R; De Bundel, D; Meurs, A; Michotte, Y; Portelli, J; Smolders, I, 2009
)
0.58
" There was no consistent dose-response relation."( Use of oral ketamine in chronic pain management: a review.
Blonk, MI; Huygen, FJ; Koder, BG; van den Bemt, PM, 2010
)
0.74
" Assessments of psychological wellbeing showed greater dissociative symptoms in frequent users and a dose-response effect on delusional symptoms, with frequent users scoring higher than infrequent, abstinent users and non-users, respectively."( Consequences of chronic ketamine self-administration upon neurocognitive function and psychological wellbeing: a 1-year longitudinal study.
Curran, HV; Morgan, CJ; Muetzelfeldt, L, 2010
)
0.67
" The ketamine groups were administered intraperitoneally with low dosage (25 mg/kg), middle dosage (50 mg/kg) and high dosage (100 mg/kg) one time every day for 7 days."( [The correlation between ketamine-induced schizophrenia-like signs in mice and the expressions of NRG1, ErbB4 mRNA].
Bian, SZ; Gu, ZL; Guo, CY; Jiang, XG; Liu, WL; Zhang, ZX, 2009
)
1.17
"In the group with high dosage of ketamine, the levels of NRG1 and ErbB4 mRNA were significantly lower than that of the group with saline."( [The correlation between ketamine-induced schizophrenia-like signs in mice and the expressions of NRG1, ErbB4 mRNA].
Bian, SZ; Gu, ZL; Guo, CY; Jiang, XG; Liu, WL; Zhang, ZX, 2009
)
0.94
" The onset depends on the dosage used."( Rapid sequence intubation: a review of recent evidences.
Di Filippo, A; Gonnelli, C, 2009
)
0.35
" ZL-n-91 (3 microg, 10 microg, 30 microg kg(-1)) dose-dependently reduced the total leukocyte number, neutrophil number and total protein content in BALF, MPO activity, TNF-alpha level and cAMP-PDE, PDE4 activity in lung homogenate, but the effect of ZL-n-91 in pathological changes and lung wet w/d ratio is slight; Rol and Dex significantly reduced lung wet w/d ratio and improved pathological changes, neutrophil around the pulmonary vessel and airway significantly reduced, symptoms of lung edema relieved; The PH value, P(a)O(2) and P(a)CO(2) in ZL-n-91 high dosage group and Rol group had changes, but there was no significant difference compared with LPS group or saline group; After the administration, the righting reflex recovery time significantly shorten in every group of ZL-n-91."( Action of a Novel PDE4 inhibitor ZL-n-91 on lipopolysaccharide-induced acute lung injury.
Chen, JQ; Liang, YQ; Lu, JJ; Mao, LG; Tang, HF; Tang, JF; Wang, XF; Wang, YJ; Zheng, X, 2010
)
0.36
" However, the mean propofol dosage was higher in group 2 (33."( Comparison of two ketamine-propofol dosing regimens for sedation during interventional radiology procedures.
Akinci, SB; Aypar, U; Erden, IA; Koseoglu, A; Pamuk, AG, 2010
)
0.69
" With intravenous administration the onset of action is within 1 min and the effects last for about 5 to 10 min, depending on dosage level and individual variation."( Taming the ketamine tiger. 1965.
Domino, EF, 2010
)
0.75
" In a setting where efficacy and safety of the agent are paramount, there are conflicting recommendations in terms of optimal mode of parenteral administration, as well as optimal dosage and need for the coadministration of adjunctive agents to decrease side effects."( Intravenous vs intramuscular ketamine for pediatric procedural sedation by emergency medicine specialists: a review.
Babl, FE; Deasy, C, 2010
)
0.65
" Loss of efficacy (tolerance) followed by enhanced pain sensitivity occurred with repeated dosing of buprenorphine."( Buprenorphine-induced hyperalgesia in the rat.
Holtman, JR; Wala, EP, 2011
)
0.37
"We sought to extend past findings by examining dose-response curves that overlap with the individual doses previously reported to induce lasting effects in rodents and determining whether effects generalize to the tail suspension test (TST) and Balb/cJ mice."( CD-1 and Balb/cJ mice do not show enduring antidepressant-like effects of ketamine in tests of acute antidepressant efficacy.
Bechtholt-Gompf, AJ; Carlezon, WA; Cohen, BM; John, CS; Kang, HH; Ongür, D; Smith, KL, 2011
)
0.6
" We analysed the number of sessions until completion of ECT treatment (used as a surrogate parameter for outcome), psychopathology as assessed by pre- and post-ECT Mini-Mental State Examination (MMSE) and Hamilton Rating Scale for Depression (HAM-D) scores as well as ECT and seizure parameters (stimulation dose, seizure duration and concordance, urapidil dosage for post-seizure blood pressure management)."( Clinically favourable effects of ketamine as an anaesthetic for electroconvulsive therapy: a retrospective study.
Hoyer, C; Kammerer-Ciernioch, J; Kranaster, L; Sartorius, A, 2011
)
0.65
"), respectively, to male ICR mice to determine the optimal dosage for chronic administration."( Ketamine effects on the urogenital system--changes in the urinary bladder and sperm motility.
Chan, WM; Hui, LK; Hui, VW; James, AE; Tan, S; Wai, MS; Yeung, LY; Yew, DT, 2011
)
1.81
"Our objective was to investigate the efficacy and the optimum dosage of ketamine for post anesthetic shivering prevention."( Optimum dose of ketamine for prevention of postanesthetic shivering; a randomized double-blind placebo-controlled clinical trial.
Doroodian, MR; Norouzi, M; Salajegheh, S, 2011
)
0.95
" We proposed a systematic classification scheme using FDA-approved drug labeling to assess the DILI potential of drugs, which yielded a benchmark dataset with 287 drugs representing a wide range of therapeutic categories and daily dosage amounts."( FDA-approved drug labeling for the study of drug-induced liver injury.
Chen, M; Fang, H; Liu, Z; Shi, Q; Tong, W; Vijay, V, 2011
)
0.37
"Administration of a subanesthetic dosage of ketamine with xylazine and butorphanol may facilitate certain procedures, such as insertion of a dental float, in horses and enhance tolerance to pressure stimulation, but it may worsen responses to acute pain, such as that caused by a needle prick."( Evaluation of sedation and analgesia in standing horses after administration of xylazine, butorphanol, and subanesthetic doses of ketamine.
Contino, EK; Ferris, DJ; Kawcak, CE; Mama, KR; Wagner, AE, 2011
)
0.84
" It also enabled a reduction in the intrathecal opioid dosage leading to a resolution of the acute symptoms attributed to OIH."( Successful reversal of hyperalgesia/myoclonus complex with low-dose ketamine infusion.
Chan, PS; Forero, M; Restrepo-Garces, CE, 2012
)
0.61
" The findings suggest that the dosage of S-ketamine should be reduced in patients receiving ticlopidine."( Exposure to oral S-ketamine is unaffected by itraconazole but greatly increased by ticlopidine.
Hagelberg, NM; Laine, K; Neuvonen, PJ; Olkkola, KT; Peltoniemi, MA; Reponen, P; Saari, TI; Turpeinen, M, 2011
)
0.96
" Optimal dosing titration, duration of initial treatment, and the role of maintenance ketamine need to be further elucidated."( The use of ketamine in severe cases of refractory pain syndromes in the palliative care setting: a case series.
Holahan, T; Kerr, C; Milch, R, 2011
)
0.98
"The purpose of this study was to examine the effects of a clinically relevant opioid on the production of augmented breaths (ABs) in unanesthetized animals breathing normal room air, using a dosage which does not depress breathing."( The "other" respiratory effect of opioids: suppression of spontaneous augmented ("sigh") breaths.
Azubike, E; Bell, HJ; Haouzi, P, 2011
)
0.37
"67) ketamine, respectively within the recommended dosage guidelines."( Ketamine and midazolam sedation for pediatric gastrointestinal endoscopy in the Arab world.
Abdelhadi, R; Gilger, MA; Hayajneh, WA; Miqdady, MI, 2011
)
2.37
" Use of the combination requires the development of standardized protocols for drug preparation and dosage to minimize the potential for errors."( Combination of ketamine and propofol versus either agent alone for procedural sedation in the emergency department.
Jennett-Reznek, AM; Patanwala, AE; Thomas, MC, 2011
)
0.72
" The aim of this study was to evaluate the effect of oral ketamine on the dosage of local anesthetics required and postoperative pain management for irreversibly inflamed mandibular molars."( The effect of orally administered ketamine on requirement for anesthetics and postoperative pain in mandibular molar teeth with irreversible pulpitis.
Ebtehaj, I; Kaviani, N; Khademi, A; Mohammadi, Z, 2011
)
0.89
" Whereas ketamine produced progressive increases in activity with repeated administration in rats of both ages, MDMA increased, and then decreased, activity in the chronic dosing regimen in female adolescents only."( Locomotor activity changes in female adolescent and adult rats during repeated treatment with a cannabinoid or club drug.
Evans, RL; Grainger, DB; Nicholson, KL; Wiley, JL, 2011
)
0.79
" Skunks were immobilized with a mean (±SD) dosage of 24."( Field immobilization of Molina's hog-nosed skunk (Conepatus chinga) using ketamine and xylazine.
Casanave, EB; Castillo, DF; Lucherini, M; Vidal, EL, 2012
)
0.61
" They have been shown to help in reaching the desired effect when administered at drug-specific modes and at proven effective dosing throughout the perioperative period."( Non-opioid IV adjuvants in the perioperative period: pharmacological and clinical aspects of ketamine and gabapentinoids.
Weinbroum, AA, 2012
)
0.6
" In this report we have used the murine model of tularemia, with Francisella tularensis live vaccine strain (FTLVS) infection, to evaluate the efficiency of pneumonic delivery via intranasal dosing performed either with differing instillation volumes or different types of anesthesia."( Visualization of murine intranasal dosing efficiency using luminescent Francisella tularensis: effect of instillation volume and form of anesthesia.
Bina, JE; Bina, XR; Fabrizio, TP; Miller, MA; Parvathareddy, J; Stabenow, JM; Wodowski, AJ; Zalduondo, L, 2012
)
0.38
" Sixty-five (46%) patients receiving ketofol and 93 (65%) patients receiving propofol required repeated medication dosing or progressed to a Ramsay Sedation Score of 4 or less during their procedure (difference 19%; 95% confidence interval 8% to 31%; P=."( Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial.
Abu-Laban, RB; Andolfatto, G; Moadebi, S; Stackhouse, S; Staniforth, SM; Willman, E; Zed, PJ, 2012
)
1.82
" VAS and whole dosage of morphine were compared between two groups every 6 hours."( Analgesic effects of ketamine infusion on postoperative pain after fusion and instrumentation of the lumbar spine: a prospective randomized clinical trial.
Abrishamkar, S; Eshraghi, N; Feizi, A; Rafiei, A; Rahmani, P; Talakoub, R, 2012
)
0.7
" In dose-response experiments, cultured neural stem progenitor cells were exposed to different concentrations of ketamine (0-100 µM) for 24 hrs."( Ketamine alters the neurogenesis of rat cortical neural stem progenitor cells.
Anand, KJ; Dong, C; Rovnaghi, CR, 2012
)
2.03
" Future studies should further examine the anti-inflammatory effect of ketamine during major surgery, determine whether ketamine treatment alters functional outcomes, elucidate the mechanisms of its anti-inflammatory effect, and suggest an appropriate dosing regimen."( Does intraoperative ketamine attenuate inflammatory reactivity following surgery? A systematic review and meta-analysis.
Dale, O; Li, Y; Shavit, Y; Somogyi, AA; Sullivan, T, 2012
)
0.94
" The dosage of 5 mg ketamine/kg body mass was rarely sufficient to obtain surgical tolerance in group INJE."( [Comparison of three different anesthesia procedures in calves with respect to possible pain-associated reactions].
Hefti, A; Metzner, M; Sauter-Louis, C; Schlemmer, I,
)
0.45
" The examination of ketamine with relevance to the above topics has produced valuable data; however, there exists a great deal of variability in the literature regarding dosage and timing of administration to examine ketamine-induced deficits."( Examination of ketamine-induced deficits in sensorimotor gating and spatial learning.
Bolton, MM; Heaney, CF; Kinney, JW; Murtishaw, AS; Sabbagh, JJ, 2012
)
1.06
" Repeated benzodiazepine dosing or combined application of benzodiazepines and NMDA receptor antagonists is more likely to be effective in treating TMDT poisoning."( Differential antagonism of tetramethylenedisulfotetramine-induced seizures by agents acting at NMDA and GABA(A) receptors.
Shakarjian, MP; Stanton, PK; Velíšek, L; Velíšková, J, 2012
)
0.38
" A variety of medications have been used for RSI, with potential for inadequate or excessive dosing as well as complications including hypotension and the need for redosing."( A standardized rapid sequence intubation protocol facilitates airway management in critically injured patients.
Anderson, S; Ballow, SL; Chang, M; Kaups, KL, 2012
)
0.38
" It also reviews the comparative pharmacokinetics, adverse effects, and dosing of ketamine, propofol, and ketofol as agents for procedural sedation and analgesia."( Ketamine, propofol, and ketofol use for pediatric sedation.
Alletag, MJ; Auerbach, MA; Baum, CR, 2012
)
2.05
"A prospective study was performed on 12 children with chronic pain to identify the maximum tolerated dosage of oral ketamine."( Oral ketamine for children with chronic pain: a pilot phase 1 study.
Adams, HR; Bredlau, AL; Dolan, JG; Dworkin, RH; Fisher, SG; Korones, DN; McDermott, MP; Venuto, C, 2013
)
1.11
" The present work investigated the effect of ketamine on the development of Lucilia sericata (Meigen) (Diptera: Calliphoridae) by the measurement of body length and weight and the analysis of relationship between the ketamine effect and drug dosage or time interval, meanwhile the difference between ketamine effect on larval body length and weight was also analyzed."( Effect of ketamine on the development of Lucilia sericata (Meigen) (Diptera: Calliphoridae) and preliminary pathological observation of larvae.
Huang, M; Huang, R; Huang, X; Lin, J; Qiu, X; Wu, X; You, Z; Zhang, S; Zou, Y, 2013
)
1.05
"5 mg/kg over 40 minutes, some preliminary evidence suggests other dosing regimens and routes of administration may be useful or even better."( Ketamine as a new treatment for depression: a review of its efficacy and adverse effects.
Glue, P; Katalinic, N; Lai, R; Loo, CK; Mitchell, PB; Somogyi, A, 2013
)
1.83
" clinical, genetic, pharmacokinetic, environmental), examining different dosing regimens and routes of administration, and strategies to maintain the antidepressant response."( Ketamine as a new treatment for depression: a review of its efficacy and adverse effects.
Glue, P; Katalinic, N; Lai, R; Loo, CK; Mitchell, PB; Somogyi, A, 2013
)
1.83
" All data were recorded concerning the initial and total dosage of analgesic and the presence of complications within 24 hrs."( [A comparison of the effects of intraoperative tramadol and ketamine usage for postoperative pain relief in patients undergoing tonsillectomy].
Çelik, JB; Kara, I; Sizer, Ç; Topal, A, 2013
)
0.63
" Paracetamol dosage was significantly higher in the control group (p<0."( [A comparison of the effects of intraoperative tramadol and ketamine usage for postoperative pain relief in patients undergoing tonsillectomy].
Çelik, JB; Kara, I; Sizer, Ç; Topal, A, 2013
)
0.63
" Notably, an unacceptable long recovery period in both ketamine/medetomidine protocols (subsequently reversed with atipamezole) was observed, showing that α-2 adrenoreceptor agonists in the used dose and dosing regime is not the first choice for sedation in common marmosets in a standard research setting."( Comparison of three different sedative-anaesthetic protocols (ketamine, ketamine-medetomidine and alphaxalone) in common marmosets (Callithrix jacchus).
Bakker, J; Brok, HP; Langermans, JA; Pelt, ER; Remarque, EJ; Uilenreef, JJ, 2013
)
0.88
" Additional bolus/es was/were administered in the dosage similar to induction dose in case of inadequate sedation."( A double blind randomized trial of ketofol versus propofol for endodontic treatment of anxious pediatric patients.
Gauba, K; Goyal, A; Jain, K; Kapur, A; Mittal, N, 2013
)
0.39
" A safe and effective dosage of xylazine-ketamine for Indian fox (Vulpes bengalensis) is reported, based on 37 wild Indian fox immobilizations between April 2006 and May 2007."( Use of xylazine hydrochloride-ketamine hydrochloride for immobilization of Indian fox (Vulpes bengalensis) in field situations.
Belsare, AV; Vanak, AT, 2013
)
0.94
" En résumé, l'application de S-kétamine à un dosage correspondant à 60% de celui de la kétamine racémique produit une anesthésie similaire."( Racemic ketamine in comparison to S-ketamine in combination with azaperone and butorphanol for castration of pigs.
Bettschart-Wolfensberger, R; Flaherty, D; Hässig, M; Ringer, SK; Stauffer, S, 2013
)
0.82
" These data also suggest the existence of an inverted-U dose-response curve in the potential therapeutic effect of this class of compounds."( Relationship between glycine transporter 1 inhibition as measured with positron emission tomography and changes in cognitive performances in nonhuman primates.
Carson, RE; Castner, SA; Gunn, RN; Herdon, H; Huang, Y; Laruelle, M; Murthy, NV; Rabiner, EA; Ridler, K; Roberts, BM; Weinzimmer, DP; Williams, GV; Zheng, MQ, 2014
)
0.4
" It is concluded also that the increase of cortisol is likely to be more a side effect of Ketamine/Norketamine than the expression of distress by surgical interventions or by wake-up reactions, and that an intoxication by additional Ketamine dosage or motoric disorders (i."( [Perioperative intensive-medical investigations regarding compatibility of the ketamine-azaperone-general anesthesia in pigs].
Baars, J; Lahrmann, KH; Rintisch, U,
)
0.58
" The second experiment examined effects of repeated dosing with ketamine (3."( Dissociable effects of the noncompetitive NMDA receptor antagonists ketamine and MK-801 on intracranial self-stimulation in rats.
Hillhouse, TM; Negus, SS; Porter, JH, 2014
)
0.88
" Repeated dosing with ketamine produced dose-dependent tolerance to the rate-decreasing effects of ketamine (10."( Dissociable effects of the noncompetitive NMDA receptor antagonists ketamine and MK-801 on intracranial self-stimulation in rats.
Hillhouse, TM; Negus, SS; Porter, JH, 2014
)
0.95
" To ensure a safe dosing the age, body weight, duration of therapy, maximum daily dose and dosing intervals must be taken into account."( [Pediatric perioperative systemic pain therapy: Austrian interdisciplinary recommendations on pediatric perioperative pain management].
Grögl, G; Jaksch, W; Messerer, B; Stromer, W, 2014
)
0.4
" The mean midazolam dosage administered was 1 ± 0."( [Prehospital analgesia performed by paramedics: quality in processes and effects under medical supervision].
Gaier, G; Häske, D; Niederberger, C; Schempf, B, 2014
)
0.4
" Doses explored during dose-ranging included 20, 40, 100, or 200 mg/kg ketamine; subsequent withdrawal assessments were conducted following repeat dosing of 150 mg/kg."( Withdrawal assessment following subchronic oral ketamine administration in Cynomolgus macaques.
Carfagna, MA; Kallman, MJ; Koger, D; Sgro, M; Walgren, JL, 2014
)
0.89
" It is therefore necessary to investigate ketamine locally and systematically with various dosing schedules in order to reduce the bladder damage secondary to oxazaphosphorine-alkylating agents and these results may widen the spectrum of ketamine."( Protective effect of ketamine against hemorrhagic cystitis in rats receiving ifosfamide.
Onag, A; Ozguven, AA; Taneli, F; Ulman, C; Vatansever, S; Yılmaz, O,
)
0.71
" Nonetheless, an adequate dosage and way of administration should be considered and established for human use."( The effect of ketamine on optical and electrical characteristics of spreading depolarizations in gyrencephalic swine cortex.
Orakcioglu, B; Sakowitz, OW; Sánchez-Porras, R; Santos, E; Schiebel, P; Schöll, M; Stock, C; Unterberg, AW; Zheng, Z, 2014
)
0.76
"2 mg/kg) increased the GBO power, exhibiting an inverted U-shape dose-response curve; at higher doses (0."( Differential effects of NMDA receptor antagonists at lower and higher doses on basal gamma band oscillation power in rat cortical electroencephalograms.
Chaki, S; Hiyoshi, T; Kambe, D; Karasawa, J, 2014
)
0.4
"This is the first trial to present dose-response data of ketamine efficacy and psychomimetic effects in depressed subjects."( Pilot dose-response trial of i.v. ketamine in treatment-resistant depression.
Glue, P; Harper, S; Katalinic, N; Lai, R; Leyden, J; Loo, CK; Mitchell, PB; Somogyi, AA, 2014
)
0.93
"Continuous pump infusion of 1 mg/(kg x h) ketamine for TIVA in adults can reduce dosage of propofol and minimize adverse effects of ketamine."( [Determination of dosage and effectiveness of propofol and ketamine for TIVA in adults].
Kang, Y; Li, XQ; Li, Y; Liu, J, 2014
)
0.91
" In controlled trials of neuropathic pain with topical ketamine combinations, there were improvements in some outcomes, but optimal dosing and drug combinations were not clear."( Topical and peripheral ketamine as an analgesic.
Sawynok, J, 2014
)
0.96
" This study aimed to investigate how a chronic antipsychotic dosing regimen affects ongoing cortical γ oscillations, and the electrophysiological and behavioural responses induced by the NMDAr antagonist ketamine."( Chronic administration of antipsychotics attenuates ongoing and ketamine-induced increases in cortical γ oscillations.
Anderson, PM; Jones, NC; O'Brien, TJ; Pinault, D, 2014
)
0.83
" Pharmacokinetic blood sampling and local tolerability and safety assessments were carried out during 24 h following both dosing occasions."( The absolute bioavailability of racemic ketamine from a novel sublingual formulation.
Lim, S; Liu, Y; Molnar, V; Rolan, P; Sunderland, V, 2014
)
0.67
" Additional research is required to determine optimal dosing schedules, route, treatment schedules, and the potential efficacy of other glutamatergic agents."( A systematic review and meta-analysis of randomized, double-blind, placebo-controlled trials of ketamine in the rapid treatment of major depressive episodes.
Berlim, MT; Bond, DJ; Fleck, MP; Lam, RW; McGirr, A; Yatham, LN, 2015
)
0.64
" Highly variable timing and dosing of ketamine in these studies suggest that no unifying effective regimen has emerged."( A systematic review and meta-analysis of ketamine for the prevention of persistent post-surgical pain.
Haroutounian, S; McNicol, ED; Schumann, R, 2014
)
0.94
" The use of weight-based dosing of IV continuous infusion and transition to oral ketamine was effective and tolerable in the management of opioid-refractory, neuropathic cancer pain."( Case report: efficacy and tolerability of ketamine in opioid-refractory cancer pain.
Amin, P; Atayee, R; Roeland, E, 2014
)
0.89
" However, before these agents are recommended for general use, large multicenter trials should be done exploring not only efficacy but also dose-response relationships and side effects."( Novel preoperative pharmacologic methods of preventing postoperative sore throat due to tracheal intubation.
Austin, PN; Kalil, DM; Silvestro, LS, 2014
)
0.4
"To provide additional data about the clinical efficacy and dosing range for ketamine used as the induction agent in electroconvulsive therapy (ECT)."( Dosing and effectiveness of ketamine anesthesia for electroconvulsive therapy (ECT): a case series.
Ahle, GM; Aloysi, AS; Bryson, EO; Kellner, CH; Lapidus, KA; Liebman, LS; Majeske, MF, 2014
)
0.93
" We extracted clinical data about antidepressant response as well as absolute and weight-based dosing for ketamine."( Dosing and effectiveness of ketamine anesthesia for electroconvulsive therapy (ECT): a case series.
Ahle, GM; Aloysi, AS; Bryson, EO; Kellner, CH; Lapidus, KA; Liebman, LS; Majeske, MF, 2014
)
0.91
" We aimed to determine a ketofol dosing regimen for short procedural sedation and analgesia of 5- to 20-minute duration in healthy patients (2-20 y)."( Ketofol dosing simulations for procedural sedation.
Anderson, BJ; Coulter, FL; Hannam, JA, 2014
)
0.4
"Methamphetamine (4mg/kg)-induced place preference mice model was successfully established; ketamine (15mg/kg), rhynchophylline (40mg/kg) and rhynchophylline (80mg/kg) can eliminate place preference; Immunohistochemistry showed that the number of NR2B-positive neurons in hippocampus was increased in the methamphetamine model group, whereas less NR2B-positive neurons were found in the ketamine group, low and high dosage rhynchophylline group."( Effect of rhynchophylline on conditioned place preference on expression of NR2B in methamphetamine-dependent mice.
Fang, M; Guo, Y; Jiang, M; Li, J; Liu, W; Liu, Y; Luo, C; Mo, Z; Peng, Q, 2014
)
0.62
" In dose-response experiments, cultured neural stem cells (NSCs) were exposed to different concentrations of ketamine (0-1000 µM) for 24 hrs."( Ketamine inhibits proliferation of neural stem cell from neonatal rat hippocampus in vitro.
Hu, Y; Huang, H; Huang, L; Liang, T; Liu, L; Shi, XT; Wu, YQ; Xu, CM; Zhao, PP; Zhou, CH; Zhu, YZ, 2014
)
2.06
" Systemic nicotine given before the sample phase of the CMOR task reversed the ketamine-induced impairment, but this effect was blocked by co-administration of the GABAA receptor antagonist bicuculline at a dosage that itself did not cause impairment."( α₄β₂ Nicotinic receptor stimulation of the GABAergic system within the orbitofrontal cortex ameliorates the severe crossmodal object recognition impairment in ketamine-treated rats: implications for cognitive dysfunction in schizophrenia.
Cloke, JM; Winters, BD, 2015
)
0.84
" Additional studies are needed to evaluate the dosing schemes and long-term outcomes of dexmedetomidine premedication in pediatric anesthesia."( Premedication with dexmedetomidine in pediatric patients: a systematic review and meta-analysis.
Ji, FH; Li, J; Peng, K; Wu, SR, 2014
)
0.4
" The procedure was assessed by way ofaphysician-completed form and by evaluation of questionnaires given to parents to estimate levels of pain by using a 0 to 10 mm visual analog scale (VAS) at 2 hours after procedures and results in any adverse events with respect to age, gende, procedures performed, ketamine dosage and recovery time."( The factors of ketamine that affect sedation in children with oncology procedures: parent satisfaction perspective.
Jindakam, W; Lumkul, R; Monsereenusorn, C; Rujkijyanont, P; Traivaree, C, 2014
)
0.93
" Important questions are as follows: is it specific or coincidental to other effects; is there a dose-response relationship; and is the mechanism related to that of current antidepressants."( Rapid-onset antidepressant action of ketamine: potential revolution in understanding and future pharmacologic treatment of depression.
Drewniany, E; Han, J; Hancock, C; Jones, RL; Lim, J; Nemat Gorgani, N; Raffa, RB; Sperry, JK; Yu, HJ, 2015
)
0.69
" The depression model of mice was developed by continuously oral administration of low dosage of corticosterone (CORT)."( [Inhibition of HCN1 channels by ketamine accounts for its antidepressant actions].
Chen, FF; Chen, XD; Li, J; Zhou, C, 2014
)
0.69
" Furthermore, NMDA (N-methyl-d-aspartate) receptor antagonism by ketamine had an opposing dose-dependent effect, suggesting that the differential dosage of ketamine might have divergent effects on behavioral processes."( Inhibition of parvalbumin-expressing interneurons results in complex behavioral changes.
Báldi, R; Brown, JA; Everheart, MG; Garbett, K; Gellért, L; Horváth, S; Mirnics, K; Patel, S; Ramikie, TS; Schmidt, MJ; Warren, LE, 2015
)
0.65
" Cohorts were compared on the basis of the number of doses, mg/kg administered, total dosage (mg), and adverse events."( A retrospective comparison of ketamine dosing regimens for pediatric procedural sedation.
Chang, TP; Heilbrunn, BR; Liu, DR, 2015
)
0.71
"0 had a higher median overall mg/kg dosage (1."( A retrospective comparison of ketamine dosing regimens for pediatric procedural sedation.
Chang, TP; Heilbrunn, BR; Liu, DR, 2015
)
0.71
" However, the optimal dosing and route of administration and the safety of chronic treatment are not fully known."( Ketamine as a promising prototype for a new generation of rapid-acting antidepressants.
Abdallah, CG; Averill, LA; Krystal, JH, 2015
)
1.86
" Using extracellular field recordings in rat hippocampal slices, we show that a single dose of the non-selective NMDA receptor antagonist ketamine or CP-101,606, a selective antagonist of the NR2B subunit of the NMDA receptor, enhances hippocampal synaptic plasticity induced with high frequency stimulation (HFS) 24h after dosing - a time at which plasma concentrations of the drug are no longer detectable in the animal."( Effect of acute NR2B antagonist treatment on long-term potentiation in the rat hippocampus.
Bristow, LJ; Graef, JD; Kiss, L; Li, YW; Luan, FN; Luchetti, D; Newberry, K; Newton, A; Pieschl, R; Schaeffer, E; Shields, E; Simmermacher, J, 2015
)
0.62
" These findings are consistent with the hypothesis that the inability of memantine, AZD6765 (lanicemine) and MK-0657 to reproduce the rapid and robust antidepressant effects of ketamine in the clinic result from insufficient dosing rather than a difference in mechanism of action among these NMDAR antagonists."( Effect of NMDAR antagonists in the tetrabenazine test for antidepressants: comparison with the tail suspension test.
Czekaj, J; Kos, T; Popik, P; Skolnick, P, 2015
)
0.61
" The combined ketamine and transcranial magnetic stimulation treatment was administered a total of 24 times over five months, with his ketamine dosage increased from 50mg at the first treatment to 600 mg by the last."( Ketamine and transcranial magnetic stimulation treatment for bipolar II disorder: a case report.
Best, SR; Griffin, BP; Pavel, DG, 2015
)
2.22
" The serendipitous finding of rapid-onset antidepressant action of subanaesthetic dosing with ketamine by intravenous infusion has sparked many preclinical and clinical investigations."( Ketamine and suicidal ideation in depression: Jumping the gun?
Dawe, GS; Fam, J; Rajkumar, R; Yeo, EY, 2015
)
2.08
" This suggests that researchers should fully explore dose-response relationships in their strain of choice and use care in the interpretation of reversal of cognitive impairment."( Cross-site strain comparison of pharmacological deficits in the touchscreen visual discrimination test.
Chapin, D; Ding, Z; Kozak, R; Mohler, EG; Rueter, LE; Young, D, 2015
)
0.42
"We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine."( Intravenous Ketamine for Rapid Opioid Dose Reduction, Reversal of Opioid-Induced Neurotoxicity, and Pain Control in Terminal Care: Case Report and Literature Review.
Bradshaw, YS; Carr, DB; Winegarden, J, 2016
)
1
" The dose-response relationships of all 3 compounds in the forced swim test were also investigated in mice 30 min after IP administration."( Antidepressant-like effects of ketamine, norketamine and dehydronorketamine in forced swim test: Role of activity at NMDA receptor.
Drabik, U; Gajdosz, R; Librowski, T; Nowak, G; Popik, P; Sałat, K; Siwek, A; Starowicz, G, 2015
)
0.7
" As expected, the model does not provide good fits to the HFO power after dosing the pure NMDAR antagonist MK-801."( A PK-PD model of ketamine-induced high-frequency oscillations.
Brown, EN; Ching, S; Fath, AB; Flores, FJ; Hartnack, K; Purdon, PL; Wilson, MA, 2015
)
0.76
" Further research is warranted to elucidate the optimal timing and dosing of IA ketamine and morphine for postoperative analgesic effects."( Effect of preemptive intra-articular morphine and ketamine on pain after arthroscopic rotator cuff repair: a prospective, double-blind, randomized controlled study.
Amar, E; Chechik, O; Dolkart, O; Khashan, M; Maman, E; Mozes, G; Sharfman, Z; Weinbroum, A, 2016
)
0.91
" Predefined subgroup analyses and meta-regression did not detect significant differences across subgroups, including a dose-response relationship."( Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials.
Cheng, D; Johnston, B; Kaushal, A; Martin, J; Wang, L; Zhu, F, 2016
)
1.88
" Results Potential avenues investigated to minimise psychotomimetic effects associated with ketamine administration include the following: (1) altering dosing and infusion rates; (2) route of administration; (3) enantiomer choice; (4) co-administration with mood stabilisers of antipsychotics; and (5) use of alternative N-methyl-d-aspartate (NMDA)-modulating agents."( Strategies to mitigate dissociative and psychotomimetic effects of ketamine in the treatment of major depressive episodes: a narrative review.
Cha, DS; Cooper, MD; Kakar, R; Lee, Y; McIntyre, RS; Rosenblat, JD, 2017
)
0.91
" The higher ketamine use frequency and dosage were associated with more severe depressive symptoms."( Profiling the psychotic, depressive and anxiety symptoms in chronic ketamine users.
Deng, X; Ding, Y; Fan, N; He, H; Ke, X; Ning, Y; Rosenheck, R; Sun, B; Tang, W; Wang, D; Xu, K; Zhou, C, 2016
)
1.05
"To review the literature about the dosing regimen, duration, effects and side-effects of oral, intravenous, intranasal and subcutaneous routes of administration of ketamine for treatment-resistant depression and pain."( Oral ketamine for the treatment of pain and treatment-resistant depression†.
aan het Rot, M; Balukova, SM; Chaves, TV; Kortekaas, R; Schoevers, RA, 2016
)
1.14
" We reviewed all papers for information about dosing regimen, number of individuals who received ketamine, number of ketamine days per study, results and side-effects, as well as study quality."( Oral ketamine for the treatment of pain and treatment-resistant depression†.
aan het Rot, M; Balukova, SM; Chaves, TV; Kortekaas, R; Schoevers, RA, 2016
)
1.17
"Use of ketamine in patients requiring extracorporeal membrane oxygenation (ECMO) has rarely been reported, and the optimal dosing strategy remains unclear."( High-Dose Sedation and Analgesia During Extracorporeal Membrane Oxygenation: A Focus on the Adjunctive Use of Ketamine.
Cochran, JB; Floroff, CK; Hassig, TB; Mazur, JE, 2016
)
1.1
" Although current antidepressants, such as serotonin-reuptake inhibitors, produce subtle changes that take effect in weeks or months, it has recently been shown that treatment with new agents results in an improvement in mood ratings within hours of dosing patients who are resistant to typical antidepressants."( Synaptic plasticity and depression: new insights from stress and rapid-acting antidepressants.
Aghajanian, GK; Duman, RS; Krystal, JH; Sanacora, G, 2016
)
0.43
" In this study, daily administration of a low dose of (R,S)-Ket for 14-days to Wistar rats was conducted to determine the impact of sub-chronic dosing on the pharmacokinetics of (R,S)-Ket and its major metabolites."( Subchronic administration of (R,S)-ketamine induces ketamine ring hydroxylation in Wistar rats.
Green, C; Jozwiak, K; Moaddel, R; O'Loughlin, K; Ramamoorthy, A; Sanghvi, M; Singh, N; Torjman, M; Wainer, IW, 2016
)
0.71
" Animal studies have shown that ketamine has neuroprotective properties, and there is no evidence of elevated intracranial pressure after ketamine dosing in humans."( Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy.
Hagelberg, NM; Olkkola, KT; Peltoniemi, MA; Saari, TI, 2016
)
2.16
" In the twice-weekly dosing groups, the mean change in MADRS score at day 15 was -18."( A Double-Blind, Randomized, Placebo-Controlled, Dose-Frequency Study of Intravenous Ketamine in Patients With Treatment-Resistant Depression.
Cooper, K; Daly, EJ; De Boer, P; Drevets, WC; Fava, M; Fedgchin, M; Kurian, B; Lim, P; Manji, H; Murrough, JW; Pinter, C; Sanacora, G; Shelton, RC; Singh, JB; Van Nueten, L; Winokur, A, 2016
)
0.66
"0%) between the 3 dosing groups."( Optimal dosing of intravenous ketamine for procedural sedation in children in the ED-a randomized controlled trial.
Farooqi, A; Kannikeswaran, N; Lieh-Lai, M; Malian, M; Roback, MG; Wang, B, 2016
)
0.72
" We investigated the efficacy of ketamine in anaesthetic dosage in chronic, refractory CRPS patients that had failed available standard therapies."( Results of the Treatment of Chronic, Refractory CRPS with Ketamine Infusions: a Preliminary Report.
Puchalski, P; Zyluk, A, 2016
)
0.96
"This study is a 6-week, randomized, double-blind, controlled, parallel-group trial with two intervention arms (ketamine, fixed daily dosage of 150mg vs."( Efficacy and safety of oral ketamine versus diclofenac to alleviate mild to moderate depression in chronic pain patients: A double-blind, randomized, controlled trial.
Afarideh, M; Agah, E; Akhondzadeh, S; Arbabi, M; Ghajar, A; Jafarinia, M; Noorbala, AA; Saravi, MA; Tafakhori, A, 2016
)
0.94
" To reduce the risk for potential psychodysleptic side effects, however, ketamine dosing tends to be limited to low-dose regimens."( The effects of minimal-dose versus low-dose S-ketamine on opioid consumption, hyperalgesia, and postoperative delirium: a triple-blinded, randomized, active- and placebo-controlled clinical trial.
Bornemann-Cimenti, H; Edler, A; Michaeli, K; Sandner-Kiesling, A; Wejbora, M, 2016
)
0.92
" The total dosage of used propofol was also recorded."( A comparison between the effects of propofol-fentanyl with propofol-ketamine for sedation in patients undergoing endoscopic retrograde cholangiopancreatography outside the operating room.
Akhondzadeh, R; Ghomeishi, A; Nesioonpour, S; Nourizade, S, 2016
)
0.67
"Consenting patients requiring deep sedation were randomized to receive either ketofol or propofol in a double-blind fashion according to a weight-based dosing schedule."( Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial.
Bell, A; Ding, M; Ferguson, I; Holdgate, A; New, L; Treston, G, 2016
)
0.43
" Information pertaining to pharmacology, pharmacokinetics, dosing regimens, adverse effects, and outcomes was obtained from relevant studies."( Ketamine for analgosedation in critically ill patients.
Erstad, BL; Patanwala, AE, 2016
)
1.88
" Dosing and monitoring recommendations are provided."( Ketamine for analgosedation in critically ill patients.
Erstad, BL; Patanwala, AE, 2016
)
1.88
"Prehospital ketamine is associated with a high rate of endotracheal intubation in profoundly agitated patients; however, ketamine dosing is not associated with intubation rate when adjusted for potential confounders."( Intubation of Profoundly Agitated Patients Treated with Prehospital Ketamine.
Cole, JB; Dodd, KW; Ho, JD; Nystrom, PC; Olives, TD, 2016
)
1.05
" The patient dramatically reduced the dosage of opioid painkillers and ketamine was withdrawn without any withdrawal symptoms."( Experience of the use of Ketamine to manage opioid withdrawal in an addicted woman: a case report.
Bertschy, G; Lalanne, L; Lang, JP; Nicot, C; Salvat, E, 2016
)
0.97
" No changes in current psychotropic medication or dosage were permitted for 4weeks prior to trial entry and throughout the trial."( Increase in PAS-induced neuroplasticity after a treatment course of intranasal ketamine for depression. Report of three cases from a placebo-controlled trial.
Alonzo, A; Gálvez, V; Ho, KA; Loo, CK; Nikolin, S; Somogyi, AA, 2017
)
0.68
" 4 mg/kg), total dosage (including top-ups), type and site of procedure, gender and ethnicity were not significant predictors."( Predictors of emesis in children undergoing procedural sedation with intramuscular ketamine in a paediatric emergency department.
Suryaprakash, S; Tham, LP, 2017
)
0.68
" The present study characterized the dose-response of a subanesthetic IV ketamine bolus (2 and 5mg/kg) and 1-h infusion (5, 10, and 20mg/kg/h) on dissociative stereotypy, locomotion, sensorimotor gating, and thermal nociception in male Sprague-Dawley rats."( Dose-response characteristics of intravenous ketamine on dissociative stereotypy, locomotion, sensorimotor gating, and nociception in male Sprague-Dawley rats.
Choi, KH; Lee, BH; Moran, S; Osborne, LA; Park, TY; Radford, KD, 2017
)
0.95
" Ketamine (150μg/g), high dose of rhynchophylline (100μg/g) group can significantly reduce the place preference; immunohistochemistry results showed that the number of TH-positive neurons in midbrain was increased in the methamphetamine model group, whereas less TH-positive neurons were found in the ketamine group and high dosage rhynchophylline group."( Inhibiting effects of rhynchophylline on methamphetamine-dependent zebrafish are related with the expression of tyrosine hydroxylase (TH).
Chen, M; Fang, M; Li, C; Lin, Y; Liu, W; Liu, Y; Luo, C; Mo, Z; Ou, J; Yung, KK; Zhu, C; Zhu, D, 2017
)
1.37
" This adverse effect has not been reported previously at this dosing range."( A Case Report: Subanesthetic Ketamine Infusion for Treatment of Cancer-Related Pain Produces Urinary Urge Incontinence.
Hunsberger, J; Lee, W; Vickers, BA, 2017
)
0.75
" We hypothesized that low-dose ketamine, compared to placebo, as an adjunctive treatment to opioids would result in better pain control over 2 hours and greater patient satisfaction with pain control; further, this protocol will result in a lower opioid dosage over 2 hours."( Ketamine as an Adjunct to Opioids for Acute Pain in the Emergency Department: A Randomized Controlled Trial.
Bowers, KJ; Heitz, C; McAllister, KB; Ray, M, 2017
)
2.18
"1 mg/kg ketamine or placebo prior to protocol-based dosing of additional opioid analgesia, if required."( Ketamine as an Adjunct to Opioids for Acute Pain in the Emergency Department: A Randomized Controlled Trial.
Bowers, KJ; Heitz, C; McAllister, KB; Ray, M, 2017
)
2.33
" jatamansi drug (oral dosage of 500 mg/kg body weight for 14 days) in ketamine-administered male Wistar albino rats (30 mg/kg body weight for 5 days) on modulating behaviour and the level of neurotransmitters like dopamine and glutamate was studied in whole-brain homogenates, and its influence on BDNF and TrkB levels in 2 relevant brain regions, the hippocampus and prefrontal cortex, was assessed."( Nardostachys jatamansi Targets BDNF-TrkB to Alleviate Ketamine-Induced Schizophrenia-Like Symptoms in Rats.
Janardhanan, A; Sadanand, A; Vanisree, AJ, 2016
)
0.92
" Fundamental questions remain regarding the future prospects of this line of drug development, including questions concerning safety and tolerability, efficacy, dose-response relationships and therapeutic mechanisms."( Targeting glutamate signalling in depression: progress and prospects.
Abdallah, CG; Mathew, SJ; Murrough, JW, 2017
)
0.46
" Although atipamezole and yohimbine dosing guidelines are available for mice, no controlled comparison has been performed to guide the lab animal community in the selection of one over the other."( Comparison of Atipamezole with Yohimbine for Antagonism of Xylazine in Mice Anesthetized with Ketamine and Xylazine.
Janssen, CF; Kracinovsky, KB; Maiello, P; Newsome, JT; Wright, MJ, 2017
)
0.67
" Cyclobenzaprine specimens were equally likely to be positive whether the dose was oral or topical, although mean levels after topical dosing were approximately 13-21% those after oral dosing."( Urinary Concentrations of Topically Administered Pain Medications.
Bell, P; Glinn, MA; Harvey, A; Lickteig, AJ; Rappold, B; Recer, S; Salske, M; Stensland, J; Weber, L, 2017
)
0.46
" Etomidate, mean dosage (SD) = 0."( S -ketamine compared to etomidate during electroconvulsive therapy in major depression.
Ahrens, K; Dannlowski, U; Dietsche, P; Kircher, T; Kluge, I; Köhnlein, B; Konrad, C; Wohltmann, T; Zavorotnyy, M, 2017
)
1.08
" Patients who do not benefit after the initial dose may benefit with serial dosing or at higher doses."( Ketamine for Depression, 1: Clinical Summary of Issues Related to Efficacy, Adverse Effects, and Mechanism of Action.
Andrade, C, 2017
)
1.9
"Balanced anesthesia allows for a reduced dosage of each component, while inducing general anesthesia of sufficient depth with potentially fewer side effects."( Premedication with fentanyl-midazolam improves sevoflurane anesthesia for surgical intervention in laboratory mice.
Arras, M; Cesarovic, N; Jirkof, P; Lipiski, M, 2017
)
0.46
" The data were recorded using a 128-channel electroencephalograph during baseline consciousness, subanesthetic dosing (0."( Neurophysiologic Correlates of Ketamine Sedation and Anesthesia: A High-density Electroencephalography Study in Healthy Volunteers.
Bel-Bahar, T; Janke, E; Kim, H; Kunkler, BS; Lee, U; Li, D; Mashour, GA; McKinney, AM; Pichurko, AB; Picton, P; Tarnal, V; Vlisides, PE, 2017
)
0.74
"This study investigated the risk factors of ketamine associated-lower urinary tract symptoms (LUTS), such as duration of use, dosage of ketamine, co-occurring substance use of other psychoactive drugs, comorbidities, and depression."( Risk Factors of Lower Urinary Tract Syndrome among Ketamine Users.
Chen, IC; Chen, WC; Hu, TC; Lee, MH; Lin, HY, 2018
)
0.99
" Duration of use, dosage of ketamine and the OSPI scores were subjected to log transformation because of the skewed distribution."( Risk Factors of Lower Urinary Tract Syndrome among Ketamine Users.
Chen, IC; Chen, WC; Hu, TC; Lee, MH; Lin, HY, 2018
)
1.03
" When so extended, the ideal frequency is perhaps best individualized wherein ketamine is dosed a little before the effect of the previous session is expected to wear off."( Ketamine for Depression, 4: In What Dose, at What Rate, by What Route, for How Long, and at What Frequency?
Andrade, C, 2017
)
2.13
" We exposed post-natal day (PND)7 mice to ketamine using a well-established dosing regimen known to induce significant developmental neurotoxicity."( Early Exposure to Ketamine Impairs Axonal Pruning in Developing Mouse Hippocampus.
Atluri, N; Dalla Massara, L; Jevtovic-Todorovic, V; Katta, G; Obradovic, AL; Oklopcic, A; Osuru, HP; Todorovic, NS, 2018
)
1.08
" Our assumption is that a combination of propofol with esketamine reduces the dosage of individual drugs, thereby minimizing sedation side effects while keeping the same satisfaction level of patients and endoscopists."( Sedation with propofol during ERCP: is the combination with esketamine more effective and safer than with alfentanil? Study protocol for a randomized controlled trial.
de Jong, E; Eberl, S; Hollmann, MW; Koers, L; Preckel, B; Schneider, T; van Hooft, JE, 2017
)
0.94
" Secondary objectives were to identify the patient population in which ketamine was initiated, assess the proportion of time patients were at their goal level of sedation, and determine the dosing patterns of adjunctive sedative agents."( Impact of Ketamine Use on Adjunctive Analgesic and Sedative Medications in Critically Ill Trauma Patients.
Chui, SJ; Harbourt, K; Pajoumand, M; Pruskowski, KA; Reynolds, HN, 2017
)
1.09
" The primary objective of this pilot study is to determine if multiple dosing over a three-day perioperative period with oral ketamine is a safe treatment method for acute pain after amputation surgery."( Oral Ketamine for Acute Pain Management After Amputation Surgery.
Buvanendran, A; Kroin, JS; Moric, M; Rajagopal, A; Robison, SJ; Tuman, KJ, 2018
)
1.2
"Substantial interpatient variability in pharmacokinetics in children complicates the development of adequate dosage regimen for continuous sedation."( Pharmacokinetics of S-ketamine during prolonged sedation at the pediatric intensive care unit.
Bos, AP; Brouwer, CNM; Flint, RB; Kränzlin, ASC; Lie-A-Huen, L; Mathôt, RAA, 2017
)
0.77
" When a combination failed to meet those criteria in 2 piglets, the next dosage of the DRT was tested."( Evaluation of different dose rate combinations of ketamine, romifidine and azaperone for castration of 3-4 and 5-6 weeks old piglets.
Bettschart-Wolfensberger, R; Cap, VH; Echtermann, T; Hug, PJ; Janett, F; Nussbaumer, I; Von Ah, S, 2017
)
0.71
" Three studies applied a ketamine protocol to outline dosing and the management of ketamine adverse events."( Ketamine for the Acute Management of Excited Delirium and Agitation in the Prehospital Setting.
Linder, LM; Ross, CA; Weant, KA, 2018
)
2.23
" Records were also screened for adverse medical events and changes in ketamine dosage over time."( Impact of oral ketamine augmentation on hospital admissions in treatment-resistant depression and PTSD: a retrospective study.
De Gioannis, A; Garrett-Walcott, S; Hartberg, J, 2018
)
1.07
"To describe the dosing and safety considerations of ketamine for adjunct sedation in a population of mechanically ventilated critically ill patients targeting light sedation."( Ketamine Infusion for Adjunct Sedation in Mechanically Ventilated Adults.
Bahr, M; Bain, W; Barbash, I; Chin, K; Groetzinger, LM; McVerry, BJ; Rivosecchi, RM, 2018
)
2.17
" La narcose des rennes représente un défi particulier car le dosage sûr et efficace des anesthésiques et trop peu connu."( Challenging anaesthetic management of captive reindeer (Rangifer tarandus): Report of 4 cases.
Adami, C; McSloy, A; Monticelli, P; Morath, U, 2017
)
0.46
"To assess the efficacy, safety, and dose-response of intranasal esketamine hydrochloride in patients with treatment-resistant depression (TRD)."( Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial.
Cooper, K; Daly, EJ; Drevets, WC; Fedgchin, M; Lim, P; Manji, H; Shelton, RC; Singh, JB; Thase, ME; Van Nueten, L; Winokur, A, 2018
)
0.99
" During the open-label phase, dosing frequency was reduced from twice weekly to weekly, and then to every 2 weeks."( Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial.
Cooper, K; Daly, EJ; Drevets, WC; Fedgchin, M; Lim, P; Manji, H; Shelton, RC; Singh, JB; Thase, ME; Van Nueten, L; Winokur, A, 2018
)
0.76
"001), with a significant ascending dose-response relationship (P < ."( Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial.
Cooper, K; Daly, EJ; Drevets, WC; Fedgchin, M; Lim, P; Manji, H; Shelton, RC; Singh, JB; Thase, ME; Van Nueten, L; Winokur, A, 2018
)
0.76
" Response appeared to persist for more than 2 months with a lower dosing frequency."( Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial.
Cooper, K; Daly, EJ; Drevets, WC; Fedgchin, M; Lim, P; Manji, H; Shelton, RC; Singh, JB; Thase, ME; Van Nueten, L; Winokur, A, 2018
)
0.76
" Further research and large clinical trials are needed on the optimum KIT protocol, including dose, dosing interval, total number of treatments and when to stop."( Intravenous ketamine infusion for a patient with treatment-resistant major depression: a 10-month follow-up.
Hong, JP; Kwon, JH; Lee, JY; Sim, WS; Song, IS, 2018
)
0.86
" We characterized cortical theta-band power and phase-coupling phenotypes, a known neural circuit substrate underlying cognitive functions, and further studied the effects of a subanesthetic dosage of ketamine on theta abnormalities unique to Sp4 hypomorphism."( Ketamine independently modulated power and phase-coupling of theta oscillations in Sp4 hypomorphic mice.
Behrens, MM; Pinto-Duarte, A; Sejnowski, TJ; Wang, X; Zhou, X, 2018
)
2.11
"Weekly ketamine dosing was safe and well tolerated, and post-dose dissociative symptoms tended to reduce after repeated dosing."( Safety and efficacy of maintenance ketamine treatment in patients with treatment-refractory generalised anxiety and social anxiety disorders.
Glue, P; Gray, A; Kibby, G; McNaughton, N; Medlicott, NJ; Neehoff, SM, 2018
)
1.21
" It is concluded that there is consistent evidence that a single dose of ketamine has dramatic antisuicidal action that emerges almost immediately after dosing and persists for at least a week."( Ketamine for Depression, 6: Effects on Suicidal Ideation and Possible Use as Crisis Intervention in Patients at Suicide Risk.
Andrade, C,
)
1.81
" Continuous intravenous ketamine infusions were the most common route of administration (65%); however, wide variability in dosing and length of therapy was reported."( Current Ketamine Practice: Results of the 2016 American Society of Pain Management Nursing Survey on Ketamine.
Jungquist, CR; Klaess, CC, 2018
)
1.22
"01 mg/kg) were given at 1-week intervals to each patient, with the midazolam counterbalanced in dosing position across patients."( Ketamine Effects on EEG during Therapy of Treatment-Resistant Generalized Anxiety and Social Anxiety.
Glue, P; Kawe, T; Martin, D; McNaughton, N; Neehoff, S; Shadli, SM, 2018
)
1.92
" Primary data analyses included dosing and duration of infusion, rates of pre- and post-infusion analgesic administration, and final diagnoses."( Continuous Intravenous Sub-Dissociative Dose Ketamine Infusion for Managing Pain in the Emergency Department.
Beals, T; Drapkin, J; Fromm, C; Likourezos, A; Marshall, J; Monfort, R; Motov, S, 2018
)
0.74
" Average dosing of SDK infusion was 11."( Continuous Intravenous Sub-Dissociative Dose Ketamine Infusion for Managing Pain in the Emergency Department.
Beals, T; Drapkin, J; Fromm, C; Likourezos, A; Marshall, J; Monfort, R; Motov, S, 2018
)
0.74
" Dose-response curves for intraperitoneal (ip) copper sulfate and ketamine allowed their combination in equi-effective doses, and their interaction was determined with isobolographic analysis."( Antinociception Induced by Copper Salt Revisited: Interaction with Ketamine in Formalin-Induced Intraplantar and Orofacial Pain in Mice.
Cazanga, V; Constandil, L; Hernandez, A; Morales, B; Pelissier, T,
)
0.6
" Outcomes studied included impact on opioid analgesic use, a description of ketamine dosing strategy, and an analysis of adverse events due to opioid or ketamine analgesia."( Low-Dose Ketamine Infusion for Adjunct Management during Vaso-occlusive Episodes in Adults with Sickle Cell Disease: A Case Series.
Boylan, A; Floroff, C; Hassig, TB; Kanter, J; Palm, N, 2018
)
1.13
" There are converging preclinical and clinical data that isoflurane (and perhaps propofol), dosed to burst suppression, has relatively rapid, robust and durable antidepressant effects and lacks the adverse effects associated with electroconvulsive therapy (ECT)."( Emerging evidence for antidepressant actions of anesthetic agents.
Mickey, BJ; Tadler, SC, 2018
)
0.48
" Secondary outcomes included cumulative ketamine dose, additional sedative and analgesics used, cumulative sedative and analgesic dosing at all time periods, corticosteroid use, days of mechanical ventilation, ICU LOS, hospital LOS, and mortality."( A Non-Comparative Prospective Pilot Study of Ketamine for Sedation in Adult Septic Shock.
Boyer, NL; Mount, CA; Reese, JM; Sullivan, VF, 2018
)
1.01
"Consensus guidelines were prepared in the following areas: indications, contraindications for acute pain and whether they differ from those for chronic pain, the evidence for the use of ketamine as an adjunct to opioid-based therapy, the evidence supporting patient-controlled ketamine analgesia, the use of nonparenteral forms of ketamine, and the subanesthetic dosage range and whether the evidence supports those dosages for acute pain."( Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists.
Bhatia, A; Buvanendran, A; Cohen, SP; Davis, FN; Hooten, WM; Hurley, RW; Narouze, S; Schwenk, ES; Viscusi, ER; Wasan, AD, 2018
)
0.93
" Contraindications for acute pain are similar to those for chronic pain, partly based on the observation that the dosage ranges are similar."( Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists.
Bhatia, A; Buvanendran, A; Cohen, SP; Davis, FN; Hooten, WM; Hurley, RW; Narouze, S; Schwenk, ES; Viscusi, ER; Wasan, AD, 2018
)
0.74
"Guidelines were prepared for the following areas: indications; contraindications; whether there was evidence for a dose-response relationship, or a minimum or therapeutic dose range; whether oral ketamine or another N-methyl-D-aspartate receptor antagonist was a reasonable treatment option as a follow-up to infusions; preinfusion testing requirements; settings and personnel necessary to administer and monitor treatment; the use of preemptive and rescue medications to address adverse effects; and what constitutes a positive treatment response."( Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists.
Bhatia, A; Buvanendran, A; Cohen, SP; Davis, FN; Hooten, WM; Hurley, RW; Lubenow, TR; Narouze, S; Ritchie, EC; Schwenk, ES; Viscusi, ER; Wasan, AD, 2018
)
0.93
" Subsequently a dosage algorithm for the main trial was developed."( [Evaluation of a field-suitable injection anesthesia protocol for the castration of 8 to 14 days old piglets].
Bettschart-Wolfensberger, R; Nussbaumer, I; Rigamonti, S; Schwarz, A, 2018
)
0.48
" Les résultats ont servi de base pour l’algorithme de dosage de l’essai principal."( [Evaluation of a field-suitable injection anesthesia protocol for the castration of 8 to 14 days old piglets].
Bettschart-Wolfensberger, R; Nussbaumer, I; Rigamonti, S; Schwarz, A, 2018
)
0.48
"015625 mg/kg/min with dosage reduction -10%/10 min) or saline in a randomized, double-blind, cross-over study."( Pharmacological fMRI: Effects of subanesthetic ketamine on resting-state functional connectivity in the default mode network, salience network, dorsal attention network and executive control network.
de Boer, P; London, M; Mueller, F; Musso, F; Winterer, G; Zacharias, N, 2018
)
0.74
" Additionally, evidence suggested a dose-response relationship; future studies are needed to optimize dose."( Intravenous Ketamine for Adolescents with Treatment-Resistant Depression: An Open-Label Study.
Albott, CS; Amatya, P; Carstedt, P; Cullen, KR; Eberly, LE; Gunlicks-Stoessel, M; Horek, N; Klimes-Dougan, B; Lim, KO; Reigstad, K; Ren, Y; Roback, MG; Samikoglu, A; Tye, S; Westlund Schreiner, M, 2018
)
0.86
"This study demonstrates a lower intubation rate in patients administered ketamine than prior literature in association with a lower weight-based dosing regimen."( Outcomes of Prehospital Chemical Sedation With Ketamine Versus Haloperidol and Benzodiazepine or Physical Restraint Only.
Castellana, A; Gross, K; O'Connor, L; O'Connor, MJ; Rebesco, M; Restuccia, M; Robinson, C,
)
0.62
"5 K: the standard dosage of ketamine (0."( [Evaluation of Anesthesia Method to Minimize Intraoperative Body Movement and Respiratory Depression for Dilatation and Curettage A Retrospective Study].
Kitamura, J; Yamaguchi, S, 2016
)
0.73
" To optimize low-dose ketamine as an acute migraine treatment, future studies should investigate more effective dosing and routes of administration."( Low-dose Ketamine Does Not Improve Migraine in the Emergency Department: A Randomized Placebo-controlled Trial.
Bos, L; Etchison, AR; Heitz, C; McAllister, KB; Mohammed, M; Park, B; Phan, AV; Ray, M, 2018
)
1.21
"The male street KAs caught by policemen and patients visiting urologic clinics were invited to answer a structured questionnaire including demographic data, illicit drug use related details (duration, frequency, dosage and abstinence status), international prostate symptoms score (IPSS), interstitial cystitis symptoms and problem index (ICSI and ICPI) and International index of erectile function (IIEF-5)."( Sexual and bladder dysfunction in male ketamine abusers: A large-scale questionnaire study.
Chang, SJ; Chen, WS; Chen, YC; Hsu, WT; Jang, MY; Lee, KH; Yang, SS, 2018
)
0.75
" Sedative medication dosing and observed adverse events were similar to those reported previously in children without ASD."( Procedural sedation in children with autism spectrum disorders in the emergency department.
Brown, JJ; Farooqi, A; Gray, JM; Kannikeswaran, N; Roback, MG; Sethuraman, U, 2019
)
0.51
" Dosage of each anesthetic agent was tailored to yield unresponsiveness (Ramsay score = 6)."( The spectral exponent of the resting EEG indexes the presence of consciousness during unresponsiveness induced by propofol, xenon, and ketamine.
Boly, M; Boveroux, P; Brichant, JF; Casarotto, S; Chieregato, A; Colombo, MA; Gosseries, O; Laureys, S; Massimini, M; Napolitani, M; Rex, S; Rosanova, M; Sarasso, S, 2019
)
0.72
" The site-based MADRS interviews were recorded at the baseline and 2 h post-dose assessments on the first intranasal dosing day."( Comparability of blinded remote and site-based assessments of response to adjunctive esketamine or placebo nasal spray in patients with treatment resistant depression.
Cooper, K; Daly, E; Fedgchin, M; Singh, JB; Targum, SD, 2019
)
0.74
" As these new indications continue to come to light, it is important to stay current with the dosing for these indications as well as the adverse effects associated with ketamine's use."( Subdissociative Ketamine Use in the Emergency Department.
Nichols, KA; Paciullo, CA,
)
0.67
" This study sought to investigate the impact of adjunctive continuous infusion ketamine on concomitant analgesic and sedative dosing while providing goal comfort in mechanically ventilated patients."( Continuous Infusion Ketamine for Adjunctive Analgosedation in Mechanically Ventilated, Critically Ill Patients.
Carter, KE; Droege, CA; Garber, PM; Harger, NJ; Mueller, EW, 2019
)
1.06
" Exploratory evaluation of independent factors associated with ketamine responders (50% or more relative reduction in analgesic-sedative dosing requirements at 24 hrs) and nonresponders (less than 50% relative reduction) was performed using multivariate logistic regression."( Continuous Infusion Ketamine for Adjunctive Analgosedation in Mechanically Ventilated, Critically Ill Patients.
Carter, KE; Droege, CA; Garber, PM; Harger, NJ; Mueller, EW, 2019
)
1.08
"For severe cancer-related pain that is not relieved adequately by escalating doses of oral or parenterally administered strong opioid analgesics such as morphine, alone or in combination with an adjuvant drug such as ketamine, more invasive dosing routes may be warranted."( Bioerodable Ketamine-Loaded Microparticles Fabricated Using Dissolvable Hydrogel Template Technology.
Han, FY; Smith, MT; Whittaker, AK; Zhu, M, 2019
)
1.08
"Although few studies have used ketamine for induction and maintenance of pediatric anesthesia, official dosage recommendations are lacking."( Assessment of Ketamine Adult Anesthetic Doses in Pediatrics Using Pharmacokinetic Modeling and Simulations.
Alruwaili, N; Drover, DR; Elkomy, MH; Elmowafy, M; Ramamoorthy, C; Shalaby, K, 2019
)
1.16
"Weight-based dosing minimizes age-dependent variation in the plasma concentration of ketamine."( Assessment of Ketamine Adult Anesthetic Doses in Pediatrics Using Pharmacokinetic Modeling and Simulations.
Alruwaili, N; Drover, DR; Elkomy, MH; Elmowafy, M; Ramamoorthy, C; Shalaby, K, 2019
)
1.1
" To investigate whether ketamine at subanesthetic dosage or its environmental condition can cause long-term cognitive dysfunction after multiple exposures in male or female neonatal rats, postnatal day 5 (P5)-day-old Sprague-Dawley rats were randomized into three groups: ketamine group, vehicle group, and control group (no disturbance)."( Neonatal exposure to the experimental environment or ketamine can induce long-term learning dysfunction or overmyelination in female but not male rats.
Chen, B; Deng, X; Liu, H; Wang, B; Zhang, J, 2019
)
1.07
"25 to 7 mg/kg and from 50 mg per occasion to 300 mg per occasion in multiple daily dosing, daily dosing, and intermittent dosing schedules."( Oral Ketamine for Depression, 1: Pharmacologic Considerations and Clinical Evidence.
Andrade, C, 2019
)
1.03
" In case reports, case series, standard operating practice in ketamine facilities, and randomized controlled trials, oral ketamine has been administered through weight-based dosing and as fixed doses, and the dosing strategy has been one-size-fits-all or individualized through a dose discovery process."( Oral Ketamine for Depression, 2: Practical Considerations.
Andrade, C, 2019
)
1.27
" At the upper end of the dosing range, it displays dissociative anesthetic and amnestic effects, while at lower doses, it acts as an analgesic and demonstrates opioid-sparing capabilities."( The Use of Ketamine for the Management of Acute Pain in the Emergency Department.
Davis, KA; Davis, WD; Hooper, K,
)
0.52
"Evidence suggests that IV ketamine provides significant short-term analgesic benefit in patients with refractory chronic pain, with some evidence of a dose-response relationship."( Ketamine Infusions for Chronic Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Bhatia, A; Cohen, SP; Orhurhu, MS; Orhurhu, V, 2019
)
2.26
" The purpose of this study is to determine the efficacy of subanesthetic dosing of ketamine during TKA on postoperative pain and narcotic consumption."( Intraoperative Ketamine in Total Knee Arthroplasty Does Not Decrease Pain and Narcotic Consumption: A Prospective Randomized Controlled Trial.
Emper, WD; Freedman, KB; Good, RP; Levicoff, EA; Longenecker, AS; McComb, JJ; Rhee, JH; Shaner, JL; Tan, TL, 2019
)
1.09
" This study compared the efficacy and safety of switching patients with treatment-resistant depression from an ineffective antidepressant to flexibly dosed esketamine nasal spray plus a newly initiated antidepressant or to a newly initiated antidepressant (active comparator) plus placebo nasal spray."( Efficacy and Safety of Flexibly Dosed Esketamine Nasal Spray Combined With a Newly Initiated Oral Antidepressant in Treatment-Resistant Depression: A Randomized Double-Blind Active-Controlled Study.
Bajbouj, M; Cooper, K; Daly, EJ; Drevets, WC; Hough, D; Lane, R; Lim, P; Manji, H; Mazzucco, C; Molero, P; Popova, V; Shelton, RC; Singh, JB; Thase, ME; Trivedi, M; Vieta, E, 2019
)
0.98
" We previously reported that TAK-137, an AMPA-R potentiator with little agonistic effect, had potent procognitive effects with lower risks of bell-shaped dose-response and seizure induction."( TAK-137, an AMPA receptor potentiator with little agonistic effect, produces antidepressant-like effect without causing psychotomimetic effects in rats.
Hara, H; Kimura, H; Kunugi, A; Murakami, K; Suzuki, A; Tajima, Y, 2019
)
0.51
" Several administrations routes, dosing schemas and esketamine are investigated in basic and clinical research with particular focus on treatment-resistant depression (TRD) where drug demonstrates its efficacy where very limited alternatives are available."( Short-term ketamine administration in treatment-resistant depression: focus on cardiovascular safety.
Cubała, WJ; Szarmach, J; Wiglusz, MS; Włodarczyk, A, 2019
)
1.15
"Changes in EEG slow wave activity after a hypnotic dose of ketamine could be fitted by a standard sigmoid dose-response model."( Electroencephalographic slow wave dynamics and loss of behavioural responsiveness induced by ketamine in human volunteers.
Pullon, RM; Sleigh, J; Vlisides, PE; Warnaby, CE, 2019
)
0.98
"Time to relapse after successful treatment with a single infusion of ketamine appears to follow a dose-response relationship, where higher dosage leads to increased time to relapse."( Time to relapse after a single administration of intravenous ketamine augmentation in unipolar treatment-resistant depression.
Cusin, C; Debattista, C; Fava, M; Flynn, M; Freeman, MP; Hock, RS; Hoeppner, B; Ionescu, DF; Iosifescu, DV; Mathew, SJ; Papakostas, GI; Salloum, NC; Sanacora, G; Trivedi, MH, 2020
)
1.03
" A dose-response profile was noted for anxiolytic effects, dissociative side effects, and changes in blood pressure and heart rate after ketamine dosing."( Effects of ketamine in patients with treatment-refractory generalized anxiety and social anxiety disorders: Exploratory double-blind psychoactive-controlled replication study.
Broughton, L; Glue, P; Le Nedelec, M; McNaughton, N; Medlicott, NJ; Neehoff, S; Sabadel, A; Shadli, S, 2020
)
1.15
" Optimal dosing schedules to best prolong the antidepressant effects of ketamine have yet to be determined."( Ketamine and Treatment-Resistant Depression.
Arredondo, A; Austin, PN; Lent, JK; Pugh, MA, 2019
)
2.19
" Anesthesiologists should consider the dosage and timing of intravenous ketamine administration during MEP monitoring."( A Bolus Dose of Ketamine Reduces the Amplitude of the Transcranial Electrical Motor-evoked Potential: A Randomized, Double-blinded, Placebo-controlled Study.
Baba, H; Deguchi, H; Furutani, K; Kamiya, Y; Matsuhashi, M; Mitsuma, Y, 2021
)
1.2
"This phase 3 double-blind study randomized patients with treatment-resistant depression (TRD) ≥65 years (1:1) to flexibly dosed esketamine nasal spray and new oral antidepressant (esketamine/antidepressant) or new oral antidepressant and placebo nasal spray (antidepressant/placebo)."( Efficacy and Safety of Esketamine Nasal Spray Plus an Oral Antidepressant in Elderly Patients With Treatment-Resistant Depression-TRANSFORM-3.
Adler, C; Daly, EJ; Drevets, WC; Gaillard, R; Hough, D; Lane, R; Lim, P; Manji, H; McShane, R; Morrison, RL; Ochs-Ross, R; Sanacora, G; Singh, JB; Steffens, DC; Wilkinson, ST; Zhang, Y, 2020
)
1.07
" Future studies and best practice techniques can facilitate standardization of regional anesthesia adjuvant dosing when providing nerve blocks in clinical practice."( Adjuvants in clinical regional anesthesia practice: A comprehensive review.
Cornett, EM; Gaignard, SM; Kaye, AD; Kaye, RJ; Lambert, T; Moll, V; Prabhakar, A; Ragusa, J; Urman, RD; Wheat, S, 2019
)
0.51
" Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.78
" Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols and withdrawal intervals."( Analgesic efficacy of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.78
" BP increases reached the maximum postdose value within ~ 40 min of esketamine dosing and returned to the predose range by ~ 1."( Cardiac Safety of Esketamine Nasal Spray in Treatment-Resistant Depression: Results from the Clinical Development Program.
Doherty, T; Melkote, R; Miller, J; Singh, JB; Wajs, E; Weber, MA, 2020
)
1.12
"BP elevations following esketamine dosing are generally transient, asymptomatic, and not associated with serious cardiovascular safety sequalae."( Cardiac Safety of Esketamine Nasal Spray in Treatment-Resistant Depression: Results from the Clinical Development Program.
Doherty, T; Melkote, R; Miller, J; Singh, JB; Wajs, E; Weber, MA, 2020
)
1.18
" Dosage of ketamine was too low to reduce the severity of PPSP."( Effects of Intraoperative Low-Dose Ketamine on Persistent Postsurgical Pain after Breast Cancer Surgery: A Prospective, Randomized, Controlled, Double-Blind Study.
Baik, JS; Cho, AR; Kang, C; Kim, C; Kim, E; Kim, H; Kim, KH; Kwon, JY; Lee, EA; Lee, HJ, 2020
)
1.22
"Rats treated with the highest tested dosage (20 mg/kg) of ketamine had lower weight gain in the 1st and 2nd weeks of treatment and all experimental groups had measurable alterations in the serotoninergic system."( Preclinical toxicological study of prolonged exposure to ketamine as an antidepressant.
de Abreu, GR; Fukushima, AR; Manes, M; Moreira, N; Ricci, EL; Spinosa, HS; Waziry, PAF; Zaccarelli-Magalhães, J, 2020
)
1.05
" We excluded studies with bipolar depression or with repeated dosing and no single-dose phase."( The relationship between subjective effects induced by a single dose of ketamine and treatment response in patients with major depressive disorder: A systematic review.
Kosten, TR; Mathai, DS; Meyer, MJ; Storch, EA, 2020
)
0.79
" We hypothesized that oral controlled-release ketamine tablets would improve safety and tolerability compared with injected ketamine by reducing peak ketamine exposures compared with dosing by injection."( Ascending-Dose Study of Controlled-Release Ketamine Tablets in Healthy Volunteers: Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability.
Glue, P; Hung, CT; Hung, N; Lam, F; Medlicott, NJ; Surman, P, 2020
)
1.08
" However, IV administration is associated with a number of drawbacks and advanced delivery platforms could provide an alternative parenteral route of esketamine dosing in patients."( Hydrogel-forming microneedle arrays as a therapeutic option for transdermal esketamine delivery.
Courtenay, AJ; Donnelly, RF; Kearney, MC; Levin, G; Levy-Nissenbaum, E; McAlister, E; McCarthy, HO; McCrudden, MTC; Shterman, N; Steiner, L; Vora, L, 2020
)
0.98
"This study aimed to develop a method that objectively measures the clinical benefits of ketamine infusions to treat complex regional pain syndrome (CRPS), thus making it possible, for the first time, to determine the optimal dosing of ketamine and duration of treatment to treat CRPS."( Optimizing the Treatment of CRPS With Ketamine.
Alexander, J; Bavry, E; Kirkpatrick, AF; Qiu, P; Saghafi, A; Schwartzman, R; Yang, K, 2020
)
1.05
"20 (depending on the dosing regimen used); p ≤ 0."( Efficacy of single and repeated administration of ketamine in unipolar and bipolar depression: a meta-analysis of randomized clinical trials.
Brzostek, T; Kawalec, P; Kryst, J; Lasoń, W; Mitoraj, AM; Pilc, A, 2020
)
0.81
" Most TEAEs occurred on dosing days, were mild or moderate in severity, and resolved on the same day."( Esketamine Nasal Spray Plus Oral Antidepressant in Patients With Treatment-Resistant Depression: Assessment of Long-Term Safety in a Phase 3, Open-Label Study (SUSTAIN-2).
Aluisio, L; Daly, EJ; Drevets, WC; George, JE; Grunfeld, J; Holder, R; Hough, D; Jeon, HJ; Kasper, S; Lane, R; Li, CT; Lim, P; Manji, H; Morrison, RL; Paik, JW; Sanacora, G; Singh, JB; Sulaiman, AH; Wajs, E; Wilkinson, ST; Young, AH, 2020
)
1.28
" In females, ethanol-induced CPP was generally less robust compared to males, but ketamine pretreatment resulted in a rightward shift in the dose-response curve, given that ketamine pretreated rats needed a higher dose of ethanol compared to saline pretreated rats to exhibit ethanol-induced CPP."( Early-life ketamine exposure attenuates the preference for ethanol in adolescent Sprague-Dawley rats.
Blevins, KM; Franco, D; Iñiguez, SD; Núñez-Larios, EA; Ricoy, UM; Zamudio, J; Zavala, AR, 2020
)
1.17
" Dosing recommendations however are often based on strategies used in patients with normal body habitus."( Drug dosing in the critically ill obese patient-a focus on sedation, analgesia, and delirium.
Barletta, JF; Erstad, BL, 2020
)
0.56
" Interestingly, the dosage in both conditions is similar, and positive symptoms of schizophrenia appear before antidepressant effects emerge."( Brain NMDA Receptors in Schizophrenia and Depression.
Adell, A, 2020
)
0.56
" Increasing knowledge on the mechanism of ketamine should drive future studies on the optimal balance of dosing ketamine for maximum antidepressant efficacy with minimum exposure."( A randomized, double-blind, active placebo-controlled study of efficacy, safety, and durability of repeated vs single subanesthetic ketamine for treatment-resistant depression.
Albott, CS; Erbes, C; Lim, KO; Shiroma, PR; Thuras, P; Tye, S; Wels, J, 2020
)
1.03
"This study aimed to estimate the cost-effectiveness of esketamine, a novel intranasally dosed antidepressant, for patients in the United States with treatment-resistant depression."( Cost-Effectiveness of Esketamine Nasal Spray for Patients With Treatment-Resistant Depression in the United States.
Ross, EL; Soeteman, DI, 2020
)
1.11
" esketamine is cheap, requires less frequent dosing (once a week), and is a simpler procedure compared to intravenous infusions, it might have an impact on public health."( Effects of subcutaneous esketamine on blood pressure and heart rate in treatment-resistant depression.
Abdo, G; Barbosa, M; Cohrs, FM; de Jesus Mari, J; Del Porto, JA; Del Sant, LC; Delfino, R; Fava, VAR; Lacerda, ALT; Liberatori, A; Lucchese, AC; Magalhães, EJM; Nakahira, C; Sarin, LM; Steiglich, MS; Surjan, J; Tuena, MA, 2020
)
1.48
" Older age, hypertension, large ketamine dosage and dissociative symptoms may predict increased ketamine-induced cardiovascular effects."( Cardiovascular effects of repeated subanaesthetic ketamine infusion in depression.
Lan, XF; Liu, WJ; Ning, YP; Wang, CY; Weng, SY; Zheng, W; Zhou, YL, 2021
)
1.16
" A total of 24 patients received short-term ascending subcutaneous doses of ketamine and were then eligible to enter a 3-month maintenance phase of 1 mg/kg ketamine dosed once or twice weekly."( Anxiolytic effects of acute and maintenance ketamine, as assessed by the Fear Questionnaire subscales and the Spielberger State Anxiety Rating Scale.
Glue, P; Gray, A; Neehoff, S; Nehoff, H; Truppman Lattie, D, 2021
)
1.11
"Acute ketamine dosing showed a rapid dose-related reduction in all three FQ subscales (agoraphobia, social phobia and blood-injury phobia) and in the SSAI."( Anxiolytic effects of acute and maintenance ketamine, as assessed by the Fear Questionnaire subscales and the Spielberger State Anxiety Rating Scale.
Glue, P; Gray, A; Neehoff, S; Nehoff, H; Truppman Lattie, D, 2021
)
1.36
"The present study characterized the effects of weekly ketamine injections on sexual behavior and anxiety in female and male rats, using a dosing protocol that mimics human therapeutic treatment for depression."( I. Antidepressants and sexual behavior: Weekly ketamine injections increase sexual behavior initially in female and male rats.
Ali, M; Clemons, LW; Davis, LK; Gonzalez, CMF; Guarraci, FA; Henneman, EL; Lucero, D; Meerts, SH; Odell, SE, 2020
)
1.06
"This narrative review describes pharmacological properties, dosing strategies, adminis-tration considerations, and adverse effects of ketamine."( Ketamine for Acute Pain Management and Sedation.
Brown, K; Tucker, C, 2020
)
2.2
" Further larger sample studies are needed to confirm these preliminary findings, analyzing differential response/remission rates by affective disorder, optimal dosing strategies, and its long-term effects."( An Update on the Efficacy and Tolerability of Oral Ketamine for Major Depression: A Systematic Review and Meta-Analysis.
Frye, MA; Joseph, B; Kung, S; Nuñez, NA; Pahwa, M; Prokop, LJ; Schak, KM; Seshadri, A; Singh, B; Vande Voort, JL, 2020
)
0.81
" Medications used, adverse events and the need for repeat dosing were abstracted from prehospital care reports."( Description of Adverse Events in a Cohort of Dance Festival Attendees with Stimulant-Induced Severe Agitation Treated with Dissociative-Dose Ketamine.
Drapkin, J; Friedman, MS; Haaland, A; Likourezos, A; Saloum, D; Strayer, RJ,
)
0.33
" Notably, the dosage of ketamine for antidepressive action is comparable to the dose that can generate schizophrenia-like psychotic symptoms."( Candidate Strategies for Development of a Rapid-Acting Antidepressant Class That Does Not Result in Neuropsychiatric Adverse Effects: Prevention of Ketamine-Induced Neuropsychiatric Adverse Reactions.
Fukuyama, K; Kawano, Y; Motomura, E; Okada, M; Shiroyama, T, 2020
)
1.06
" The design then uses Bayesian dose-response modelling to undertake a comparative effectiveness analysis for the most successful dose combination against a relevant comparator."( A Bayesian response-adaptive dose-finding and comparative effectiveness trial.
Heath, A; Klassen, TP; Offringa, M; Pechlivanoglou, P; Poonai, N; Pullenayegum, E; Rios, D; Yaskina, M, 2021
)
0.62
" Thus, we evaluated the significance of dosing interval in the neurotoxic effects of multiple ketamine injections in postnatal day (PND) 17 mice."( Interval-dependent neurotoxicity after multiple ketamine injections in late postnatal mice.
Chung, W; Cui, J; Heo, JY; Hong, B; Ju, X; Kim, YH; Ko, Y; Lee, Y; Youn, AM; Yun, S, 2021
)
1.1
" Future studies should carefully consider the dosing interval as a significant factor when studying the neurotoxic effects of multiple anesthetic exposures."( Interval-dependent neurotoxicity after multiple ketamine injections in late postnatal mice.
Chung, W; Cui, J; Heo, JY; Hong, B; Ju, X; Kim, YH; Ko, Y; Lee, Y; Youn, AM; Yun, S, 2021
)
0.88
" Logistic regression will be used to model the dose-response relationship for the combinations of intranasal Ketodex."( Adaptive randomised controlled non-inferiority multicentre trial (the Ketodex Trial) on intranasal dexmedetomidine plus ketamine for procedural sedation in children: study protocol.
Ali, S; Beer, D; Bhatt, M; Coriolano, K; Doan, Q; Heath, A; Hickes, S; Kam, A; Klassen, T; Offringa, M; Pechlivanoglou, P; Poonai, N; Sabhaney, V; Sawyer, S; Yaskina, M, 2020
)
0.77
"Ketamine for rapid sequence intubation (RSI) is typically dosed at 1 to 2 mg/kg intravenously."( Prehospital Ketamine Use for Rapid Sequence Intubation: Are Higher Doses Associated With Adverse Events?
Brenna, CC; Buderer, N; Fulton, S; Hutchison, H; Jackson, J; Krebs, W; Paplaskas, AM; Rodgers, M; Stausmire, J; Swecker, KA; Werman, H,
)
1.95
" Because of the lack of efficacy of drugs available for pain, ketamine and magnesium in combination provide a novel therapeutic approach that needs to be standardized with a suitable dosing regimen, including the chronological order of drug administration."( Interactions between Ketamine and Magnesium for the Treatment of Pain: Current State of the Art.
Divac, N; Medić, B; Prostran, M; Srebro, D; Stojanović, R; Vučković, S; Vujović, A; Vujović, KS, 2021
)
1.18
" Despite its ubiquitous use as a postoperative analgesic, no studies have described dosing differences between opioid-tolerant (OT) and nonopioid-tolerant (NOT) patients or determined optimal dosing."( Examining Use of Low-Dose Ketamine Infusions During the Postoperative Period: A Retrospective Study Comparing Opioid-Tolerant and Nonopioid-Tolerant Patients.
Cianci, MJ; Hebl, JR; Martin, EE; Mauck, WD; Ochs Kinney, MA, 2021
)
0.92
" We compared locomotor behaviors; dose-response curves for tricaine, ketamine, and 2,6-diisopropylphenol (propofol); time to emergence from these anesthetics; and time to emergence from propofol after craniotomy in glyt1-/- mutants and their siblings."( Elevated preoptic brain activity in zebrafish glial glycine transporter mutants is linked to lethargy-like behaviors and delayed emergence from anesthesia.
Bindernagel, R; Buglo, E; Dallman, JE; Engert, F; Kelz, MB; Meng, QC; Randlett, O; Sloan, SA; Stark, MJ; Sumathipala, SH; Syed, S; Venincasa, MJ; Yan, Q; Züchner, S, 2021
)
0.86
" However, current evidence can be used when developing dosing strategies, preparing for adverse reactions, and generating hypotheses for future, more robust research."( Intranasal Ketamine for Acute Pain.
Rocchio, RJ; Ward, KE, 2021
)
1.01
" Further study is required to confirm the finding that mean propofol dosing was higher in the ketamine group, and to investigate the implication that this dose of ketamine may have affected the WAVCNS."( The Effect of Low-Dose Intraoperative Ketamine on Closed-Loop-Controlled General Anesthesia: A Randomized Controlled Equivalence Trial.
Ansermino, JM; Cooke, E; Dumont, GA; Görges, M; Merchant, RN; Napoleone, G; van Heusden, K; West, N, 2021
)
1.11
" Although additional research is needed to ascertain optimal dosing schedules and route of Ketamine, given these promising findings, Ketamine may be a useful option for improving the treatment of refractory pain in patients with cancer and a good tool in palliative medicine for treating neoplastic pain."( Low-dose ketamine as an adjuvant for pain control in a cancer patient: a case report.
Fattakhov, E; Galea, J; Kaur, G; Patel, S; Singh, AB; Tatachar, V, 2021
)
1.26
" In addition, ketamine seems to be most successful when administered consistently throughout a procedure, such as by an infusion instead of a single bolus, in order to have adequate dosing for an analgesic effect."( Ketamine Use in the Surgical Patient: a Literature Review.
Moon, TS; Smith, KM, 2021
)
2.42
"1 mg · kg-1 · h-1 for next 48 h [both medications dosed at ideal body weight]; methadone/ketamine group)."( Perioperative Methadone and Ketamine for Postoperative Pain Control in Spinal Surgical Patients: A Randomized, Double-blind, Placebo-controlled Trial.
Avram, MJ; Benson, J; Bilimoria, S; Greenberg, SB; Maher, CE; Murphy, GS; Szokol, JW; Teister, K, 2021
)
1.14
" It is not clear if the results from that research can be extrapolated to systems that use different dosing regimens for ketamine RSI."( The association of ketamine induction with blood pressure changes in paramedic rapid sequence intubation of out-of-hospital traumatic brain injury.
Bernard, S; Fouche, PF; Jennings, PA; Meadley, B; Smith, K; St Clair, T; Winnall, A, 2021
)
1.16
" Prospective studies are needed to determine which dosing strategy would be the most beneficial for hospice patients."( Single Subcutaneous Ketamine Dose Followed by Oral Ketamine for Depression Symptoms in Hospice Patients: A Case Series.
Grant, PC; Hansen, E; Kerr, CW; Latuga, NM; Levy, K; Luczkiewicz, DL, 2021
)
0.94
" Ketamine dosing was studied up to 20 mg/kg intravenously for the single-dose neuropathology study and up to 60 mg/kg intraperitoneally for the multiple-dose neuropathology study."( A comparison of the pharmacokinetics and NMDAR antagonism-associated neurotoxicity of ketamine, (2R,6R)-hydroxynorketamine and MK-801.
Burke, RD; Elayan, I; Gould, TD; Lemke-Boutcher, LE; Lynch, DC; Mathew, S; Moaddel, R; Morris, PJ; Rao, DB; Sharma, AK; Thomas, CJ; Zanos, P; Zarate, CA,
)
1.26
" Despite wide variability in proposed dosing and method of administration when used for analgesia, it is important all clinicians be familiar with the pharmacodynamics of ketamine in order to appropriately anticipate its therapeutic and adverse effects."( Ketamine for Pain Management: A Review of Literature and Clinical Application.
Caruso, K; Lyden, A; Tyler, D,
)
1.77
"The anesthetic ketamine after intravenous dosing is nearly completely metabolized to R- and S-stereoisomers of the active norketamine (analgesic, psychoactive) and 2,6-hydroxynorketamine (potential analgesic, antidepressant) as well as the inactive dehydronorketamine."( Chiral Pharmacokinetics and Metabolite Profile of Prolonged-release Ketamine Tablets in Healthy Human Subjects.
Adler, S; Dokter, A; Grube, M; Hasan, M; Link, A; Meissner, K; Modess, C; Rey, H; Roustom, T; Siegmund, W, 2021
)
1.21
"Prolonged-release ketamine tablets generate a high systemic exposure to 2,6-hydroxynorketamines and might therefore be an efficient and safer pharmaceutical dosage form for treatment of patients with chronic neuropathic pain compared to intravenous infusion."( Chiral Pharmacokinetics and Metabolite Profile of Prolonged-release Ketamine Tablets in Healthy Human Subjects.
Adler, S; Dokter, A; Grube, M; Hasan, M; Link, A; Meissner, K; Modess, C; Rey, H; Roustom, T; Siegmund, W, 2021
)
1.19
"Prolonged-release ketamine tablets generate a high systemic exposure to 2,6-hydroxynorketamines and might therefore be an efficient and safer pharmaceutical dosage form for treatment of patients with chronic neuropathic pain compared to intravenous infusion."( Chiral Pharmacokinetics and Metabolite Profile of Prolonged-release Ketamine Tablets in Healthy Human Subjects.
Adler, S; Dokter, A; Grube, M; Hasan, M; Link, A; Meissner, K; Modess, C; Rey, H; Roustom, T; Siegmund, W, 2021
)
1.19
" There was no association with either the dosage or duration of treatment and frequency of side-effects."( Long-term safety and efficacy of sublingual ketamine troches/lozenges in chronic non-malignant pain management.
Aggarwal, A; Gibson, SB; Maudlin, B, 2022
)
0.98
" Results were compared with serious adverse events (SAEs) in patients treated with ketamine according to three systematic reviews considering dosing regimen and cumulative dose."( Harm related to recreational ketamine use and its relevance for the clinical use of ketamine. A systematic review and comparison study.
Van Amsterdam, J; Van Den Brink, W, 2022
)
1.24
"We aimed to assess and compare the analgesic efficacies and adverse effects of ketamine administered through a breath-actuated nebulizer at 3 different dosing regimens for emergency department patients presenting with acute and chronic painful conditions."( Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial.
Butt, M; Davis, A; Dove, D; Drapkin, J; Fassassi, C; Favale, P; Gohel, A; Hossain, R; Kabariti, S; Likourezos, A; Marshall, J; Motov, S; Silver, M, 2021
)
1.16
"Intranasal drug delivery offers a non-invasive and convenient dosing option for patients and physicians, especially for conditions requiring chronic/repeated-treatment administration."( Effect of Esketamine Nasal Spray on Olfactory Function and Nasal Tolerability in Patients with Treatment-Resistant Depression: Results from Four Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase III Studies.
Cooper, K; Daly, E; Doty, RL; Drevets, WC; Fedgchin, M; Jamieson, C; Janik, A; Lane, R; Lim, P; Melkote, R; Ochs-Ross, R; Popova, V; Singh, J; Wylie, C, 2021
)
1
"Most trials of adding lithium involved older, mainly tricyclic, antidepressants, and the dosing of adjunctive treatments were not optimized."( Efficacy and Tolerability of Combination Treatments for Major Depression: Antidepressants plus Second-Generation Antipsychotics vs. Esketamine vs. Lithium.
Bahji, A; Baldessarini, RJ; Tondo, L; Undurraga, J; Vázquez, GH, 2021
)
0.82
" The dose-response relationship calls for caution with higher doses of tranylcypromine."( Cardiovascular Effects of Combining Subcutaneous or Intravenous Esketamine and the MAO Inhibitor Tranylcypromine for the Treatment of Depression: A Retrospective Cohort Study.
Bauer, M; Findeis, H; Ludwig, VM; Ritter, P; Rucker, J; Sauer, C; Young, AH, 2021
)
0.86
" Our ketamine dose-titration method is detailed allowing flexible dosing of patients across a treatment course enabling individualised treatment."( Ketamine treatment for depression: A model of care.
Alonzo, A; Bayes, A; Dong, V; Kabourakis, M; Loo, C; Martin, D, 2021
)
2.58
" In the patient domain, we identify a variety of standard operating procedures involving initial patient assessment parameters, ketamine dosing and administration guidelines, and safety monitoring procedures."( Developing an IV Ketamine Clinic for Treatment-Resistant Depression: a Primer.
Achtyes, E; Bobo, WV; Coryell, W; Drake, K; Frye, MA; Goddard, A; Goes, F; Greden, JF; Kaplin, A; Lopez, D; Maixner, D; Parikh, SV; Rico, J; Riva-Posse, P; Singh, B; Tarnal, V; Vande Voort, JL; Watson, B, 2021
)
1.17
"The results of this Dutch nationwide survey study show that there are heterogeneous treatment protocols with different indications, treatment setting and dosing regimen for the treatment of chronic pain with ketamine."( Ketamine therapy for chronic pain in The Netherlands: a nationwide survey.
Bharwani, KD; Dirckx, M; Huygen, FJPM; Mangnus, TJP; Stronks, DL, 2022
)
2.35
"Management of refractory pain in pediatric sickle cell disease (SCD) and oncology is reliant on opioids though high opioid dosing increases side effects and tachyphylaxis."( Low-dose Ketamine Infusion for Pediatric Hematology/Oncology Patients: Case Series and Literature Review.
Agrawal, AK; Chen, A; Chen, E; Long, LS; Yu, H, 2022
)
1.14
" Further research is warranted into: optimal dosing strategy, including number and frequency; and long-term efficacy and safety."( The rapid anti-suicidal ideation effect of ketamine: A systematic review.
Grunebaum, MF; Hochschild, A; Mann, JJ, 2021
)
0.88
" We sought to measure the frequency of ED intubation at a Midwest academic medical center after prehospital ketamine use for profound agitation, hypothesizing that intubation has become less frequent as prehospital ketamine has become more common and prehospital dosing has improved."( Outcomes Associated with Lower Doses of Ketamine by Emergency Medical Services for Profound Agitation.
Ahmed, A; Coffey, SK; Egan, H; Harland, KK; Mohr, NM; Vakkalanka, JP; Wallace, K, 2021
)
1.1
" Our findings also provide additional support for the importance of dosing frequency in establishing the cognitive effects of repeated ketamine exposure."( (R,S)-ketamine and (2R,6R)-hydroxynorketamine differentially affect memory as a function of dosing frequency.
An, X; Gould, TD; Pereira, EFR; Riggs, LM, 2021
)
1.31
" Sedative depth, a composite score comprised of five assessment criteria, was observed every 5-min from dosing until arousal."( Differential effects of four intramuscular sedatives on cardiorespiratory stability in juvenile guinea pigs (Cavia porcellus).
Berry, MJ; Dyson, RM; Gray, CL; Pacharinsak, C; Sixtus, RP, 2021
)
0.62
"9% saline (placebo) in combination with ketamine and rocuronium, according to a weight-based dosing schedule."( Fentanyl versus placebo with ketamine and rocuronium for patients undergoing rapid sequence intubation in the emergency department: The FAKT study-A randomized clinical trial.
Aneman, A; Burns, B; Buttfield, A; Ferguson, I; Harris, IA; Milligan, J; Reid, C; Shepherd, S, 2022
)
1.28
" Findings may guide clinicians in consideration and dosing of ketamine for multimodal analgosedation."( Impact of Ketamine on Analgosedative Consumption in Critically Ill Patients: A Systematic Review and Meta-Analysis.
Burry, LD; Chan, K; De Castro, C; Tse, C; Williamson, DR; Wunsch, H, 2022
)
1.36
" intranasal ketamine, ideal target populations, and optimal dosing to treat both depression and pain."( Ketamine as a therapeutic agent for depression and pain: mechanisms and evidence.
Haroutounian, S; Lenze, EJ; Palanca, BJA; Subramanian, S, 2022
)
2.54
"All subjects had advanced cancer, with intractable pain, despite being on moderate dosage of opioids."( A dose-escalation clinical trial of intranasal ketamine for uncontrolled cancer-related pain.
Beumer, JH; Curseen, K; Egan, K; Gillespie, TW; Harvey, RD; Lane, O; Shteamer, JW; Singh, V; Sniecinski, R; Spektor, B; Switchenko, J; Tsvetkova, M; Zarrabi, AJ, 2022
)
0.98
" We provide the evidence supporting recent developments using esketamine as well as unresolved issues in the field, such as dosing and safety."( Ketamine for treatment of mood disorders and suicidality: A narrative review of recent progress.
Kritzer, MD; Lai, CS; Masand, PS; Mathew, SJ; Mischel, NA; Szabo, ST; Young, JR, 2022
)
2.4
" Secondary outcomes included a comparison of sedative dosing pre- and post-ketamine initiation between place in therapy groups and paralyzed/nonparalyzed patients, and identification of ketamine-attributed adverse drug event (ADEs) or iatrogenic withdrawal syndrome (IWS)."( Ketamine infusions as an adjunct for sedation in critically ill children.
Johnson, PN; Mayes, R; Miller, JL; Moore, E; Neely, S; Nguyen, AL,
)
1.8
" However, it is worth noting that the variability in the ketamine dose-response curve across cats and cortices was larger than that in the sleep-stage data, highlighting the differential local dynamics created by two different ways of modulating conscious state."( Ketamine and sleep modulate neural complexity dynamics in cats.
Bekinschtein, TA; Bor, D; Canales-Johnson, A; Castro-Zaballa, S; Mediano, PAM; Pascovich, C; Torterolo, P, 2022
)
2.41
"To determine the effective dosage of the combination tiletamine-zolazepam-ketamine-xylazine (TKX), with or without methadone, in dogs."( Determination of the effective dosage of tiletamine-zolazepam-ketamine-xylazine, with or without methadone, in dogs.
Baier, ME; Herrera Becerra, JR; Martins, LGB; Monteiro, ER; Souza, MJ, 2022
)
1.19
" The current study investigated 1) changes in neurocognitive performance after a repeated ketamine dosing regimen and 2) baseline neurocognitive performance as a predictor of ketamine treatment effect."( Neurocognitive effects of repeated ketamine infusions in comorbid posttraumatic stress disorder and major depressive disorder.
Albott, CS; Erbes, C; Lim, KO; Shiroma, PR; Thuras, P; Tye, SJ; Wels, J, 2022
)
1.22
" Since then, intravenous ketamine and intranasal S-ketamine have been validated for the treatment of depression and suicidal ideation following dose-response and double-blind placebo-controlled clinical trials."( Key considerations for the use of ketamine and esketamine for the treatment of depression: focusing on administration, safety, and tolerability.
Kritzer, MD; Masand, PS; Pae, CU, 2022
)
1.3
"We recommend further investigation into treatment dosing and frequency strategies as well as approaches that prolong the therapeutic effects."( Key considerations for the use of ketamine and esketamine for the treatment of depression: focusing on administration, safety, and tolerability.
Kritzer, MD; Masand, PS; Pae, CU, 2022
)
1
"Subanesthetic dosing of intravenous ketamine has shown to be an effective treatment for patients with major depressive disorder."( Vital Sign Changes During Intravenous Ketamine Infusions for Depression: An Exploratory Study of Prognostic Indications.
Arfken, C; Froehlich, A; Geller, J; Keith, KM; Mischel, N; Oxley, M,
)
0.68
" Dosage of propofol required in group E (1."( The effectiveness of esketamine and propofol versus dezocine and propofol sedation during gastroscopy: A randomized controlled study.
Chen, L; Tang, T; Xu, Y; Zhang, Y; Zhang, Z; Zheng, Y, 2022
)
1.03
" It is unknown whether repeat sub-anesthetic dosing of ketamine in adults with TRD is associated with Olney lesions or other neuropathologies."( A review of potential neuropathological changes associated with ketamine.
Ho, R; Lui, LMW; McIntyre, RS; Nazal, H; Nogo, D; Rosenblat, JD; Song, Y; Teopiz, KM, 2022
)
1.21
" Therefore, the objective of this study was to investigate a potential dose-response relationship between ketamine and bilirubin levels."( Long-term ketamine infusion-induced cholestatic liver injury in COVID-19-associated acute respiratory distress syndrome.
Andermatt, R; Bartussek, J; Buehler, PK; Camen, G; David, S; Erlebach, R; Hofmaenner, DA; Jüngst, C; Müllhaupt, B; Schuepbach, RA; Wendel-Garcia, PD, 2022
)
1.34
" Recommended changes to dosing strategies of medications such as ketamine."( Analgesia and Sedation for Tactical Combat Casualty Care: TCCC Proposed Change 21-02.
April, MD; Blackman, V; Brown, J; Butler, FK; Cunningham, CW; DesRosiers, TT; Drew, B; Fisher, AD; Gurney, JM; Holcomb, JB; Montgomery, HR; Morgan, MM; Motov, SM; Papalski, W; Remley, MA; Schauer, SG; Shackelford, SA; Sprunger, T, 2022
)
0.96
" Further studies with a larger sample size are needed to assess the ap-propriate dosing strategy for ketamine to produce adequate analgesia when used as a primary analgesic in mechanically ventilated patients."( Impact of ketamine versus fentanyl continuous infusion on opioid use in patients admitted to a surgical-trauma intensive care unit.
Kataria, V; Mooney, J; Nguyen, HL; Pazhani, Y; Ramos, A; Roth, J,
)
0.75
" We developed a clinical treatment protocol for the use of repeated SC racemic ketamine (maximum six treatments, twice per week) in an inpatient psychiatric care setting with inclusion/exclusion criteria, dosing schedule, and description of treatment, assessment, and monitoring procedures."( Repeated subcutaneous racemic ketamine in treatment-resistant depression: case series.
Budd, GP; Do, A; Fridfinnson, J; Lam, RW; Rafizadeh, R; Siu, JTP; Tham, JCW, 2022
)
1.24
" Here, we present dosage regimens of ketamine/xylazine/atropine in 10-day-old C57BL/6J mouse pups that allow endotracheal intubation, while minimizing animal mortality."( Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery.
Feneley, MP; Graham, RM; Iismaa, SE; Nicks, AM; Skowno, JJ; Wu, J, 2022
)
0.99
" The consistency of respiratory parameters during the entire exposure time is paramount to ensuring dosing accuracy."( Comparison of Alfaxalone-Midazolam, Tiletamine-Zolazepam, and KetamineAcepromazine Anesthesia during Plethysmography in Cynomolgus Macaques (
Astleford, SM; Bowling, PA; Casselman, AM; Dixon, BC; Ghering, JM; Marion, BM; White, CE, 2022
)
0.96
" Therefore, taking a look at individual patient risks and potential underlying variability in pharmacokinetics may improve safety and dosing of these new antidepressant drugs in clinical practice."( Pharmacogenetic and drug interaction aspects on ketamine safety in its use as antidepressant - implications for precision dosing in a global perspective.
Just, KS; Langmia, IM; Müller, JP; Stingl, JC; Yamoune, S, 2022
)
0.98
" Further research is warranted to better define doses and dosing paradigms that are beneficial without unintended side effects in adolescence."( Neurobiological, behavioral, and cognitive effects of ketamine in adolescents: A review of human and pre-clinical research.
Acevedo, J; Siegel, JA, 2022
)
0.97
" The secondary outcomes included injection pain score, vital signs, total dosage of vasoactive drugs used within 5 minutes after induction, and adverse events related to drugs."( Pretreatment with Low-Dose Esketamine for Reduction of Propofol Injection Pain: A Randomized Controlled Trial.
Fu, D; Han, Y; Jia, J; Li, W; Wang, D, 2022
)
1.01
" Studies have shown that the application of propofol combined with ketamine in painless gastrointestinal endoscopy is beneficial to reduce the dosage of propofol and the incidence of related complications."( Efficacy and safety of subanesthetic doses of esketamine combined with propofol in painless gastrointestinal endoscopy: a prospective, double-blind, randomized controlled trial.
Li, J; Li, S; Li, Y; Liang, S; Liang, Z; Luo, Q; Yang, Z; Zhan, Y, 2022
)
1.21
" We found a large heterogeneity regarding sample size, age and gender distribution, inclusion criteria (different severity scores, if any) and ketamine dosing (bolus and/or continuous infusion)."( Use of ketamine in patients with refractory severe asthma exacerbations: systematic review of prospective studies.
Astuto, M; Brancati, S; Crimi, C; Cuttone, G; Dezio, V; Falcone, M; La Via, L; Sanfilippo, F, 2022
)
1.38
"The present study aimed to find the optimal dosage of K-X and its association with the changes in dendritic spine number of the CA1 region for aged and young rats of both sexes."( Optimisation of ketamine-xylazine anaesthetic dose and its association with changes in the dendritic spine of CA1 hippocampus in the young and old male and female Wistar rats.
Namavar, MR; Sotoudeh, N, 2022
)
1.07
" Future studies should investigate the appropriate dosage and route of administration of ketamine to be used while managing pain among children with acute and severe pain in the emergency department."( The Effectiveness of Ketamine Compared to Opioid Analgesics for management of acute pain in Children in The Emergency Department: systematic Review.
Alanazi, E, 2022
)
1.26
" However, almost all known AMPA-R potentiators carry the risk of a narrow bell-shaped dose-response curve and a poor safety margin against seizures."( Role of the AMPA receptor in antidepressant effects of ketamine and potential of AMPA receptor potentiators as a novel antidepressant.
Hara, H; Kimura, H; Suzuki, A, 2023
)
1.16
" This validated method was applicable to determine the stereoselective pharmacokinetic profiles of (R,S)-Ket, (R,S)-NK, and (2R,6R;2S,6S)-HNK in plasma and brain collected from individual mice after a single intraperitoneal dosing of racemic Ket at an antidepressant dose."( Chiral LC-MS/MS method for the simultaneous determination of (R,S)-ketamine, (R,S)-norketamine, and (2R,6R;2S,6S)-hydroxynorketamine in mouse plasma and brain.
Endo, H; Mizuno-Yasuhira, A; Toki, H; Yamaguchi, JI, 2023
)
1.15
" One significant change is the drug dosage regimen; 1 μg/kg fentanyl, 2 mg/kg ketamine, and 2 mg/kg rocuronium is recommended as the main drug dosing regimen for both medical and trauma patients."( The Prehospital Emergency Anaesthetic in 2022.
Broomhead, R; Dawson, J; Morton, S; Sherren, P; Wareham, G,
)
0.36
" These findings justify further study into the optimal dosing of fentanyl during RSI in pre-hospital and retrieval medicine."( The effect of ketamine and fentanyl on haemodynamics during intubation in pre-hospital and retrieval medicine.
Aneman, A; Bliss, J; Ferguson, IMC; Harris, IA; Miller, MR; Partyka, C, 2023
)
1.27
" Compared with the control group, the total dosage of propofol in the experimental group was significantly lower, and the number of vasoactive drugs, the incidence of respiratory depression and bronchospasm were significantly lower (P < ."( Low dose of esketamine combined with propofol in painless fibronchoscopy in elderly patients.
Chen, Z; Du, T; Feng, Y; Wang, J, 2022
)
1.08
"In vivo plasma concentration data were obtained from 15 healthy volunteers after intravenous and oral dosing of 20 mg PR-ketamine tablets."( Relationship Between Dissolution Rate in Vitro and Absorption Rate in Vivo of Ketamine Prolonged-Release Tablets.
Weiss, M, 2023
)
1.35
" At the first change the xylazine dosage was the same for surgery, and sequentially the dosage could be reduced (0."( [Sole abscess (Pododermatitis purulenta superficialis) in a Bactrian camel - diagnosis, treatment, and healing process].
Eibl, C; Kofler, J; Schoiswohl, J, 2023
)
0.91
" The optimal dosage of this treatment would have to be determined as well as a maintenance of efficacy scheme."( Effect of a single dose of intravenous ketamine on the wish to hasten death in palliative care: A case report in advanced cancer.
Clatot, F; Decazes, E; Rigal, O, 2023
)
1.18
"In this RCT, the primary objective is to demonstrate that an intermittent esketamine dosing regimen is non-inferior to a continuous esketamine dosing regimen at 3 months follow-up."( Intermittent versus continuous esketamine infusions for long-term pain modulation in complex regional pain syndrome: protocol of a randomized controlled non-inferiority study (KetCRPS-2).
Baart, SJ; Bharwani, KD; de Vos, CC; Dik, WA; Dirckx, M; Huygen, FJPM; Mangnus, TJP; Redekop, K; Siepman, TAM, 2023
)
1.42
" However, due to its side effects, such as addiction and cognitive impairment, the dosage and frequency of (S)-ketamine approved by the FDA for the treatment of refractory depression is very low, which limits its efficacy."( A Multifunctional Nanocarrier System for Highly Efficient and Targeted Delivery of Ketamine to NMDAR Sites for Improved Treatment of Depression.
Gao, Q; Ge, J; Li, R; Song, H; Tan, R; Wan, Y; Wang, S; Xu, P; Zhou, L, 2023
)
1.35
" However, the proper dosage for intranasal use in children with congenital heart disease (CHD) has not been determined."( Median effective dose of esketamine for intranasal premedication in children with congenital heart disease.
Bai, J; Gu, H; Huang, J; Liu, D, 2023
)
1.21
" Additional prospective studies are needed to determine optimal induction agent selection and dosing in patients presenting with shock or sepsis."( Pharmacotherapy optimization for rapid sequence intubation in the emergency department.
Brown, CS; Engstrom, K; Lyons, N; Mattson, AE; Rech, MA, 2023
)
0.91
" However, a wealth of paediatric safety and dosing data exists for ketamine, given its extensive use globally as an anaesthetic, analgesic and sedative agent."( The safety of repeated ketamine dosing in paediatrics: A systematic review.
James, IG; James, L; Wakefield, J, 2023
)
1.46
"To evaluate the safety of repeat dosing of ketamine in children."( The safety of repeated ketamine dosing in paediatrics: A systematic review.
James, IG; James, L; Wakefield, J, 2023
)
1.48
" The objective of this systematic review is to identify and present studies comparing low-dose ketamine to opioids when combined with propofol for procedural sedation in the ED and to describe the dosing regimen, observed efficacy, and side effects."( Low-dose ketamine or opioids combined with propofol for procedural sedation in the emergency department: a systematic review.
De Vries, LJ; Lameijer, H; Van Roon, EN; Veeger, NJGM, 2023
)
1.55
" For propofol dosage, the administration of esketamine required a lower propofol dosage compared to the NS group and opioids group]."( Efficacy and safety of esketamine for sedation among patients undergoing gastrointestinal endoscopy: a systematic review and meta-analysis.
Guo, Y; Jing, Y; Lian, X; Lin, Y; Luo, T; Yuan, H, 2023
)
1.47
" Variation exists in the recommended agent and dosing strategies."( Evaluation of Nonintubated Analgesia Practices in Critical Care Transport.
Bondurant, M; Esteves, AM; Gilchrist, HE; Markwood, JM; Roginski, MA,
)
0.13
" Consistent pulmonary delivery is critical for experimental power and reproducibility, but we observed variation in outcomes between handlers using different anesthetic approaches for intranasal dosing in mice."( Optimizing anesthesia and delivery approaches for dosing into lungs of mice.
Cleary, SJ; Conrad, C; Looney, MR; Magnen, M; Moussavi-Harami, SF; Qiu, L; Seo, Y, 2023
)
0.91
"The optimal dosage and method of esketamine for postpartum depressive symptoms (PDS) are unclear."( Effects of different doses of esketamine intervention on postpartum depressive symptoms in cesarean section women: A randomized, double-blind, controlled clinical study.
Bai, ZH; Chen, L; Duan, KM; Gao, K; Li, QW; Mao, XY; Ping, AQ; Wang, SY; Xu, SY; Yang, SQ; Yang, ST; Zhou, YY, 2023
)
1.47
"Subanaesthetic dosing of ketamine reduced correlates of predictive coding but did not eliminate them."( Subanaesthetic doses of ketamine reduce but do not eliminate predictive coding responses: implications for mechanisms of sensory disconnection.
Banks, MI; Casey, C; Filbey, W; Mohanta, S; Pearce, RA; Saalmann, Y; Sanders, RD; Tanabe, S; Weber, L; Wehrman, JJ, 2023
)
1.52
"The aim of this study is to assess the current situation in out of hospital pain management in Germany regarding the substances, indications, dosage and the delegation of the use of analgesics to emergency medical service (EMS) staff."( Application of analgesics in emergency services in Germany: a survey of the medical directors.
Scharonow, M; Scharonow, O; Vilcane, S; Weilbach, C, 2023
)
0.91
" However, previous reports have been essentially based on ketamine dosing modes that differ from the clinical route of administration (slow intravenous infusion)."( Temporal dynamics of BDNF signaling recruitment in the rat prefrontal cortex and hippocampus following a single infusion of a translational dose of ketamine.
Caffino, L; Chiamulera, C; Fumagalli, F; Mottarlini, F; Piva, A; Rizzi, B, 2024
)
1.89
"Ketamine produces rapid antidepressant effects at sub-anesthetic dosage through early and sustained activation of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPARs), however, the exact molecular mechanism still remains unclear."( Enhanced TARP-γ8-PSD-95 coupling in excitatory neurons contributes to the rapid antidepressant-like action of ketamine in male mice.
Chen, JG; Chen, MM; He, JG; Lu, LL; Song, SJ; Wang, F; Xue, SG, 2023
)
2.56
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (6)

RoleDescription
intravenous anaestheticnull
NMDA receptor antagonistAny substance that inhibits the action of N-methyl-D-aspartate (NMDA) receptors. They tend to induce a state known as dissociative anesthesia, marked by catalepsy, amnesia, and analgesia, while side effects can include hallucinations, nightmares, and confusion. Due to their psychotomimetic effects, many NMDA receptor antagonists are used as recreational drugs.
analgesicAn agent capable of relieving pain without the loss of consciousness or without producing anaesthesia. In addition, analgesic is a role played by a compound which is exhibited by a capability to cause a reduction of pain symptoms.
neurotoxinA poison that interferes with the functions of the nervous system.
environmental contaminantAny minor or unwanted substance introduced into the environment that can have undesired effects.
xenobioticA xenobiotic (Greek, xenos "foreign"; bios "life") is a compound that is foreign to a living organism. Principal xenobiotics include: drugs, carcinogens and various compounds that have been introduced into the environment by artificial means.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
cyclohexanonesAny alicyclic ketone based on a cyclohexane skeleton and its substituted derivatives thereof.
secondary amino compoundA compound formally derived from ammonia by replacing two hydrogen atoms by organyl groups.
monochlorobenzenesAny member of the class of chlorobenzenes containing a mono- or poly-substituted benzene ring in which only one substituent is chlorine.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (1)

PathwayProteinsCompounds
Vitamin D-sensitive calcium signaling in depression213

Protein Targets (28)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, MAJOR APURINIC/APYRIMIDINIC ENDONUCLEASEHomo sapiens (human)Potency0.01120.003245.467312,589.2998AID2517
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency17.90080.01237.983543.2770AID1346984
pregnane X nuclear receptorHomo sapiens (human)Potency14.12540.005428.02631,258.9301AID1346985
chromobox protein homolog 1Homo sapiens (human)Potency79.43280.006026.168889.1251AID540317
gemininHomo sapiens (human)Potency4.10950.004611.374133.4983AID624296
lamin isoform A-delta10Homo sapiens (human)Potency35.48130.891312.067628.1838AID1487
Rap guanine nucleotide exchange factor 3Homo sapiens (human)Potency125.89206.309660.2008112.2020AID720707
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Glutamate receptor ionotropic, NMDA 2DHomo sapiens (human)Ki0.67000.00120.70256.0000AID156805; AID1602884; AID1692787; AID1692800
ATP-binding cassette sub-family C member 3Homo sapiens (human)IC50 (µMol)133.00000.63154.45319.3000AID1473740
Multidrug resistance-associated protein 4Homo sapiens (human)IC50 (µMol)133.00000.20005.677410.0000AID1473741
AcetylcholinesteraseElectrophorus electricus (electric eel)IC50 (µMol)10.00000.00000.94539.9400AID480448
Glutamate receptor ionotropic, NMDA 3BHomo sapiens (human)Ki0.67000.00120.70256.0000AID156805; AID1602884; AID1692787; AID1692800
Bile salt export pumpHomo sapiens (human)IC50 (µMol)134.00000.11007.190310.0000AID1443980; AID1473738
Glutamate receptor ionotropic, NMDA 1 Rattus norvegicus (Norway rat)IC50 (µMol)4.21600.00071.600310.0000AID144466; AID144606; AID1692762; AID1909434; AID225475
Glutamate receptor ionotropic, NMDA 1 Rattus norvegicus (Norway rat)Ki0.18000.00030.86666.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692796; AID1692797; AID1692798; AID1692799; AID1692802
Sodium channel protein type 4 subunit alphaHomo sapiens (human)IC50 (µMol)1,550.00000.00013.507510.0000AID146725; AID146726
CholinesteraseEquus caballus (horse)IC50 (µMol)10.00000.00002.22149.4000AID480449
Glutamate receptor ionotropic, NMDA 2A Rattus norvegicus (Norway rat)IC50 (µMol)4.21600.00071.630610.0000AID144466; AID144606; AID1692762; AID1909434; AID225475
Glutamate receptor ionotropic, NMDA 2A Rattus norvegicus (Norway rat)Ki0.18000.00030.68056.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692796; AID1692798; AID1692799; AID1692802
Glutamate receptor ionotropic, NMDA 2BRattus norvegicus (Norway rat)IC50 (µMol)5.02000.00061.525710.0000AID144466; AID144606; AID1692762; AID225475
Glutamate receptor ionotropic, NMDA 2BRattus norvegicus (Norway rat)Ki0.18000.00030.70716.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692797; AID1692798; AID1692799; AID1692802
Glutamate receptor ionotropic, NMDA 2CRattus norvegicus (Norway rat)IC50 (µMol)5.02000.00071.747210.0000AID144466; AID144606; AID1692762; AID225475
Glutamate receptor ionotropic, NMDA 2CRattus norvegicus (Norway rat)Ki0.18000.00030.81966.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692798; AID1692799; AID1692802
Glutamate receptor ionotropic, NMDA 1Homo sapiens (human)IC50 (µMol)3.77620.00101.88779.8000AID1124803; AID480453; AID480455; AID590108; AID590109
Glutamate receptor ionotropic, NMDA 1Homo sapiens (human)Ki0.57200.00120.48246.0000AID156805; AID1602884; AID1692787; AID1692800; AID1692801
Glutamate receptor ionotropic, NMDA 2AHomo sapiens (human)IC50 (µMol)3.55630.00101.99589.8000AID1124803; AID480453; AID590109
Glutamate receptor ionotropic, NMDA 2AHomo sapiens (human)Ki0.57200.00120.62056.0000AID156805; AID1602884; AID1692787; AID1692800; AID1692801
Glutamate receptor ionotropic, NMDA 2BHomo sapiens (human)IC50 (µMol)4.10590.00401.33259.8000AID480455; AID590108
Glutamate receptor ionotropic, NMDA 2BHomo sapiens (human)Ki0.67000.00120.32686.0000AID156805; AID1602884; AID1692787; AID1692800
Glutamate receptor ionotropic, NMDA 2CHomo sapiens (human)Ki0.67000.00120.70256.0000AID156805; AID1602884; AID1692787; AID1692800
Glutamate receptor ionotropic, NMDA 2DRattus norvegicus (Norway rat)IC50 (µMol)5.02000.00071.741110.0000AID144466; AID144606; AID1692762; AID225475
Glutamate receptor ionotropic, NMDA 2DRattus norvegicus (Norway rat)Ki0.18000.00030.70726.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692798; AID1692799; AID1692802
Glutamate receptor ionotropic, NMDA 3AHomo sapiens (human)Ki0.67000.00120.70256.0000AID156805; AID1602884; AID1692787; AID1692800
Glutamate receptor ionotropic, NMDA 3BRattus norvegicus (Norway rat)IC50 (µMol)5.02000.00071.741110.0000AID144466; AID144606; AID1692762; AID225475
Glutamate receptor ionotropic, NMDA 3BRattus norvegicus (Norway rat)Ki0.18000.00030.70726.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692798; AID1692799; AID1692802
Canalicular multispecific organic anion transporter 1Homo sapiens (human)IC50 (µMol)133.00002.41006.343310.0000AID1473739
Glutamate receptor ionotropic, NMDA 3ARattus norvegicus (Norway rat)IC50 (µMol)5.02000.00071.741110.0000AID144466; AID144606; AID1692762; AID225475
Glutamate receptor ionotropic, NMDA 3ARattus norvegicus (Norway rat)Ki0.18000.00030.70726.6900AID1692758; AID1692760; AID1692761; AID1692775; AID1692785; AID1692786; AID1692788; AID1692793; AID1692794; AID1692795; AID1692798; AID1692799; AID1692802
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (128)

Processvia Protein(s)Taxonomy
startle responseGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
brain developmentGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
adult locomotory behaviorGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
calcium-mediated signalingGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
regulation of synaptic plasticityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
regulation of neuronal synaptic plasticityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
regulation of sensory perception of painGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
positive regulation of synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
calcium ion transmembrane import into cytosolGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
excitatory chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
regulation of monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
cellular response to L-glutamateGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
positive regulation of excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
long-term synaptic potentiationGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
xenobiotic metabolic processATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
bile acid and bile salt transportATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transportATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
leukotriene transportATP-binding cassette sub-family C member 3Homo sapiens (human)
monoatomic anion transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transport across blood-brain barrierATP-binding cassette sub-family C member 3Homo sapiens (human)
prostaglandin secretionMultidrug resistance-associated protein 4Homo sapiens (human)
cilium assemblyMultidrug resistance-associated protein 4Homo sapiens (human)
platelet degranulationMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic metabolic processMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
bile acid and bile salt transportMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transportMultidrug resistance-associated protein 4Homo sapiens (human)
urate transportMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
cAMP transportMultidrug resistance-associated protein 4Homo sapiens (human)
leukotriene transportMultidrug resistance-associated protein 4Homo sapiens (human)
monoatomic anion transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
export across plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
transport across blood-brain barrierMultidrug resistance-associated protein 4Homo sapiens (human)
guanine nucleotide transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
protein insertion into membraneGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
regulation of calcium ion transportGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
calcium ion transmembrane transportGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
modulation of chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
angiogenesisRap guanine nucleotide exchange factor 3Homo sapiens (human)
adaptive immune responseRap guanine nucleotide exchange factor 3Homo sapiens (human)
signal transductionRap guanine nucleotide exchange factor 3Homo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayRap guanine nucleotide exchange factor 3Homo sapiens (human)
associative learningRap guanine nucleotide exchange factor 3Homo sapiens (human)
Rap protein signal transductionRap guanine nucleotide exchange factor 3Homo sapiens (human)
regulation of actin cytoskeleton organizationRap guanine nucleotide exchange factor 3Homo sapiens (human)
negative regulation of syncytium formation by plasma membrane fusionRap guanine nucleotide exchange factor 3Homo sapiens (human)
intracellular signal transductionRap guanine nucleotide exchange factor 3Homo sapiens (human)
positive regulation of GTPase activityRap guanine nucleotide exchange factor 3Homo sapiens (human)
regulation of angiogenesisRap guanine nucleotide exchange factor 3Homo sapiens (human)
positive regulation of angiogenesisRap guanine nucleotide exchange factor 3Homo sapiens (human)
positive regulation of protein export from nucleusRap guanine nucleotide exchange factor 3Homo sapiens (human)
positive regulation of stress fiber assemblyRap guanine nucleotide exchange factor 3Homo sapiens (human)
regulation of phosphatidylinositol 3-kinase/protein kinase B signal transductionRap guanine nucleotide exchange factor 3Homo sapiens (human)
positive regulation of syncytium formation by plasma membrane fusionRap guanine nucleotide exchange factor 3Homo sapiens (human)
establishment of endothelial barrierRap guanine nucleotide exchange factor 3Homo sapiens (human)
cellular response to cAMPRap guanine nucleotide exchange factor 3Homo sapiens (human)
Ras protein signal transductionRap guanine nucleotide exchange factor 3Homo sapiens (human)
regulation of insulin secretionRap guanine nucleotide exchange factor 3Homo sapiens (human)
sodium ion transportSodium channel protein type 4 subunit alphaHomo sapiens (human)
muscle contractionSodium channel protein type 4 subunit alphaHomo sapiens (human)
sodium ion transmembrane transportSodium channel protein type 4 subunit alphaHomo sapiens (human)
regulation of skeletal muscle contraction by action potentialSodium channel protein type 4 subunit alphaHomo sapiens (human)
cardiac muscle cell action potential involved in contractionSodium channel protein type 4 subunit alphaHomo sapiens (human)
cellular response to amyloid-betaGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
monoatomic cation transportGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
brain developmentGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
visual learningGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
positive regulation of calcium ion transport into cytosolGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
propylene metabolic processGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calcium-mediated signalingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
regulation of membrane potentialGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
response to ethanolGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
positive regulation of transcription by RNA polymerase IIGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
regulation of synaptic plasticityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
regulation of neuronal synaptic plasticityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
protein heterotetramerizationGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
positive regulation of synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calcium ion homeostasisGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calcium ion transmembrane import into cytosolGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
excitatory chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
positive regulation of reactive oxygen species biosynthetic processGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
regulation of monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
response to glycineGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
positive regulation of excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
cellular response to amyloid-betaGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
startle responseGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
response to amphetamineGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
brain developmentGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
learning or memoryGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
memoryGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
visual learningGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
response to xenobiotic stimulusGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
response to woundingGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
sensory perception of painGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
calcium-mediated signalingGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
neurogenesisGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
protein catabolic processGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
sleepGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
directional locomotionGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
negative regulation of protein catabolic processGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
dopamine metabolic processGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
serotonin metabolic processGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
positive regulation of apoptotic processGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
response to ethanolGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
regulation of synaptic plasticityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
regulation of neuronal synaptic plasticityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
positive regulation of synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
activation of cysteine-type endopeptidase activityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
calcium ion transmembrane import into cytosolGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
excitatory chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
protein localization to postsynaptic membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
regulation of monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
positive regulation of excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
long-term synaptic potentiationGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
brain developmentGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
learning or memoryGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
calcium-mediated signalingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
response to ethanolGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
regulation of synaptic plasticityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
regulation of neuronal synaptic plasticityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
protein heterotetramerizationGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
positive regulation of synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
calcium ion transmembrane import into cytosolGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
excitatory chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
negative regulation of dendritic spine maintenanceGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
regulation of monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
positive regulation of excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
positive regulation of cysteine-type endopeptidase activityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
long-term synaptic potentiationGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
brain developmentGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
response to woundingGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
calcium-mediated signalingGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
directional locomotionGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
negative regulation of protein catabolic processGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
regulation of synaptic plasticityGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
regulation of neuronal synaptic plasticityGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
neuromuscular process controlling balanceGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
positive regulation of synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
calcium ion transmembrane import into cytosolGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
excitatory chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
protein localization to postsynaptic membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
regulation of monoatomic cation transmembrane transportGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
positive regulation of excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
long-term synaptic potentiationGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
excitatory postsynaptic potentialGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
calcium ion transportGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
dendrite developmentGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
response to ethanolGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
rhythmic processGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
prepulse inhibitionGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
negative regulation of dendritic spine developmentGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
calcium ion transmembrane transportGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
presynaptic modulation of chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
ionotropic glutamate receptor signaling pathwayGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
synaptic transmission, glutamatergicGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
modulation of chemical synaptic transmissionGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
xenobiotic metabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
negative regulation of gene expressionCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bile acid and bile salt transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
heme catabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic export from cellCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transepithelial transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
leukotriene transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
monoatomic anion transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (49)

Processvia Protein(s)Taxonomy
glutamate-gated receptor activityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
glutamate bindingGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
voltage-gated monoatomic cation channel activityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
ATP bindingATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type bile acid transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATP hydrolysis activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
icosanoid transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
guanine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ATP bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type xenobiotic transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
urate transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
purine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type bile acid transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
efflux transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
15-hydroxyprostaglandin dehydrogenase (NAD+) activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATP hydrolysis activityMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
calcium channel activityGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
monoatomic cation channel activityGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
glycine bindingGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
neurotransmitter receptor activityGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
glutamate receptor activityGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
guanyl-nucleotide exchange factor activityRap guanine nucleotide exchange factor 3Homo sapiens (human)
protein bindingRap guanine nucleotide exchange factor 3Homo sapiens (human)
protein domain specific bindingRap guanine nucleotide exchange factor 3Homo sapiens (human)
cAMP bindingRap guanine nucleotide exchange factor 3Homo sapiens (human)
voltage-gated sodium channel activitySodium channel protein type 4 subunit alphaHomo sapiens (human)
protein bindingSodium channel protein type 4 subunit alphaHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calcium channel activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
amyloid-beta bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calcium ion bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
calmodulin bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
glycine bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
glutamate bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
protein-containing complex bindingGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
signaling receptor activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
ligand-gated monoatomic ion channel activityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
amyloid-beta bindingGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
zinc ion bindingGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
amyloid-beta bindingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
zinc ion bindingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
glycine bindingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
glutamate bindingGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
glutamate-gated calcium ion channel activityGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
NMDA glutamate receptor activityGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
calcium channel activityGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
protein bindingGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
glycine bindingGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
identical protein bindingGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
protein phosphatase 2A bindingGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
glutamate receptor activityGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potentialGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
protein bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
organic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type xenobiotic transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP hydrolysis activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (48)

Processvia Protein(s)Taxonomy
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
postsynaptic membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
presynaptic active zone membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
hippocampal mossy fiber to CA3 synapseGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
glutamatergic synapseGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2DHomo sapiens (human)
plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basal plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basolateral plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
nucleolusMultidrug resistance-associated protein 4Homo sapiens (human)
Golgi apparatusMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
platelet dense granule membraneMultidrug resistance-associated protein 4Homo sapiens (human)
external side of apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
neuronal cell bodyGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 3BHomo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
plasma membraneRap guanine nucleotide exchange factor 3Homo sapiens (human)
cortical actin cytoskeletonRap guanine nucleotide exchange factor 3Homo sapiens (human)
plasma membraneRap guanine nucleotide exchange factor 3Homo sapiens (human)
microvillusRap guanine nucleotide exchange factor 3Homo sapiens (human)
endomembrane systemRap guanine nucleotide exchange factor 3Homo sapiens (human)
membraneRap guanine nucleotide exchange factor 3Homo sapiens (human)
lamellipodiumRap guanine nucleotide exchange factor 3Homo sapiens (human)
filopodiumRap guanine nucleotide exchange factor 3Homo sapiens (human)
extracellular exosomeRap guanine nucleotide exchange factor 3Homo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 1 Rattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 1 Rattus norvegicus (Norway rat)
plasma membraneSodium channel protein type 4 subunit alphaHomo sapiens (human)
voltage-gated sodium channel complexSodium channel protein type 4 subunit alphaHomo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2A Rattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 2A Rattus norvegicus (Norway rat)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2BRattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 2BRattus norvegicus (Norway rat)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2CRattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 2CRattus norvegicus (Norway rat)
cytoplasmGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
synaptic vesicleGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
cell surfaceGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
postsynaptic densityGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
dendriteGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
neuron projectionGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
synaptic cleftGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
terminal boutonGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
dendritic spineGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
synapseGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
postsynaptic membraneGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
excitatory synapseGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
synaptic membraneGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
synapseGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
neuron projectionGlutamate receptor ionotropic, NMDA 1Homo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
synaptic vesicleGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
cell surfaceGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
postsynaptic densityGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
cytoplasmic vesicle membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
presynaptic membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
dendritic spineGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
postsynaptic membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
synaptic membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
glutamatergic synapseGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 2AHomo sapiens (human)
cytoplasmGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
lysosomeGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
late endosomeGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
cytoskeletonGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
cell surfaceGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
postsynaptic densityGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
neuron projectionGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
postsynaptic membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
synaptic membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 2BHomo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
postsynaptic membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
glutamatergic synapseGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 2CHomo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 2DRattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 2DRattus norvegicus (Norway rat)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
membraneGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
neuron projectionGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
neuronal cell bodyGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
synapseGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
presynapseGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
glutamatergic synapseGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
NMDA selective glutamate receptor complexGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
plasma membraneGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
postsynaptic density membraneGlutamate receptor ionotropic, NMDA 3AHomo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 3BRattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 3BRattus norvegicus (Norway rat)
plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell surfaceCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
intercellular canaliculusCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
endoplasmic reticulum membraneGlutamate receptor ionotropic, NMDA 3ARattus norvegicus (Norway rat)
plasma membraneGlutamate receptor ionotropic, NMDA 3ARattus norvegicus (Norway rat)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (189)

Assay IDTitleYearJournalArticle
AID480455Inhibition of dexamethasone-induced human NR1-1a/NR2B receptor-mediated excitotoxicity in (S)-glutamate/glycine-stimulated mouse L13-E6 cells assessed as LDH release after 30 mins2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID28681Partition coefficient (logD6.5)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1692779Drug elimination in human urine assessed as metabolically unchanged compound2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID27167Delta logD (logD6.5 - logD7.4)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID679762TP_TRANSPORTER: increase in Calcein-AM intracellular accumulation (Calcein-AM: ? uM, Ketamine: 100 uM) in MDR1-expressing MDCKII cells2002The Journal of pharmacology and experimental therapeutics, Dec, Volume: 303, Issue:3
Passive permeability and P-glycoprotein-mediated efflux differentiate central nervous system (CNS) and non-CNS marketed drugs.
AID765751Analgesic effect in iv dosed Sprague-Dawley rat assessed as time required to cause pedal withdrawal reflex2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID1525556Inhibition of human TASK3 expressed in Xenopus oocytes at 100 uM by whole cell patch clamp assay relative to control2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID1692785Displacement of [3H]-MK801 from NMDA receptor in rat brain membranes incubated for 45 mins in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692773Bioavailability in SL dosed human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692775Displacement of [3H]-MK801 from NMDA receptor in Sprague-Dawley rat cerebral cortex by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID765752Anesthetic effect in iv dosed Sprague-Dawley rat assessed as dose required to cause loss of righting reflex2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID496820Antimicrobial activity against Trypanosoma brucei2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692765Aqueous solubility of the compound2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID496819Antimicrobial activity against Plasmodium falciparum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID146726Inhibition of sodium channels through tonic blockade2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
Design, synthesis, and evaluation of analogues of 3,3,3-trifluoro-2-hydroxy-2-phenyl-propionamide as orally available general anesthetics.
AID223455Evaluated in vivo for its NMDA antagonist activity by the inhibition of NMDA-induced lethality in mice1993Journal of medicinal chemistry, Jul-09, Volume: 36, Issue:14
Synthesis and pharmacological evaluation of 4a-phenanthrenamine derivatives acting at the phencyclidine binding site of the N-methyl-D-aspartate receptor complex.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692778Drug elimination in human urine assessed as formation of dehydronorketamine2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID496825Antimicrobial activity against Leishmania mexicana2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID144606Inhibition of [3H]MK-801 binding to N-methyl-D-aspartate glutamate receptor of rat cerebral cortical synaptic membrane1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
Synthesis and biological activity of conformationally restricted analogues of milnacipran: (1S, 2R)-1-phenyl-2-[(R)-1-amino-2-propynyl]-N,N- diethylcyclopropanecarboxamide is a novel class of NMDA receptor channel blocker.
AID765748Anesthetic effect in iv dosed Sprague-Dawley rat assessed as time required to walk2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID144832Binding affinity towards PCP site of the NMDA receptor was measured by displacement of [3H]TPC in whole rat brain homogenate1993Journal of medicinal chemistry, Jul-09, Volume: 36, Issue:14
Synthesis and pharmacological evaluation of 4a-phenanthrenamine derivatives acting at the phencyclidine binding site of the N-methyl-D-aspartate receptor complex.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692792Displacement of [3H]-MK801 from NMDA receptor in dog cerebral cortex incubated for 45 mins by liquid scintillation spectrometry2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID590109Inhibition of human recombinant NR1/NR2A receptor expressed in U2OS assessed as change in intracellular calcium level by FLIPR assay2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Novel analogues of ketamine and phencyclidine as NMDA receptor antagonists.
AID590108Inhibition of human recombinant NR1/NR2B receptor expressed in U2OS assessed as change in intracellular calcium level by FLIPR assay2011Bioorganic & medicinal chemistry letters, Apr-01, Volume: 21, Issue:7
Novel analogues of ketamine and phencyclidine as NMDA receptor antagonists.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1692796Displacement of [3H]-MK801 from rat brain GluN1/GluN2A expressed in HEK293 cells2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID681116TP_TRANSPORTER: transepithelial transport (basal to apical) in MDR1-expressing MDCKII cells2002The Journal of pharmacology and experimental therapeutics, Dec, Volume: 303, Issue:3
Passive permeability and P-glycoprotein-mediated efflux differentiate central nervous system (CNS) and non-CNS marketed drugs.
AID1692790Displacement of [3H]-MK801 from NMDA receptor in Dunkin-Hartley guinea pig brain homogenate incubated for 45 mins by liquid scintillation spectrometry2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692761Displacement of [3H]-MK801 from NMDA receptor in rat brain membranes incubated for 60 mins in presence of Mg2+ by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692805Anesthetic activity in IN dosed human assessed as time duration for onset of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1602887Short-acting anaesthetic activity in Sprague-Dawley rat assessed as time for return of righting reflex after infusion stopped at 20 mg/kg/min followed by dose reduction to 6.7 mg/kg/min dosed via infusion2019Bioorganic & medicinal chemistry, 04-01, Volume: 27, Issue:7
Ketamine esters and amides as short-acting anaesthetics: Structure-activity relationships for the side-chain.
AID1692786Displacement of [3H]-TCP from NMDA receptor in rat brain membranes incubated for 45 mins in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692759Antagonist activity at NMDA receptor (unknown origin) assessed as trapping capability relative to control2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1583472Induction of dendritogenesis in Sprague-Dawley rat cortical neurons assessed as increase in dendritic arbor complex at 1 nM after 1 hr supplemented with fresh neurobasal medium measured after 71 hrs by Alexa Fluor 488 dye based imaging analysis2020Journal of medicinal chemistry, 02-13, Volume: 63, Issue:3
Identification of Psychoplastogenic
AID1692803Anesthetic activity in IM dosed human assessed as time duration for onset of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID1602883Displacement of [3H] MK-801 from NMDA glutamate ion channel in Wistar rat brain membranes (minus cerebellum) after 3 hrs by scintillation counting analysis2019Bioorganic & medicinal chemistry, 04-01, Volume: 27, Issue:7
Ketamine esters and amides as short-acting anaesthetics: Structure-activity relationships for the side-chain.
AID29359Ionization constant (pKa)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1473738Inhibition of human BSEP overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-taurocholate in presence of ATP measured after 15 to 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID496832Antimicrobial activity against Trypanosoma brucei rhodesiense2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692770Protein binding in human plasma2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID146725Inhibition of sodium channels through phasic blockade2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
Design, synthesis, and evaluation of analogues of 3,3,3-trifluoro-2-hydroxy-2-phenyl-propionamide as orally available general anesthetics.
AID1692758Displacement of [3H]-MK801 from NMDA receptor in rat whole brain homogenate incubated for 2 hrs in presence of Mg2+ by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID496826Antimicrobial activity against Entamoeba histolytica2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692788Displacement of [3H]-MK801 from NMDA receptor in rat brain membranes incubated for 2 hrs in presence of Mg2+/glumate/glycine by radioligand binding assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1473741Inhibition of human MRP4 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID480448Inhibition of electric eel AChE by modified Ellman's method2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID204690Compound tested for inhibition uptake of Serotonin transporter with cerebral cortical synaptic membrane of rats using [3H]paroxetine; not tested1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
Synthesis and biological activity of conformationally restricted analogues of milnacipran: (1S, 2R)-1-phenyl-2-[(R)-1-amino-2-propynyl]-N,N- diethylcyclopropanecarboxamide is a novel class of NMDA receptor channel blocker.
AID1443980Inhibition of human BSEP expressed in fall armyworm sf9 cell plasma membrane vesicles assessed as reduction in vesicle-associated [3H]-taurocholate transport preincubated for 10 mins prior to ATP addition measured after 15 mins in presence of [3H]-tauroch2010Toxicological sciences : an official journal of the Society of Toxicology, Dec, Volume: 118, Issue:2
Interference with bile salt export pump function is a susceptibility factor for human liver injury in drug development.
AID144466Inhibition of [3H]-MK-801 binding to NMDA receptor from rat cerebral cortical synaptic membrane1996Journal of medicinal chemistry, Nov-22, Volume: 39, Issue:24
Synthesis and biological activity of conformationally restricted analogs of milnacipran: (1S,2R)-1-phenyl-2-[(S)-1-aminopropyl]-N,N-diethylcyclopropanecarboxami de, an efficient noncompetitive N-methyl-D-aspartic acid receptor antagonist.
AID496824Antimicrobial activity against Toxoplasma gondii2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692806Anesthetic activity in po dosed human assessed as time duration for onset of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1473740Inhibition of human MRP3 overexpressed in Sf9 insect cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 10 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID29811Oral bioavailability in human2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1909434Inhibition of eGFP-tagged rat GluN1-1a/GluN2A transfected in human tsA201 cells assessed as inhibition glutamate-induced current measured at -65 mV holding potential applied for 10 secs by whole-cell patch-clamp method2022European journal of medicinal chemistry, Jun-05, Volume: 236Design, synthesis, and in vitro and in vivo characterization of new memantine analogs for Alzheimer's disease.
AID1692764Dissociation constant, pKa of compound2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID625278FDA Liver Toxicity Knowledge Base Benchmark Dataset (LTKB-BD) drugs of no concern for DILI2011Drug discovery today, Aug, Volume: 16, Issue:15-16
FDA-approved drug labeling for the study of drug-induced liver injury.
AID1473739Inhibition of human MRP2 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1602886Analgesic activity in Sprague-Dawley rat assessed as minimal dose for loss of pedal withdrawal reflex at 20 mg/kg/min followed by dose reduction to 6.7 mg/kg/min dosed via infusion2019Bioorganic & medicinal chemistry, 04-01, Volume: 27, Issue:7
Ketamine esters and amides as short-acting anaesthetics: Structure-activity relationships for the side-chain.
AID480463Cytotoxicity against mouse L12-G10 cells by MTT assay2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID765749Anesthetic effect in iv dosed Sprague-Dawley rat assessed as duration of recovery of righting reflex2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID411793Metabolic stability in human liver microsomes assessed as intrinsic clearance per mg of protein2009Journal of medicinal chemistry, Jan-22, Volume: 52, Issue:2
Metabolic soft spot identification and compound optimization in early discovery phases using MetaSite and LC-MS/MS validation.
AID1692797Displacement of [3H]-MK801 from rat brain GluN1/GluN2B expressed in HEK293 cells2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1692794Displacement of [3H]-MK801 from NMDA receptor in Sprague-Dawley rat cerebellum by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID1692802Displacement of [3H]-MK801 from NMDA receptor in rat forebrain homogenate incubated for 2 hrs in presence of Mg2+ by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID480452Inhibition of equine serum BChE at 10 uM by modified Ellman's method2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1692767Bioavailability in human at 0.5 mg/kg, IM2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692777Drug elimination in human urine assessed as formation of norketamine2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692808Anesthetic activity in po dosed human assessed as time duration of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1124803Antagonist activity at NR1/NR2A receptor (unknown origin) expressed in Xenopus laevis oocytes assessed as inhibition of glutamate/glycine-induced current at pH 7.6 at -40mV holding potential by two-electrode voltage-clamp electrophysiology2014Bioorganic & medicinal chemistry, Apr-01, Volume: 22, Issue:7
Some non-conventional biomolecular targets for diamidines. A short survey.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692768Oral bioavailability in human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1909463Inhibition of human GluN1/N2A expressed in HEK293 cells assessed as NMDA/glycine-induced fraction of total transmembrane voltage field at 10 uM preincubated for 20 secs followed by NMDA treatment for 10 secs by patch-clamp method2022European journal of medicinal chemistry, Jun-05, Volume: 236Design, synthesis, and in vitro and in vivo characterization of new memantine analogs for Alzheimer's disease.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID496829Antimicrobial activity against Leishmania infantum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID496827Antimicrobial activity against Leishmania amazonensis2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID110161Ability to cause loss of righting reflex in mice represented as no. of counts for each animal for a total of 90 min when 100 mg/kg dose was administered intraperitoneally1985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Aminotetralone analogues of ketamine: synthesis and evaluation of hypnotic and locomotor properties in mice.
AID1602885Short-acting anaesthetic activity in Sprague-Dawley rat assessed as dose causing loss of righting reflex at 20 mg/kg/min followed by dose reduction to 6.7 mg/kg/min dosed via infusion2019Bioorganic & medicinal chemistry, 04-01, Volume: 27, Issue:7
Ketamine esters and amides as short-acting anaesthetics: Structure-activity relationships for the side-chain.
AID765750Analgesic effect in iv dosed Sprague-Dawley rat assessed as dose required to cause pedal withdrawal reflex2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID21247Partition coefficient was expressed as the ratio of the equilibrium concentration in chloroform solvent to that in an equal volume of pH 7.4 aqueous buffer1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparative pharmacology in the rat of ketamine and its two principal metabolites, norketamine and (Z)-6-hydroxynorketamine.
AID496821Antimicrobial activity against Leishmania2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692793Displacement of [3H]-MK801 from NMDA receptor in rat spinal cord incubated for 45 mins by liquid scintillation spectrometry2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692774Cmax in human at 2 mg/kg, iv measured after 1 mins2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID21246Partition coefficient was expressed as the ratio of the equilibrium concentration in benzene solvent to that in an equal volume of pH 7.4 aqueous buffer1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparative pharmacology in the rat of ketamine and its two principal metabolites, norketamine and (Z)-6-hydroxynorketamine.
AID1692804Anesthetic activity in SC dosed human assessed as time duration for onset of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID496828Antimicrobial activity against Leishmania donovani2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1702354Antidepressant-like activity in Wistar rat assessed as minimum effective dose causing reduction in immobility time administered intraperitoneally with compound 60 mins prior to testing and measured for 5 mins test period by Porsolt-forced swim test
AID765747Dissociation constant, pKa of the compound2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1692798Displacement of [3H]-MK801 from NMDA receptor in rat striatum incubated for 2 hrs in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID496818Antimicrobial activity against Trypanosoma brucei brucei2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID175137Compound was administered to male Sprague-Dawley rats (250-300 g) by intravenous (iv) bolus injection at a dose of 40 mg/kg1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparative pharmacology in the rat of ketamine and its two principal metabolites, norketamine and (Z)-6-hydroxynorketamine.
AID496823Antimicrobial activity against Trichomonas vaginalis2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID222489Testing for ataxia was done by using an inverted screen technique1993Journal of medicinal chemistry, Jul-09, Volume: 36, Issue:14
Synthesis and pharmacological evaluation of 4a-phenanthrenamine derivatives acting at the phencyclidine binding site of the N-methyl-D-aspartate receptor complex.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1692763Octanol-water partition coefficient, log P of the compound2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692769Bioavailability in iv dosed human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID24432Partition coefficient was measured using a standard shake flask (SF) method at pH 7.4.1993Journal of medicinal chemistry, Jul-09, Volume: 36, Issue:14
Synthesis and pharmacological evaluation of 4a-phenanthrenamine derivatives acting at the phencyclidine binding site of the N-methyl-D-aspartate receptor complex.
AID1692784Distribution half life in human brain2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692799Displacement of [3H]-MK801 from NMDA receptor in Sprague-Dawley rat cortex incubated for 2 hrs in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID496831Antimicrobial activity against Cryptosporidium parvum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID496830Antimicrobial activity against Leishmania major2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1692789Displacement of [3H]-MK801 from NMDA receptor in ICR Harlan mouse brain homogenate incubated for 45 mins by liquid scintillation spectrometry2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID480451Inhibition of electric eel AChE at 10 uM by modified Ellman's method2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1692791Displacement of [3H]-MK801 from NMDA receptor in dog brain homogenate incubated for 45 mins by liquid scintillation spectrometry2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID21248Partition coefficient was expressed as the ratio of the equilibrium concentration in n-heptane solvent to that in an equal volume of pH 7.4 aqueous buffer1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparative pharmacology in the rat of ketamine and its two principal metabolites, norketamine and (Z)-6-hydroxynorketamine.
AID1702357Antidepressant-like activity in Wistar rat assessed as reduction in immobility time at 15 mg/kg, ip administered 60 mins prior to testing and measured for 5 mins test period by Porsolt-forced swim test
AID765753Anesthetic effect in iv dosed Sprague-Dawley rat assessed as duration of loss of righting reflex2013Bioorganic & medicinal chemistry, Sep-01, Volume: 21, Issue:17
Structure-activity relationships for ketamine esters as short-acting anaesthetics.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1502362Antidepressant activity in CD-1 mouse assessed as reduction in immobility time at 30 mg/kg administered ip 15 mins prior to test measured for 6 mins by tail suspension test
AID1692781Elimination half life in Wistar rat at 20 mg/kg, iv by LC-MS analysis2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1456862Antidepressant-like activity in Harlan Sprague-Dawley rat assessed as reduction in immobility time at 10 mg/kg, ip administered 30 mins prior to test measured for 6 mins by forced swim test
AID480464Cytotoxicity against mouse L12-G10 cells at 50 uM by MTT assay2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1692772Bioavailability in REC dosed human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692780Elimination half life in human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692771Bioavailability in IN dosed human2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692800Displacement of [3H]-MK801 from NMDA receptor in human cortex incubated for 2 hrs in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692801Displacement of [3H]-MK801 from human forebrain GluN1/GluN2B expressed in HEK293 cells by at -70 mV holding potential by patch-clamp assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID497005Antimicrobial activity against Pneumocystis carinii2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID225475Ability to inhibit glutamate induced accumulation of [45 [Ca2+]] in cultured rat cortical neurons1993Journal of medicinal chemistry, Jul-09, Volume: 36, Issue:14
Synthesis and pharmacological evaluation of 4a-phenanthrenamine derivatives acting at the phencyclidine binding site of the N-methyl-D-aspartate receptor complex.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1692807Anesthetic activity in IM dosed human assessed as time duration of action2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1692795Displacement of [3H]-MK801 from NMDA receptor in Sprague-Dawley rat brain synaptic membrane incubated for 60 mins by liquid scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1692762Inhibition of NMDAR-mediated excitatory postsynaptic potential in Sprague-Dawley rat hippocampus CA1 region by electrophysiology2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID175138Compound was administered to male Sprague-Dawley rats (250-300 g) by intravenous (iv) bolus injection at a dose of 40 mg/kg1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparative pharmacology in the rat of ketamine and its two principal metabolites, norketamine and (Z)-6-hydroxynorketamine.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID496817Antimicrobial activity against Trypanosoma cruzi2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID480449Inhibition of equine serum BChE by modified Ellman's method2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1909462Inhibition of GluN1/N2A (unknown origin) expressed in human tsA201 cells assessed as glutamate-induced change in voltage at -65 mV holding potential for 30 secs by whole-cell patch-clamp method2022European journal of medicinal chemistry, Jun-05, Volume: 236Design, synthesis, and in vitro and in vivo characterization of new memantine analogs for Alzheimer's disease.
AID1602884Binding affinity to NMDA receptor (unknown origin)2019Bioorganic & medicinal chemistry, 04-01, Volume: 27, Issue:7
Ketamine esters and amides as short-acting anaesthetics: Structure-activity relationships for the side-chain.
AID480460Inhibition of human NR1-1a/NR2A receptor-mediated excitotoxicity mouse L12-G10 cells assessed as LDH release after 30 mins in absence of (S)-glutamate/glycine relative to control2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID156805The compound was tested for its ability to block PCP N-methyl-D-aspartate glutamate receptor at the PCP (phencyclidine) binding site in postmortem human frontal cortex.1998Journal of medicinal chemistry, Jan-29, Volume: 41, Issue:3
Quantitative analysis of the structural requirements for blockade of the N-methyl-D-aspartate receptor at the phencyclidine binding site.
AID1692760Displacement of [3H]-MK801 from NMDA receptor in rat brain membranes incubated for 2 hrs in presence of Mg2+ by radioligand binding assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID1692787Displacement of [3H]-MK801 from NMDA receptor in human frontal cortex in presence of Mg2+ by scintillation counting method2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Repurposing of Drugs-The Ketamine Story.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID480457Inhibition of dexamethasone-induced human NR1-1a/NR2A receptor-mediated excitotoxicity in (S)-glutamate/glycine-stimulated mouse L12-G10 cells assessed as LDH release at 100 uM after 30 mins2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID480453Inhibition of dexamethasone-induced human NR1-1a/NR2A receptor-mediated excitotoxicity in (S)-glutamate/glycine-stimulated mouse L12-G10 cells assessed as LDH release after 30 mins2010Journal of medicinal chemistry, May-13, Volume: 53, Issue:9
Bivalent beta-carbolines as potential multitarget anti-Alzheimer agents.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1508612NCATS Parallel Artificial Membrane Permeability Assay (PAMPA) Profiling2017Bioorganic & medicinal chemistry, 02-01, Volume: 25, Issue:3
Highly predictive and interpretable models for PAMPA permeability.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1508591NCATS Rat Liver Microsome Stability Profiling2020Scientific reports, 11-26, Volume: 10, Issue:1
Retrospective assessment of rat liver microsomal stability at NCATS: data and QSAR models.
AID1645848NCATS Kinetic Aqueous Solubility Profiling2019Bioorganic & medicinal chemistry, 07-15, Volume: 27, Issue:14
Predictive models of aqueous solubility of organic compounds built on A large dataset of high integrity.
AID1346601Human GluN2C (Ionotropic glutamate receptors)2007The Journal of physiology, May-15, Volume: 581, Issue:Pt 1
Subunit-specific mechanisms and proton sensitivity of NMDA receptor channel block.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (13,897)

TimeframeStudies, This Drug (%)All Drugs %
pre-19902609 (18.77)18.7374
1990's1752 (12.61)18.2507
2000's2525 (18.17)29.6817
2010's4540 (32.67)24.3611
2020's2471 (17.78)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 125.54

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index125.54 (24.57)
Research Supply Index9.76 (2.92)
Research Growth Index4.81 (4.65)
Search Engine Demand Index250.64 (26.88)
Search Engine Supply Index2.09 (0.95)

This Compound (125.54)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials2,321 (15.44%)5.53%
Reviews1,454 (9.67%)6.00%
Case Studies982 (6.53%)4.05%
Observational97 (0.65%)0.25%
Other10,175 (67.70%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (1085)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study of the Efficacy and Safety of EpiCept™ NP-1 Topical Cream in Patients With Pain From Diabetic Peripheral Neuropathy (DPN) [NCT00476151]Phase 2226 participants (Actual)Interventional2007-07-31Completed
A Phase 1, Double-Blind, Placebo-Controlled Crossover Study of SAGE-904 Using a Ketamine Challenge to Evaluate Electrophysiology, Safety, Tolerability, and Pharmacokinetics in Healthy Participants [NCT05049343]Phase 122 participants (Actual)Interventional2021-09-21Completed
Assessment of the Analgesic Efficacy and Tolerability of the Perioperative Association of the Ketamine With Opiates After Posterior Vertebral Fusion Surgery in Children With Idiopathic Scoliosis [NCT02571491]Phase 248 participants (Actual)Interventional2012-01-31Completed
Effect of Perioperative i.v. Low-dose S(+) Ketamine in Patients Undergoing Hemorrhoidectomy [NCT00354029]Phase 483 participants (Actual)Interventional2006-08-31Completed
Impact of Ketamine Versus Propofol for Anesthetic Induction on Acute Kidney Injury and Renal Biomarkers in Cardiac Surgery [NCT05268562]Phase 4200 participants (Anticipated)Interventional2022-03-02Recruiting
Effects of NMDA Receptor Antagonism on Cognitive Processes in Healthy Volunteers and Its Reversal by a Dopamine Antagonist: Comparison to Patients With Schizophrenia [NCT01140620]Phase 487 participants (Actual)Interventional2010-06-30Completed
Importance of Integrated Pulmonary Index in Pediatric Patients Undergoing Endoscopy Procedures Under Sedation [NCT05137574]60 participants (Actual)Interventional2021-05-10Completed
CAP-Ketamine for Antidepressant Resistant PTSD [NCT02655692]Phase 2163 participants (Actual)Interventional2016-04-18Completed
Ketamine's Effect Changes the Cortical Electrophysiological Activity Related to Semantic Affective Dimension of Pain: a Placebo-controlled Study in Healthy Male Subjects [NCT03915938]Phase 2/Phase 324 participants (Actual)Interventional2017-01-02Completed
Evaluation of Post Operative Pain Following Primary Total Knee Arthroplasty (TKA) With Intraoperative Subanesthetic Ketamine Administration and Spinal Anesthesia [NCT03865550]75 participants (Anticipated)Interventional2016-03-28Active, not recruiting
Ketamine as an Adjunctive Treatment of Acute Suicidal Ideation in the Emergency Setting. [NCT02183272]Phase 2/Phase 360 participants (Anticipated)Interventional2016-08-31Recruiting
Criteria Based Discharge in Ambulatory Surgery in Children Undergoing Opioid Versus Opioid Free Anesthesia [NCT03979469]Phase 2100 participants (Actual)Interventional2018-08-01Completed
The Use of Ketamine as an Anaesthetic During Electroconvulsive Therapy (ECT) for Depression: Does it Improve Treatment Outcome? [NCT01306760]Phase 440 participants (Actual)Interventional2011-03-31Completed
KETODEX for Emergence Delirium in Children Undergoing Outpatient Strabismus Surgery [NCT03779282]90 participants (Actual)Observational2018-02-15Completed
Does Subanesthetic Dose of Ketamine Given at Induction of Anesthesia Improve Postoperative Mood In Women Undergoing Fractional Curettage? A Randomized Controlled Trial [NCT05752110]Phase 4140 participants (Actual)Interventional2022-04-01Completed
A Comparative Study Between Dexamethasone and Ketamine as Adjuvants to Bupivacaine for Incisional Infiltration in Pediatric Abdominal Operations [NCT05190952]150 participants (Actual)Interventional2020-12-05Completed
A Randomized, Double-blind, Placebo-Controlled, 3-Period Crossover Study Followed by 1 Open-label Comparator Period to Evaluate Central Nervous System Pharmacodynamic Activity of TAK-653 in Healthy Volunteers Using Transcranial Magnetic Stimulation [NCT03792672]Phase 124 participants (Actual)Interventional2019-02-11Completed
Pilot Study Probing the Antidepressant Effects of 0.5 mg/kg Intravenous Ketamine in Drug-resistant Depressed Patients (Unipolar Depression): Efficacy, Safety, Brain Function [NCT01135758]Phase 210 participants (Actual)Interventional2010-06-30Terminated(stopped due to End of funding of study)
Morphine Versus Ketamine as Adjuvants in Ultrasound-guided Paravertebral Thoracic Blocks in Elective Thoracic Surgery [NCT04852484]90 participants (Anticipated)Interventional2021-04-16Active, not recruiting
Glutamatergic Modulation as a Treatment for Depressive Symptoms Among Patients With Post-acute Sequelae of COVID (PASC): A Pilot Trial [NCT05690503]Phase 212 participants (Anticipated)Interventional2023-03-20Recruiting
Ketamine-assisted Psychotherapy for the Treatment of Persistent Depression in Abstinent Opioid Users [NCT05193318]Phase 25 participants (Actual)Interventional2022-01-13Terminated(stopped due to Primary Investigator leaving institution)
Ultrasound Guided Fascia Iliaca Nerve Block With Bupivacaine and Adjuvant Ketamine vs. Bupivacaine Alone in Patients With Hip or Femur Fracture: a Double Blind Randomized Clinical Trial (BupiKet) [NCT03909594]Phase 40 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to The COVID Pandemic delayed start of study and currently the investigators are not interested in conducting the study.)
Ketamine for Refractory Chronic Migraine: a Pilot Study [NCT03896256]Early Phase 16 participants (Actual)Interventional2019-03-22Completed
Efficacy of Ketamine-fentanyl VS Fentanyl for Analgosedation in Postoperative Ventilated SICU Patients [NCT03879564]Phase 4124 participants (Anticipated)Interventional2019-04-05Active, not recruiting
Oral Ketamine as an Adjuvant to Opioids for Pain Treatment in Cancer Patients [NCT01207206]50 participants (Anticipated)Interventional2010-10-31Recruiting
Safety, Tolerance and Pharmacokinetics of Hydrochloric Acid (R) -Ketamine Nasal Spray in Healthy Subjects: A Randomized, Double Blind, Placebo-Controlled Phase I Clinical Trial [NCT04108234]Phase 150 participants (Actual)Interventional2019-10-24Completed
A Phase 1, Double-blind, Placebo-controlled Crossover Study of SAGE-718 Using a Ketamine Challenge, to Evaluate the Electrophysiology, Safety, Tolerability, and Pharmacokinetics in Healthy Subjects [NCT03771586]Phase 122 participants (Actual)Interventional2018-09-24Completed
A Randomized Placebo-controlled Pilot Study of Single-dose Intraoperative Ketamine for the Prevention of Delirium in Otolaryngeal Cancer Surgery Patients [NCT03040024]Phase 471 participants (Actual)Interventional2017-03-17Terminated(stopped due to Halted due to COVID 19; we believe we have adequate data for analysis)
Paravertebral Nerve Blocks in Neonates and Infants Undergoing Repair of Aortic Coarctation, A Pilot Study [NCT03408340]Phase 430 participants (Anticipated)Interventional2018-07-18Recruiting
Effects of İntraarticular and Periarticular Applied Drugs on Postoperative Pain Management in Artroscopic Knee Surgery for [NCT03955809]Phase 475 participants (Actual)Interventional2013-08-31Completed
Electroencephalogram Studies of Induction and Recovery From Ketamine-Induced General Anesthesia [NCT03553758]Phase 2/Phase 316 participants (Actual)Interventional2018-11-01Completed
The Effect of Ketamine Between Generations in Operation Theater- Focus on Electroencephalogram Changes [NCT03679390]17 participants (Actual)Interventional2017-03-01Terminated(stopped due to no funding)
Effect of Perioperative Low Dose Ketamine on Postoperative Recovery in Patients Undergoing Breast Cancer Surgery [NCT03676114]Phase 4100 participants (Anticipated)Interventional2018-09-20Recruiting
Evaluation of the Efficacy of Preoperative Ketamine Nebulization on Postoperative Sore Throat Due to Tracheal Intubation for Adult Patients Under General Anesthesia, A Prospective Randomized Controlled Study [NCT05975346]80 participants (Anticipated)Observational2023-08-31Not yet recruiting
Naltrexone Plus Ketamine for the Rapid Treatment of Major Depressive Disorder and Alcohol Use Disorder [NCT03658330]Phase 25 participants (Actual)Interventional2016-05-31Completed
Subdissociative Dose Ketamine for Treatment of Acute Pain in Subjects With Chronic Pain: A Randomized Controlled Trial [NCT02920528]Phase 3106 participants (Actual)Interventional2017-05-01Completed
ERASE: Evaluation of the Relationship of the Anesthetic Agent Ketamine and Psychological Sequelae [NCT04053400]159 participants (Actual)Observational2014-12-31Completed
Intravenous Lidocaine for Perioperative and Postoperative Analgesia [NCT03921567]Phase 4520 participants (Anticipated)Interventional2019-04-15Recruiting
Lidocaine as an Adjuvant for Ketamine in Induction of Anesthesia in Septic Shock Patients: a Randomized Controlled Trial [NCT03640468]Phase 336 participants (Anticipated)Interventional2018-12-20Not yet recruiting
Pre-hospital Care With Intra-Nasal Ketamine for Transport (PRECINKT): A Pilot Study [NCT02033434]Phase 130 participants (Actual)Interventional2014-03-01Completed
Brain Activation Patterns Under Emotional and Neurochemic Stimulation With Ketamine: A Multimodal Neuroimaging Study [NCT03609190]Early Phase 110 participants (Actual)Interventional2015-01-31Completed
Importance of Integrated Pulmonary Index in Pediatric Patients Undergoing Bronchoscopy Procedures Under Sedation [NCT05137587]60 participants (Actual)Interventional2022-09-01Completed
Influence of Anesthetic Technique on Acute and Chronic Neuropathic Pain [NCT02527083]Phase 410 participants (Actual)Interventional2015-01-31Completed
Use of Transmucosal Ketamine in Post Stroke Depression [NCT04876066]Phase 121 participants (Anticipated)Interventional2020-11-30Recruiting
Fentanyl vs. Low-Dose Ketamine for the Relief of Moderate to Severe Pain in Aeromedical Patients [NCT01169025]0 participants (Actual)Interventional2012-09-30Withdrawn
A Multi-center, Randomized, subject-and Investigator Blinded, Placebo-controlled, Active Comparator, Parallel-group Proof of Concept Study to Evaluate the Efficacy, Safety, Tolerability and Pharmacokinetics of MIJ821 in Patients With Treatment-resistant D [NCT03756129]Phase 270 participants (Actual)Interventional2019-02-08Completed
The Effect of Ketamine on Production of Inflammatory Markers in Post Operative Patients in Mulago Hospital: A Randomized Clinical Trial [NCT01339065]Phase 430 participants (Anticipated)Interventional2011-04-30Recruiting
Adding Ketamine to Low Dose Bupivacaine in Saddle Block for Perianal Surgery [NCT03264430]Early Phase 160 participants (Actual)Interventional2017-01-01Active, not recruiting
Ketamine-based Versus Opioid-based for Rapid-sequence Induction of Anesthesia in Patients With Septic Shock [NCT03251170]Phase 442 participants (Actual)Interventional2018-01-25Completed
Laryngeal Mask Insertion Conditions And Hemodynamic Effects After Propofol And Ketamine-Propofol Co-induction [NCT03257800]120 participants (Actual)Interventional2013-06-01Completed
Neuroprotection During Open Heart Surgery Propofol Versus Ketofol [NCT04486690]Phase 350 participants (Actual)Interventional2016-07-01Completed
Combining Neurobiology and New Learning: Ketamine and Prolonged Exposure: A Potential Rapid Treatment for Post Traumatic Stress Disorder (PTSD) [NCT02727998]Phase 228 participants (Actual)Interventional2015-12-31Terminated(stopped due to Study ran out of funding)
Effects of Local Wound Infiltration With Ketamine Versus Dexmedetomidine Added to Bupivacaine on Inflammatory Cytokines Response After Total Abdominal Hysterectomy [NCT03164590]Phase 460 participants (Actual)Interventional2017-06-01Completed
Ketamine Co-induction for Patients With Major Depressive Disorder; a Randomized Clinical Trial [NCT03666494]Phase 450 participants (Anticipated)Interventional2018-12-31Not yet recruiting
Does Low-Dose Ketamine Infusion or Intravenous Morphine Infusion During Abdominoplasty Change Postoperative Pain Profile? : A Double-Blind, Randomized, Controlled Clinical Trial [NCT03664622]160 participants (Actual)Interventional2018-09-15Completed
A Prospective, Block Randomized, Double-Blind Placebo-Controlled Trial of Ketamine in Patients Undergoing Anterior Cervical Discectomy and Fusion [NCT02378740]Phase 40 participants (Actual)Interventional2015-04-30Withdrawn(stopped due to PI has left the University)
A Randomized, Double-Blind Study of Placebo vs. Ketamine For Use During Dressing Changes in Critically Ill Burn Patients [NCT02336308]Phase 40 participants (Actual)Interventional2015-01-31Withdrawn(stopped due to Standard of care for dressing changes at the institution now includes treatment intervention)
Sequential Therapy (NRX-100 Followed by NRX-101) for the Treatment of Acute Suicidal Ideation and Behavior in Bipolar Depression: the STABIL-B Study [NCT02974010]Phase 222 participants (Actual)Interventional2018-01-15Completed
A Comparison of Ketofol (Ketamine and Propofol Admixture) vs. Propofol as Induction Agents on Hemodynamic Parameters [NCT01065350]85 participants (Actual)Interventional2010-12-31Completed
Analgesic Efficacy of Intra-muscular Ketamine-ketorolac Versus Fentanyl- Ketorolac for Children Undergoing Bone Marrow Biopsy and Aspiration [NCT03649334]Phase 480 participants (Actual)Interventional2018-08-26Completed
Comparison of Oral Chloral Hydrate and Combination of Intranasal Dexmedetomidine and Ketamine for Procedural Sedation in Children: a Randomized Controlled Trial [NCT04820205]136 participants (Anticipated)Interventional2021-09-03Recruiting
A Prospective, Randomized, Double Blinded Comparison of Ketamine Infusion Versus Placebo in Opioid Tolerant and Opioid Naive Patients After Spinal Fusion [NCT03274453]Phase 2129 participants (Actual)Interventional2012-11-01Completed
Co-induction Ketamine-propofol: the Effects on Laryngeal Mask Airway Insertion Conditions and Resulting Hemodynamic Changes in Children [NCT03631875]Phase 4120 participants (Actual)Interventional2019-05-01Completed
A Double-blind, Randomized-controlled Trial Using a Low Dose of Ketamine vs. Active Placebo in Treating Severe Depression and Suicide [NCT03666390]48 participants (Anticipated)Interventional2018-09-10Recruiting
Combined Platelet Rich Plasma Intra-articular Shoulder Injection and Stellate Ganglion Block. A New Technique for Management of Chronic Post-mastectomy Shoulder Pain Syndrome [NCT03586154]Phase 470 participants (Actual)Interventional2017-08-01Completed
Ultrasound-guided (US) Serratus Anterior Plane Block (SAPB) for Acute Rib Fractures in the Emergency Department (ED) [NCT03619785]Phase 470 participants (Anticipated)Interventional2018-11-06Recruiting
The Impact of Ketamine on Postoperative Cognitive Dysfunction, Delirium, and Renal Dysfunction in Patients 75 Years of Age or Older and Undergoing Cardiac Surgery [NCT02554253]Phase 252 participants (Actual)Interventional2015-09-30Completed
A Randomized, Double-Blinded, Placebo-Controlled Study Evaluating Phenobarbital and Ketamine Adjunctive Therapies in the Treatment of Alcohol Withdrawal Syndrome [NCT03788889]Phase 40 participants (Actual)Interventional2019-04-12Withdrawn(stopped due to internal practice and policy limitations including time commitment / workflow issues)
Comparison of BIS Index Variations When i.v. Low-dose Ketamine is Administered Intraoperatively as Bolus Versus Continuous Infusion and Impact on the Anesthesia Gas Consumption. [NCT03781635]Phase 450 participants (Actual)Interventional2018-09-25Completed
The Effect of Different Anesthetic Agents Management on Electrocardiographic Changes of Patients Who Were Operated Under Regional Intravenous Anesthesia [NCT02063620]60 participants (Actual)Interventional2013-10-31Completed
Unraveling the Aesthetic Mind in Anhedonia, Insights From Pharmacological Imaging of the Human Brain: A Single-blind, Randomized, Placebo-controlled Cross-over Study [NCT05320107]Phase 160 participants (Anticipated)Interventional2022-06-01Recruiting
KetaMoHydBup: Pharmacokinetic Interaction of S-ketamine, Morphine, Hydromorphone and Buprenorphine [NCT05571176]Phase 112 participants (Anticipated)Interventional2023-01-31Not yet recruiting
A Comparison of the Effects of Ketamine and Remifentanil on Serum Cystatin-c Levels in CABG Surgery [NCT02113150]Phase 437 participants (Actual)Interventional2013-05-31Completed
HNC: Human Neural Circuits Electrophysiology During Cognition [NCT05962424]Phase 1120 participants (Anticipated)Interventional2023-10-05Recruiting
Prehospital Analgesia INtervention Trial (PAIN) [NCT05437575]Phase 3994 participants (Anticipated)Interventional2023-11-27Recruiting
Low Dose Intraoperative Intravenous Ketamine Combination With Spinal Morphine for Post Thoracic Surgery Pain : A Randomized Control Study [NCT02570230]Phase 432 participants (Actual)Interventional2017-10-01Completed
The Use of Sedation Drugs in the Procedure of Administering Surfactant Without Intubation (LISA/MIST): a Randomized Study Comparing Intravenous Ketamine With Sublingual 30% Glucose [NCT04409665]Phase 160 participants (Anticipated)Interventional2020-01-01Recruiting
Comparison of Ketamine-propofol Sedation Protocols With Fentanyl-propofol Administered by Endoscopist or Anesthesiologist at Colonoscopy [NCT03607110]120 participants (Actual)Observational2018-03-01Completed
Impact of Dexmedetomidine Versus Ketamine Soaked Pharyngeal Packing on Postoperative Sore Throat in Functional Endoscopic Sinus Surgery: a Randomized Double Blind Trial [NCT04955158]Phase 3143 participants (Actual)Interventional2021-08-19Completed
Diaphragmatic Function, Pain Quality & Anti-inflammatory Properties: A Low Dose Dexmedetomidine Versus Ketamine in Patients With Multiple Fracture Ribs Needing Conservative Treatment [NCT04928300]Phase 390 participants (Anticipated)Interventional2021-06-12Recruiting
The Effect of a Narcotic Free Total Intravenous Anesthesia on the Outcome and Patient Safety During Anterior Cervical Discectomy and Fusion (ACDF) Surgery: A Randomized Controlled Trial [NCT03643796]Phase 432 participants (Actual)Interventional2018-07-15Completed
Mapping the Influence of Drugs of Abuse on Risk and Reward Circuits [NCT03475277]40 participants (Anticipated)Observational2019-07-30Recruiting
UNderstanding CONSciousness Connectedness and Intraoperative Unresponsiveness Study [NCT03284307]Phase 435 participants (Actual)Interventional2017-08-10Completed
A Systematic Investigation of Neurophysiological Correlates of Low Dose Intravenous Ketamine in Treatment Resistant Depression Patients [NCT02935595]Phase 29 participants (Actual)Interventional2016-10-14Completed
A Randomized, Single-blind, Parallel-group Study to Evaluate the Effects of TS-134 on Ketamine-induced BOLD Signals in Resting fMRI in Healthy Adult Subjects [NCT03141658]Phase 163 participants (Actual)Interventional2017-06-28Completed
Early Low-dose Ketamine Infusion Versus Usual Care for Sickle Cell Pain Crisis: a Randomized, Prospective Study. [NCT04005209]Phase 40 participants (Actual)Interventional2022-01-31Withdrawn(stopped due to Decided not to open study)
Pharmacokinetics of Antiepileptic Drugs in Critically Ill Patients Undergoing Continuous Renal Replacement Therapy [NCT03632915]18 participants (Actual)Observational2017-11-20Completed
Opioid Free vs Opioid Based Anesthesia for Laparoscopic Sleeve Gastrectomy: Clinical, Randomised Study [NCT04260659]Phase 459 participants (Actual)Interventional2020-02-04Completed
The Effects of Low Dose Ketamine on Cardiovascular Function [NCT04429685]Phase 16 participants (Actual)Interventional2020-11-01Terminated(stopped due to The focus of the laboratory went a different direction given extramural funding)
Comparison of Nebulized Sub-dissociative Dose Ketamine at Three Different Dosing Regimens for Treating Acute and Chronic Painful Conditions in the ED: A Prospective, Randomized Trial [NCT03909607]Phase 4120 participants (Actual)Interventional2019-04-16Completed
Investigate the Effect of S-Ketamine, as Pharmacological Model of Schizophrenia, on the Attentiveness and Working Memory Simultaneously Measured With Functional Magnetic Resonance Imaging(fMRI)/Electroencephalogram(EEG) [NCT01165294]Phase 124 participants (Actual)Interventional2009-10-31Completed
Analgesia During Pediatric Digestive Endoscopy: a Comparison of Two Protocols for Procedural Sedation [NCT01168492]Phase 490 participants (Actual)Interventional2010-07-31Completed
Comparison Between the Analgesic Effects of Intrathecal Versus Intravenous Ketamine After Spinal Anaesthesia for Elective Caesarean Delivery :a Randomised Trial [NCT05679375]Phase 460 participants (Anticipated)Interventional2023-01-31Not yet recruiting
The Ketamine for Acute Postoperative Analgesia (KAPA) Trial [NCT04646694]Phase 340 participants (Actual)Interventional2020-11-17Completed
Lidocaine-Ketamine Versus Ketamine for Induction of Anesthesia in Septic Shock Patients: a Randomized Controlled Trial [NCT03844984]Phase 343 participants (Actual)Interventional2019-02-20Completed
Comparison of Peritonsillar Infiltration of Ketamine and Dexamethasone for Postoperative Pain Relief in Children Following Adenotonsillectomy [NCT01198210]Phase 1/Phase 2160 participants (Anticipated)Interventional2010-07-31Recruiting
Characterizing Clinical and Pharmacological Neuroimaging Biomarkers [NCT03842800]Early Phase 1143 participants (Actual)Interventional2013-04-01Completed
A Two-part, Single-dose, Randomized, Double-blind, Placebo and Active-Controlled Crossover Study to Evaluate the Abuse Potential of Rapastinel in Healthy, Non-dependent, Adult Recreational Polydrug Users [NCT03799900]Phase 172 participants (Actual)Interventional2018-11-01Completed
Continuation Riluzole in the Prevention of Relapse Following Ketamine in Major Depression [NCT00419003]Phase 426 participants (Actual)Interventional2006-12-31Completed
Fentanyl Versus Ketamine Supplementation for Prpofol Anesthesia During Balloon Insertion in Morbidly Obese Patients [NCT03747094]70 participants (Anticipated)Interventional2018-12-01Not yet recruiting
A Phase 1 Pharmacokinetics and Pharmacodynamics of Ketamine Transdermal Drug Delivery System in Subjects With Sub-Optimally Responsive Major Depressive Disorders [NCT03721900]Phase 114 participants (Anticipated)Interventional2018-12-28Active, not recruiting
Effect of Intravenous Ketamine Infusion for Hemodynamic Stability in Patients Undergoing Cesarean Delivery [NCT05865080]126 participants (Actual)Interventional2022-07-01Completed
Single-dose Intraoperative Methadone for Early Ambulation and Sustained Pain Control in Spinal Fusion Surgery Patients [NCT02989597]Phase 410 participants (Actual)Interventional2017-07-29Terminated(stopped due to Due to personnel loss and logistical issues the study was unable to be completed as planned.)
An Open-Label Clinical Trial of Simultaneous Administration of Oral Aspirin and Ketamine as Adjunct to Oral Antidepressant Therapy in Treatment-Resistant Depression [NCT05615948]Phase 420 participants (Anticipated)Interventional2022-12-06Recruiting
Ketamine, Lidocaine and Combination for Postoperative Analgesia in Open Liver Resection: A Prospective, Randomized, Four-arm, Double Blind, Placebo Controlled Trial [NCT03391427]124 participants (Actual)Interventional2011-03-01Completed
Comparison of N2O Inhalation and Ketamine IV Injection for Sedation in the Treatment of Laceration of Pediatric Patients. [NCT00834730]Phase 432 participants (Actual)Interventional2009-01-31Completed
Infra-orbital Nerve Block for Post Operative Analgesia in Young Children Undergoing Pediatric Cleft Lip Surgery. [NCT02514980]Phase 2/Phase 330 participants (Actual)Interventional2015-08-31Completed
An Open Label Study of Electroencephalographic Responses Pre, During and Post, a Low Dose, Weekly Intravenous Ketamine Infusion for 4 Weeks, in a Study Population With Major Depression Disorder [NCT05506462]Phase 435 participants (Anticipated)Interventional2023-01-31Not yet recruiting
The Impact of AMPA Receptor Blockade on Ketamine's Anti-Suicidal Effects [NCT05786066]Phase 230 participants (Anticipated)Interventional2023-04-03Recruiting
OBSERVATIONAL STUDY OF THE MANAGEMENT OF PATIENTS WITH CHRONIC PAIN [NCT03319238]1,000 participants (Anticipated)Observational2016-07-07Recruiting
The Use Of Intranasal (IN) Ketamine For Pain Control In Patients With Sickle Cell Disease And Vaso-occlusive Episode (VOE) In The Pediatric Emergency Department [NCT04150757]Phase 340 participants (Anticipated)Interventional2020-08-21Recruiting
Intranasal Ketamine for Procedural Sedation: a Feasibility Cohort Study [NCT05783492]Phase 30 participants (Actual)Interventional2024-01-01Withdrawn(stopped due to Lack of availability of drug)
Efficacy of Combined Ketamine and Midazolam for Treatment of Generalized Convulsive Status Epilepticus in Children . [NCT05779657]Phase 2/Phase 3144 participants (Anticipated)Interventional2023-03-21Recruiting
A Randomized, Controlled, Single-Blind, Phase 2 Study in Treatment Resistant Major Depressive Disorder Patients Receiving Intranasal Esketamine (SpravatoTM) Over a 28-day Period Comparing Addition of Almond TherapyTM With Treatment-as-Usual [NCT05323019]Phase 26 participants (Actual)Interventional2022-10-13Terminated(stopped due to Funding)
Feasibility Study Comparing a Ketamine and Midazolam Infusion to a Midazolam-Only Infusion for Complex Regional Pain Syndrome [NCT05945147]Phase 24 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Randomized Controlled Trial of IN Midazolam vs IN Dexmedetomidine vs IN Ketamine Evaluating Length of Stay After Medication Administration and Anxiolysis During Minimal Procedures in Pediatric Population in Pediatric Emergency Department [NCT05934669]Phase 490 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Psilocybin-Assisted vs Ketamine-Assisted Psychotherapy for Alcohol Use Disorder [NCT05421065]Phase 220 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Intraoperative Ketamine Administration in Colorectal Surgery: Effect on Postoperative Clinical Outcomes [NCT01365195]Phase 421 participants (Actual)Interventional2011-05-31Terminated(stopped due to recruitment failure)
Oral Morphine Versus Rectal Ketamine in Pain Management During Burns Wound Dressing Changes in Paediatric Population at Mbarara Regional Referral Hospital: An Open Label Randomized Trial [NCT05163366]Phase 344 participants (Actual)Interventional2021-03-01Completed
Caudal Epidural Block Versus Topical Ketamine Application for Postoperative Pain Relief After Elective Inguinal Herniotomy [NCT02462174]Phase 2/Phase 380 participants (Actual)Interventional2015-05-31Completed
Naloxone Block of Low-dose (Analgetic Dose) Ketamine [NCT00921765]Phase 43 participants (Actual)Interventional2009-12-31Terminated(stopped due to Problems with patient recruitment)
Opioid Free Anesthesia for Upper Limb Surgery in Obese Patients. [NCT05481970]76 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Efficacy of Intra-articular Neostigmine Versus Ketamine for Postoperative Analgesia in Arthroscopic Knee Surgery [NCT03248648]Phase 2/Phase 3100 participants (Actual)Interventional2017-03-01Completed
Open Study of the Neurobiological Effects of Intranasal Ketamine in Children and Adults With Bipolar Disorder - Fear of Harm Phenotype [NCT05209217]20 participants (Anticipated)Observational2019-06-04Recruiting
The Effects of Combination of Intravenous Dexamethasone and Ketamine on Change of Postoperative Mood in Patients Undergoing Laparoscopically Assisted Gynecologic Surgery. [NCT03194594]Phase 493 participants (Actual)Interventional2017-05-02Completed
A Randomized Pilot Trial of Intramuscular Ketamine and Crisis Response Planning for Suicide Prevention in the Emergency Department [NCT05696691]Phase 2/Phase 324 participants (Anticipated)Interventional2023-01-06Recruiting
Ketamine Infusion for Pediatric Patients With Obstructive Sleep Apnea Syndrome After Tonsillectomy: A Randomized Controlled Trial [NCT02425202]Phase 436 participants (Actual)Interventional2014-12-31Completed
Comparing Therapeutic Efficacy and Cognitive Side Effects of Electroconvulsive Therapy (ECT) Using Ketamine Versus Methohexital Anesthesia [NCT01881763]Phase 431 participants (Actual)Interventional2010-06-30Completed
The Use of Propofol/Ketamine Anesthesia With Bispectral Monitoring (PKA-BIS) Versus Inhalational Anesthetics in Rhytidoplasty - A Prospective, Double-blinded, Randomized Comparison Study [NCT02410460]30 participants (Actual)Interventional2013-09-30Completed
Ultra-low Dose Oral Ketamine for Treatment of Chronic Non-cancer Pain in the Primary Care Setting [NCT02303847]Phase 332 participants (Anticipated)Interventional2014-11-30Active, not recruiting
Comparison of Treatment by IN Ketamine to IV Morphine in Acute Pain [NCT03511833]Phase 3120 participants (Anticipated)Interventional2019-12-31Not yet recruiting
Randomized Controlled Trial of Repeated Dose Ketamine in Post Traumatic Stress Disorder (PTSD) [NCT02398136]Phase 2/Phase 30 participants (Actual)Interventional2014-12-31Withdrawn(stopped due to FDA and IRB recommended different mode of medication administration)
Association of Intravenous Ketamine With Thoracic Epidural Analgesia: Effects on Pain and Respiratory Function Following Thoracotomy. [NCT00726258]21 participants (Actual)Interventional2008-03-31Terminated
Inhaled Nebulised S(+)-Ketamine for Postoperative Analgesia [NCT02397356]Phase 40 participants (Actual)Interventional2018-08-31Withdrawn(stopped due to Lack of study personnel)
Effect of Ketamine on Fatigue Following Cancer Therapy [NCT02317341]Early Phase 12 participants (Actual)Interventional2014-12-13Terminated
ED Treatment of Suicidal Patients With Ketamine Infusion [NCT03502551]Phase 20 participants (Actual)Interventional2019-04-01Withdrawn(stopped due to Trial never received funding.)
Ketamine for the Treatment of Depression in Parkinson's Disease (KET-PD) [NCT04944017]Phase 256 participants (Anticipated)Interventional2021-11-23Recruiting
Observation of Ketamine Treatment Safety and Tolerability in Adult Psychiatry Clinic Medical University of Gdańsk Inpatients [NCT05565352]140 participants (Anticipated)Observational2022-09-01Enrolling by invitation
Comparison of Oral Chloral Hydrate and Combination of Intranasal Dexmedetomidine and Ketamine for Rescue After Failed Pediatric Procedural Sedation: a Randomized Controlled Trial [NCT04822064]70 participants (Anticipated)Interventional2022-09-22Recruiting
Maintenance Ketamine Infusions for Treatment-Resistant Bipolar Depression: An Open-Label Extension Trial [NCT05339074]Phase 260 participants (Anticipated)Interventional2022-08-10Recruiting
Effects of Low-dose S-ketamine on the Incidence of Postpartum Depression in Women With Prenatal Depression: a Randomized, Double-blind, Placebo-controlled Trial [NCT04414943]364 participants (Actual)Interventional2020-06-19Completed
An Electrophysiological Examination of CB1 and NMDA Receptors in Humans [NCT04199468]Phase 121 participants (Anticipated)Interventional2019-09-24Active, not recruiting
Effects of Low-dose S-Ketamine on Incidence of Postpartum Depression in Parturients With Prenatal Depression: A Randomized, Double-blind, Placebo-controlled Trial [NCT03927378]364 participants (Actual)Interventional2020-06-19Completed
Paravertebral Block Versus Simultaneous Ketamine and Lidocaine Infusions for Pain Management in Rib Fracture Patients [NCT04413799]Early Phase 1170 participants (Anticipated)Interventional2020-09-01Recruiting
Etomidate Versus Ketamine for Emergency Endotracheal Intubation: a Prospective Randomized Clinical Trial [NCT02643381]Phase 4801 participants (Actual)Interventional2016-06-06Completed
Touchscreen-based Cognitive Tests in Assessment of Ketamine-induced Cognitive Deficits in Healthy Volunteers [NCT03469089]Phase 116 participants (Actual)Interventional2018-03-12Active, not recruiting
Is The Pre-Emptive Administration Of Ketamine A Significant Adjunction To Intravenous Morphine Analgesia For Controlling Post-Operative Pain? A Randomized, Double Blind, Placebo Controlled Clinical Trial. [NCT03415191]75 participants (Actual)Interventional2012-01-05Completed
Ketamine Versus Lidocaine Nebulization for Awake Nasal Fiberoptic Intubation: a Prospective, Randomized Double-blinded Study [NCT03414879]Phase 460 participants (Actual)Interventional2018-01-15Completed
Effect of Single Dose Dexmedetomidine Versus Midazolam on Emergence Agitation and Recovery Profile When Added to Ketamine for Procedural Sedation and Analgesia in Pediatric Patients Undergoing Bone Marrow Aspiration and Biopsy [NCT03647579]100 participants (Actual)Interventional2018-08-30Completed
Glutamatergic Modulation to Facilitate Naltrexone Initiation: A Randomized, Controlled Trial [NCT03345173]Phase 3100 participants (Anticipated)Interventional2017-11-25Recruiting
Psilocybin Versus Ketamine - Fast Acting Antidepressant Strategies in Treatment-resistant Depression [NCT05383313]Phase 260 participants (Anticipated)Interventional2021-05-01Recruiting
Perioperative Pain Alleviation of Forearm Fractures Using a Combination of Hematoma Block and Intravenous Regional Anesthesia by Ketamine and Lidocaine [NCT03377907]66 participants (Actual)Interventional2018-02-01Completed
Understanding Ketamine's Dissociative Effects in Epilepsy (KD Study) [NCT04861051]Phase 120 participants (Anticipated)Interventional2021-07-26Recruiting
Reversal of Battle-Related Aging (ROBRA) in a Special Operations Forces Cohort [NCT05855876]20 participants (Anticipated)Observational2023-07-05Recruiting
Intravenous Sub-dissociative Dose Ketamine Injection Versus Infusion for Analgesia in the Emergency Department: A Prospective, Randomized, Double-blind Placebo Controlled Trial [NCT02916927]Phase 462 participants (Actual)Interventional2016-09-30Completed
Esketamine Combined With Pregabalin on Acute Postoperative Pain in Patients Undergoing Resection of Spinal Neoplasms. [NCT05096468]Phase 2/Phase 390 participants (Actual)Interventional2021-12-01Completed
Effets de la kétamine en Association Avec le Rt-PA au Cours de l'Infarctus cérébral Aigu: étude Pilote contrôlée randomisée en Double Aveugle Avec critère de Jugement Radiologique [NCT02258204]Phase 1/Phase 250 participants (Anticipated)Interventional2015-03-31Recruiting
Oral Ketamine for Control of Chronic Pain in Children [NCT01369680]Phase 112 participants (Actual)Interventional2011-05-31Completed
Ketamine and Morphine Versus Morphine Alone for the Treatment of Acute Pain in the Emergency Department [NCT01900847]17 participants (Actual)Interventional2013-06-01Terminated(stopped due to concern of side effects)
Ketamine for Combined Depression and Alcohol Use Disorder: A Blinded Randomized Active Placebo-controlled Trial (the KeDA Trial) [NCT06090422]Phase 1/Phase 234 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Correlation Between Concentration at the Effector Site of Continuous Infusion of Ketamine (Calculated With DOMINO Pump) and Bispectral Index Values During General Anaesthesia for Breast Surgery [NCT05799729]40 participants (Actual)Observational2023-04-01Completed
Hyperalgesia and NMDA Receptor Antagonist [NCT02087202]90 participants (Anticipated)Interventional2014-03-31Not yet recruiting
The Effect of Opioid-Free Anesthesia in TMJ Surgery: A Prospective Study [NCT04724759]Phase 260 participants (Anticipated)Interventional2021-06-18Recruiting
Study of Immunomodulation Using Naltrexone and Ketamine for COVID-19 [NCT04365985]Phase 270 participants (Actual)Interventional2020-04-29Terminated(stopped due to Because of the decrease in COVID cases, enrollment is extremely low. Given the current study design, it is not possible to gather data necessary to answer the question about whether study treatment reduces mortality)
A Retrospective Evaluation of Ketamine Effectiveness for the Treatment of Acute Battlefield Related Pain [NCT04057989]80 participants (Actual)Observational2014-08-31Completed
The Effect of Oropharyngeal Pack Soaked With Ketamine or Magnesium Sulphate on Post Operative Sore Throat After Nasal Surgeries: Randomized Controlled Double Blind Study [NCT05714540]Phase 490 participants (Anticipated)Interventional2023-02-15Recruiting
Comparative Study of Single Port Thoracoscopic Bullectomy Under Nonintubated Local and Sedation Anesthesia Versus Intubated General Anesthesia for Primary Spontaneous Pneumothorax. [NCT02109510]40 participants (Actual)Interventional2012-11-30Completed
A Double Blinded, Randomized, Placebo Controlled, Parallel Arm Pilot Trial of Intravenous Ketamine for Emergency Department Treatment of Suicidal Ideation in a Pediatric Population [NCT05468840]Phase 320 participants (Anticipated)Interventional2023-06-30Not yet recruiting
Pain Management in Cardiac Implantable Electronic Device Insertion; Effectiveness of Bupivacaine, Ketorolac, Ketamine, vs Bupivacaine Alone in Reducing Postoperative Pocket Pain [NCT05575999]Phase 1200 participants (Anticipated)Interventional2023-04-30Not yet recruiting
Cognitive Behavioral Therapy in Prolonging the Antidepressant Effects of Intravenous Ketamine [NCT02289248]Phase 116 participants (Actual)Interventional2015-02-28Completed
Single-dose Interventions to Reduce Re-admissions for Hospitalized Patients With Refractory Alcohol Use Disorder: A Randomized Pilot Feasibility Study. [NCT04562779]Early Phase 144 participants (Actual)Interventional2021-01-19Completed
Pain Relief for Submucosal Resection of Nasal Septum in Adults Does Ketamine Have a Pre-Emptive Effect? [NCT02294162]0 participants (Actual)Interventional2015-04-01Withdrawn(stopped due to Terminated by IRB)
Ketamine Versus Low Dose Thiopental for Rapid-sequence Induction of Anesthesia in Patients With Septic Shock [NCT03104140]Phase 326 participants (Actual)Interventional2017-04-12Completed
Effect of Subanesthetic Dose of Ketamine Combined With Propofol on Cognitive Function in Depressive Patients Undergoing Electroconvulsive Therapy ---a Randomized Control Double-Blind Clinical Trial [NCT02305394]Phase 4132 participants (Anticipated)Interventional2015-01-31Not yet recruiting
Low-Dose Intravenous Ketamine Bolus Versus Conventional Technique for Reduction of Upper and Lower Extremity Fractures in Children: A Randomized Controlled Clinical Trial [NCT03499886]Phase 2/Phase 3198 participants (Anticipated)Interventional2017-01-17Recruiting
Comparison of CRP Levels, Neutrophil Count, and Clinical Outcomes of Low Dose Ketamine Between at Anesthesia Induction and at the End of Surgery in Patients Undergo Elective Laparotomy [NCT04462094]68 participants (Actual)Interventional2020-07-27Completed
The Effect of Ketamine Infusion for Reduction of Neuropathic Pain and Improvement of Quality of Life After Lumbar Surgery [NCT02154438]Phase 456 participants (Anticipated)Interventional2014-05-31Recruiting
Ketamine Infusion Therapy for the Treatment of PTSD in Paramedics [NCT03947099]7 participants (Actual)Observational2019-05-02Completed
Does Subacromial Injection With Glutamate Receptor (NMDAR) Antagonist, Ketamine, Attenuate Pain in Rotator Cuff Tendinopathy? [NCT02967640]Phase 2/Phase 320 participants (Anticipated)Interventional2018-05-01Recruiting
A Randomized,Double Blind, Parallel Group, Placebo Controlled Dose Ranging Study to Assess the Analgesic Efficacy, Tolerability, Safety and Pharmacokinetic/Pharmacodynamic Properties of a Sublingual Wafer Formulation of Ketamine Following Third Molar Extr [NCT02199678]Phase 2120 participants (Actual)Interventional2014-07-31Completed
Comparison of the Analgesic Effect of Ketamine Versus Dexmedetomidine Added to Local Anesthetic in TAP Block for Lower Abdominal Cancer Surgery [NCT03060070]Phase 2/Phase 390 participants (Actual)Interventional2017-03-10Completed
Efficacy of Preventive Ketamine on Postoperative Pain: A Randomized, Double-blind Trial of Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT04908579]Phase 490 participants (Anticipated)Interventional2021-06-15Recruiting
Reducing Adolescent Suicide Risk: Safety, Efficacy, and Connectome Phenotypes of Intravenous Ketamine [NCT04613453]Phase 266 participants (Anticipated)Interventional2022-01-21Recruiting
An Open Label Study of the Effects of Ketamine on a Veteran Clinical Population With Major Depressive Disorder (MDD) [NCT03053830]Phase 211 participants (Actual)Interventional2017-01-31Completed
Risk Factors and Prevention of Severe Pain Upon Cessation of a Peripheral Nerve Block. A Prospective Randomized Study in Ambulatory Patients Undergoing Upper Limb Bone Surgery Under Single Shot Axillary Plexus Block [NCT04890418]Phase 4100 participants (Anticipated)Interventional2020-01-01Recruiting
Intraoperative Low-dose Ketamine Infusion as the Main Analgesic in Burn Patients [NCT03049930]Phase 446 participants (Anticipated)Interventional2018-02-27Recruiting
Changes of the Short Portable Mental Status Questionnaire (SPMSQ-E) After Ketamine Administration on Ophthalmic Surgery in Geriatric Population. [NCT02049411]Phase 280 participants (Actual)Interventional2013-06-30Completed
Management of Neuropathic Chronic Pain With Methadone Combined With Ketamine: Randomized, Double Blind, Active-controlled Clinical Trial [NCT02233452]Phase 437 participants (Actual)Interventional2012-01-31Completed
US Guided Interscalene Block Compared With Sedation for Shoulder Dislocation Reduction in the ER [NCT03041506]90 participants (Anticipated)Interventional2017-02-15Not yet recruiting
Cognitive Biases in Decision Making in a Pharmacological Model of Psychosis : a Study in Healthy Humans Recieving Low Dose Anesthetic, Ketamine Versus Placebo [NCT02235012]48 participants (Anticipated)Interventional2014-09-08Recruiting
Subject And Investigator-Blinded, Sponsor-Open, Randomized, Single-Dose, Placebo-Controlled, 2-Way, 4-Period Crossover Study To Assess Effects Of PF-02545920 On Ketamine-Induced Aberrant Prefrontal Response To Associative Learning In Healthy Subjects [NCT01244880]Phase 14 participants (Actual)Interventional2011-04-30Terminated(stopped due to See termination reason in detailed description.)
Comparison Between Dexmedetomidine-Propofol and Ketamine-Propofol Administration for Sedation of CT Guided Bone Biopsy: A Randomized Controlled Trial [NCT05752903]Phase 460 participants (Actual)Interventional2023-03-04Completed
A Naturalistic Study of Ketamine for Treatment Resistant Mood Disorders: Gdansk Depression Ketamine Project [NCT04226963]80 participants (Actual)Observational [Patient Registry]2019-12-04Completed
Randomized, Double-blind Ketamine Augmentation in Chronically Suicidal, Treatment-resistant Major Depression [NCT01667926]37 participants (Actual)Interventional2013-01-31Completed
Deciphering Metacognition and Treatment Response in Depression With a Novel Digital Paradigm [NCT05464264]30 participants (Anticipated)Observational2022-10-03Recruiting
Increasing Retention in Methadone Maintenance Treatment: Feasibility and Preliminary Efficacy of Ketamine for the Treatment of Patients With OUD and Comorbid Depression (OUDCD) [NCT05051449]Phase 16 participants (Anticipated)Interventional2022-04-04Recruiting
Sedation Versus Protective Stabilization for Dental Treatment of Children With Caries and Negative Behavior at the Dentist: a Non-randomized Clinical Trial [NCT04119180]Phase 4152 participants (Anticipated)Interventional2020-01-30Recruiting
Low-dose Ketamine Infusion Among Adolescents With Treatment-resistant Depression: a Randomized, Double-blind Placebo-control Study [NCT05045378]Phase 454 participants (Anticipated)Interventional2022-03-15Recruiting
The Effects of Optimizing Post-operative Pain Management With Multi Modal Analgesia on Immune Suppression and Oncologic Outcome in Patients Undergoing Laparoscopic Colorectal Surgery [NCT03462836]0 participants (Actual)Interventional2019-04-30Withdrawn(stopped due to The results of the primary endpoints of this study are expected to be difficult to identify, thus canceling the study to readjust the study plan.)
Three-level Injection Paravertebral Block Using Paravertebral Catheter Compared to General Anesthesia in Mastectomy Surgery [NCT02065947]Phase 1/Phase 260 participants (Actual)Interventional2013-10-31Completed
Use of Ketamine Associate With an Opioid for Sedation in ICU : a Randomized Controlled Double Blind Study [NCT01560390]Phase 4164 participants (Actual)Interventional2011-10-31Completed
Central Versus Peripheral GABA and Glutamate Biomarkers for Treatment Response During Two Infusions of Intravenous Ketamine for Treatment-Resistant Depression [NCT03573349]Early Phase 120 participants (Anticipated)Interventional2019-01-03Enrolling by invitation
Methadone and Ketamine for Spinal Surgery [NCT02827526]Phase 4130 participants (Actual)Interventional2016-07-31Completed
Long-term Pain Modulation by Intravenous Esketamine in Complex Regional Pain Syndrome: a Non-inferiority Study [NCT05212571]60 participants (Anticipated)Interventional2022-04-19Enrolling by invitation
The Efficacy OF Oral DexmedetomidineVersus Oral Midazolam/Ketamine ON Parental Separation AND Face Mask Acceptance IN Pediatrics Undergoing Adenotonsillectomy [NCT03551067]Phase 474 participants (Actual)Interventional2016-08-01Completed
Ketamine Therapy in Obsessive-compulsive Disorder and Its Effects on Neuropsychological Function Under Stress in a Cross-over Trial [NCT05577585]30 participants (Anticipated)Interventional2022-08-01Recruiting
An Analysis of Ketamine Analgesia in Third Molar Surgery -Effects, Safety and Influence on Inflammatory Biomarkers in Plasma [NCT04459377]Phase 4168 participants (Actual)Interventional2017-02-14Completed
Optimizing the Use of Ketamine to Reduce Chronic Postsurgical Pain [NCT05037123]Phase 3750 participants (Anticipated)Interventional2022-01-04Recruiting
Impact of Sub-anesthetic Dose of Ketamine on Post Spinal Hypotension in Caesarean Delivery :Prospective , Randomized Double- Blinded Study [NCT03624166]Phase 480 participants (Actual)Interventional2019-02-01Completed
Neuropsychiatric and Cardiovascular Side Effects in Ketamine Analgesic Infusions: a Prospective Study [NCT03525912]101 participants (Actual)Interventional2017-07-01Completed
Ketamine's Efficiency in the Treatment of Chronic Pain With an Added Inflammatory Component Exploring the Kynurenin Pathway. A Randomized, Double Blind, Placebo-controlled Trial [NCT03513822]Phase 348 participants (Anticipated)Interventional2018-02-16Recruiting
Evaluation of the Effects of Ketamine in the Acute Phase of Suicidal Ideation: a Multicenter Randomized Double-blind Trial [NCT02299440]Phase 3156 participants (Actual)Interventional2015-04-30Completed
"Study Protocol OFA: Opioid-Free Anesthesia." [NCT03124082]Phase 464 participants (Anticipated)Interventional2017-01-04Recruiting
Retrobulbar Block Versus Ketamine Infusion as Adjuvants to General Anesthesia for Post-operative Pain Control After Enucleation [NCT03507426]45 participants (Actual)Interventional2018-04-25Completed
A Randomized Double-blind Trial to Evaluate Ketamine-propofol Combination vs. Propofol Alone for Procedural Sedation and Analgesia in the Emergency Department. [NCT01211158]Phase 3284 participants (Actual)Interventional2010-12-31Completed
Intramuscular Ketamine Versus Escitalopram and Aripiprazole in Acute and Maintenance Treatment of Patients With Treatment-resistant Depression [NCT04234776]Phase 488 participants (Anticipated)Interventional2018-04-03Enrolling by invitation
Low Dose Ketamine Prevent the Postoperative Cognitive Dysfunction in Aged Patients Underwent Orthopaedic Surgery,a Randomized Control Double Blinded Multicenter Clinical Trail [NCT02220400]484 participants (Anticipated)Interventional2014-09-30Not yet recruiting
Turgut Ozal Medical Center Department of Anesthesiology and Reanimation [NCT02267980]Phase 460 participants (Anticipated)Interventional2014-07-31Recruiting
Use of Sevoflurane, Midazolam and Ketamine in Children for Dental Sedation Treatment: Occurrence of Adverse Events [NCT02284204]Phase 227 participants (Actual)Interventional2012-01-31Completed
A Comparison of the Sedative Effect of Ketamine and Midazolam During Spinal Anaesthesia for Elective Unilateral Inguinal Hernia Repair: A Randomized Comparative Trial [NCT03133780]Phase 280 participants (Actual)Interventional2018-07-14Completed
Opioid Sparing Anesthesia in Patients With Liver Cirrhosis Undergoing Liver Resection: A Controlled Randomized Double Blind Study [NCT05674877]Phase 3100 participants (Actual)Interventional2022-12-01Completed
A Multicenter, Randomized, Double-blind Clinical Trial to Evaluate the Efficacy and Safety of BT-KTM-I Versus Ketanest® S for General Anesthesia in Elective Laparoscopic Surgery [NCT06092684]Phase 3358 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Comparison of Ketamine Plus Dexamethasone Versus Ketamine Alone for Prevention of Severe Shivering After Spinal Anesthesia in Cesarean Section [NCT06091657]110 participants (Anticipated)Interventional2023-10-25Not yet recruiting
Pragmatic Trial of Psilocybin Therapy in Palliative Care (PT2PC): A Multicenter Triple-blind Phase 2 Randomized Controlled Trial of Psilocybin Therapy for Demoralized Adults Near the End of Life [NCT05403086]Phase 2100 participants (Anticipated)Interventional2024-01-14Not yet recruiting
A Randomized Double-Blind Controlled Trial of Ketamine Versus Placebo in Conjunction With Best Pain Management in Neuropathic Pain in Cancer Patients [NCT01316744]Phase 3214 participants (Anticipated)Interventional2009-04-30Recruiting
Examining the Effects of Ketamine Treatment on Synaptic Plasticity in Depression Using PET Imaging [NCT04091971]Phase 49 participants (Actual)Interventional2020-10-09Completed
Effect of Ketamine on Intraoperative Motor Evoked Potentials [NCT06140927]Phase 420 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Efficacity, Safety and Cost of Intravenous Morphine Titration Alone or Combined to Ketamine [NCT01146145]160 participants (Actual)Interventional2003-05-31Completed
Analgo-Sedative Effects Of Oral, Or Nebulized Ketamine In Pre-schoolers Undergoing Elective Surgery: A-Comparative Randomized Double Blind Study [NCT03885427]Early Phase 162 participants (Actual)Interventional2019-03-27Completed
Combination Ketamine and Propofol vs Propofol for Emergency Department Sedation: A Prospective Randomized Trial [NCT01269307]99 participants (Actual)Interventional2010-06-30Completed
The Pharmacokinetics of Ketamine in the Breast Milk of Lactating Women: Quantification of Ketamine and Metabolites [NCT04285684]Early Phase 14 participants (Actual)Interventional2019-12-20Completed
Low Dose Ketamine for Low Mood States: An Emergency Department Feasibility Study for Depressed Patients [NCT01209845]Phase 114 participants (Actual)Interventional2010-04-30Completed
Analgesic Effects of Caudal S-ketamine for Supplementation of Ropivacaine Caudal Analgesia in Children With Hypospadias [NCT05922605]Phase 444 participants (Anticipated)Interventional2023-06-20Recruiting
A Phase I, Randomized, Double-Blind, Four-way Cross-over Study in Healthy Subjects to Assess Quantitative Electroencephalography (qEEG) Parameters After the Administration of Ketamine, Two Doses of AZD6765 and Placebo [NCT01130909]Phase 136 participants (Actual)Interventional2010-05-31Terminated(stopped due to The benefit of halting the study to analyze the available data outweighs the benefit of delaying the analysis to include data from remaining treatment periods)
A Comparative Study Between Spinal and General Anesthesia for Abdominoplasty. [NCT03810547]200 participants (Actual)Interventional2017-01-30Completed
Immune-mediatory Response of Intravenous Ketamine Versus Propofol for Major Abdominal Surgeries: a Prospective Randomized Study [NCT03793075]36 participants (Anticipated)Interventional2019-01-10Not yet recruiting
The Effect of Low Dose Nalbuphine or Ketamine in the Prevention of Emergence Agitation After Sevoflurane Anesthesia in Children Undergoing Tonsillectomy With or Without Adenoidectomy [NCT05176119]Phase 490 participants (Actual)Interventional2021-03-25Completed
Thoracic Epidural Analgesia: Epidural Levobupivacaine and Sufentanil Versus Epidural Levobupivacaine and Intravenous Ketamine [NCT01320475]Phase 42 participants (Actual)Interventional2010-09-30Terminated(stopped due to Difficulty of Recruitment)
Evaluating the Safety, Efficacy and Opiate Sparing Effects of Low-Dose, Slow Infusion Ketamine as a Battlefield Analgesic for Acute Pain in Burn Wounds. [NCT03305055]Phase 44 participants (Actual)Interventional2017-12-16Terminated(stopped due to Funding withdrawn - slow enrollment)
Lecturer of Anesthesia ,Intensive Care and Pain Management in Faculty of Medicine Ain Shams University [NCT03860831]Phase 140 participants (Anticipated)Interventional2019-03-06Recruiting
Comparing The Efficacy Of Preoperative Nebulized: Ketamine, Magnesium Sulfate, and Lidocaine In Attenuating Postoperative Sore Throat After Endotracheal Intubation [NCT03729973]Phase 3100 participants (Actual)Interventional2018-11-15Completed
Ketamine Infusion for Treatment of Chronic Neuropathic Pain in Traumatic Brachial Plexus Injuries, a Prospective Randomized Control Study [NCT04933149]Phase 4100 participants (Anticipated)Interventional2021-12-15Enrolling by invitation
Surgical Site Infiltration Using Ketamine Versus Bupivacaine for Analgesia in Post-operative Appendectomy Operation [NCT05097118]Early Phase 160 participants (Actual)Interventional2021-09-01Completed
A Randomized Controlled Trial to Evaluate the Hemodynamic Effects of Ketamine Versus Etomidate During Rapid Sequence Intubation [NCT03545503]Phase 4428 participants (Actual)Interventional2018-01-01Completed
(2R,6R)-Hydroxynorketamine a Novel Therapeutic Analgesic for the Treatment of Neuropathic Pain: A Randomized Double Blind Cross-Over Trial. [NCT05864053]Phase 1/Phase 225 participants (Anticipated)Interventional2024-01-31Not yet recruiting
A Phase 1, Randomized, Double-blind, Double-dummy, Placebo-controlled, 5-period, Crossover Study Assessing the Effects of Rapastinel Compared to Alprazolam, Ketamine, and Placebo on Simulated Driving Performance in Normal Healthy Participants [NCT03814733]Phase 1107 participants (Actual)Interventional2018-11-05Completed
An Efficacy and Safety of Proprietary Formulations of Oral Ketamine + Aspirin and Nurtec (Rimegepant) in Adult Patients Presenting to the ED With Acute Headache: Prospective, Randomized, Open-Label, Clinical Trial [NCT04860713]Phase 45 participants (Actual)Interventional2021-04-22Completed
The BIO-K Study: A Single-Arm, Open-Label, Biomarker Development Clinical Trial of Ketamine for Non-Psychotic Unipolar Major Depression and Bipolar I or II Depression. [NCT03156504]Phase 475 participants (Actual)Interventional2017-06-01Completed
Standardised Drug Provocation Testing in Perioperative Hypersensitivity [NCT06065137]Phase 450 participants (Anticipated)Interventional2023-10-31Not yet recruiting
A PILOT STUDY OF INTRAVENOUS, SUBANESTHETIC DOSE OF KETAMINE VS PLACEBO, A CROSSOVER DESIGN, FOR MULTIPLE SCLEROSIS RELATED FATIGUE [NCT06064162]Early Phase 120 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Optimizing Postoperative Pain Control After Laparoscopic Colorectal Surgery by Supplementing Ultrasound-guided Erector Spinae Plane Block With Ketamine or Transdermal Fentanyl Patch [NCT06007378]120 participants (Anticipated)Interventional2023-09-05Recruiting
Ketamine for Treatment Resistant Late-Life Depression [NCT02556606]Phase 333 participants (Actual)Interventional2015-10-01Completed
Evaluation of the Effect of Ketamine on Remifentanil-induced Hyperalgesia Using Filaments, an Algometer, and Interleukins: a Double-blind, Randomized Study [NCT01301079]Phase 360 participants (Actual)Interventional2010-09-30Completed
Intranasal Ketamine as an Adjunct to Fentanyl for the Prehospital Treatment of Acute Traumatic Pain [NCT02866071]Phase 3224 participants (Anticipated)Interventional2017-10-03Active, not recruiting
Ketamine Infusion for the Treatment Chronic Pain in Adults: a Prospective Observational Study to Characterize Predictors and Outcomes [NCT05477004]100 participants (Anticipated)Observational2022-06-01Enrolling by invitation
Low-dose KETamine as an Adjunct to MOrphine for Acute Pain in the ED: a Randomized, Double-blinded Clinical Trial [NCT05422001]Phase 4116 participants (Actual)Interventional2022-05-31Terminated(stopped due to Not able to recruit opioid tolerant patients as expected)
Propofol Versus Ketamine for Procedural Sedation During Painful Procedures in the Emergency Department [NCT00997321]Phase 4100 participants (Actual)Interventional2007-07-31Completed
Phase 4: Study of Ketamine Inhibition of Interleukin 6 in Hepatic Resections Requiring Temporary Porto-arterial Occlusion [NCT00978757]Phase 442 participants (Actual)Interventional2001-06-30Completed
Comparative Study Between Propofol-Ketamine Combination and Dexmedetomidine-Ketamine Combination for Sedation in Upper Gastrointestinal Endoscopy in Paediatric Patients. [NCT02863861]Phase 4120 participants (Actual)Interventional2016-09-30Completed
Combining Dexmedetomidine and Ketamine in Intensive Care Sedation: Efficacy and Safety [NCT04096768]Phase 3394 participants (Anticipated)Interventional2019-09-16Recruiting
Comparative Effects of Dexmedetomidine and Ketofol for Sedation in Out-patients Undergoing Diagnostic Trans-esophageal Echocardiography: A Randomized Controlled Trial [NCT02867930]Phase 450 participants (Actual)Interventional2016-06-30Completed
A Single-Center, Single-Dose, Double-Blind, Double-Dummy, Placebo-Controlled, Randomized Crossover Study to Evaluate the Abuse Potential of Intranasal Esketamine Compared to Racemic Intravenous Ketamine in Nondependent, Recreational Users of Perception-Al [NCT02682225]Phase 155 participants (Actual)Interventional2016-03-25Completed
Effect of a Combination of Dexmedetomidine and Ketamine Anesthesia on Upper Airway Morphology in Children [NCT02652507]Phase 122 participants (Anticipated)Interventional2016-06-30Completed
Retrospective Review of Ketamine Assisted Psychotherapy Program on Mental Health at Field Trip Health Centres in North America [NCT05604794]Phase 41,806 participants (Actual)Interventional2020-03-13Completed
Adjunct Low Dose Ketamine Infusion Versus Standard of Care in Mechanically Ventilated Critically Ill Patients at a Tertiary Saudi Hospital: Randomized, Prospective, Pilot Trial [NCT04075006]Phase 384 participants (Actual)Interventional2019-08-28Completed
A Trial to Study Acute and Delayed Effects of a Single Dose of Ketamine on Functional Brain Changes During Emotional/ Cognitive Challenges and at Rest and Their Modulation by Lamotrigine in Healthy Subjects [NCT04156035]75 participants (Actual)Interventional2020-03-10Completed
A Randomized, Open Label Study to Assess the Effects of a Nasal Corticosteroid on the Pharmacokinetics, Safety, and Tolerability of PMI-150 (Intranasal Ketamine Hydrochloride) 30 mg [NCT00662883]Phase 118 participants (Actual)Interventional2007-11-30Completed
Psychotherapy for Ketamine's Enhanced Durability in Chronic Neuropathic Pain: A Randomized Controlled Pilot Trial [NCT05639322]Phase 460 participants (Anticipated)Interventional2023-07-15Not yet recruiting
Comparative Study Between Intraperitoneal Dexmedetomidine Versus Ketamine With Bupivacaine For Postoperative Analgesia After Laparoscopic Sleeve Gastrectomy [NCT04525274]60 participants (Actual)Interventional2021-10-01Completed
[NCT00822133]Phase 475 participants (Anticipated)Interventional2009-02-28Not yet recruiting
Nasal Ketamine: Mild Sedation and Analgesia for Minor Procedures in the Pediatric Emergency Department (ED) [NCT02839928]20 participants (Anticipated)Interventional2016-07-31Not yet recruiting
The Effect of Ketamine on Postoperative Cognitive Dysfunction in Geriatric Patients Undergoing Orthopaedic Surgery Under Spinal Anaesthesia, a Randomized Controlled Trial [NCT04321746]Phase 445 participants (Actual)Interventional2020-12-10Completed
The Effect of Intravenous Infusions of Lidocaine and Magnesium Versus Lidocaine and Ketamine Versus Lidocaine Alone on Recovery Profile and Postoperative Pain After Elective Gynecological Surgery [NCT04622904]90 participants (Anticipated)Interventional2020-11-14Recruiting
Anhedonia, Development, and Emotions: Phenotyping and Therapeutics (ADEPT) Study [NCT05487885]Phase 4275 participants (Anticipated)Interventional2022-07-22Recruiting
Pilot Study of Open Label, Intranasal Ketamine for Suicidal Ideation in Veterans [NCT03788694]Early Phase 10 participants (Actual)Interventional2020-01-01Withdrawn(stopped due to Study was never funded nor started, no participants were enrolled)
Ketamine as an Adjuvant Therapy for Acute Vaso Occlusive Crisis in Pediatric Patients With Sickle Cell Disease, a Pilot Study [NCT02801292]Phase 320 participants (Anticipated)Interventional2016-07-31Not yet recruiting
Comparing the Effect of Different Ratio of Propofol-Ketamine Mixture (Ketofol) (6:1 vs. 4:1) for Sedation in Endoscopic Retrograde Cholangiopancreatography (ERCP) [NCT04029831]58 participants (Actual)Interventional2017-03-01Completed
Postpartum Depression After Cesarean Delivery: Ketamine as a Preventative Intervention: A Feasibility Pilot-study [NCT04227704]Phase 325 participants (Actual)Interventional2020-11-12Completed
Phase 4 THE EFFECTS OF DEXMEDETOMIDINE ON EARLY STAGE RENAL FUNCTIONS IN PEDIATRIC PATIENTS UNDERGOING CARDIAC ANGIOGRAPHY USING NON- IONIC CONTRAST MEDIA: A DOUBLE- BLIND, RANDOMIZED CLINICAL TRIAL [NCT01948336]Phase 460 participants (Actual)Interventional2012-04-30Completed
Caudal Ketamine-bupivacaine More Effective Than Bupivacaine-saline in Pediatric Surgical Procedures Below the Umbilicus [NCT05444036]Phase 160 participants (Actual)Interventional2018-09-01Completed
Physiological and Cognitive Biomarkers for Ketamine's Antidepressant Effects [NCT02669043]8 participants (Actual)Interventional2016-07-31Terminated(stopped due to Funding ended.)
Prospective Analgesic Compound Efficacy (PACE) Study [NCT02403687]300 participants (Actual)Observational [Patient Registry]2015-06-30Completed
Subanesthetic IV Bolus Ketamine in the Treatment of Acute Depression [NCT02378415]Phase 120 participants (Actual)Interventional2011-12-31Terminated(stopped due to Discrepancies in medication orders)
Ketamine Versus Dexmedetomidine for Prevention of Postoperative Delirium in Elderly Patients Undergoing Emergency Surgery: A Comparative Study. [NCT05341154]60 participants (Actual)Interventional2021-12-01Completed
University of Iowa Interventional Psychiatry Service Patient Registry [NCT04480918]1,000 participants (Anticipated)Observational [Patient Registry]2020-11-02Recruiting
A Phase II Study About Efficacy and Safety of the Continuous IntraVenous Infusion of Ketamine in Terminally Ill Cancer Patients With Refractory Cancer Pain [NCT03362073]Phase 226 participants (Anticipated)Interventional2018-06-01Recruiting
The Role of Ketamine as an Adjuvant Therapy for Children With Acute Status Asthmaticus in Pediatric Emergency Medicine Patients: A Pilot Study [NCT03338205]Phase 320 participants (Anticipated)Interventional2020-01-31Not yet recruiting
[NCT02493231]Phase 460 participants (Anticipated)Interventional2015-03-31Recruiting
Synaptic Imaging and Brain Network Activity Following Ketamine in Treatment Resistant Depression [NCT05870501]50 participants (Anticipated)Interventional2021-10-20Recruiting
Comparison Between Peri Tonsillar Infiltration of Ketamine or Bupivacaine for Post Tonsillectomy Analgesia [NCT05341323]Phase 480 participants (Actual)Interventional2022-04-02Completed
Ketamine for Depression Relapse Prevention Following ECT: a Randomised Pilot Trial With Blood Biomarker Evaluation [NCT02414932]Early Phase 16 participants (Actual)Interventional2015-04-30Completed
Randomized Control Study Evaluating Ketamine as Sedative Agent in Endoscopic Retrograde Cholangiopancreatography (ERCP) [NCT04490031]Phase 4140 participants (Anticipated)Interventional2020-03-01Recruiting
Intranasal Dexmedetomidine Versus Intranasal Midazolam-ketamine Combination for Premedication of Pediatric Patients Undergoing Strabismus Surgery [NCT02072083]Phase 460 participants (Actual)Interventional2014-02-28Completed
A Double-Blind, 2-Way Crossover Study to Investigate the Effects of JNJ-40411813 on Ketamine-Induced Alterations in Neuropsychiatric Performance [NCT01101659]Phase 140 participants (Actual)Interventional2010-02-28Completed
A Phase II Randomized, Double Blind, Placebo-Controlled Study Evaluating the Effects of Ketamine Infusions in Clinically Depressed ICU Patients [NCT05803551]Phase 250 participants (Anticipated)Interventional2023-12-31Not yet recruiting
SUPER-refractory Status Epilepticus After Cardiac Arrest: a Multicenter, Retrospective, Cohort Study of Dual Anti-glutamate Therapy With Ketamine and Perampanel [NCT05756621]80 participants (Anticipated)Observational2022-01-15Recruiting
Comparison of Nebulized Ketamine to Intravenous Sub-Dissociative Dose Ketamine for Treating Acute and Chronic Painful Conditions in the ED: A Prospective, Randomized, Double-Blind, Double-Dummy Clinical Trial. [NCT04947085]Phase 4150 participants (Actual)Interventional2021-10-04Active, not recruiting
NMDAR Modulation As a Therapeutic Target and Probe of Neural Dysfunction in OCD [NCT02624596]Phase 2120 participants (Anticipated)Interventional2016-06-30Active, not recruiting
The Effect of Intraoperative Ketamine on Opioid Consumption and Pain After Spine Surgery in Opioid-dependent Patients [NCT02085577]Phase 4147 participants (Actual)Interventional2014-05-31Completed
Intranasal Sedation With Dexmedetomidine and Ketamine in Pediatric Dentistry (NASO II): Randomized Clinical Trial [NCT03290625]Phase 412 participants (Actual)Interventional2017-11-09Completed
Exploring the Safety and Efficacy of Low-dose Ketamine Infusions for Pain Control in Acute Burn Injury [NCT03095222]Phase 40 participants (Actual)Interventional2017-04-01Withdrawn(stopped due to The study never screened or enrolled any subjects due to stalled recruitment efforts.)
Second Affiliated Hospital Zhejiang University School of Medicine [NCT05016128]92 participants (Anticipated)Interventional2021-08-17Recruiting
A Prospective, Multi-center, Randomized Controlled Study of Neuromuscular Blocking Effect and Safety of Mivacurium Chloride in Pediatric Patients [NCT02117401]Phase 41,152 participants (Actual)Interventional2012-01-31Completed
A Randomized Comparison of Ketamine and Methohexital Anesthesia for Electroconvulsive Therapy (ECT) in Depression [NCT01367119]38 participants (Actual)Interventional2011-05-31Completed
A Phase 2A Open-Label Study Evaluating the Safety and Efficacy of Low-Dose Ketamine in Children With ADNP Syndrome [NCT04388774]Phase 1/Phase 210 participants (Actual)Interventional2020-08-19Completed
An Open Prospective Trial of IV Ketamine in Suicidal Adolescents [NCT02048423]Phase 2/Phase 310 participants (Anticipated)Interventional2013-06-30Recruiting
Examining The Effect Of Ketamine On Glutamate/Glutamine Cycling [NCT02037035]Early Phase 136 participants (Actual)Interventional2013-07-31Completed
Effects of Ketamine Treatment on Suicidal Ideation, Drug-resistant Major Depression, and Negative Emotional Experience. Clinical and fMRI Study [NCT02037503]Phase 3100 participants (Anticipated)Interventional2014-01-31Recruiting
Fentanyl vs. Lidocaine/Ketamine Infusion for Hip Arthroscopy [NCT02150161]Phase 353 participants (Actual)Interventional2014-05-31Terminated(stopped due to DSMB estimated futility of the trial and safety risk)
Efficacy, Safety and Cost-effectiveness of Intranasal Sedation With Ketamine and Midazolam in Pediatric Dentistry: a Randomized Clinical Trial [NCT02447289]Phase 484 participants (Actual)Interventional2015-05-21Completed
Comparison Between Efficacy of Ketamine and Propofol Mixture With 1:6 Ratio and 1:4 Ratio for Endoscopic Retrograde Procedure Sedation [NCT03196479]58 participants (Actual)Interventional2017-03-01Completed
Phase 2, Controlled, Single-Blind, 3-Month Extension Study For Participants Originally Diagnosed With Treatment Resistant Major Depressive Disorder (TRD) Who Complete Study ZYL-730-01 With, or Without, Almond Therapy [NCT05438758]Phase 20 participants (Actual)Interventional2023-01-15Withdrawn(stopped due to Withdrawn by Sponsor)
Dexmedetomidine-ketamine Versus Propofol-ketamine for Sedation During Upper Gastro-intestinal Endoscopy in Hepatic Patients (a Comparative Randomized Study) [NCT04906772]Phase 470 participants (Anticipated)Interventional2021-02-03Active, not recruiting
A Double Blinded Randomized Trial of Ketamine Versus Haloperidol for Severe Prehospital Agitation [NCT02103881]Phase 40 participants (Actual)Interventional2014-04-30Withdrawn
Ketamine Versus Midazolam for Prehospital Agitation [NCT03554915]314 participants (Actual)Observational2017-08-01Completed
KET-MCI: An Open-label Trial of Single-dose Ketamine Treatment to Improve Depression in Mild Cognitive Impairment [NCT06069843]Phase 215 participants (Anticipated)Interventional2023-10-18Recruiting
Study of Comparison of the Effectiveness of Three Diagrams for Sedation in Spinal Anesthesia [NCT02136641]Phase 475 participants (Actual)Interventional2011-06-30Completed
Translational Biomarkers of Fast Acting Therapies in Major Depression [NCT02165449]Phase 160 participants (Actual)Interventional2014-06-30Completed
Ketamine + Cognitive Training for Suicidality in the Medical Setting: Pilot [NCT04154150]Phase 416 participants (Actual)Interventional2019-12-19Terminated(stopped due to Midway through this pilot study, funding was obtained to support a much larger study of the same interventions in this clinical population. Therefore the pilot study was halted so as not to compete with enrollment for the larger study.)
Safety and Efficacy of Dexmedetomidine vs Ketamine vs Midazolam Combined With Propofol in Gastrointestinal Procedures for Cancer Patients [NCT04597268]75 participants (Actual)Interventional2020-11-01Completed
PCA Ketamine-Morphine Versus PCA Morphine as Post-Operative Analgesia in Colorectal Surgery. [NCT06010056]Phase 460 participants (Actual)Interventional2018-04-05Completed
Long-Term Maintenance With Ketamine and Esketamine for Reduction of Suicide in High-Risk Patients With Depression [NCT05450432]Phase 4100 participants (Anticipated)Interventional2022-10-13Recruiting
Analgesic Efficacy and Pharmacokinetic-pharmacodynamic Relationship of Intranasally Administered Sufentanil, Ketamine, and CT001 After Impacted Mandibular Third Molar Extraction - A Double-blind, Randomised, Placebo-controlled Study [NCT05508594]Phase 2/Phase 3220 participants (Actual)Interventional2022-09-05Completed
The Effects of Sedatives on Tobacco Use Disorder Version 2 [NCT05505630]Early Phase 152 participants (Anticipated)Interventional2023-01-31Recruiting
A Prospective, Single Center, Double Blind, Randomized, Crossover Feasibility Study of Oral Ketamine Versus Placebo for the Treatment of Anxiety in Patients With Pancreatic Cancer [NCT05086250]Early Phase 120 participants (Anticipated)Interventional2022-10-20Recruiting
Study of the Efficiency of the Ketamine With Low Analgesic Doses, in Association With High Opioids, in the Treatment of the Rebels Pains, in Palliative Phase of the Cancerous Disease [NCT01326325]Phase 324 participants (Actual)Interventional2011-07-31Completed
A Pilot Study to Assess the Efficacy of Subanesthetic Doses of IV Ketamine in the Treatment Drug Resistant Epilepsy [NCT05019885]Phase 26 participants (Anticipated)Interventional2022-08-26Recruiting
Randomised Double Blind Comparison of Prophylactic Tramadol and Tramadol Plus Ketamine for Prevention of Shivering After Spinal Anesthesia in Lower Segment Caeserian Section [NCT06134895]Phase 4190 participants (Anticipated)Interventional2023-08-16Recruiting
A Multi-Center, Phase II, Randomized, Double-Blind, Prospective, Active Placebo- Controlled Trial of Sub-Anesthetic Intravenous Infusion of Ketamine to Treat Levodopa- Induced Dyskinesia in Subjects With Parkinson's Disease [NCT04912115]Phase 230 participants (Actual)Interventional2021-10-05Suspended(stopped due to Seeking Pivotal study initiation)
The Neurobiology of Suicide [NCT02543983]Phase 2325 participants (Anticipated)Interventional2015-12-01Recruiting
Implications of Different Analgesic Models on Inflammatory Markers After Laparoscopic Cholecystectomy [NCT04609033]110 participants (Actual)Interventional2020-10-24Completed
Evaluation of the Analgesic Effect of Orally Administrated Ketamine in Peripheral Neuropathic Pain Disease: Comparison of Three Doses Versus Placebo. [NCT00961194]Phase 222 participants (Actual)Interventional2009-03-31Completed
PERIOPERATIVE EFFECTS OF ORAL DEXMEDETOMIDINE, KETAMINE, OR MIDAZOLAM PREMEDICATION IN CHILDREN UNDERGOING ADENOTONSILLECTOMY [NCT05874245]Phase 4222 participants (Anticipated)Interventional2023-03-01Recruiting
A Randomized Active Placebo Controlled Trial of Ketamine in Borderline Personality Disorder [NCT03395314]Phase 222 participants (Actual)Interventional2018-02-15Terminated(stopped due to assessment of project in wake of covid-19 related interruptions)
[NCT01017393]209 participants (Actual)Interventional2004-04-30Completed
The Application of Ketamine for Sedation in Patients With Cardiac Arrest: Feasibility, Safety, and Potential Impact on Neurological Outcomes [NCT04360070]24 participants (Anticipated)Interventional2022-02-28Recruiting
Topical Amitriptyline, Ketamine and Lidocaine in Neuropathic Pain Caused by Radiation Skin Reaction: a Pilot Study [NCT00798083]Phase 322 participants (Anticipated)Interventional2008-04-30Completed
[NCT00822419]Phase 475 participants (Anticipated)Interventional2009-02-28Not yet recruiting
Premedication for Less Invasive Surfactant Administration [NCT03735563]Phase 440 participants (Anticipated)Interventional2019-02-11Recruiting
Prevention of NMDA Antagonist-induced Psychosis and Memory Impairment in Children [NCT00205712]Phase 440 participants (Actual)Interventional2003-02-28Completed
Ketamine Therapy Among Patients With Treatment-resistant Depression: a Randomised, Double-blind, Placebo-controlled Trial: Pilot Phase [NCT02401139]Phase 110 participants (Actual)Interventional2015-03-31Completed
An Open Label, Two-way Crossover Study to Evaluate the PK Effects of Two Different Wafer Administration Protocols in Healthy Volunteers Under Fasted Conditions. [NCT02857361]Phase 210 participants (Actual)Interventional2016-07-31Completed
A Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Dose Ranging Study to Assess the Analgesic Efficacy, Tolerability, Safety and Pharmacokinetic/Pharmacodynamic Properties of A Sublingual Wafer Formulation of Ketamine Following Third Molar Ex [NCT02356965]Phase 280 participants (Actual)Interventional2014-12-31Completed
Ketamine and Mindfulness Based Cognitive Therapy (MBCT) in Treatment of Post-Traumatic Stress Disorder (PTSD): Comparison of Treatment Efficacy and Metabolomic Profiles [NCT02766192]50 participants (Anticipated)Interventional2013-08-31Recruiting
Randomized Controlled Trial of Oral Sedatives for Moderate Sedation in Young Children [NCT00902395]Phase 441 participants (Actual)Interventional2008-06-30Completed
The Effect of Intravenous Ketamine on Non-suicidal Self-injuries in Women Suffering From Complex Post Traumatic Stress Disorder (cPTSD) [NCT04242914]Phase 1/Phase 230 participants (Anticipated)Interventional2019-02-25Recruiting
Ketamine vs Propofol for Sedation During Pediatric Bronchoscopy [NCT02743104]150 participants (Anticipated)Interventional2016-05-31Suspended(stopped due to Protocol being reconsidered)
Reward Emotion Learning and Ketamine Study [NCT04850911]70 participants (Anticipated)Interventional2021-08-25Recruiting
Effect of Ketamine on Laboratory-induced Stress in Healthy Subjects: A Proof-of-Concept Translational Study [NCT04173962]Phase 224 participants (Actual)Interventional2019-08-08Completed
The Effects of Sevoflurane or Ketamine on QTc Interval During Electroconvulsive Therapy [NCT01870219]Phase 424 participants (Actual)Interventional2012-02-29Completed
Topical Ketamine by Neubulization Method in Tonsillectomy [NCT02720406]Phase 2/Phase 3100 participants (Actual)Interventional2016-04-30Completed
A Retrospective Chart Review of Patients Undergoing Ketamine Infusions at the Canadian Rapid Treatment Center of Excellence [NCT04209296]580 participants (Anticipated)Observational2019-12-03Enrolling by invitation
A Phase 2, Factorial-Designed, Randomized, Double-Blind, Placebo-Controlled, Parallel- Cohort Study to Evaluate Efficacy and Safety of MELT-300 and the Contribution of Midazolam and Ketamine Components to Sedation and Intraoperative Ocular Analgesia in Su [NCT05133518]Phase 2338 participants (Actual)Interventional2021-07-20Completed
Positron Emission Tomography Assessment of Ketamine Binding of the Serotonin Transporter and Its Relevance for Rapid Antidepressant Response [NCT02717052]Phase 274 participants (Anticipated)Interventional2016-05-31Recruiting
Proof of Concept Study for Evaluation of the Effect of Ketamine Intranasal Spray in Treatment of Chronic Cluster Headache [NCT04179266]Phase 1/Phase 223 participants (Actual)Interventional2019-11-20Completed
Ketamine vs. Methohexital Anesthesia for Improvement of Major Depressive Disorder in Electroconvulsive Therapy [NCT02752724]52 participants (Actual)Interventional2016-03-31Completed
Prehospital Analgesia With Intra-Nasal Ketamine [NCT02753114]Phase 4120 participants (Actual)Interventional2017-11-06Completed
EFFECT OF LOW DOSE INTRAVENOUS KETAMINE ON POSTOPERATIVE COGNITIVE FUNCTIONS [NCT05323422]120 participants (Anticipated)Observational [Patient Registry]2022-04-12Not yet recruiting
A Comparison of the Sedation With Intermittent Bolus Midazolam-Ketamine Versus Intermittent Bolus Propofol-Fentanyl During Endoscopy in Children: Randomized Trial [NCT02732132]Phase 4238 participants (Actual)Interventional2015-01-31Completed
Effects of Intrathecally Administered Ketamine, Morphine and Their Combination in Patients Undergoing Major Abdominal Cancer Surgery [NCT02726828]Phase 2/Phase 390 participants (Actual)Interventional2015-10-31Completed
Intra-nasal vs. Intra-venous Ketamine Administration as an add-on to Antidepressant Therapy [NCT02644629]Phase 445 participants (Actual)Interventional2016-04-30Completed
A Double-blind Randomised, Placebo-controlled Study of Adjunctive Ketamine Anaesthesia in ECT (Electroconvulsive Therapy) [NCT00680433]Phase 483 participants (Actual)Interventional2008-04-30Completed
Pilot Study of ORG 25935 Modulation of Ketamine-induced Behavioral and Cognitive Effects in Healthy Male Subjects [NCT00700076]Phase 115 participants (Actual)Interventional2008-01-22Completed
A Randomized Control Trial Employing fMRI to Investigate the Effects of Ketamine on Mentalizing and Metacognition in Healthy Volunteers [NCT05320991]Phase 470 participants (Actual)Interventional2019-06-15Completed
Pupillary Diameter Variation After Standardized Tetanic Stimulations of Incremental Intensities in Patients Under Ketamine Sedation [NCT02648412]24 participants (Actual)Interventional2012-04-30Completed
Intranasal Ketamine With Dexmedetomidine for the Treatment of Children With Autism Spectrum Disorder [NCT03434366]Phase 250 participants (Anticipated)Interventional2018-01-20Suspended(stopped due to The effects are not good)
A Randomized, Double-blind Study of Ketamine / Dexmedetomidine vs. Placebo / Dexmedetomidine as Adjunctive Therapies for Severe Alcohol Withdrawal [NCT02823977]Phase 40 participants (Actual)Interventional2018-02-28Withdrawn(stopped due to Funding not obtained)
Inonu University Faculty of Medicine Department of Anesthesiology and Reanimation [NCT02819375]Phase 445 participants (Actual)Interventional2017-01-31Completed
Randomized Triple-blind Placebo Controlled Trial of Influence of Morphine or Ketamine or Saline Applied During In-hospital Cardiopulmonary Resuscitation on Early Survival and Neurological Outcome [NCT04009759]Phase 1240 participants (Anticipated)Interventional2021-10-01Not yet recruiting
Glutamatergic Adaptation to Stress as a Mechanism for Anhedonia and Treatment Response With Ketamine [NCT05327699]Early Phase 1250 participants (Anticipated)Interventional2022-11-08Recruiting
Ketamine-propofol Versus Pethidine-propofol for Sedating Patients Undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP) [NCT02651792]Phase 250 participants (Actual)Interventional2015-01-31Completed
Remifentanil Requirement for Acceptable Intubating Condition With Two Dose Ketamine Without Neuromuscular Blocking Agent in Children [NCT02655380]Phase 451 participants (Actual)Interventional2017-06-19Completed
A Prospective, Randomized, Double-Blind, Controlled Trial Evaluating the Efficacy of Ketamine for Improvement in Postoperative Pain Control After Spinal Fusion for Idiopathic Scoliosis [NCT02651324]Phase 450 participants (Anticipated)Interventional2013-05-31Active, not recruiting
Different Modalities of Analgesia in Open Heart Surgeries in Mansoura University: Randomized Prospective Comparative Study [NCT04223219]Phase 490 participants (Actual)Interventional2019-12-10Active, not recruiting
Efficacy and Safety of Repeated Intravenous Subanesthetic Ketamine Infusions Among Veterans With Treatment Resistant Depression Comorbid With Chronic Post-Traumatic Stress Disorder: A Proof-of-concept Study [NCT02577250]Phase 120 participants (Anticipated)Interventional2015-05-31Completed
Single Bolus Dose of Ketodex Versus Ketofol For Prevention Of Emergence Agitation In Adults Undergoing Nasal Surgeries [NCT04018157]Early Phase 1150 participants (Actual)Interventional2019-07-03Completed
N-methyl-D-aspartate Antagonist (Ketamine) Infusion for Treatment-resistant Major Depressive Disorder With Suicidal Ideation [NCT01582945]14 participants (Actual)Interventional2012-04-30Completed
Acute Analgesic Effects of DMT on Experimentally Induced Acute Nociceptive Pain, Hyperalgesia and Allodynia in Healthy Participants [NCT06180759]Phase 118 participants (Anticipated)Interventional2024-05-01Not yet recruiting
Effect of Ketamine and Etomidate During Rapid Sequence Intubation on Long- Term Outcomes (Long-Term Outcomes of the RSI Trial) [NCT06179485]1,756 participants (Anticipated)Observational2022-04-06Recruiting
Neuropharmacologic Imaging and Biomarker Assessments of Response to Acute and Repeated-Dosed Ketamine Infusions in Major Depressive Disorder [NCT03065335]Phase 1150 participants (Anticipated)Interventional2017-05-25Recruiting
Effects of Ketamine 0.5 Mg/Kgbw Administration as Preemptive Analgesia on Analgesia Duration and the Need for Fentanyl Following Hysterectomy Surgery [NCT06040060]Phase 2/Phase 340 participants (Actual)Interventional2022-12-27Completed
Posttraumatic Stress Disorder (PTSD) Treatment: Using Ketamine to Enhance Memory Reconsolidation and Extinction of Overgeneralized Fear in Individuals Diagnosed With PTSD [NCT05737693]Phase 2162 participants (Anticipated)Interventional2023-08-21Recruiting
S-ketamine for Cortical Spreading Depolarisation in Patients With Severe Acute Brain Injury [NCT05095857]Phase 4400 participants (Anticipated)Interventional2023-09-15Recruiting
Dexmedetomidine Versus Ketamine to Prevent Shivering Associated With Intrathecal Anesthesia in Patients Undergoing Knee Arthroscopy:A Randomized, Controlled Double Blinded Study. [NCT06082076]Phase 2/Phase 390 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Alpha-Amino-3-Hydroxy-5-Methyl-4- Isoxazole Propionic Acid Receptor Components of the Anti-Depressant Ketamine Response [NCT03367533]Phase 113 participants (Actual)Interventional2018-11-29Completed
Evaluation of Schemes of Administration of Intravenous Ketamine in Treatment-resistant Depression: Clinical-neuroimaging Correlation [NCT03742557]Phase 330 participants (Anticipated)Interventional2018-10-01Recruiting
Cognitive Recovery After Electroconvulsive Therapy and General Anesthesia Reconstitution of Consciousness and Cognition (Phase 2) [NCT02761330]17 participants (Actual)Interventional2016-04-30Completed
The Role of HNKs in the Antidepressant Effect of Ketamine [NCT03977675]Phase 18 participants (Actual)Interventional2019-05-15Terminated(stopped due to PI left the institution)
Nicotinic Modulation of (NMDA) Receptor Antagonist Schizophrenia-like Information Processing Deficits in Humans [NCT00690170]Phase 130 participants (Actual)Interventional2002-12-31Completed
Role Of Ketamine in Treatment-Resistant Major Depressive Disorder And Its Effect on Suicidality [NCT04101474]Early Phase 130 participants (Anticipated)Interventional2019-12-01Not yet recruiting
The Effectiveness of Small Doses of Ketamine With Morphine on Decreasing Pain Responses During Open Wound Care [NCT00701909]Phase 312 participants (Actual)Interventional2008-06-30Completed
Ambulatory Infusions of Lidocaine and Ketamine for Management of Chronic Pain: an Observational Prospective Study [NCT04123652]Phase 4162 participants (Actual)Interventional2017-11-05Completed
A Randomized Controlled Non-inferiority Trial Comparing Ketamine With ECT in Patients With Major Depressive Disorder [NCT02659085]Phase 2/Phase 3198 participants (Actual)Interventional2015-02-28Completed
Postpartum Perineal Pain After Obstetric Anal Sphincter Injuries: A Randomized Clinical Trial [NCT03470675]Phase 467 participants (Actual)Interventional2018-06-27Active, not recruiting
Repeated Ketamine Treatment to Accelerate Efficacy of Prolonged Exposure in PTSD [NCT04560660]Phase 2100 participants (Anticipated)Interventional2021-03-09Recruiting
Comparing the Hemodynamic Effects of Bolus of Ketamine and Fentanyl in Patients With Septic Shock: a Randomized Controlled Trial [NCT05957302]86 participants (Actual)Interventional2023-08-01Completed
Procedural Sedation for Painful Orthopedic Manipulations With Propofol vs. Midazolam/Ketamine in the Adult Emergency Department [NCT00784498]Phase 460 participants (Anticipated)Interventional2008-11-30Completed
Effects of Perioperative Lidocaine and Ketamine Infusions on Acute Functional Recovery After Abdominal Hysterectomy [NCT00721110]64 participants (Actual)Interventional2008-07-31Terminated(stopped due to Futility)
Propofol-Ketamine vs Remifentanyl-Ketamine for Sedation in Pediatric Patients Undergoing Colonoscopy [NCT02602743]Phase 470 participants (Actual)Interventional2016-08-31Completed
Evaluation of the Effect of Adding Magnesium Sulfate Infusion to Ketamine Infusion on Improvement of the Analgesic Efficacy in Cancer Breast Surgeries. [NCT04111848]Phase 490 participants (Actual)Interventional2019-11-01Completed
Ketamine and Hydromorphone PCA Analgesia for Antineoplastic-Induced Pediatric Mucositis [NCT00474110]Phase 30 participants (Actual)Interventional2009-08-31Withdrawn(stopped due to Clinical practice had changed between time of initial protocol development and subject recruitment. We were not able to find eligible patients.)
Ketamine Interleaved With Electroconvulsive Therapy for Depression, A Pragmatic Randomised Controlled Pilot Trial [NCT04082858]Phase 13 participants (Actual)Interventional2020-01-06Terminated(stopped due to Inadequate recruitment due to COVID-19)
The Effect and Tolerance of a Ketamine Subcutaneous Bolus, During Painful Care of Refractory Bed Sores, Ulcers and Vascular Wounds in a Palliative Care Unit [NCT02587130]Phase 48 participants (Actual)Interventional2016-05-31Terminated(stopped due to difficulted recruiting)
Phase I Trial to Determine Steady State Pharmacokinetics and Sedative Effects of Low Dose Ketamine Infusion [NCT00618397]Phase 15 participants (Actual)Interventional2006-06-30Terminated(stopped due to Poor recruitement)
Effects of Low-dose Ketamine as an Adjunct to Propofol-based Anesthesia for Electroconvulsive Therapy [NCT02579642]Phase 448 participants (Actual)Interventional2015-10-31Completed
Low Dose Perioperative Ketamine Infusion and it's Effect on Postoperative Pain Score, Sedation Score and Narcotic Consumption in Patients Undergoing Spine Surgery: A Prospective Randomized Double Blind Control Trial. [NCT04259476]Phase 160 participants (Anticipated)Interventional2020-01-01Recruiting
Ketamine Frequency Treatment for Major Depressive Disorder [NCT00646087]Phase 40 participants (Actual)Interventional2008-03-31Withdrawn(stopped due to Pilot study determined that this study would not be feasible.)
Comparison of Sub-dissociative Intranasal Ketamine Plus Standard Pain Therapy Versus Standard Pain Therapy in the Treatment of Pediatric Sickle Cell Disease Vasoocclusive Crises in Resource-limited Settings: a Multi-centered, Randomized, Controlled Trial [NCT02573714]160 participants (Anticipated)Interventional2015-12-31Recruiting
Randomized, Multiple-center, Double-blind, Placebo-controlled Study of the Safety and Analgesic Efficacy of Repeated Dosing of PMI-150 (Intranasal Ketamine) to Treat Acute Post-operative Pain Following Orthopedic Trauma, Injury, or Surgery. [NCT00709436]Phase 3250 participants (Actual)Interventional2008-06-30Completed
Neurophysiological Effect of Ketamine in Patients With Severe Traumatic Brain Injury [NCT06062628]Early Phase 110 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Perioperative Opioid-induced Hyperalgesia and Its Prevention With Ketamine and Methadone [NCT01594047]113 participants (Actual)Interventional2009-12-01Completed
Effects of Esketamine Pre-administration on Blood Lymphocyte Subsets and Inflammatory Factors in Early Postoperative Period: [NCT05180318]Phase 4100 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Impact of Ketamine On Depressive Symptoms In Patients Undergoing Lumbo-peritoneal Shunt Insertion. A Randomized Double-blind Controlled Trial. [NCT06060210]Phase 460 participants (Anticipated)Interventional2023-09-29Recruiting
The Randomized Trial of Sedative Choice for Intubation [NCT05277896]Phase 42,364 participants (Anticipated)Interventional2022-04-06Recruiting
Opiate Suicide Study in Patients With Major Depression [NCT04116528]Phase 360 participants (Anticipated)Interventional2020-08-01Recruiting
Comparative Evaluation The Effect of Intraoperative Infusion of Dexmedetomidine Versus Low Dose Ketamine on Pain and Inflammatory Biomarkers in Patients Undergoing Nasal Surgery [NCT05828199]Phase 180 participants (Anticipated)Interventional2022-12-01Recruiting
A Randomized, Double Blind, Feasibility Study of Oral Ketamine Versus Placebo for Treating Depression in Patients With Cancer [NCT02836288]Early Phase 14 participants (Actual)Interventional2016-12-20Completed
Diabetic Neuropathic Pain Topical Treatment- Comparative Study [NCT00661063]Phase 3200 participants (Anticipated)Interventional2008-04-30Not yet recruiting
Perioperative Multimodal General Anesthesia Focusing on Specific CNS Targets in Patients Undergoing Cardiac Surgeries [NCT04016740]Early Phase 122 participants (Actual)Interventional2019-08-20Completed
The Neural Mechanisms of Anesthesia and Human Consciousness (Part 6) [NCT02624401]Phase 4160 participants (Actual)Interventional2016-01-31Completed
A Randomized, Placebo-Controlled, Double-Blind Study to Assess Safety and Efficacy of Intravenous PCN-101 in Treatment Resistant Depression [NCT05414422]Phase 2102 participants (Actual)Interventional2022-02-01Completed
Comparison of Effects on Hemodynamics Between Ketamine and Etomidate During Rapid Sequence Intubation in Trauma Patients With High Shock Index [NCT04120870]10 participants (Actual)Interventional2019-10-01Terminated(stopped due to Due to difficulties in obtaining consent because of emergency situation)
Effectiveness of Ketamine Treatment in Difficult-to-treat Depression Comparing With Midazolam: a Double-blind Randomized Controlled Trial and Its Cost Effectiveness Analysis [NCT05026203]Phase 424 participants (Anticipated)Interventional2021-09-01Recruiting
Effect of Ketamine on Opioid-Induced Hyperalgesia [NCT00833755]79 participants (Actual)Interventional2008-09-30Completed
Ketamine for Acute Pain After Trauma: KAPT Trial [NCT04129086]Phase 4305 participants (Actual)Interventional2020-07-01Completed
Comparison of the Perioperative Effects of Dexmedetomidine and Ketamine Sedation in Septorhinoplasty Operations [NCT04628559]63 participants (Actual)Interventional2009-07-01Completed
Ketamine as the Main Analgesic Agent During Analgesia-based Sedation for Elective Colonoscopy- a Randomised, Double-blind, Control Study [NCT05421962]Phase 190 participants (Actual)Interventional2020-01-01Completed
A Randomized, Double-blind, Placebo-controlled, Study to Identify the Opioid-sparing Effects, and Pain-reduction Potential of Low Dose Ketamine on Patients Undergoing TEVAR Procedures Receiving NCI [NCT04600089]Phase 220 participants (Anticipated)Interventional2020-12-08Recruiting
[NCT01386229]Phase 440 participants (Anticipated)Interventional2011-03-31Recruiting
Effect of Ketamine Added to Intravenous Patient-controlled Analgesia on Postoperative Pain, Nausea and Vomiting in Patients Undergoing Lumbar Spinal Surgery [NCT01394406]Phase 450 participants (Actual)Interventional2010-01-31Completed
Brain Network Dysfunction as a Model for Schizophrenia: Connectivity Alterations Using Ketamine and Pharmacological Magnetic Resonance Imaging [NCT01394757]52 participants (Actual)Interventional2011-08-31Completed
Opioid-Free Pain Control Regimen Following Robotic Radical Prostatectomy: A Randomized Controlled Trial [NCT05597878]Phase 2/Phase 3100 participants (Anticipated)Interventional2023-04-18Recruiting
The Use of S Ketamine Versus Placebo During Target Controlled Intravenous Anaesthesia to Reduce Morphine Consumption and Side-Effects After Abdominal Hysterectomy: A Randomized Control Trial [NCT02543385]0 participants (Actual)Interventional2014-06-30Withdrawn(stopped due to Change of protocol title)
The Neurophysiological Effects of Intravenous Alcohol as Potential Biomarkers of Ketamine's Rapid Antidepressant Effects in Major Depressive Disorder [NCT02122562]Phase 260 participants (Anticipated)Interventional2014-04-23Recruiting
Investigation of the NMDA Antagonist Ketamine as a Treatment for Tinnitus [NCT03336398]Phase 242 participants (Actual)Interventional2019-09-01Active, not recruiting
The Effect of Opioid Free Anesthesia on the Postoperative Opioid Consumption in Laparoscopic Bariatric Surgeries: Randomized Controlled Study [NCT04048200]Phase 490 participants (Actual)Interventional2019-09-01Completed
Effect of Regional Anesthesia and Sedation With Ketamine Versus Regional Anesthesia and Sedation With Midazolam in Cognitive Function in Patients Over 60 Years of Age in Elective Surgery at 3 Months of Postoperative Follow-up [NCT04134052]Phase 368 participants (Anticipated)Interventional2021-01-24Recruiting
"Haemodynamic Stability of Ketamine / Propofol Admixture Ketofol in Patient Undergoing Endoscopic Retrograde Cholangio Pancreatography" [NCT02618668]Phase 290 participants (Actual)Interventional2015-07-31Terminated
Low Dose Ketamine for Acute Management of Mood Disorders With Suicidal Ideation [NCT04099771]Early Phase 120 participants (Anticipated)Interventional2019-07-01Recruiting
Intranasal Ketamine for Acute Traumatic Pain in the Emergency Department: A Prospective, Randomized Clinical Trial of Efficacy and Safety [NCT02817477]Phase 490 participants (Actual)Interventional2012-09-30Completed
Clinical Trial of the Use of Ketamine in Treatment Resistant Depression [NCT02610712]Phase 420 participants (Anticipated)Interventional2014-05-31Recruiting
Cardiovascular and Neuropsychiatric Side Effects in Ketamine Analgesic Infusions in Acute Pain [NCT03979105]300 participants (Actual)Observational2017-07-01Completed
The CHECK Trial: A Comparison of Headache Treatment in the Emergency Department: Compazine Versus Ketamine. A Multi-Center, Randomized, Double-Blind, Clinical Control Trial [NCT02735343]Phase 35 participants (Actual)Interventional2016-08-31Terminated(stopped due to only recruited 5 patients at this location)
Evaluation of PK/PD, Breastmilk Transfer, and Effectiveness of Ketamine After Cesarean Delivery - Part 1 [NCT04037085]Phase 28 participants (Actual)Interventional2019-10-09Completed
NMDA Dysregulation in Individuals With a Family Vulnerability to Alcoholism [NCT00588952]99 participants (Actual)Interventional2001-03-31Completed
Comparison of Oral Morphine Versus Nasal Ketamine Spray With Chitosan in Cancer Pain Outpatients [NCT02591017]Phase 311 participants (Actual)Interventional2015-02-28Terminated(stopped due to insufficient enrollment)
Opioid Free Anaesthesia vs Opioid Based Anesthesia in Cleft Lip, Palate ,Alveolus Surgery. [NCT04081909]Phase 460 participants (Anticipated)Interventional2019-09-04Not yet recruiting
Intravenous Subdissociative-dose Ketamine Versus Morphine for Prehospital Analgesia a Randomized Controlled Trial [NCT03236805]Phase 3285 participants (Actual)Interventional2017-11-23Terminated(stopped due to 285 patients have recruited instead on 496 but we don't want to continue to prolonge the study. Analysis will be performed on the data we have.)
The Effect Of Ultrasound-guided Modified Pectoral Nerves Block Versus Ketamine Plus Magnesium Infusion On Perioperative Analgesic Profile In Major Breast Cancer Surgeries: Randomized Controlled Study [NCT04095455]Phase 375 participants (Anticipated)Interventional2017-11-12Recruiting
Can Digital Health Technology Guide Medical Providers, in Treating Chronic Conditions With RIVER Ketamine Protocols Safely at Home? [NCT06070766]50,000 participants (Anticipated)Observational2023-10-01Recruiting
Analgesics in the Pre-hospital Setting: Implications on Hemorrhage Tolerance - Ketamine [NCT03621085]Phase 443 participants (Actual)Interventional2018-06-01Completed
Comparative Study of Ketamine Added to Bupivacaine in PECS Block Versus Topical Wound Instillation on Post Operative Analgesia in Modified Radical Mastectomy Surgery [NCT05410158]Early Phase 160 participants (Anticipated)Interventional2023-05-15Not yet recruiting
Influence of Ketamine on a Closed-Loop Anesthesia System [NCT02011347]Phase 367 participants (Actual)Interventional2013-07-31Terminated
Ketamine-Assisted Mindfulness-Based Cognitive Therapy for Depression: A Pilot Study [NCT05950711]Phase 421 participants (Anticipated)Interventional2022-03-30Recruiting
Multimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery as Part of an Enhanced Recovery After Surgery Protocol: A Randomized Prospective Single- Center Trial. [NCT02958566]Phase 480 participants (Anticipated)Interventional2017-01-31Recruiting
Neurophysiology and Pharmacology of Cough Reflex Hypersensitivity [NCT00858624]24 participants (Actual)Interventional2008-02-29Completed
Acute Pain Management in Patients on Opioid Replacement Therapy [NCT03933865]Phase 11 participants (Actual)Interventional2018-10-31Terminated(stopped due to The COVID-19 pandemic and recruitment difficulties prompted the investigators to terminate study early.)
Impact of the Route of Administration of Ketamine Associated With Morphine PCA on Analgesia After Total Hip Arthroplasty [NCT00797264]18 participants (Actual)Interventional2008-11-30Completed
A Double-blind Pilot Trial of the Effect of Ketamine vs. Active Placebo on Suicidal Ideation in Depressed Inpatients With Major Depressive Disorder or Bipolar Depression. [NCT02593643]Early Phase 19 participants (Actual)Interventional2016-01-31Completed
Study of Respiratory Depression During Analgosedation Technique Combining Remifentanyl and Ketamine in TCI for Oocyte Retrieval [NCT03458143]20 participants (Anticipated)Observational2018-02-12Recruiting
A Pilot Study Of The Efficacy Of WafermineTM Alone And In Combination With Opioids In Subjects Undergoing Bunionectomy [NCT02541396]Phase 272 participants (Actual)Interventional2015-10-31Completed
The Effect of Ketamine on the WAVCNS Index During General Anesthesia: A Feasibility Study [NCT02908945]30 participants (Actual)Interventional2016-09-30Completed
Propofol-Ketamine (Ketofol) Versus Propofol-Fentanyl (Fenofol) as Procedural Sedation for Unilateral Open Carpal Tunnel Release Under Local Anesthesia [NCT04686448]Phase 1/Phase 256 participants (Anticipated)Interventional2021-01-01Recruiting
Effects of a Personal Ketamine-assisted Therapy Experience on Clinicians' Therapeutic Competencies Within a Psychedelic-assisted Therapy Training Program [NCT05468047]Early Phase 1500 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Influence of Anesthetics on Sedation and Antinociception: an Analysis of Auditory Evoked, Visceral Evoked and Heat Evoked Potentials [NCT00534586]Phase 460 participants (Actual)Interventional2005-12-31Completed
Comparative Study Between Ketamine-Bupivacaine Versus Bupivacaine With Intravenous Ketamine Infusion In Supraclavicular Brachial Plexus Block During Upper Limb Surgeries [NCT05315271]Early Phase 160 participants (Actual)Interventional2022-06-01Completed
Does a Single Intravenous Dose of Ketamine Reduce the Need for Supplemental Opioids in Post-Cesarean Section Patients? [NCT00486902]188 participants (Actual)Interventional2006-07-31Completed
The Opioid Sparing Effect of Minimal Dose S-Ketamine Applied as a Coanalgesic During the Perioperative Period - An Active Placebo-Controlled, Double Blinded, Randomized Clinical Trial (МiniKet) [NCT01022840]Phase 360 participants (Actual)Interventional2009-02-28Completed
The Impact of Ketamine on the Reward Circuitry of Suicidal Patients: An MRI Study [NCT02532153]Phase 30 participants (Actual)Interventional2017-02-28Withdrawn(stopped due to No funding.)
A Phase I, Multi-centre, Double-blind, Placebo-controlled Parallel Group Study to Assess the pharmacoMRI Effects of AZD6765 in Male and Female Subjects Fulfilling the Criteria for Major Depressive Disorder [NCT01046630]Phase 1128 participants (Actual)Interventional2009-12-31Completed
General Anesthetics-related Changes in Prefrontal EEG During Pediatric Surgical Anesthesia [NCT05210764]90 participants (Anticipated)Observational2022-06-30Not yet recruiting
Ketamine for the Treatment for Opioid Use Disorder and Suicidal Ideation in the Emergency Department [NCT06111339]Phase 250 participants (Anticipated)Interventional2024-03-31Not yet recruiting
Phase I Randomized, Single-blind, Placebo-controlled, Single-center Study of the Effect of Postoperative Administration of Single Dose Ketamine on Pain and Recovery After Robotic Removal of Endometriosis in Patients With Chronic Pelvic Pain [NCT05229653]Phase 130 participants (Anticipated)Interventional2022-04-12Recruiting
Ketamine In Thoracic Surgery (KITS) Trial [NCT00504725]Phase 240 participants (Actual)Interventional2007-07-31Completed
[NCT00614159]34 participants (Anticipated)Observational2007-10-31Completed
Ketamine Tolerated Dose for Postpartum Depression and Pain After Cesarean Delivery (PREPARE1) [NCT05907213]Phase 112 participants (Anticipated)Interventional2023-09-25Recruiting
EARLY PREOPERATIVE ESCALATING DOSES OF KETAMINE ATTENUATE POSTOPERATIVE PAIN AND REDUCE MORPHINE CONSUMPTION IN HUMANS [NCT01070108]120 participants (Actual)Interventional2007-01-31Completed
Effects of Prophylactic Administration of Ketamine on Acute and Chronic Pain After Thoracotomy for Lung Cancer, a Double Blind Randomised Trial. [NCT03105765]200 participants (Actual)Interventional2011-01-31Completed
A Prospective Randomized Double Blinded Control Trial Using Ketamine or Propofol Anesthesia for Electroconvulsive Therapy: Improving Treatment-Resistant Depression [NCT01935115]Phase 427 participants (Actual)Interventional2013-09-30Completed
Assessment of Topical Treatment Response With Amitriptyline and Ketamine: Combination Trial in Chemotherapy Peripheral Neuropathy (ATTRACT-CPN) [NCT00471445]Phase 3462 participants (Actual)Interventional2007-10-31Completed
Investigating the Effect of a Perioperative Analgesia Protocol on Postoperative Opioid Usage and Pain Control in Patients Undergoing Major Head and Neck Cancer Surgery Requiring Microvascular Free Flap Reconstruction [NCT04176419]Phase 330 participants (Anticipated)Interventional2020-01-17Active, not recruiting
Treatment of Suicidal Ideation With Intravenous Ketamine Infusion [NCT01887990]18 participants (Actual)Interventional2012-05-31Completed
[NCT00209885]Phase 460 participants Interventional2005-10-31Not yet recruiting
Phase 2 Optimization of the Antidepressant Action of Ketamine in Treatment-Resistant Depression and Investigations on Its Mechanism of Action [NCT01945047]Phase 2/Phase 346 participants (Actual)Interventional2013-05-31Completed
Remifentanil-based Total Intravenous Anesthesia for Pediatric Rigid Bronchoscopy: Comparison of Propofol and Ketamine As Adjuvant [NCT01947114]Phase 440 participants (Actual)Interventional2005-11-30Completed
Brain Injury and Ketamine: a Prospective, Randomized Controlled Double Blind Clinical Trial to Study the Effects of Ketamine on Sedative Sparing and Intracranial Pressure in Traumatic Brain Injury Patients. [NCT05097261]Phase 4100 participants (Anticipated)Interventional2021-09-06Recruiting
Low-dose Ketamine as Adjuvant Treatment to Morphine in Neuropathic Cancer Pain [NCT01951911]Phase 30 participants (Actual)Interventional2013-09-30Withdrawn(stopped due to Poor patient recruitment. Vast majority of the patients have exclusions criteria)
Use of a Multimedia Presentation to Enhance the Informed Consent for Ketamine Sedation in a Pediatric Emergency Department [NCT01955070]184 participants (Actual)Interventional2011-05-31Completed
DECREASING THE NEED FOR MECHANICAL VENTILATION AFTER RETINOPATHY OF PREMATURITY SURGERY: Sedation vs General Anesthesia [NCT01955135]Phase 460 participants (Actual)Interventional2010-09-30Completed
Boosting and Guiding Neuroplasticity by Combining Ketamine With Neurofeedback-assisted Learning - Towards an Individualized and Integrated Pharmaco-psychotherapy for Cocaine Addiction [NCT06125054]Phase 2120 participants (Anticipated)Interventional2023-12-31Not yet recruiting
A Randomized Control Trial Evaluating the Utility of Multimodal Opioid-free Anesthesia on Return of Bowel Function in Laparoscopic Colorectal Surgery [NCT04144933]Phase 360 participants (Anticipated)Interventional2021-05-15Recruiting
A Prospective Randomized Controlled Trial of Electroconvulsive Therapy With Ketamine Anesthesia (Standard Therapy) and High Intensity Ketamine With Electroconvulsive Therapy Rescue for Treatment-Resistant Depression - EAST HIKER Trial [NCT03272698]Phase 462 participants (Anticipated)Interventional2017-09-01Recruiting
Prospective Study of Induction Medications Used in the Rapid Sequence Intubation of Trauma Patients and a Comparison of Effects on Outcomes [NCT04291521]7,000 participants (Anticipated)Observational2024-01-01Not yet recruiting
The Efficacy of Intraoperative Ketamine in Patients Undergoing Robot-assisted Thyroidectomy [NCT01997801]64 participants (Anticipated)Interventional2013-12-31Not yet recruiting
Imaging Neural Correlates of Antidepressant Action of Ketamine Stereoisomers Using Pharmacological PET/MR Imaging and Metabolite Analysis. [NCT04587778]Phase 165 participants (Anticipated)Interventional2020-10-31Not yet recruiting
Safety and Efficacy of Sedation for Flexible Fiberoptic Bronchoscopy: Comparison of Propofol/Alfentanil With Propofol/Ketamine [NCT02000206]80 participants (Anticipated)Interventional2014-02-28Not yet recruiting
Effects of Peri Operative Administration of Ketamine on Long Term Post Thoracotomy Pain [NCT00224588]Phase 380 participants Interventional2003-01-31Completed
Comparative Study of Hemodynamic Changes and Sedation Effect of Dexmedetomidine Versus Dexmedetomidine With Ketamine in Mechanically Ventilated ARDS Patients, Randomized Clinical Trial [NCT05951387]Phase 460 participants (Anticipated)Interventional2023-06-01Recruiting
Ketofol vs Dexmedetomidine for Preventing Post-operative Delirium in Elderly Patients Undergoing Intestinal Obstruction Surgeries. A Randomized Controlled Study [NCT04816162]Phase 4120 participants (Actual)Interventional2021-03-25Completed
Ketamine Versus Dexmedetomidine as an Adjuvant in Ultrasound-guided Supraclavicular Brachial Plexus Block [NCT04508894]75 participants (Actual)Interventional2019-04-21Completed
Acute and Maintenance Intravenous Ketamine for Treatment Resistant Major Depression With Suicidal Ideation/Attempt [NCT02094898]Phase 212 participants (Actual)Interventional2014-09-30Completed
A Double-blind, Randomised Placebo-controlled Trial to Determine Whether Low-dose Intravenous Ketamine Peri-operatively Can Prevent Chronic Post-surgical Pain, in Patients Undergoing Thoracotomy or Video Assisted Thoracic Surgery (VATS) [NCT01296347]Phase 477 participants (Actual)Interventional2011-04-30Completed
A Comparison Between the Correlation of the Bispectral Index Versus Snap Index With the Observer's Assessment of Alertness and Sedation (OAA/S) Scale During a Sedation Regimen With and Without Ketamine [NCT01250418]25 participants (Actual)Interventional2010-08-31Terminated(stopped due to Monitor manufacturer stopped marketing plan for the product.)
Ketamine Use in Electroconvulsive Therapy: Clinical, Cognitives and Neurotrophic Outcomes [NCT02012335]0 participants (Actual)Interventional2014-01-31Withdrawn(stopped due to Methodologicals and logistics issues.)
Plasma Concentration of Ketamine and Norketamine in Patients on Oral Ketamine for Chronic Neuropathic Pain : A Pilot Study. [NCT02016664]12 participants (Actual)Interventional2014-04-30Completed
The Effectiveness of Ketamine Continuous Infusion on Opioid Consumption and Pain Management in Severe Burned Patients, a Randomized, Double-blind, Placebo-controlled Study [NCT02860117]Phase 30 participants (Actual)Interventional2018-01-31Withdrawn(stopped due to change in hospital policy)
Effects of Ketamine in Post-operative Pain and Recovery Outcomes in Bilateral Third Molar Surgery Under General Anaesthesia [NCT02021240]Phase 3150 participants (Actual)Interventional2014-02-10Completed
Prevention of Emergence Agitation in Children After Sevoflurane Anesthesia With Ketamine-midazolam Combination: A Prospective Randomized Clinical Trial [NCT02022488]Phase 478 participants (Actual)Interventional2012-02-29Completed
Ketamine Anesthesia to Enhance Efficacy and Tolerability of Electroconvulsive Therapy in Patients With Unipolar or Bipolar Depression [NCT01309581]3 participants (Actual)Interventional2010-04-30Terminated(stopped due to limited enrollment)
Ketamine Versus Magnesium Sulfate in the Time and Awakening Quality of General Anesthesia. Randomized Clinical Study. [NCT04360473]140 participants (Anticipated)Interventional2022-03-14Recruiting
The Effect of Low Dose Ketamine on Narcotic Consumption in Patients Undergoing Laparoscopic Cholecystectomy [NCT05444777]86 participants (Actual)Interventional2013-01-17Completed
Effects of Ketamine on Human Bladders and Its Possible Mechanisms [NCT00957333]44 participants (Actual)Observational2009-03-31Completed
Dexmedetomidine-ketamine Combination Versus Fentanyl-midazolam for Patient Sedation During Flexible Bronchoscopy: a Prospective, Single-blind, Randomized Controlled Trial [NCT06185127]Phase 350 participants (Actual)Interventional2019-09-01Completed
Potential Role of Intravenous Lidocaine Versus Intravenous Ketamine for Pain Management in Fibromyalgia Patients [NCT06184958]Phase 475 participants (Anticipated)Interventional2023-09-02Recruiting
TREK: Ketamine-assisted Psychotherapy (KAP) for Patients With Existential Distress Associated With Non-operable GI Cancers [NCT06001372]Early Phase 112 participants (Anticipated)Interventional2023-10-13Recruiting
Rapid Antidepressant Response to Ketamine and Impact on Healthcare Utilization After Administration in the Emergency Department [NCT04266288]Phase 429 participants (Actual)Interventional2019-10-18Completed
Intranasal (IN) Ketamine in Treatment-Resistant Depression (TRD) [NCT01304147]20 participants (Actual)Interventional2011-10-31Completed
Use of Ketamine Prior to Cardiopulmonary Bypass in Children [NCT00556361]Phase 224 participants (Actual)Interventional2004-07-31Completed
Ketamine for Analgesia After Cesarean Section [NCT04545801]80 participants (Actual)Interventional2019-01-01Completed
Intravenous Ketamine Effects on Functional Neuroanatomy [NCT04205890]Phase 10 participants (Actual)Interventional2020-05-02Withdrawn(stopped due to Sponsor is no longer interested in funding the study)
Comparison of Effectiveness of Adding Ketamine or Neostigmine to Bupivacaine for Ultrasound Guided Serratus Anterior Plane Block in Modified Radical Mastectomy , Randomized Double Blinded Comparative Study. [NCT04544228]90 participants (Actual)Interventional2020-09-05Completed
A Randomized, Double-blind, Placebo-controlled, Cross-over Study to Assess the Safety, Tolerability and Efficacy of Oral Ketamine for Patients With Rett Syndrome [NCT03633058]Phase 224 participants (Actual)Interventional2019-03-12Completed
Intra-nasal Ketamine for Analgesia in the Emergency Department [NCT01686009]Phase 440 participants (Actual)Interventional2012-10-31Completed
Evaluation of Safety and Efficacy of Sub-anesthetic Ketamine Infusions as a Treatment for Patients Diagnosed With Resistant Major Depression [NCT02219867]10 participants (Anticipated)Interventional2014-08-31Not yet recruiting
Efficacy of Adding Low Dose Ketamine or Fentanyl to Propofol-dexmedetomidine as Total Intravenous Anesthesia for Patients Undergoing Craniotomy [NCT06031883]Phase 1/Phase 240 participants (Anticipated)Interventional2023-02-01Recruiting
Randomized Blinded, Placebo Controlled Trial Of Intrapoperative Ketamine For Patients Undergoing Total Joint [NCT04437888]Early Phase 1200 participants (Actual)Interventional2020-09-14Active, not recruiting
Comparison of Nebulized Sub-dissociative Dose Ketamine at Three Different Dosing Regimens for Treating Acute Pain in the Pediatric ED: A Prospective, Randomized Double-Blind Trial [NCT03950817]Phase 4120 participants (Anticipated)Interventional2019-05-13Recruiting
A Prospective, Randomized, Single-Blinded Trial of Ketamine Versus Lidocaine Infusions for Multimodal Pain Management in Traumatic Rib Fracture Patients [NCT04781673]Phase 474 participants (Anticipated)Interventional2021-04-01Recruiting
KETACANCER: Prospective Multicentre Study of the Use of Ketamine in the Treatment of Refractory Chronic Pain in the French CLCC [NCT04459234]81 participants (Actual)Observational2021-02-02Completed
Modulation of μ Opioid Receptor Mediated Analgesia, Tolerance and Hyperalgesia in Children and Adolescents [NCT01325493]Phase 454 participants (Actual)Interventional2010-01-31Completed
Immunomodulatory Properties of Ketamine in Sepsis [NCT01089361]Phase 1/Phase 219 participants (Actual)Interventional2009-12-31Completed
The Effect of Intraoperative Dexmedetomidine-Ketamine Infusion on the Patients Undergoing Radical Mastectomy: Randomized Controlled Study [NCT04048226]Phase 498 participants (Actual)Interventional2019-09-01Completed
Comparison of Treatment by IM Ketamine to IV Ketamine in Patients With Renal Colic [NCT04013958]Phase 3100 participants (Anticipated)Interventional2019-08-01Not yet recruiting
A Comparative Study of the Effect of Propofol Infusion Versus the Combination of Ketamine and Dexmedetomidine Infusion on the Amplitude of Motor Evoked Potential in Pediatrics Undergoing Tethered Spinal Cord Surgeries a Randomized, Double-blinded Controll [NCT05591001]Phase 146 participants (Anticipated)Interventional2022-10-30Recruiting
Evaluation of Efficacy and Safety of Levetiracetam, Lacosamide and Ketamine as Adjunctive Treatment of Refractory Status Epilepticus [NCT02726867]Phase 30 participants (Actual)Interventional2014-02-28Withdrawn(stopped due to No participants enrolled)
Effect of Ketamine, at the Induction and Its Maintenance to Prevent the Post-operative Pain: Clinical Trial in Cancerology [NCT00210210]Phase 3230 participants (Actual)Interventional2004-02-29Completed
Pre-hospital Utilization of Nebulized Sub-dissociative Dose Ketamine for Managing Acute Traumatic Extremity Pain: a Prospective Observational Study [NCT04162028]Phase 40 participants (Actual)Interventional2019-01-15Withdrawn(stopped due to Investigators not interested any more in the study)
Proper Dosage of Intravenous Ketamine When Used as an Adjuvant to Lidocaine in Intravenous Regional Anesthesia (IVRA). [NCT00221871]0 participants Interventional2004-01-31Recruiting
Intranasal Ketamine Effectiveness in Reducing Intramuscular Injection Pain Before Sedation Among Children [NCT06139380]Phase 490 participants (Anticipated)Interventional2023-12-02Recruiting
Connectivity Changes Associated With Ketamine Assisted Psychotherapy for PTSD [NCT06036511]Phase 1/Phase 214 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Low-Dose Ketamine Infusion for the Treatment of Multiple Sclerosis Fatigue (INKLING-MS) [NCT05378100]Phase 2110 participants (Anticipated)Interventional2023-01-01Recruiting
Effects of a Single Dose of Intravenous Ketamine on Symptoms of Gulf War Illness in 1990-1991 Gulf War Veterans [NCT04712071]Early Phase 11 participants (Actual)Interventional2021-02-01Terminated(stopped due to Due to the COVID pandemic we could not enroll more than one subject before funding was ending.)
Effects of Ketamine on Eye Movements, Perception and Brain Function [NCT02701933]24 participants (Actual)Interventional2014-04-30Completed
A Comparison Between the Effects of Perioperative Intravenous Lidocaine and Ketamine on Acute and Chronic Pain After Open Nephrectomy: A Prospective, Double-blind, Randomized, Placebo Controlled Study [NCT02653651]Phase 460 participants (Actual)Interventional2016-01-31Completed
The Effect of Intraoperative Lidocaine Infusion and Intraoperative Lidocaine Combined With Ketamine Infusion on Opioid Consumption After Laparoscopic Bariatric Surgery: A Randomized Controlled Trial [NCT04524130]Phase 487 participants (Anticipated)Interventional2021-04-01Active, not recruiting
The Effect of Different Doses of Ketamine on Tracheal Intubating Conditions Using Low Dose Rocuronium in Children [NCT02646709]Phase 460 participants (Anticipated)Interventional2016-01-31Not yet recruiting
Efficacy of Postoperative Analgesia Offered by Local Ketamine Wound Instillation Following Total Thyroidctomy; a Randomized, Double-blind, Controlled-clinical Trial [NCT02642497]Phase 2/Phase 390 participants (Actual)Interventional2015-08-31Completed
A Prospective Randomised, Double-blinded Cross-over Study to Investigate the Effects of Racemic and S-ketamine on Cerebral Blood Flow on Healthy Volunteers With MRI-ASL [NCT01506921]14 participants (Anticipated)Interventional2011-05-31Completed
Intranasal Ketamine Versus Intravenous Ketamine for Procedural Sedation in Children: a Multi-centre Randomized Controlled Non-inferiority Trial [NCT02828566]Phase 3470 participants (Anticipated)Interventional2017-10-31Not yet recruiting
Biomarkers of Response to Ketamine in Depression [NCT04216888]Phase 2/Phase 39 participants (Actual)Interventional2019-06-26Completed
Intranasal Ketamine Use in Autism Spectrum Disorder: A Placebo-Controlled Crossover Pilot Study [NCT02611921]Phase 121 participants (Actual)Interventional2015-12-22Completed
Parallel Effects of Ketamine and Schizophrenia on Neurocognitive Function [NCT02675530]Phase 133 participants (Actual)Interventional2007-12-31Completed
Untersuchung Unterschiedlicher Sedationstechniken für Elektive Magnetresonanztomographie (MRT)-Diagnostik Bei Kindern Anhand Klinischer Und MRT-basierter Outcomeparameter (Propofol Versus Propofol-Ketamin) [NCT01519154]Phase 3347 participants (Actual)Interventional2012-03-31Completed
Intraoperative Ketamine and Methadone for Laminectomy: Effect on Recovery, Postoperative Pain, and Opioid Requirements [NCT02252432]Phase 413 participants (Actual)Interventional2013-02-28Terminated(stopped due to No enough recruitments, very slow enrollment over the years)
Ketamine Improves Post-Thoracotomy Analgesia [NCT00625911]44 participants (Actual)Interventional2001-09-30Completed
Intranasal Ketamine Versus Intranasal Midazolam Plus Fentanyl in Treating Pain Associated With Incision and Drainage of Abscesses in the Pediatric Emergency Department: A Randomized Controlled Trial [NCT02635282]Phase 419 participants (Actual)Interventional2016-08-31Completed
A Pilot Study of Sub-anesthetic Ketamine Infusion for Neuroprotection After Aneurysmal Subarachnoid Hemorrhage: Effects on White Matter Integrity, Inflammatory Biomarkers and Neurocognitive Outcome [NCT02636218]Phase 2/Phase 350 participants (Anticipated)Interventional2016-01-31Recruiting
Effect of Ketamine-propofol Mixture on Postoperative Pain and Sedation-agitation [NCT02848963]Phase 475 participants (Actual)Interventional2016-07-31Completed
Low Dose Ketamine Infusion for the Treatment of Resistant Depression [NCT04283058]0 participants (Actual)Observational2020-06-29Withdrawn(stopped due to Covid-19 disruption of team)
An Open-label, Single Ascending Dose Study to Investigate the Safety, Tolerability and Pharmacokinetics of Sublingually Administered (S)-Ketamine Oral Solution in Healthy Participants [NCT04282746]Phase 117 participants (Actual)Interventional2020-02-18Completed
Intra-operative Use of Ketamine for Post-Operative Analgesia in Patients Undergoing Hemorrhoidectomy: A Prospective, Randomized Controlled Trial. [NCT04248205]Phase 4100 participants (Anticipated)Interventional2020-06-15Recruiting
Intravenous Sedation and Analgesia Using Propofol, Fentanyl and Ketamine (PFK) Versus General Anesthesia in Minor Urological Procedures. [NCT04285528]200 participants (Actual)Interventional2019-04-17Completed
Pilot Study: The Effect of Intraoperative Ketamine on Analgesia Post-Cardiac Surgery and Prevention of Chronic Pain [NCT02925858]Phase 480 participants (Actual)Interventional2017-08-28Completed
Comparison Between Low-dose Ketamine Infusion and Intravenous Morphine Infusion for Analgesia in Laparotomy Myomectomy: A Double-blind, Randomized, Controlled Clinical Trial [NCT04281628]Phase 480 participants (Actual)Interventional2019-02-21Completed
Ketamine Treatment for Pediatric-Refractory Obsessive-Compulsive Disorder (OCD) [NCT02422290]Phase 1/Phase 25 participants (Actual)Interventional2015-03-31Completed
Efficacy and Safety of Ketamine Versus Magnesium Sulphate as Adjuvants to Levobupivacaine in Ultrasound (US) Bi-level Erector Spinae Block in Breast Cancer Surgery [NCT04275661]Phase 260 participants (Anticipated)Interventional2020-08-01Active, not recruiting
Evaluation of Ketamine and Multi-modal Analgesics for Postoperative Analgesia, Opioid Sparing, and Early Extubation in ICU Compared With Conventional Analgesia [NCT02815111]0 participants (Actual)Observational2016-07-31Withdrawn(stopped due to Not IRB approved)
The Role of Ketamine in Preventing Cognitive Dysfunctions in Postoperative Period of Cardiac Surgery [NCT02782429]Phase 450 participants (Anticipated)Interventional2016-04-30Recruiting
Continuous Ketamine Infusion Versus Placebo in the Treatment of Acute Post-Surgical Pain: A Randomized Trial Evaluating the Efficacy of Ketamine in Colorectal Surgery [NCT02785003]Phase 40 participants (Actual)Interventional2016-07-31Withdrawn(stopped due to Lack of Funding)
The Efficacy and Safety of S-ketamine in Elective Cesarean Section: a Multi-center, Randomized, Double-blind, Placebo-controlled Clinical Study [NCT04657107]402 participants (Anticipated)Interventional2020-12-01Not yet recruiting
Intranasal Dexmedetomidine and Fentanyl Versus Intravenous Midazolam and Ketamine in Sedation for Painful Outpatient Procedures [NCT04621110]Phase 360 participants (Anticipated)Interventional2021-06-01Not yet recruiting
[NCT01404442]Phase 1/Phase 290 participants (Actual)Interventional2011-05-31Completed
D-cycloserine for Relapse Prevention Following Intravenous Ketamine in Treatment-resistant Depression [NCT02772211]Phase 460 participants (Anticipated)Interventional2016-06-30Not yet recruiting
Effect of Ketamine (Ketalar) on Intracranial Pressure [NCT00437814]30 participants Interventional2005-09-30Recruiting
Ketamine Tolerance in Children After Repeated Administrations During Radiotherapy Sessions [NCT02512055]Phase 433 participants (Actual)Interventional2012-05-31Completed
Comparing Low Dose IV Ketamine-midazolam Versus IV Morphine Regarding ED Pain Control in Patients Sustaining Closed Limb Fracture(s) [NCT01807429]Phase 2/Phase 3236 participants (Actual)Interventional2012-12-31Completed
Efficacy and Safety of Esketamine or Sevoflurane Add to Dexmedetomidine-based Sedation for Ophthalmology Procedure in Children [NCT05321160]116 participants (Actual)Interventional2021-03-10Completed
Phase 4 Study of Prevention of Persistent Postsurgical Pain After Thoracotomy Using Ketamine [NCT01243801]Phase 4104 participants (Actual)Interventional2008-09-30Completed
Analgesic Effect of Ketamine in Patients Undergoing Hysteroscopic Endometrial Thermal Ablation Surgery [NCT01106846]22 participants (Actual)Interventional2010-03-31Terminated(stopped due to Resources not available to complete.)
A Comparison of Proprietary Formulations of Oral Ketamine + Aspirin and Oral Ketamine Alone in Adult Patients Presenting to the ED With Acute Musculoskeletal Pain: Prospective, Randomized, Open-Label, Clinical Trial. [NCT04860804]Phase 460 participants (Actual)Interventional2021-04-22Completed
Ketamine as a Rapid Treatment for Post-traumatic Stress Disorder [NCT00749203]Phase 241 participants (Actual)Interventional2009-01-31Completed
Administration of Ketamine to Branchial Plexus Block Using Axillary Approach : Comparative Study [NCT05297422]81 participants (Anticipated)Interventional2022-01-20Recruiting
Effect of Ketamine+Propofol vs Remifentanyl+Propofol on Laryngeal Mask Insertion Conditions [NCT02583217]50 participants (Actual)Observational [Patient Registry]2015-04-30Completed
The Effect of Perioperative Intravenous Low-dose Ketamine on Acute and Chronic Neuropathic Pain After Major Back Surgery. A Randomised, Placebo-controlled, Double-blind Study [NCT00618423]Phase 2160 participants (Actual)Interventional2007-10-31Completed
Optimization of Intravenous Ketamine for Treatment-Resistant Depression: A Randomized, Placebo-Controlled, Triple-masked, Clinical Trial [NCT00768430]Phase 273 participants (Actual)Interventional2008-11-30Completed
Double Blind Placebo Controlled Study of Outpatient Intravenous Ketamine for the Treatment of CRPS [NCT00579085]Phase 240 participants (Anticipated)Interventional2006-09-30Completed
Perioperative Use of Ketamine Infusion vs Dexmedetomidine Infusion as Analgesic in Obese Patients Undergoing Bariatric Surgery [NCT04576975]Phase 390 participants (Actual)Interventional2021-04-20Active, not recruiting
Pilot Study of Ketamine-assisted Talk Therapy for Demoralization in Patients With Pancreatic Ductal Adenocarcinoma and Pain [NCT06077487]Phase 412 participants (Anticipated)Interventional2024-02-01Not yet recruiting
Effects of Small-dose S-ketamine on Anesthesia-induced Atelectasis in Patients Undergoing General Anesthesia Accessed by Pulmonary Ultrasound:Study Protocol for a Randomized, Double-blinded Controlled Trial [NCT04745286]Early Phase 1100 participants (Anticipated)Interventional2021-03-31Not yet recruiting
Comparative Randomized Controlled Trial Study of General Balanced Anesthesia Based on Opioid and Opioid Sparing Balanced Anesthesia for Cholecystectomy Surgery Via Laparoscopy: Intraoperative and Postoperative Outcomes [NCT02953210]Phase 440 participants (Anticipated)Interventional2016-11-30Enrolling by invitation
A Prospective Study of Low Dose Ketamine as an Adjunct to Fentanyl in Pediatric Patients Following Outpatient Tonsillectomy and Adenoidectomy [NCT00587665]122 participants (Actual)Interventional2006-08-31Completed
Randomized, Single-blind, Placebo-controlled Study on the Effect of Postoperative Administration of Single Dose Ketamine After Mastectomy on Pain [NCT04831736]Phase 431 participants (Actual)Interventional2021-04-26Completed
[NCT01855581]3,739 participants (Anticipated)Observational2012-11-30Recruiting
Ketamine for Treatment-resistant Depression: A Multicentric Clinical Trial in Mexican Population [NCT01868802]Phase 260 participants (Anticipated)Interventional2013-09-30Recruiting
Efficacy and Safety of Esketamine Combined With Dexmedetomidine for Sedation Iof Mechanically Ventilated Patients in the ICU: a Prospective, Randomized, Single-center Study [NCT05466708]Phase 4120 participants (Anticipated)Interventional2022-08-31Not yet recruiting
Ketamine Versus Etomidate for Procedural Sedation for Pediatric Orthopedic Reductions [NCT00596050]Phase 450 participants (Actual)Interventional2006-08-31Completed
Analgesic Efficacy of Ropivacaine Alone or in Combination With Adjuvants on Post-operative Analgesia Following Video-Assisted Thoracoscopic Surgery (VATS) - A Randomized Controlled Trial. [NCT03809442]Phase 4120 participants (Anticipated)Interventional2019-06-25Recruiting
Continuation Intravenous Ketamine in Major Depressive Disorder - Modification: Lithium for Relapse Prevention [NCT00548964]Phase 136 participants (Actual)Interventional2007-10-31Completed
The Effects of Ketamine on Postoperative Pain After Intraoperative Remifentanil Infusions in Bariatric Surgery [NCT03389022]Phase 464 participants (Anticipated)Interventional2015-07-22Enrolling by invitation
Intranasal Ketamine for Pediatric Procedural Sedation: a Feasibility Study [NCT03067974]Early Phase 110 participants (Actual)Interventional2017-09-21Terminated(stopped due to Initial results did not show benefit.)
Initiating Ketamine in Acutely Suicidal Patients in the Emergency Department [NCT04260607]Phase 32 participants (Actual)Interventional2020-01-14Terminated(stopped due to As a busy MTF we were unable to retain a health care provider with the appropriate expertise to buy-in to this study once the initiating PI left military service.)
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine [NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated(stopped due to Efficacy was not seen after interim analysis)
Low-dose Ketamine Infusions for Perioperative Pain Management in Patients Undergoing Laparoscopic Gastric Bypass [NCT03448068]Phase 234 participants (Actual)Interventional2018-04-16Completed
A Pilot Study of a Single Infusion of Ketamine in Relief of Depressive Symptoms of Elderly Patients With Visual Impairment. [NCT03473431]90 participants (Actual)Interventional2018-04-15Completed
Ketamine Versus Etomidate During Rapid Sequence Intubation: Consequences on Hospital Morbidity [NCT00440102]Phase 4655 participants (Actual)Interventional2007-04-30Completed
A Randomized, Double-Blind, Placebo-Controlled Pilot Study of the Safety and Efficacy of 10 mg, 30 mg, and 50 mg of Transnasal Ketamine Hydrochloride (PMI-100) for the Treatment of Postoperative Dental Pain [NCT00488787]Phase 240 participants (Actual)Interventional2001-03-31Completed
The Prevention of Post Operative Cognitive Dysfunction by Ketamine: a Prospective Multicenter Randomized Blinded Placebo-controlled Trial in Elderly Patients Undergoing Elective Orthopaedic Surgery [NCT02892916]Phase 3307 participants (Actual)Interventional2017-03-20Completed
A Prospective Randomized Double Blind Evaluation of Ketamine/Propofol vs Ketamine Alone for Pediatric Extremity Fracture Reduction [NCT00490997]Phase 4140 participants (Actual)Interventional2007-06-30Completed
Effect of Ketalar to Prevent Postoperative Chronic Pain After Mastectomy [NCT00129597]Phase 440 participants Interventional2004-12-31Active, not recruiting
A Randomized, Open Label, Single Center, Single-Dose Study to Assess the Effects of Certain Nasal Medications on the Pharmacokinetics, Safety and Tolerability of PMI-150 (Intranasal Ketamine Hydrochloride) 30 mg [NCT00520104]Phase 148 participants (Anticipated)Interventional2007-08-31Active, not recruiting
Low Dose Ketamine for Management of Acute Severe Pain in the Emergency Department [NCT01740492]Phase 175 participants (Actual)Interventional2012-09-30Completed
Intranasal Ketamine Versus Intramuscular Ketamine for Procedural Sedation: A Prospective Randomized, Double-blinded, Placebo Controlled Study [NCT01170247]3 participants (Actual)Interventional2011-01-31Terminated(stopped due to lack of enrollment)
A Randomized, Open Label, Single Center, Single-Dose, Cross-Over Study to Determine the Absolute Bioavailability and the Nasopharyngeal Absorption of PMI-150 (Intranasal Ketamine) in Healthy Adult Volunteers [NCT00520169]Phase 132 participants (Actual)Interventional2007-07-31Completed
A Phase 1, Single-centre, Double-blind, Placebocontrolled Crossover Study to Assess the pharmacoMRI Effects of AUT00206 in Healthy Male Participants [NCT02935725]Phase 122 participants (Actual)Interventional2016-10-31Completed
Intranasal Ketamine for Peripheral Venous Puncture in Pediatric Patients: A Randomized Double Blind and Placebo Controlled Study [NCT02929524]Phase 2/Phase 339 participants (Actual)Interventional2015-04-30Completed
Effects of Local Wound Infiltration With Ketamine Versus Dexmedetomidine Added to Bupivacaine on Surgical Stress Response and Postoperative Pain in Major Abdominal Cancer Surgery [NCT02927379]Phase 390 participants (Actual)Interventional2016-06-30Completed
Ketamine Treatment of Youth Suicide Attempters for Fast Reduction of Severe Suicide Risk and Facilitation of Long-term Collaborative Clinical Engagement: A Double Blind Randomized Placebo Controlled Trial [NCT04763343]Phase 3140 participants (Anticipated)Interventional2022-06-27Recruiting
A Proof-of-Concept Trial on the Effect of Ketamine on Fatigue [NCT04141696]Phase 1/Phase 259 participants (Anticipated)Interventional2021-07-26Recruiting
Premedication With Different Nebulized Ketamine,Dexmedetomidine Versus Midazolam in Oncologic Preschool Children [NCT02935959]Phase 1/Phase 290 participants (Actual)Interventional2016-10-31Completed
Hyperventilation and ECT Seizure Duration: Effects on Cerebral Oxygen Saturation, and Therapeutic Outcome With Comparisons Between Etomidate and Ketamine in Patients With Major Depressive Disorder [NCT02924090]Phase 448 participants (Anticipated)Interventional2016-09-30Recruiting
Does Magnetic Resonance Imaging Increase Core Body Temperature in Anesthetized Children? Evaluating the Effects of Propofol and Ketofol [NCT02931786]90 participants (Actual)Interventional2014-08-31Completed
Intravenous Versus Caudal Supplementation of Ketamine for Postoperative Pain Control in Children,A Double-blind Controlled Clinical Trial. [NCT00532662]Phase 440 participants (Anticipated)Interventional2007-11-30Recruiting
Ketamine Pharmacokinetics in Children Undergoing Cardiac Surgery [NCT00598195]18 participants (Actual)Interventional2006-06-30Completed
Intramuscular Ketamine Administration for the Treatment of Acute Suicidal Ideation With Concurrent EEG Monitoring [NCT05105061]Phase 20 participants (Actual)Interventional2022-02-28Withdrawn(stopped due to PI leaving institution)
Feasibility and Safety of Single Dose Ketamine for Acutely Suicidal Patients in the Emergency Department [NCT06085937]Phase 150 participants (Anticipated)Interventional2023-12-31Not yet recruiting
The Effect of Ketamine - Dexmedetomidine Admixture (Ketodex) on Hemodynamic Stability During Anesthesia Induction in Adults: A Randomized Controlled Comparison of Two Doses [NCT05948267]Phase 4114 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Monitored Anesthesia Care: Dexmedetomidine-Ketamine Versus Dexmedetomidine- Propofol Combination During Burr-Hole Surgery For Chronic Subdural Hematoma [NCT04621526]Phase 1/Phase 256 participants (Actual)Interventional2020-11-10Completed
Double-Blind Randomized Controlled Trial of Acute-Course of Ketamine Versus Midazolam for Recurrence of Suicidality in Adolescents [NCT04592809]Phase 3264 participants (Anticipated)Interventional2022-10-03Recruiting
A Single Ketamine Infusion Combined With Music for Suicidal Ideation During a Depressive Episode: A Randomized Open Label Clinical Trial [NCT04658420]Phase 2200 participants (Anticipated)Interventional2021-07-01Not yet recruiting
Open Randomized Clinical Trial to Examine Individual Pain Tolerance in the Use of Two Anesthetic Techniques to Perform Saturation Prostate Biopsy [NCT02909049]Phase 4100 participants (Actual)Interventional2016-04-30Completed
A Single-center Phase I Open-label Study of the Tolerability and Efficacy of Low-dose Ketamine Infusion for Treatment of Levodopa-Induced Dyskinesia in Patients With Parkinson's Disease [NCT06021756]Phase 19 participants (Actual)Interventional2019-07-28Active, not recruiting
PCA Ketamine-Morphine Versus PCA Morphine as Post-Operative Analgesia in Colorectal Surgery [NCT06021717]Phase 460 participants (Actual)Interventional2018-04-05Completed
Investigations on the Efficacy of Ketamine in Depression in Comparison to Electroconvulsive Therapy [NCT03674671]Phase 3240 participants (Anticipated)Interventional2018-10-29Suspended(stopped due to insufficient funding)
S-ketamine Prevents Tibial Fracture-associated Postoperative Pain and Cognitive Dysfunction After Orthopedic Surgery in Patients: a Randomized Double-blind Controlled Trial [NCT04643132]120 participants (Anticipated)Interventional2020-12-15Recruiting
A Comparison of Midazolam or Haloperidol Premedication Versus Placebo for Reducing Ketamine Induced Agitation After Adult Procedural Sedation in the Emergency Department [NCT02909465]Phase 4185 participants (Actual)Interventional2016-07-31Completed
Comparison of Sedation by Esketamine and Sevoflurane for Short Ophthalmological Procedure in Children [NCT05011214]Phase 460 participants (Anticipated)Interventional2021-09-20Enrolling by invitation
A Pivotal Phase 1, Randomized, Single-Dose, 4-Period, Crossover Relative Bioavailability Study of MELT-100, IV Midazolam, and IV Ketamine Under Fasted Conditions in Healthy Volunteers [NCT04767035]Phase 125 participants (Actual)Interventional2020-12-01Completed
Cardioprotective Effect of Ketamine-dexmeditomidine Versus Fentanyl-midazolam in Open-heart Surgery in Pediatrics: A Randomized Controlled Double-blinded Study [NCT05314569]Phase 181 participants (Anticipated)Interventional2022-04-15Recruiting
Efficacy and Safety of Opioid-free Anesthesia With Propofol Combined With S-ketamine in Laparoscopic Cholecystectomy: a Multicenter, Randomized, Controlled, Non-inferiority Clinical Study (SKOF - LC) [NCT05242081]980 participants (Anticipated)Interventional2022-07-31Recruiting
Prospective Observational Evaluation of a New Protocol for Adult Procedural Sedation With Ketamine-propofol in a 1 on 4 Ratio at the Emergency Department of a Tertiary Hospital [NCT04028141]61 participants (Actual)Observational2018-02-01Completed
Switching to Intranasal Esketamine Maintains the Antidepressant Response to Intravenous Racemic Ketamine Administration: A Case Series of 10 Patients [NCT04856124]10 participants (Actual)Observational2018-09-01Completed
Ketamine for Treatment Resistant Depression - A Long Term Feasibility Study [NCT04021433]20 participants (Anticipated)Interventional2018-09-01Recruiting
Comparison of the Effectiveness of Sedation With i.v. Dexmedetomidine in Combination With Midazolam Alone or Midazolam and Low Dose Ketamine for Extraction of Third Molars. [NCT01017237]Phase 418 participants (Actual)Interventional2009-07-31Terminated(stopped due to Protocol proved to be ineffective for adequate sedation for third molar surgery.)
Comparing the Efficacy of Intravenous Dexmedetomidine, Tramadol and Ketamine for Control of Post Spinal Shivering in Obstetric Patients Undergoing Lower Segment C-section [NCT05311722]Phase 371 participants (Anticipated)Interventional2022-04-30Not yet recruiting
A Randomized, Clinical Trial of Oral Midazolam Plus Placebo Versus Oral Midazolam Plus Oral Ketamine for Sedation During Laceration Repair [NCT01470157]Phase 460 participants (Anticipated)Interventional2011-07-31Recruiting
Comparison of Mg, Ketamine, Large Dose Rocuronium, and Priming on Intubating Condition in Rapid Sequence Intubation [NCT01479751]110 participants (Actual)Interventional2011-11-30Completed
Prospective, Double-blinded, Randomised, Placebo Controlled Trial of Pre-emptive Analgesia to Prevent Pain Following Sternotomy for Cardiac Surgery. [NCT01480765]Phase 4150 participants (Anticipated)Interventional2011-11-30Recruiting
N-acetylcysteine and NMDA Antagonist Interactions [NCT00611897]Phase 1/Phase 216 participants (Actual)Interventional2006-01-31Completed
A Randomised Controlled Trial of Lidocaine Infusion Plus Ketamine Injection Versus Placebo to Decrease Postoperative Ileus [NCT00229567]60 participants Interventional2005-09-30Terminated(stopped due to insufficient numbers of eligible patients as laparscopic surgery increased and open surgery decreased.)
Effect of Racemic Ketamine on Pain in Females and Males After Surgical Removal of Third Molars [NCT00232492]Phase 4128 participants (Actual)Interventional2005-01-31Completed
Ketamine vs. Midazolam in Bipolar Depression [NCT01944293]Phase 1/Phase 216 participants (Actual)Interventional2013-09-30Completed
Low Dose Ketamine Infusion for Analgesia in the Emergency Department (ED) to Reduce Side Effects: A Double Blind, Double Dummy Randomized Controlled Trial [NCT05518877]Phase 448 participants (Anticipated)Interventional2022-12-07Recruiting
A Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Efficacy of Ketamine for the Treatment of Concurrent Opioid Use Disorder and Major Depressive Disorder [NCT04177706]Phase 221 participants (Actual)Interventional2020-12-17Completed
Lidocaine and Ketamine in Abdominal Surgery [NCT04084548]Phase 3420 participants (Anticipated)Interventional2019-10-15Recruiting
Recovery Parameters and Nociception Levels in Opioid-free Versus Opioid Based Anesthesia for Thyroidectomy [NCT05243940]60 participants (Anticipated)Interventional2022-03-07Recruiting
Analgesic Effects of Three Different Doses of Intrathecal Ketamine as an Adjuvant to Intrathecal Bupivacaine in Patients Undergoing Knee Arthroscopy. A Randomized Prospective Double-blinded Study [NCT05074823]Phase 4105 participants (Actual)Interventional2022-02-26Completed
Comparative Evaluation of Intranasal Midazolam, Dexmedetomidine, Ketamine for Their Sedative Effect and the Ability to Facilitate Venous Cannulation in Pediatric Patients: a Prospective Randomized Study. [NCT04704622]Phase 2/Phase 3150 participants (Actual)Interventional2021-01-01Completed
Ketamine Versus Fentanyl as an Adjunct to Propofol-Assisted Emergency Department Procedural Sedation [NCT00137085]124 participants Interventional2004-09-30Completed
Patient Satisfaction With Subdissociative Dose Ketamine Versus Morphine for Emergency Department Pain Control [NCT04698772]32 participants (Actual)Observational2019-12-19Completed
Consequences of Co-Administration of Propofol With Clonidine and Ketamine Throughout Colon Cancer Surgery [NCT05536362]Phase 160 participants (Actual)Interventional2021-02-01Completed
Low-dose Ketamine Versus Morphine for Severe Painful Sickle Cell Crises in Children at Mulago Hospital: A Randomised Controlled Trial [NCT02434939]Phase 4240 participants (Actual)Interventional2015-06-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Comparing the Efficacy and Safety of PMI-150 (Intranasal Ketamine) to Placebo as an Analgesic for the Treatment of Breakthrough Pain in Cancer Patients [NCT00492388]Phase 32 participants (Actual)Interventional2007-06-30Terminated(stopped due to Business decision not to continue development)
Prospective Study on the Cost-Effectiveness of Adding Ketamine to Midazolam-Sufentanil Sedation Regimen in Mechanically Ventilated Patients [NCT00122759]100 participants (Anticipated)Interventional2005-12-31Recruiting
A Randomized, Double-Masked, Controlled, Single Site Investigator Initiated, Exploratory Study of the Midazolam/Ketamine Melt vs Ketamine Melt Alone vs Midazolam Melt Alone in Subjects Undergoing Intraocular Surgery. [NCT04725747]Phase 450 participants (Anticipated)Interventional2021-01-25Not yet recruiting
The Use of Ketamine for Conscious Sedation in Flexible Bronchoscopy [NCT06181188]Phase 466 participants (Actual)Interventional2019-07-15Completed
Ketamine + Cognitive Training for Suicidality in the Medical Setting [NCT04578938]Phase 4200 participants (Anticipated)Interventional2021-03-15Enrolling by invitation
The Effect of Ketamine in the Prevention of Hypoventilation in Patients Undergoing Deep Sedation Using Propofol and Fentanyl [NCT01825083]0 participants (Actual)InterventionalWithdrawn(stopped due to Change in personnel)
Evaluation of the Initial Prescription of Ketamine and Milnacipran Forin Depression in Patients With a Progressive Disease [NCT02783430]Phase 2/Phase 380 participants (Anticipated)Interventional2016-09-08Recruiting
Investigation of the Rapid (Next Day) Antidepressant Effects of an NMDA Antagonist [NCT00088699]Phase 1/Phase 267 participants (Actual)Interventional2004-07-26Completed
Use of Low-Dose Ketamine Infusion in Acute Painful Episodes of Sickle Cell Disease: A Pilot Study [NCT00595530]Phase 23 participants (Actual)Interventional2008-03-04Terminated(stopped due to Lack of enrollment and patient interest in study)
The Effect of Thoracolumbar Paravertebral Block or Intravenous Lidocaine and Ketamine Versus Standard Care on Acute and Chronic Pain After Inguinal Herniorrhaphy [NCT00720330]12 participants (Actual)Interventional2008-07-31Terminated(stopped due to Enrollment challenges prohibited study progression.)
Effect of Ultrasonography Guided Transversus Abdominis Plane Block to Intraoperative Anesthesia in Children: Randomized Controlled Study [NCT02990975]60 participants (Anticipated)Interventional2016-12-31Active, not recruiting
Effect of Ketamin+Propofol Mixture on Postoperative Recovery [NCT04761159]Phase 4112 participants (Actual)Interventional2021-02-15Completed
Intraoperative Use of Ketamine for Awake Deep Brain Stimulation (DBS) Surgery Compared to Standard Procedure [NCT04716296]35 participants (Actual)Interventional2021-01-01Active, not recruiting
Intranasal Versus Intravenous Ketamine for Procedural Sedation in Children With Non-operative Fractures [NCT03781817]Phase 440 participants (Actual)Interventional2019-09-09Terminated(stopped due to Transition/change of primary investigators)
The Effect of Ketamine in The Prevention of Hypoventilation in Patients With and Without a Positive Berlin Questionnaire Undergoing Deep Sedation [NCT01535976]54 participants (Actual)Interventional2011-08-31Completed
Comparison of Analgesic Effects of Magnesium Sulphate and Ketamine Added to 0.5% Bupivacaine for Erector Spinae Plane Block in Patients Undergoing Video-assisted Thoracoscopic Surgery [NCT05855798]Phase 460 participants (Actual)Interventional2023-05-10Completed
The Effect of Esketamine Combined With Pregabalin on Chronic Postsurgical Pain in Patients After Craniotomy. [NCT05160493]Phase 2/Phase 3246 participants (Anticipated)Interventional2021-12-20Recruiting
The Effect of Ketamine on Immune Function and Prognosis in Patients Undergoing Colorectal Cancer Resection [NCT03273231]100 participants (Anticipated)Interventional2017-09-01Recruiting
A Comparison of Gabapentin and Ketamine in Acute and Chronic Pain After Inguinal Hernia Repair: a Prospective Randomized Study [NCT04700592]60 participants (Actual)Interventional2020-10-02Completed
phase2 Study of Prevention of Complications of Strabismus Surgery [NCT00478907]Phase 2300 participants (Actual)Interventional2004-03-31Completed
Efficacy of Low Analgesic Doses of Ketamine Associated With Opioids in Refractory Cancer Pain Treatment [NCT00484484]Phase 3100 participants (Actual)Interventional2007-05-31Completed
An Open Label, Single Center Study to Assess the Pharmacokinetics, Safety and Tolerability of Multiple Administrations of 30 mg PMI-150 (Intranasal Ketamine) in Healthy Adult Volunteers [NCT00519987]Phase 118 participants (Actual)Interventional2007-06-30Completed
Pain Free Laceration Repairs Using Intra-nasal Ketamine: A Dose Escalation Clinical Trial [NCT03053947]Phase 242 participants (Actual)Interventional2017-02-16Completed
Intranasal Midazolam Versus Intranasal Ketamine to Sedate Newborns for Intubation in Delivery Room. [NCT01517828]Phase 362 participants (Actual)Interventional2012-01-31Active, not recruiting
Prevention of Post-Mastectomy Pain With Perioperative Ketamine Administration: A Randomized, Placebo-controlled Trial [NCT03090776]Early Phase 1200 participants (Anticipated)Interventional2017-07-01Recruiting
Biomarker Study: Impact of Single Doses of LY2979165 and LY2140023 on the Ketamine-Challenge Pharmacological MRI Assay in Healthy Male Subjects [NCT01524237]Phase 152 participants (Anticipated)Interventional2012-04-30Completed
A Randomised, Controlled Trial to Investigate the Effect of a Four Week Intensified Pharmacological Treatment for Major Depressive Disorder Compared to Treatment as Usual in Subjects Who Had a First-time Treatment Failure on Their First-line Treatment. [NCT05973851]Phase 3418 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Effect of Perioperative Electroacupuncture With Tramadol and Ketamine on Postoperative Analgesia in Prostatectomy: a Randomized Placebo-controlled Trial [NCT01526525]Phase 470 participants (Actual)Interventional2009-07-31Completed
Ketamine-propofol Versus Ketamine Alone for Procedural Sedation in Adults : a Blinded, Randomized Controlled Trial [NCT01544725]Phase 4150 participants (Actual)Interventional2012-04-30Completed
A Randomized Controlled Trial of the N-methyl-D-aspartate (NMDA) Receptor Antagonist Ketamine in Comorbid Depression and Alcohol Dependence. [NCT01551329]Phase 15 participants (Actual)Interventional2012-03-31Completed
A Double-blind, Randomized, Placebo-controlled, Parallel Group, Dose Frequency Study of Ketamine in Subjects With Treatment-resistant Depression [NCT01627782]Phase 268 participants (Actual)Interventional2012-08-06Completed
[NCT00115102]Phase 420 participants Interventional2004-03-31Completed
Comparing the Effect of Ketamine and Magnesium Sulfate Gargling With Placebo on Post-operative Sore Throat: A Randomized Controlled Trial [NCT04705948]60 participants (Actual)Interventional2020-10-07Completed
Naturalistic Study of Ketamine in the Treatment of Depression: Suicide Risk Assessment and Serum Measurements of SIRT3, suPAR, hsCRP, Interleukin 6, Complete Blood Count, Leptin, Lipid Profile and Blood Glucose [NCT05249309]90 participants (Anticipated)Observational [Patient Registry]2021-05-01Active, not recruiting
Adjuvant Low-dose Ketamine in Pediatric Sickle Cell Vaso-occlusive Crisis (AKTSS) [NCT03296345]Phase 262 participants (Actual)Interventional2016-06-30Completed
The Effect of Ketamine and Dexmedetomidine on the Postoperative Cognitive Dysfunction After Cataract Surgery: Randomized Controlled Double-blinded Study [NCT04730596]90 participants (Actual)Interventional2021-02-01Completed
A Combination Study With Sub-Dissociative Ketamine and Fentanyl to Treat Moderate to Severe Pain in the Emergency Department [NCT03959852]Phase 46 participants (Actual)Interventional2019-11-18Terminated(stopped due to Residency completed.)
The Effect of Introperative Ketamine and Lidocaine Infusion on Postoperative Opioid Consumption in Posterior Spinal Fusion Surgery - Double-Blind Randomized Controlled Study [NCT04711668]75 participants (Actual)Interventional2019-05-29Completed
Randomized Controlled Trial of Subanesthetic Intravenous Ketamine Infusion in Conjunction With Continuous Epidural Infusion for Treatment of Refractory Complex Regional Pain Syndrome [NCT02094352]Phase 23 participants (Actual)Interventional2014-03-24Terminated(stopped due to The study was unable to enroll efficiently despite trying various technique.)
Department of AnesthesiologyJinling Hospital, Nanjing University School of Medicine, Nanjing, China [NCT01573741]Phase 1/Phase 235 participants (Anticipated)Interventional2012-02-29Recruiting
The Effects of Subanesthetic Ketamine on Respiratory Stimulation and Transpulmonary Pressures in Mechanically Ventilated Critically Ill Patients [NCT01969227]15 participants (Actual)Interventional2014-01-31Completed
The Use of Topical Baclofen, Amitriptyline HCI, and Ketamine (BAK) in a PLO Gel vs. Placebo for the Treatment of Chemotherapy Induced Peripheral Neuropathy: A Phase III Randomized Double-Blind Placebo Controlled Study [NCT00516503]Phase 3208 participants (Actual)Interventional2008-02-29Completed
Perioperative Ketamine in Opioid-Tolerant Patients Undergoing Lumbar Spine Surgery: A Randomized, Double-blind, Placebo-controlled Trial [NCT04220489]Phase 22 participants (Actual)Interventional2019-12-17Completed
Ultrasonography Guided Ilioinguinal /Iliohypogastric Block Versus Transversus Abdominis Plane Block in Intraoperative Anesthesia in Children - Randomized Controlled Study [NCT02991053]100 participants (Anticipated)Interventional2016-12-31Active, not recruiting
The Interest of the Xylocaine® and Ketamine on the Per and Postoperative Management of Acute and Chronic Postoperative Pain After Colectomy by Laparoscopy [NCT02969733]Phase 2/Phase 3135 participants (Actual)Interventional2011-01-31Completed
[NCT00209872]Phase 460 participants (Anticipated)Interventional2005-10-31Not yet recruiting
The Prevention of Delirium and Complications Associated With Surgical Treatments Multi Center Clinical Trial [NCT01690988]Phase 3746 participants (Actual)Interventional2014-02-01Completed
Comparison of Three Different Strategies to Prevent Propofol Induced Pain During Infusion [NCT00146926]Phase 3200 participants Interventional2005-09-30Active, not recruiting
The Use of Ketamine as Rescue Analgesia in the Recovery Room Following Opioid Administration. A Double-blind Randomised Trial in Postoperative Patients. [NCT00163969]Phase 440 participants Interventional2002-04-30Completed
Effect of S-ketamine in Cesarean Section Combined Anesthesia [NCT05414006]Phase 4120 participants (Actual)Interventional2022-06-14Completed
Effect Of Ketamine Infusion On Oxygenation And Ventilation Mechanics In Patients With Chronic Obstructive Pulmonary Disease Applied One Lung Ventilation [NCT02962999]Phase 430 participants (Actual)Interventional2017-01-31Completed
MK III Trial: Analgesic Effect in Children of Low-Dose Ketamine for Mucositis Treated by Patient-Controlled Analgesia With Morphine [NCT00224692]Phase 350 participants Interventional2003-02-28Terminated
Pilot Study to Evaluate the Effectiveness of a Mixture of Ketamine / Lidocaine Administered by Mesotherapy in the Management of Neuropathic Pain in Complex Regional Pain Syndrome Type 1 (CRPS1). A Monocentric Randomized and Controlled Clinical Study [NCT04650074]Phase 2/Phase 336 participants (Anticipated)Interventional2021-11-05Recruiting
Quelling of Excitotoxicity in Acute Stroke With Ketamine [NCT03223220]Phase 2/Phase 3120 participants (Anticipated)Interventional2024-07-01Not yet recruiting
Comparison Between Ketamine and Tramadol for Pain Management After Major Upper Abdominal Surgery [NCT02499341]42 participants (Actual)Interventional2011-07-31Completed
Evaluation of Multimodal Preemptive Analgesia in Major Pediatric Abdominal Cancer Surgeries [NCT03580980]90 participants (Actual)Interventional2015-04-01Completed
Biomarker Assessment of Glutamatergic Target Engagement [NCT02134951]Phase 465 participants (Actual)Interventional2014-05-31Completed
A Randomized, Controlled Trial of Intravenous Sub-dissociative Ketamine at Two Doses for Analgesia in the Emergency Department [NCT03714620]Phase 498 participants (Actual)Interventional2018-10-15Completed
Efficacy of Opioid-free Anesthesia in Reducing Postoperative Respiratory Depression in Children Undergoing Tonsillectomy: a Pilot Study [NCT02987985]Phase 350 participants (Actual)Interventional2017-10-15Completed
A Phase 0, Double-Blind, Randomized, Placebo-Controlled, Crossover Study to Assess Ketamine-induced Changes in ERP Biomarkers in Healthy Volunteers [NCT04928703]Early Phase 133 participants (Actual)Interventional2022-05-26Completed
Efficacy and Safety of Deksmedetomidine-propofol or Ketamine-propofol [NCT04399226]60 participants (Actual)Observational [Patient Registry]2019-10-18Completed
Effect of S-ketamine on Depressed Patients Undergoing Electroconvulsive Therapy-a Randomized, Double-blind, Controlled Clinical Study [NCT04399070]150 participants (Anticipated)Interventional2020-08-01Not yet recruiting
"THINK Trial: Treatment of Headache With IntraNasal Ketamine: A Randomized Controlled Trial Evaluating the Efficacy of Intranasal Ketamine Versus Standard Therapy in the Management of Primary Headache Syndromes in the Emergency Department" [NCT03081416]Phase 380 participants (Actual)Interventional2016-05-31Completed
Dose Response Study of Patient Controlled Analgesia (PCA) of S-ketamine in Orthopaedic Spine Surgery Patients [NCT02994173]Phase 4100 participants (Actual)Interventional2017-02-01Completed
The Analgesic Effect of Combined Treatment With Intranasal S-Ketamine and Intranasal Midazolam Compared With Morphine Patient Controlled Analgesia in Spinal Surgery Patients [NCT01275547]Phase 2/Phase 322 participants (Actual)Interventional2011-01-31Completed
Comparison of Sub-dissociative Dose Intranasal Ketamine to Intranasal Fentanyl for Treatment of Moderate to Severe Pain in Pediatric Patients Presenting to the Emergency Department: a Prospective, Randomized, Double-blind Study [NCT02388321]Phase 422 participants (Actual)Interventional2015-05-01Terminated(stopped due to Patients meeting inclusion criteria was low, and PI went to another institution.)
Low-Dose Intravenous Ketamine for Adolescents With Depression and Suicidal Ideation in the Emergency Department: A Randomized Placebo-Controlled Trial [NCT05217706]Early Phase 130 participants (Anticipated)Interventional2022-03-01Recruiting
Comparison Study of Analgesic Effects for Dexmedetomidine-fentanyl vs Dexmedetomidine-ketamine in Femur Proximal Fracture Patients [NCT02150759]46 participants (Actual)Interventional2014-05-31Completed
Ketamine Efficacy for Acute Severe Bronchospasm in Mechanically Ventilated-critically Ill Patients: a Randomized Controlled Trial [NCT03000413]Phase 2/Phase 390 participants (Anticipated)Interventional2015-08-31Recruiting
Effects of Ketamine on Recovery From Bariatric Surgery [NCT01724983]Phase 390 participants (Anticipated)Interventional2012-06-30Active, not recruiting
Sedation During Muscle Biopsy in Patients With Duchenne Muscular Dystrophy [NCT01645098]53 participants (Actual)Interventional2011-08-31Completed
The Effect of Ketamine on Reducing Cue Reactivity in Cocaine Users [NCT01790490]Phase 28 participants (Actual)Interventional2011-02-28Completed
Efficacy of Adding Ketamine to Levobupivacaine in Paravertebral Block on Acute and Chronic Pain in Thoracotomy: a Randomized Controlled Double-blinded Trial [NCT06011746]Phase 460 participants (Anticipated)Interventional2023-08-30Recruiting
Assessment of Three Regimens of Ketamine Infusion in Complex Regional Pain Syndrome: Randomized Prospective Comparative Study [NCT05997134]Phase 475 participants (Anticipated)Interventional2023-08-30Recruiting
Ketamine-Assisted Psychotherapy Viability in Treating Cancer-Related Emotional Distress [NCT05344625]Early Phase 115 participants (Anticipated)Interventional2023-12-15Not yet recruiting
Low Dose Ketamine Versus Morphine for Moderate to Severe Pain in the Emergency Department: A Prospective, Randomized, Double-Blind Study [NCT01835262]Phase 490 participants (Actual)Interventional2013-04-30Completed
An Open-Label and Double-Blind Study to Investigate Evoked Potentials as Markers of Ketamine-induced Cortical Plasticity in Subjects With Major Depressive Disorder [NCT01957410]Phase 213 participants (Actual)Interventional2014-02-28Terminated(stopped due to Clinical Team decision to terminate the study after the results from Cohort 1 did not support conducting Cohort 2.)
The Effects of Subanesthetic S-ketamine on Postoperative Delirium and Cognitive Function in the Elderly Undergoing Non-cardiac Thoracic Surgery: a Protocol for Randomized, Double-blinded, placebo-and Positive-controlled, Non-inferiority Trial [NCT05242692]Early Phase 1780 participants (Anticipated)Interventional2022-03-10Recruiting
Role of CYP2B6 Polymorphisms in Ketamine Metabolism and Clearance [NCT01988922]30 participants (Actual)Interventional2013-11-30Completed
Randomized Controlled Trial of Intranasal Ketamine vs. Intranasal Midazolam in Individuals With Obsessive Compulsive Disorder (OCD) [NCT02206776]Phase 22 participants (Actual)Interventional2014-09-30Terminated(stopped due to poor tolerability and low enrollment rate)
A Comparative Evaluation of Nebulized Dexmedetomidine and Nebulized Ketamine as a Premedication in Pediatric Surgeries [NCT05719506]Phase 460 participants (Actual)Interventional2021-07-21Completed
Imaging SV2A in Mood Disorders [NCT02734602]130 participants (Anticipated)Interventional2016-04-30Recruiting
TIVA With Ketofol Versus Lidoketofol for Short-term Anesthesia on Pediatric Patients; Effects on Recovery [NCT04467424]Phase 2200 participants (Actual)Interventional2020-06-20Completed
Modulation of Long-term Memory by the Experience of Pain During Sedation With Anesthetics [NCT02515890]Phase 132 participants (Actual)Interventional2015-11-19Completed
Efficacy And Tolerability Of Sub-Anesthetic Ketamine In Postpartum Depression [NCT04011592]Phase 21 participants (Actual)Interventional2019-03-04Terminated(stopped due to Recruitment not feasible)
Low-Dose Ketamine Versus Morphine for Moderate to Severe Pain in the Emergency Department Geriatric Population: A Prospective, Randomized, Double-Blind Study. [NCT02673372]Phase 460 participants (Actual)Interventional2016-04-30Completed
Analgesia Effects of Intravenous Ketamine After Spinal Anesthesia for Non-elective Cesarean Section [NCT03450499]Phase 480 participants (Actual)Interventional2018-04-01Completed
The Effect of Gabapentin, Low Dose Ketamine, Paracetamol, NSAID and Dexamethasone on Pain and Opioid Requirements in Patients Scheduled for Primary Total Hip Replacement [NCT00236223]Phase 448 participants (Actual)Interventional2005-10-31Terminated(stopped due to Structural changes that stopped the type of operations used in the study)
Ketamine and Postoperative Analgesia in Children [NCT00200564]Phase 474 participants (Anticipated)Interventional2004-02-29Recruiting
Possible Neuroprotective Effects of Ketamine in Children With Severe Traumatic Brain Injury [NCT00556387]Phase 20 participants (Actual)Interventional2008-12-31Withdrawn(stopped due to This study has been withdraw from the IRB. The PI has transferred to another university. The IND was transferred.)
A Pilot Study on the Effects of Intravenous Ketamine on Acute Pain Crisis in Patients With Sickle Cell Disease [NCT00252122]Phase 43 participants (Actual)Interventional2004-06-30Terminated(stopped due to Recruitment was very slow.)
A Safe Ketamine-Based Therapy for Treatment Resistant Depression [NCT01179009]20 participants (Actual)Interventional2012-04-30Completed
A Randomized, Participant- and Investigator Blind, Double Dummy, Placebo- and Comparator-controlled, Single Ascending Dose and Parallel-group Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Different Modes of (S) Ke [NCT03808259]Phase 196 participants (Actual)Interventional2018-12-20Completed
Adding Trauma-focused Psychotherapy to Ketamine Treatment for Chronic PTSD: A Pilot Study [NCT04889664]Phase 216 participants (Actual)Interventional2021-06-04Completed
[NCT00300794]Phase 460 participants Interventional2003-02-28Completed
Efficacy of a Polyamine-free Diet Associated or Not With Ketamine on Early and Late Hyperalgesia After Breast Cancer Surgery [NCT00304850]Phase 2160 participants (Anticipated)Interventional2006-03-31Completed
Study of the Efficacity of the Systemic Ketamine for the Improvement of Post-Operative Analgesia After ORL Carcinological Surgery at the Alcohol-Dependent Patient. [NCT00329394]Phase 356 participants (Anticipated)Interventional2006-04-30Suspended
Intranasal Ketamine for Procedural Sedation in Pediatric Laceration Repair [NCT00451724]Phase 245 participants (Anticipated)Interventional2007-05-31Completed
Ketamine for the Treatment for Alcohol Use Disorder in the Emergency Department: A Pilot Double-blind, Placebo-controlled Randomized Clinical Trial [NCT05661669]Phase 250 participants (Anticipated)Interventional2023-10-25Recruiting
Intranasal Ketamine In the Treatment of Pediatric Bipolar Disorder [NCT01504659]Phase 2/Phase 35 participants (Actual)Interventional2012-07-31Terminated(stopped due to Administrative issues)
The Effect of Low Dose Intra-operative Ketamine on Closed-loop Controlled General Anesthesia [NCT03009409]Phase 160 participants (Actual)Interventional2018-03-13Completed
A Single-center, Single-dose, Double-blind, Randomized, Placebo- and Active-controlled Crossover Study to Evaluate the Abuse Potential of TC-5214 in Healthy Recreational Polydrug Users [NCT01500018]Phase 10 participants (Actual)Interventional2012-01-31Withdrawn(stopped due to Sponsor decision to withdraw.)
The Effect of Small-dose Ketamine on Depression of Respiratory and Cardiac Functions Caused by Propofol in Pediatric Cardiac Catheterization [NCT01501786]150 participants (Actual)Interventional2012-01-31Completed
ELEKT-D: Electroconvulsive Therapy (ECT) vs. Ketamine in Patients With Treatment Resistant Depression (TRD) [NCT03113968]Phase 2/Phase 3403 participants (Actual)Interventional2017-04-07Completed
Role of Adding Dexmedetomidine, Ketamine and Magnesium Sulphate to Caudal Block as Preemptive Analgesia in Hypospadias Repair in Pediatrics: a Randomized Double-blinded Trial [NCT05837000]Phase 475 participants (Anticipated)Interventional2023-05-15Recruiting
Changes in Striatal [11C]ORM-13070 Binding Elicited by Changing Levels of Endogenous Noradrenaline - a PET Study in Healthy Human Subjects [NCT01794975]Phase 18 participants (Actual)Interventional2012-08-31Completed
Assessment of Analgesic Effect of Ketamine Vs Ketamine Magnesium Infusion and Their Effect on Postoperative Morphine Consumption After Surgical Nephrectomy [NCT05596669]Phase 1100 participants (Actual)Interventional2021-09-01Completed
Ketamine for Postoperative Avoidance of Depressive Symptoms: The K-PASS Feasibility Trial [NCT05233566]Phase 332 participants (Actual)Interventional2022-04-25Completed
A Pilot Study of Ketamine Sedation Initiated Early After Aneurysmal Subarachnoid Hemorrhage: Effect on Vasospasm, Delayed Cerebral Ischemia, and Functional Outcomes [NCT05032118]Phase 2/Phase 30 participants (Actual)Interventional2023-04-27Withdrawn(stopped due to Institution change, no IRB approval)
Effects of S-ketamine and Continuous Iliac Fascia Space Block on Perioperative Neurological Cognitive Impairment and Postoperative Rehabilitation in Elderly Patients With Hip Fracture [NCT05304559]108 participants (Anticipated)Interventional2022-03-26Recruiting
Comparison of Outcomes During MRI Sedation With Midazolam-dexmedetomidine Versus Ketamine-dexmedetomidine [NCT02129426]21 participants (Actual)Interventional2014-08-31Terminated(stopped due to Unable to recruit the adequate number of subjects)
Ketamine Versus Fentanyl for Surgical Abortions: A Randomized Controlled Noninferiority Trial [NCT04871425]Phase 4110 participants (Actual)Interventional2021-04-27Completed
Developing Anesthesia as PTSD Therapy [NCT01736020]Phase 1293 participants (Actual)Interventional2009-09-30Active, not recruiting
A Randomized, Subject And Investigator Blinded, Sponsor Open Placebo Controlled, 2 Way, Crossover Phase 1b Study To Examine The Effects Of PF-04958242 On Ketamine Induced Cognitive Impairment In Healthy Male Volunteers [NCT01749098]Phase 129 participants (Actual)Interventional2012-12-31Completed
An Exploratory, Blinded, Randomized, Placebo-controlled Study in Subjects With Depressive Disorder to Investigate the Effect of Minocycline on Relapse After Successful Intravenous Ketamine/Minocycline-induced (Partial) Symptoms Response [NCT01809340]Phase 229 participants (Actual)Interventional2013-06-30Terminated(stopped due to study team decision because of IP supply issue and necessary amendment to protocol)
Effects of Intraoperative Low-dose Ketamine on Incidence of Postpartum Depression in Parturients With Prenatal Depression Undergoing Cesarean Delivery: Blind Test, Randomized, Placebo-controlled Trial [NCT03336541]Phase 464 participants (Actual)Interventional2017-11-23Completed
Treatment of Thalamocortical Dysrhythmia Using External Neuromodulation to Facilitate the Therapeutic Effect of Ketamine. [NCT01816958]35 participants (Actual)Observational2011-01-31Completed
Efficacy of Ketamine and Magnesium Association in the Postoperative Pain After Liposuction and Lipoabdominoplasty: Prospective, Randomized and Blinded Study [NCT02450214]63 participants (Actual)Interventional2015-06-30Completed
Low Dose Intraoperative Intravenous Ketamine in Combination With Multilevel Paravertebral Block for Post Video-assisted Thoracic Surgery Pain: a Randomized Study [NCT03280017]Phase 432 participants (Actual)Interventional2017-09-25Completed
Effect of Ketamine Addition to Lidocaine for Postoperative Pain Management in Rhinoplasty [NCT01827020]Phase 490 participants (Actual)Interventional2013-01-31Completed
Modifying Virtual Reality Analgesia With Low-Dose Pain Medication [NCT01840774]60 participants (Anticipated)Interventional2013-04-30Recruiting
Effects of Low Doses of Ketamine on Postoperative Quality of Recovery After Total Intravenous Anesthesia [NCT02571153]Phase 4135 participants (Actual)Interventional2015-09-30Completed
Effects of Opioid Requirements With Scheduled Intranasal Ketamine During Admission for Traumatic Pain [NCT05671913]Early Phase 10 participants (Actual)Interventional2023-01-01Withdrawn(stopped due to Funding not acquired to run the study.)
Intranasal Ketamine Versus Subcutaneous Ketamine for Treatment of Post Traumatic Acute Pain in the Emergency Department [NCT05229055]Phase 2/Phase 31,000 participants (Anticipated)Interventional2023-04-15Recruiting
Ketamine + Mindfulness for Depression [NCT05168735]Phase 1/Phase 243 participants (Actual)Interventional2022-02-01Completed
Randomized Blinded Three Arm Trial of Propofol, 1:1 Combination of Propofol and Ketamine, and 4:1 Combination of Propofol and Ketamine for Procedural Sedation in the Emergency Department [NCT01260662]Phase 4271 participants (Actual)Interventional2010-11-30Completed
Micro-Dose, Macro-Impact: Leveraging Psychedelics in Frontline Healthcare Workers During the COVID-19 Pandemic [NCT04769297]Phase 430 participants (Actual)Interventional2020-04-15Active, not recruiting
Intravenous Ketamine in the Treatment of Obsessive-Compulsive Disorder [NCT01371110]Phase 1/Phase 23 participants (Actual)Interventional2012-06-30Terminated(stopped due to no funding)
Ketamine for Severe Adolescent Depression: Intermediate-term Safety and Efficacy [NCT03889756]Phase 2/Phase 33 participants (Actual)Interventional2019-07-17Terminated(stopped due to No more funding available to continue since we could not recruit throughout the pandemic.)
Combination Use of Intravenous Ketamine-midazolam as a Sedative Agent in Endoscopic Retrograde Cholangiopancreatography ; A Randomized Control Trial [NCT06111872]Phase 290 participants (Anticipated)Interventional2023-07-18Recruiting
Hydromorphone PCA or Hydromorphone PCA With Ketamine for Acute Postoperative Pain Relief in Opioid-Dependent Chronic Pain Patients [NCT01591382]Phase 464 participants (Actual)Interventional2008-09-30Completed
Facilitating the Behavioral Treatment of Cannabis Use Disorder [NCT02946489]Phase 18 participants (Actual)Interventional2016-10-31Completed
A Double-Blind, Placebo-Controlled Study of Brexpiprazole Plus Ketamine in Treatment-Resistant Depression (TRD) [NCT03149991]Phase 451 participants (Actual)Interventional2017-09-14Completed
Ketamine Versus Etomidate for Sedation of Emergency Department Patients During Rapid Sequence Intubation [NCT01823328]Phase 4143 participants (Actual)Interventional2013-09-30Completed
Effect of Single Dose Ketamine and Magnesium on Postoperative Pain in Patients Undergoing Bariatric Surgery [NCT02334059]108 participants (Actual)Interventional2015-11-30Completed
Ketamine For Acute Treatment of Pain in Emergency Department [NCT02306759]Phase 460 participants (Actual)Interventional2015-01-31Completed
Comparison of Prophylactic Use of Dexmedetomidine and Ketamine for Prevention of Shivering After Spinal Anesthesia [NCT05718011]Phase 4116 participants (Actual)Interventional2021-02-20Completed
Ketamine for Treatment of Multiple Sclerosis-related Fatigue [NCT03500289]Phase 1/Phase 218 participants (Actual)Interventional2018-08-10Completed
Analgesic Effect of Intraoperative Intravenous S-Ketamine During Total Knee Arthroplasty Surgery:A Randomized Controlled Clinical Trial [NCT05289050]Phase 4144 participants (Anticipated)Interventional2022-04-19Recruiting
Medication-assisted Psychotherapy: Using Ketamine-enhanced Radically Open Dialectical Behavior Therapy (RO DBT) to Target Neural and Behavioral Mechanisms of Action in Emerging Adults With Moderate to Severe Depression [NCT06138691]Phase 115 participants (Anticipated)Interventional2023-10-04Recruiting
Comparison of Emergence/Dysphoric Reaction Frequency of Using Ketamine at 2 Different Doses in Interventional Sedation and Analgesia [NCT05786365]108 participants (Anticipated)Observational2023-01-01Active, not recruiting
Comparison of Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department: A Prospective, Randomized, Double-Blind Study [NCT02363270]48 participants (Actual)Interventional2015-04-01Completed
Analgesic Efficacy of Adductor Canal Block With Bupivacaine Versus Bupivacaine and Ketamine in Total Knee Arthroplasty. [NCT05715437]Phase 460 participants (Anticipated)Interventional2023-03-31Not yet recruiting
Efficacy Of Magnesium Sulphate Versus Ketamine as an Adjuvant to Bupivacaine in Pectoral Nerve Block During Mastectomy : Comparative Controlled , Randomized Double-Blind Study [NCT05663801]Phase 272 participants (Anticipated)Interventional2023-02-28Not yet recruiting
Ketamine Plus Lithium as a Novel Pharmacotherapeutic Strategy in Treatment-Resistant Depression [NCT01880593]Phase 234 participants (Actual)Interventional2013-07-31Completed
Ketamine-Midazolam Versus Morphine-Midazolam for Continous Patient Sedation in Intensive Care Units in Uganda. A Randomised Controlled Trial. [NCT03407404]Phase 2/Phase 3124 participants (Actual)Interventional2017-10-22Terminated(stopped due to Futility)
Intranasal Dexmedetomidine Plus Ketamine for Procedural Sedation in Children: an Adaptive Randomized Controlled Non-inferiority Multicenter Trial [NCT04195256]Phase 2/Phase 3400 participants (Anticipated)Interventional2020-03-11Recruiting
Competition With Striatal [11C]ORM-13070 Binding by Atipamezole and Endogenous Noradrenaline - a PET Study in Healthy Human Subjects [NCT01435213]Phase 110 participants (Actual)Interventional2011-09-30Completed
Complexity-enhancing Drugs to Treat Disorders of Consciousness (DoC): a Ketamine Study [NCT05343507]Phase 2/Phase 330 participants (Anticipated)Interventional2022-05-01Recruiting
Ketamine Infusion for Rapid Reduction of Suicidality in Pediatrics: a Pilot Randomized Controlled Trial [NCT04955470]Phase 1/Phase 296 participants (Anticipated)Interventional2022-06-01Recruiting
Analgesic Efficacy of Intravenous Perfusion of Lidocaine, Ketamine or a Combination After Laparotomy in a Placebo-controlled, Randomized, Double-blind Prospective Study [NCT01439399]52 participants (Actual)Interventional2005-12-31Completed
A Study of Ketamine as an Antidepressant [NCT01441505]Phase 242 participants (Anticipated)Interventional2011-09-30Recruiting
IN Dexmedetomidine for Procedural Sedation in Pediatric Closed Reductions for Distal Forearm Fractures. Timmons Z MD, Feudale B MD Children Presenting to the ED With Distal Forearm Extremity Fractures Often Require Re-alignment Under Conscious Sedation. T [NCT03466242]Early Phase 140 participants (Anticipated)Interventional2018-05-01Not yet recruiting
Characterization of Comorbid Post-traumatic Stress Disorder and Major Depressive Disorder Utilizing Ketamine as an Experimental Medicine Probe [NCT04032301]Phase 1108 participants (Anticipated)Interventional2019-09-30Recruiting
A Randomised, Controlled Trial to Investigate the Effect of an Intensified Pharmacological Treatment for Schizophrenia, Major Depressive Disorder and Bipolar Depression in Subjects Who Had a First-time Treatment Failure on Their First-line Treatment. [NCT05603104]Phase 31,254 participants (Anticipated)Interventional2023-08-01Not yet recruiting
Ketamine/Midazolam Premedication Versus Pre-extubation Ketofol. Effect on Emergence Agitation and Recovery Profile After Pediatric Adenotonsillectomy: A Randomized Comparative Study. [NCT06010927]Phase 4140 participants (Anticipated)Interventional2023-08-25Recruiting
Remifentanil Plus Ketamine Versus Midazolam Plus Fentanyl for Dynamic Flexible Bronchoscopy: Randomized Double-blind Clinical Trial [NCT03613792]Phase 40 participants (Actual)Interventional2023-09-30Withdrawn(stopped due to Change in procedure means limited value for study question)
Mechanism of Analgesic Effect on Prolonged Continuous Theta Burst Stimulation [NCT05360030]45 participants (Actual)Interventional2022-05-14Completed
Dexmedetomidine Versus Ketamine Versus Magnesium Sulfate for the Prevention of Emergence Agitation Following Sevoflurane Induced Anesthesia in Cardiac Catheterization in Pediatrics : A Prospective, Double-blinded, Randomized Controlled Study. [NCT06077539]Phase 1/Phase 2100 participants (Anticipated)Interventional2023-09-20Recruiting
The Effect of a Regimen of Opioid Sparing Anesthesia on Postoperative Recovery [NCT05717361]60 participants (Anticipated)Interventional2022-11-01Recruiting
Safety of Intranasal Ketamine for Reducing Uncontrolled Cancer Related Pain [NCT03146806]Phase 1/Phase 210 participants (Actual)Interventional2017-07-25Completed
Effect of Single Intravenous Ketamine Dose on Postoperative Pain Following Cesarean Section Under Spinal Anesthesia: A Randomized Control Clinical Trial. [NCT03018301]Phase 280 participants (Anticipated)Interventional2017-01-31Recruiting
Pharmacologic Attenuation of Ketamine Using Nitroprusside [NCT03102736]Phase 240 participants (Actual)Interventional2017-02-14Completed
A Phase II, Open-label Clinical Trial of Intranasal Ketamine for Depression in Patients With Cancer Receiving Palliative Care (INKeD-PC Study) [NCT03410446]Phase 222 participants (Actual)Interventional2018-07-16Completed
Ketamine as an Adjunctive Therapy for Major Depression - a Randomised Controlled Pilot Trial: The KARMA-Dep Trial [NCT03256162]Phase 125 participants (Actual)Interventional2017-09-07Completed
Electroencephalogram Studies of Induction and Recovery From Sevoflurane-Induced General Anesthesia [NCT03503578]Phase 212 participants (Actual)Interventional2018-05-01Completed
Conscious Dying/Conscious Living: Ketamine-Assisted Psychotherapy (KAP) for Patients at End of Life-A Pilot Study for Palliative and Hospice Care [NCT05214417]Phase 2120 participants (Anticipated)Interventional2022-05-01Not yet recruiting
Intranasal Ketamine for Late-Life Depression and Suicidal Ideation [NCT02295787]Phase 40 participants (Actual)Interventional2015-07-31Withdrawn(stopped due to No funding)
Repeated Sub-anesthetic Ketamine to Enhance Prolonged Exposure Therapy in Post-traumatic Stress Disorder: A Proof-of-concept Study [NCT03960658]Phase 1/Phase 212 participants (Actual)Interventional2019-04-03Completed
Low Dose Ketamine Infusion for Comorbid Posttraumatic Stress Disorder and Chronic Pain Patients [NCT04322968]Phase 341 participants (Actual)Interventional2018-01-09Completed
Nasal Administration of Sufentanil+Ketamine for Procedure-related Pain in Children [NCT01047241]Phase 250 participants (Actual)Interventional2010-04-30Completed
Effects of Pre-operative Pregabalin and Ketamine to Prevent Development of Phantom Pain in Patients Undergoing Lower Extremity Amputation [NCT02311777]Phase 30 participants (Actual)Interventional2015-05-15Withdrawn(stopped due to Preoperative period is very short time)
Comparison of Propofol Combine Ketamine Anesthesia and Propofol Anesthesia in Schizophrenia Electroconvulsive Therapy: A Randomized Controlled Trial [NCT03829124]Phase 41 participants (Anticipated)Interventional2019-05-24Not yet recruiting
Efficacy of S(+)-Ketamine Administered as a Continuous Infusion for the Control of Postoperative Pain: a Randomized Controlled Trial [NCT02421913]Phase 442 participants (Actual)Interventional2012-06-30Completed
A Comparative Study Between Intrathecal Dexmedetomidine VS Ketamine With Intrathecal Bupivacaine in Orthopedic Lower Limb Surgeries. [NCT05751304]100 participants (Anticipated)Interventional2023-03-01Not yet recruiting
The Role of Ketamine and Magnesium in Post-operative Pain Control After Laparoscopic Surgery in Patients With Chronic Pelvic Pain Treated With Opioids: A Double-Blinded Randomized Control Trial. [NCT02940509]Phase 120 participants (Actual)Interventional2017-07-01Terminated(stopped due to Change in practice of medicine. There were no longer sufficient patients to enroll in the study that met criteria.)
Spontaneous and Oxytocin-induced Contractility After Exposure to Intravenous Anesthetic Agents: an In-vitro Study in Human Myometrium [NCT03852797]33 participants (Actual)Interventional2019-03-28Completed
Ketamine for Acute Painful Crisis in Sickle Cell Disease Patients: Prospective Randomized Control Trial [NCT03431285]264 participants (Anticipated)Interventional2018-01-01Recruiting
Administration of Intravenous NRX100 (Ketamine) vs Placebo Infusion for Rapid Stabilization of Acute Suicidal Ideation and Behavior in Patients With Bipolar Depression [NCT03396601]Phase 3150 participants (Anticipated)Interventional2019-06-25Recruiting
[NCT01260649]Phase 417 participants (Actual)Interventional2010-11-01Terminated(stopped due to lack of funding to cover staff salary (clinician and research coordinator))
The Role of Brief Potent Glutamatergic Modulation in Addressing Problem Drinking: a Randomized, Controlled Trial [NCT04084860]Phase 2120 participants (Anticipated)Interventional2019-11-08Recruiting
Clinical Effects of Esketamine Induction Intubation Versus Conventional Induction Intubation in ICU Patients: a Single-center Randomized Clinical Trial [NCT05464979]Phase 4100 participants (Anticipated)Interventional2022-08-01Recruiting
Evaluation of the Impact of the Use of Ketamine in Laparoscopic Surgery, Using the Quality of Recovery 15 Questionnaire. [NCT03724019]Phase 4127 participants (Actual)Interventional2018-10-01Completed
Effects of Intraoperative Intravenous Ketamine on Chronic Pain After Mastectomy [NCT02729805]Phase 4135 participants (Anticipated)Interventional2015-08-18Suspended(stopped due to Not enough patients)
Ketamine for Acute Suicidal Ideation in the Emergency Department: Randomized Controlled Trial [NCT01892995]53 participants (Anticipated)Interventional2015-06-30Not yet recruiting
Elucidating the Neurocircuitry of Irritability With High-Field Neuroimaging to Identify Novel [NCT05046184]Phase 2180 participants (Anticipated)Interventional2022-05-05Recruiting
Lidocaine and Ketamine Levels in Plasma After Simultaneous Lidocaine/Ketamine Infusions. An Observational Assessment of Therapy Effects and Side-effects. [NCT05906121]15 participants (Anticipated)Observational2023-05-16Recruiting
The Perinatal SMILES (Synergistic Multi-component Intervention to alLeviate dEpressive Symptoms) Case Series. Combining Ketamine and Interpersonal Psychotherapy to Improve Postpartum Mood [NCT06048263]Phase 2/Phase 325 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Anesthesia for Upper Endoscopy and Colonoscopy in Cardiac Patients With Acute Anemia: Pretreatment With Low-dose Ketamine Can Reduce the Dose of Etomidate. A Randomized Clinical Trial. [NCT04857450]60 participants (Anticipated)Interventional2020-11-20Recruiting
Safety and Efficacy Evaluation of S(+)-Ketamine for Postoperative Acute Pain in Adults in Perioperative Settings: A Multicenter, Randomized, Open-label, Active Controlled Pragmatic Clinical Trial [NCT04837170]Phase 412,000 participants (Anticipated)Interventional2021-05-01Not yet recruiting
Dyphenhidramine Effect on Prevention of Sevoflurane Induced Post Anesthesia Agitation in Pediatric [NCT02463929]Phase 450 participants (Actual)Interventional2014-04-30Completed
Efficacy of Ketamine Mouthwash in the Management of Oral and Pharyngeal Toxicity [NCT05331131]Phase 256 participants (Anticipated)Interventional2023-04-01Not yet recruiting
[NCT01535937]Phase 1/Phase 255 participants (Actual)Interventional2012-02-29Terminated(stopped due to An analysis demonstrated that running the final participants was unnecessary.)
Low Dose Ketamine (LDK) Versus Morphine for Acute Pain Control in the Emergency Department [NCT01538745]Phase 445 participants (Actual)Interventional2012-02-29Completed
Case Series: A Sequenced Treatment Using a Modified Ketogenic Diet and Ketamine for Severe and Enduring Anorexia Nervosa [NCT04714541]Phase 15 participants (Actual)Interventional2021-04-12Completed
The Effect of Low-dose of S-ketamine Combined With Sufentanil for Postoperative Patient-controlled Intravenous Analgesia in Patients Following Cesarean Section [NCT05299866]Phase 4216 participants (Anticipated)Interventional2022-04-12Recruiting
Efficacy of Rapid-Acting NMDA Antagonist for Treatment of Adolescent Depression and Anxiety Disorders [NCT02579928]Phase 417 participants (Actual)Interventional2015-10-31Completed
Randomized, Double-blind, Placebo Controlled Study on the Effect of a Single Postoperative Administration of Low Dose Ketamine After Gastric Bypass and Gastrectomy Surgeries [NCT02452060]Phase 2/Phase 390 participants (Actual)Interventional2014-10-31Completed
A Randomized Controlled Trial to Decrease Suicidal Thinking Using Ketamine [NCT02418702]Phase 30 participants (Actual)Interventional2016-08-31Withdrawn(stopped due to PI no longer at facility.)
Discharge Readiness After Propofol With or Without Esketamine for Outpatient Flexible Bronchoscopy: a Randomized, Controlled Study [NCT05643066]Phase 4246 participants (Anticipated)Interventional2022-12-07Recruiting
A Randomized, Double-blind Comparison of the Effects of Dexmedetomidine and Ketamine on Oxidative Stress Markers in Patients Under Combined Spinal-epidural Anesthesia Under Lower Extremity Surgery [NCT05950555]90 participants (Actual)Interventional2021-12-30Completed
Characterization of Electroencephalographic (EEG) Signatures of Chronic Pain Patients Receiving Intravenous Ketamine. [NCT05949554]50 participants (Anticipated)Observational2023-09-30Not yet recruiting
Randomized Controlled Trial of Intranasal Ketamine Compared to Intranasal Fentanyl for Analgesia in Children With Suspected, Isolated Extremity Fractures in the Pediatric Emergency Department [NCT02521415]Phase 287 participants (Actual)Interventional2015-12-31Completed
Analgesic Effects of Topical Ketamine Mouthwash in Patients Receiving Chemoradiation or Radiotherapy for Head and Neck Cancer [NCT01653327]Phase 211 participants (Actual)Interventional2010-06-30Completed
The Role of Ketamine and Dexmedetomidine in Opioid-Sparing Analgesia and Sedation in Adult Patients After Cardiac Surgery. A Randomized Clinical Trial [NCT05474183]90 participants (Actual)Interventional2022-08-05Completed
Comparison Of Dexmedetomidine And Ketamine For Control Of Shivering In Vaginal Hysterectomy Proceeded Under Spinal Anesthesia [NCT05481281]Phase 3104 participants (Anticipated)Interventional2022-08-01Not yet recruiting
A Randomized Controlled Trial of Intranasal Sub-dissociative Dosing of Ketamine Compared to Intranasal Fentanyl for Treatment of Pain Associated With Acute Extremity Injuries in Children [NCT02778880]Phase 390 participants (Actual)Interventional2016-03-31Completed
Prospective Randomised Double Blind Trial of Ketiapine and Olanzapine Comparative Efficacy for Fast Sedation of Severely Agitated Patients in Emergency Psychiatric Ward [NCT03216941]Phase 4500 participants (Actual)Interventional2015-01-01Completed
Glutamatergic Modulation to Facilitate the Behavioral Treatment of Cocaine Use Disorders [NCT03344419]Phase 3150 participants (Anticipated)Interventional2017-10-01Recruiting
Intravenous Sub-anesthetic Ketamine Treatment in Treatment-Resistant Depression [NCT02360280]Phase 262 participants (Actual)Interventional2015-04-01Completed
Estimate the Efficiency of the Association of an Injection of Ketamine and the Venlafaxine in the Severe Major Depressive Disorder for Six Weeks. [NCT01557712]Phase 325 participants (Actual)Interventional2012-03-31Completed
The Effects of Sedatives on Tobacco Use Disorder [NCT03813121]Phase 1/Phase 210 participants (Actual)Interventional2019-06-01Completed
Combination of Anticholinergic and Glutamatergic Effects in Treatment-resistant Major Depressive Disorder. A Pilot Study [NCT01613820]0 participants (Actual)Interventional2015-09-30Withdrawn(stopped due to Lack of funding)
Effect of Low-dose Ketamine on Postoperative Depressive Symptom in Patients Undergoing Intracranial Tumor Resection (PASSION) [NCT03086148]Phase 2/Phase 384 participants (Actual)Interventional2017-07-05Completed
A Randomized, Clinical Trial of Oral Midazolam Versus Oral Ketamine for Sedation During Laceration Repair. [NCT01925898]Phase 460 participants (Anticipated)Interventional2013-08-31Recruiting
Ketamine as a Sedation Adjunct for Endoscopic Procedures [NCT03461718]Phase 266 participants (Actual)Interventional2018-03-05Completed
A Randomized, Placebo-controlled, Concealed Allocation Comparison of Respiratory Depression and Coughing During Bronchoscopy With Dexmedetomidine-ketamine as an Adjunct to Fentanyl-midazolam Sedation [NCT01158820]Phase 450 participants (Actual)Interventional2010-06-30Completed
A Randomized, Placebo Controlled, Double-blind, Double-dummy, Three-way Crossover Trial to Investigate the Effect of Two Doses of BI 474121 on Ketamine Induced Cognitive Deficits in Healthy Male Subjects [NCT05451095]Phase 10 participants (Actual)Interventional2022-11-07Withdrawn(stopped due to Termination of project)
Administration of Subanesthetic Dose of Ketamine and Electroconvulsive Treatment on Alternate Week Days in Patients With Treatment Resistant Depression: A Double Blind Placebo Controlled Trial [NCT02522377]15 participants (Actual)Interventional2015-08-31Completed
Dexmedetomidine Versus Ketamine to Facilitate Non-invasive Ventilation After Blunt Chest Trauma [NCT05175781]45 participants (Actual)Interventional2022-01-18Completed
The Effect of a Regimen of Opioid Sparing Anesthesia on Postoperative Recovery [NCT05594407]60 participants (Anticipated)Interventional2022-08-01Recruiting
Intravenous Ketamine in Treatment-Resistant Bipolar Depression [NCT00947791]Phase 41 participants (Actual)Interventional2009-07-31Terminated(stopped due to Change in available resources for study procedures)
Investigating Glutamate and Opioid Mechanisms of Antidepressant Response to Ketamine [NCT04977674]Early Phase 127 participants (Actual)Interventional2021-09-27Completed
Opioid-Free Pain Control Regiment Following Robotic Radical Prostatectomy: A Randomized Controlled Trial [NCT04939987]Phase 2/Phase 30 participants (Actual)Interventional2022-08-31Withdrawn(stopped due to PI left institution and study was not transferred to new PI)
Randomized Controlled Trial of Repeated-Dose Intravenous Ketamine for PTSD [NCT02397889]Phase 2/Phase 330 participants (Actual)Interventional2015-05-18Completed
A Randomized, Double-Blind, Placebo-Controlled Trial of the Rapid Antisuicidal Effects of Intranasal Ketamine in Comorbid Depression and Alcohol Abuse [NCT03539887]Phase 333 participants (Actual)Interventional2018-05-01Completed
Pilot Study: Ketamine for Acute Pain After Rattlesnake Envenomation [NCT05379179]Phase 440 participants (Anticipated)Interventional2022-06-20Enrolling by invitation
Ketamine Infusion for Social Anxiety Disorder [NCT02083926]Early Phase 118 participants (Actual)Interventional2015-01-02Completed
Dexmedetomidine Compared to Ketofol for Sedation in Paediatrics Undergoing Dental Procedures: a Comparative Study [NCT04678050]Phase 140 participants (Actual)Interventional2020-10-10Completed
The Sustained Effects of Ketamine [NCT02708849]Phase 13 participants (Actual)Interventional2015-06-30Terminated
Open-Label Intravenous Subanesthetic Ketamine for Adolescents With Treatment-Resistant Depression [NCT02078817]Phase 214 participants (Actual)Interventional2014-09-30Completed
Eliminating Use of Non Depolarizing Neuromuscular Blocking Agents to Reduce Postoperative Pulmonary Complications: A Multi-center, Randomized Control Trial [NCT03962725]Phase 43 participants (Actual)Interventional2019-08-07Terminated(stopped due to Study terminated due to lack of enrollment.)
Ketamine in Chronic Kid's (KiCK) Pain [NCT01755169]Phase 27 participants (Actual)Interventional2013-01-31Terminated(stopped due to Inability to enroll sufficient patients)
Anesthesia and Brain Functional Connectivity: An Analysis of fMRI Changes in Chronic Pain and Refractory Depression [NCT02196259]16 participants (Actual)Interventional2008-02-29Terminated(stopped due to Funding cessation.)
Examining the Impact of Sirolimus on Ketamine's Antidepressant Effects [NCT02487485]Phase 223 participants (Actual)Interventional2016-03-31Completed
The Effect of Brief Potent Glutamatergic Modulation on Disordered Alcohol Use [NCT02539511]Phase 2/Phase 350 participants (Actual)Interventional2015-07-31Completed
ACL Repair and Multimodal Analgesia [NCT01868425]Phase 4112 participants (Actual)Interventional2013-04-30Completed
Pharmacokinetic Alterations During ECMO (Ketamine and Extracorporeal Membrane Oxygenation) [NCT01938079]20 participants (Actual)Interventional2013-09-30Completed
A Randomized Placebo-Controlled Trial of Sub-Dissociative Ketamine for Treatment of Acute Migraine-Type Headache in the Emergency Department [NCT02697071]34 participants (Actual)Interventional2016-02-29Completed
Neuroprotective Effects of ACTH4-10PRO8-GLY9-PRO10 on The Ketamine-Induced Neurotoxicity In Neonatal Rats: Increased BDNF Expression And BDNF Serum Concentrations [NCT05648526]42 participants (Actual)Interventional2021-08-01Completed
Sub-dissociative Ketamine for the Management of Acute Pediatric Pain [NCT01951963]Phase 477 participants (Actual)Interventional2012-12-31Completed
Co-administration of Ketamine and Propofol for Upper Endoscopy in Children: a Dose-finding Study [NCT02295553]Phase 456 participants (Actual)Interventional2013-07-31Completed
A Comparison of S-ketamin, Dexmedetomidine, and Combination as Premedication in Children Undergoing ENT Surgery [NCT04757675]Early Phase 1320 participants (Actual)Interventional2021-03-01Completed
Ketamine Effect on Recovery and Respiratory Outcomes After Laparoscopic Gastric Reduction: A Randomized, Double-Blinded, Placebo Controlled Study [NCT01997515]Phase 480 participants (Actual)Interventional2013-11-30Completed
A Naturalistic Study of Serial Infusion of Low-dose Ketamine for Treatment Resistant Depressive Disorders in an Academic Psychiatric Hospital: The UTHealth Ketamine Project [NCT02882711]Phase 210 participants (Actual)Interventional2016-11-07Terminated(stopped due to Increasing off-label practice of IV ketamine administration for treatment-resistant depression.)
Randomized Double Blind Comparison of Peri-Operative Standard Analgesia With Peri-Operative Lidocane, Ketamine, or Lidocane and Ketamine Combination, Infusion for Patients Undergoing Spine Surgery [NCT01983020]Phase 346 participants (Actual)Interventional2011-04-30Completed
Spinal Versus General Anesthesia With Popliteal and Adductor Canal Blocks for Ambulatory Foot and Ankle Surgery: A Double-Blinded Randomized Controlled Trial. [NCT02996591]Phase 436 participants (Actual)Interventional2017-01-31Completed
Comparison of Esketamine-Propofol and Fentanyl-Propofol on Haemodynamics in Elderly Patients [NCT05752409]120 participants (Anticipated)Interventional2021-10-08Recruiting
Glutamatergic Mechanisms of Psychosis and Target Engagement: Aim2 [NCT05401227]Phase 1120 participants (Anticipated)Interventional2022-10-15Suspended(stopped due to U.S. Department of Health and Human Services OHRP issued an FWA restriction on NYSPI research that included a pause of human subjects research as of June 23, 2023. This study will resume recruitment after OHRP has approved the resumption of research.)
A Pilot Study of the Use of Oral Ketamine for Treatment of Vaso-Occlusive Pain in Adolescents and Young Adults [NCT05378555]Phase 310 participants (Anticipated)Interventional2023-05-01Recruiting
Perioperative Multimodal General AnesTHesia Focusing on Specific CNS Targets in Patients Undergoing carDiac surgERies - the PATHFINDER II Study [NCT05279898]70 participants (Anticipated)Interventional2023-02-28Recruiting
Neural Correlates of Anti-suiciDal rEsponse to kEtamine in Treatment Resistant biPolar dePression (DEEPP-Study) [NCT05177146]30 participants (Anticipated)Interventional2022-05-04Recruiting
Safety and Clinical Effects of Intranasal Ketamine in Ultra-REsistant Depression (SURE-ECT Non Responders). Pilot Study [NCT05137938]25 participants (Actual)Interventional2021-10-25Completed
Plasma Exosomal MicroRNAs as Promising Novel Biomarkers for Suicidality and Treatment Outcome [NCT02418195]Phase 2247 participants (Actual)Interventional2015-04-20Completed
Novel Approach of Combined Lithium-Ketamine Therapy in Bipolar Depression: To Preserve Efficacy and Minimize Adverse Effects [NCT01768767]Phase 20 participants (Actual)Interventional2013-01-31Withdrawn(stopped due to No funding)
Opioid Sparing Anaesthesia Via Dexmedetomidine, Ketamine and Lidocaine Infusion for Prevention of Postoperative Nausea and Vomiting in Laparoscopic Gynecological Surgery [NCT04706897]Phase 480 participants (Actual)Interventional2021-01-15Completed
Ketamine and Motivational Enhancement Therapy for the Treatment of Tobacco Use Disorder [NCT05796791]Early Phase 18 participants (Anticipated)Interventional2023-05-02Recruiting
A Study of Human Multi-Sensory Integration: A Neurophysiologic Correlate of Conscious Perception [NCT03498391]Phase 240 participants (Anticipated)Interventional2018-07-30Suspended(stopped due to Due to the impact of COVID-19)
Comparison of Ketamine and Esketamine in Ambulatory Patients Treated for Fibromyalgia Syndrome in Pain Clinic. A Single-center, Prospective, Randomized, Double-blind, Crossover Study. [NCT04938713]50 participants (Anticipated)Interventional2021-07-01Recruiting
Comparing the Effectiveness of Low-dose Ketamine With Morphine to Treat Pain in Patients With Long Bone Fractures [NCT02430818]13 participants (Actual)Interventional2015-04-30Terminated(stopped due to were not able to enroll patients to a satisfactory level)
Ketamine Infusion Therapy for the Management of Acute Pain in Adult Rib Fracture Patients [NCT02432456]Phase 4153 participants (Actual)Interventional2015-09-30Completed
[NCT02596022]Phase 218 participants (Actual)Interventional2013-06-30Completed
Baseline Insular Dysfunction as a Predictor of Ketamine's Antidepressant Effects in Anxious Depression [NCT02544607]Phase 425 participants (Actual)Interventional2016-03-31Completed
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis [NCT02625181]27,034 participants (Actual)Interventional2016-07-31Completed
Ketamine and Propofol Combination Versus Propofol for Upper Gastrointestinal Endoscopy [NCT02643979]Phase 422 participants (Actual)Interventional2016-01-01Terminated(stopped due to Lack of Enrollment)
Effect of Intraoperative Intravenous Ketamine Infusion on Postoperative Analgesia in Right Hepatectomy of Living Liver Donors [NCT05441150]Phase 42 participants (Anticipated)Interventional2022-06-01Recruiting
Comparison of Low-dose Ketamine to Opioids in the Management of Acute Pain in Patients Presenting to the Emergency Department With Long Bone Fractures [NCT04061330]Phase 20 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to Study was terminated prior to enrollment due to lack of funding)
Does a Ketamine Infusion Decrease Post Operative Narcotic Consumption After Gastric Bypass Surgery? [NCT03001843]Phase 454 participants (Actual)Interventional2017-02-22Completed
Nebulized Dexmedetomidine Combined With Ketamine Versus Nebulized Dexmedetomidine to Induce Preoperative Sedation and Attenuate Emergence Agitation in Children Undergoing Cleft Palate Repair Surgeries [NCT05821972]Phase 460 participants (Anticipated)Interventional2023-05-15Not yet recruiting
Anxiolysis for Emergency Department Procedures in Pediatric Patients Using Intranasal Ketamine Compared With Intranasal Midazolam: A Randomized Controlled Trial [NCT03043430]Phase 410 participants (Actual)Interventional2016-05-31Terminated(stopped due to Research manpower shortage)
A Randomized, Investigator and Subject-Blind, Placebo-Controlled, Single-Dose, 3-Period, Incomplete Block Cross-Over Study to Evaluate the Effects of Single Oral Administration of TAK-063 on Preventing Ketamine-Induced Brain Activity Changes as Well as Ps [NCT01892189]Phase 127 participants (Actual)Interventional2013-08-31Completed
A Comparison of Midazolam vs. Midazolam/Ketamine for Conscious Sedation in Patients Undergoing Phacoemulsification Under Topical Anesthesia [NCT03054103]Phase 4105 participants (Actual)Interventional2016-05-03Completed
Ketamine: Its Effects on Suicidal Ideations and Inpatient Hospital Length of Stay [NCT02997722]Phase 44 participants (Actual)Interventional2017-03-02Terminated(stopped due to Staffing and space deficiencies prevented completion of the study.)
Comparison of Sedation, Pain, and Care Provider Satisfaction Between the Use of Intranasal Ketamine Versus Intranasal Midazolam and Fentanyl During Laceration Repair [NCT03528512]Phase 45 participants (Actual)Interventional2018-09-04Terminated(stopped due to Staffing for study was eliminated)
[NCT00376831]Phase 491 participants (Actual)Interventional2007-01-31Completed
The Role of Lamotrigine in Reducing Psychologic Side-Effect of Perioperative Ketamine Use [NCT03831854]Phase 346 participants (Actual)Interventional2019-01-24Completed
Intraoperative Low-dose Ketamine Infusion for Patients With Obstructive Sleep Apnea: A Prospective, Randomized, Controlled, Double-Blind Study [NCT03109418]Phase 2/Phase 39 participants (Actual)Interventional2016-06-02Terminated(stopped due to Recruitment challenges)
Multimodal Analgesia in Cardiac Surgery (Pilot Study) [NCT02734940]Phase 43 participants (Actual)Interventional2016-07-11Terminated(stopped due to Unable to find participants who met inclusion/exclusion criteria)
A Prospective, Randomized, Single Blinded Comparison of Intraoperative Ketamine Infusion Versus Placebo in Patients Having Spinal Fusion [NCT02424591]Phase 446 participants (Actual)Interventional2014-08-31Completed
"Ketamine / Propofol Admixture Ketofol at Induction in the Critically Ill Against Etomidate: KEEP PACE Trial" [NCT02105415]Phase 2/Phase 3160 participants (Actual)Interventional2014-04-30Completed
Ketamine and Dexametasone in the Management of Pain in Lumbar Arthrodesis [NCT04751175]Phase 4128 participants (Anticipated)Interventional2013-07-04Recruiting
Clinical Predictors of Intravenous Ketamine Response in Treatment-Resistant Depression: A Randomized, Double-Blind, Midazolam-Controlled Pilot Study [NCT05625555]Phase 340 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Pharmacokinetics of Ketamine in Infants and Children [NCT00553839]21 participants (Actual)Interventional2007-07-31Completed
Ketamine v. Ketorolac for Management of Generalized Tension Type Headache [NCT03221569]Phase 460 participants (Anticipated)Interventional2016-02-01Recruiting
Ketofol Versus Propofol in Urgent ERCP for Acute Cholangitis: A Randomized Controlled Trial [NCT04997967]Phase 4100 participants (Anticipated)Interventional2020-07-01Recruiting
Comparing Dexmedetomidine, Ketamine and Dexmetedomidine-Ketamine Combination to Control Shivering During Regional Anaethesia [NCT03302351]Phase 494 participants (Actual)Interventional2017-10-01Completed
Ketamine and Neuropathic Pain [NCT02467517]Phase 222 participants (Anticipated)Interventional2015-11-30Recruiting
Precision Medicine With Ketamine for Older Adults With Treatment-resistant Depression: Pilot Study [NCT04504175]Phase 425 participants (Actual)Interventional2020-10-22Completed
Ketamine as Adjunctive Analgesic With Bupivacaine in Paravertebral Analgesia for Breast Cancer Surgery [NCT02462681]Phase 1/Phase 290 participants (Actual)Interventional2015-05-31Completed
Targeting mTOR/GSK3 With Lithium Augmentation to Enhance and Sustain Rapid Antidepressant Actions of Ketamine in Adults With Treatment-Resistant Depression: A Precision Medicine Approach for Psychiatry [NCT03290963]Phase 20 participants (Actual)Interventional2017-11-30Withdrawn(stopped due to Principal Investigator moved to Jacksonville, FL campus.)
Electroencephalographic Effects of Ketamine During Isoflurane Maintenance and Recovery [NCT03290495]Phase 430 participants (Actual)Interventional2017-09-30Completed
Endogenous Opioid Modulation by Ketamine [NCT03051945]Phase 30 participants (Actual)Interventional2019-08-31Withdrawn(stopped due to Unable to perform brain imaging)
Effect of S-ketamine Anesthetic on Inflammatory Response in Septic Patients Undergoing Abdominal Surgery:a Single Center, Randomized, Controlled Trial [NCT04873479]50 participants (Anticipated)Interventional2021-05-10Recruiting
A Placebo-Controlled Crossover Trial of Intranasal Ketamine for the Treatment of Obsessive-Compulsive Disorder [NCT02234011]Phase 21 participants (Actual)Interventional2014-09-30Terminated(stopped due to Terminated due to difficulty in recruiting participants.)
Comparison of Lidocaine, Dexmedetomidine and Ketamine in Multimodal Analgesia Management Following Sleeve Gastrectomy Surgery: A Randomized Double-Blind Trial [NCT04836819]78 participants (Actual)Interventional2021-04-08Completed
Bioavailability Study of Intranasal CT001 in Healthy Volunteers [NCT04807335]Phase 114 participants (Actual)Interventional2021-03-17Completed
The Use of S+Ketamine Versus Placebo During Target-Controlled Intravenous Anaesthesia to Reduce Morphine Consumption and Side Effects After Abdominal Hysterectomy: A Randomized Controlled Trial [NCT03231683]Phase 290 participants (Actual)Interventional2014-03-31Completed
Nasal Inhalation of Sevoflurane Versus Midazolm,Ketamine and Propofol For Pediatric Undergoing Upper Gastrointestinal Endoscopy [NCT05474937]74 participants (Anticipated)Interventional2022-06-01Recruiting
Dexametomedine Versus Ketamine as an Adjuvant in Ultrasound Guided Erector Spinae Block for Perioperative Thoracotomy Pain Control in Pediatrics Cardiothoracic Surgeries: A Randomized Controlled Trial [NCT05552391]Phase 490 participants (Anticipated)Interventional2022-09-01Recruiting
Baden PRIDe Trial - Baden Prevention and Reduction of Incidence of Postoperative Delirium Trial [NCT02433041]Phase 4200 participants (Actual)Interventional2013-07-31Completed
A Pilot Study: a Non-opioid Technique for Postoperative Adenoidectomy Pain Relief in Pediatric Patients [NCT03714919]Phase 210 participants (Actual)Interventional2019-08-02Completed
Pre-Emptive Analgesia in Ano-Rectal Surgery [NCT02402543]90 participants (Actual)Interventional2014-06-30Completed
Functional Magnetic Resonance Imaging to Predict and Correlate Clinical Outcomes of Ketamine Infusions for Refractory Neuropathic Pain [NCT02373449]39 participants (Actual)Interventional2015-02-28Completed
A Randomized, Double Blind, Feasibility Study of Oral Ketamine Versus Placebo for Prevention of Depression in Patients Undergoing Treatment for Pancreatic or Head and Neck Cancers [NCT02442739]Early Phase 10 participants (Actual)Interventional2016-08-15Withdrawn(stopped due to PI voluntary closure due to low accrual)
Efficacy of Ketamine in Refractory Convulsive Status Epilepticus in Children: a Multicenter, Randomized, Controlled, Open-label, No-profit, With Sequential Design Study. [NCT02431663]Phase 357 participants (Actual)Interventional2015-04-30Terminated(stopped due to Futility)
Efficacy of Ketamine Infusion Compared With Traditional Anti-epileptic Agents in Refractory Status Epilepticus- a Pilot Study [NCT03115489]Phase 2/Phase 30 participants (Actual)Interventional2017-05-04Withdrawn(stopped due to Low eligibility of patients, no successful recruitment)
Treatment of Severe Mucositis Pain With Oral Ketamine Mouthwash [NCT01566448]Phase 230 participants (Actual)Interventional2012-02-29Completed
Ketamine for Relapse Prevention in Recurrent Depressive Disorder: a Randomised, Controlled, Pilot Trial: the KINDRED Trial [NCT02661061]Phase 19 participants (Actual)Interventional2015-12-31Terminated(stopped due to Inadequate recruitment)
Alpha-Amino-3-Hydroxy-5-Methyl-4- Isoxazole Propionic Acid Receptor Components of the Anti-Depressant Ketamine Response [NCT05915013]Phase 150 participants (Anticipated)Interventional2023-09-07Recruiting
Glutamatergic Mechanisms of Psychosis and Target Engagement (SA1) [NCT04589208]Phase 1/Phase 235 participants (Actual)Interventional2021-01-01Active, not recruiting
Comparative Study Between Dexmedetomedine and Ketamine in Erector Spinae Plane Block for Postoperative Analgesia Following Modified Radical Mastectomy. A Prospective Randomized Controlled Study. [NCT05727098]Phase 2/Phase 375 participants (Actual)Interventional2023-01-01Completed
A Prospective, Open-Label Pilot Clinical Trial of Oral Ketamine for Acute Pain Management After Amputation Surgery [NCT02341963]Phase 15 participants (Actual)Interventional2015-01-31Terminated(stopped due to Recruitment issues)
The Effect of a Mixture of Dexmedetomidine-lidocaine-ketamine in One Syringe Versus Opioids on Recovery Profile and Postoperative Pain After Gynecological Laparoscopic Surgery [NCT04858711]60 participants (Anticipated)Interventional2021-04-01Recruiting
Comparison of Effect of Peritonsillar Infiltration of Ketamine and Tramadol on Pediatric Posttonsillectomy Pain: A Double-blinded Randomized Placebo-controlled Clinical Trial [NCT03067103]Phase 4108 participants (Anticipated)Interventional2017-07-01Not yet recruiting
Effects of Multimodal General Anesthesia for Older Patients Undergoing Lumbar Spine Fusion Surgery: a Randomized Controlled Trial [NCT05247177]160 participants (Anticipated)Interventional2022-02-28Recruiting
Understanding the Glutamate System in Adults With Obsessive-Compulsive Disorder With N-methyl-D Aspartate Antagonist Ketamine [NCT01100255]Phase 215 participants (Actual)Interventional2010-04-30Completed
Ketamine Enhancement of rTMS for Refractory Depression [NCT04352621]Phase 420 participants (Anticipated)Interventional2020-05-01Not yet recruiting
Phase I/II Trial of Gabapentin Plus Ketamine for Prevention and Treatment of Acute and Chronic Pain in Locally Advanced Head and Neck Cancer Patients Undergoing Primary or Adjuvant Chemoradiation [NCT05156060]Phase 1/Phase 244 participants (Anticipated)Interventional2022-01-24Recruiting
Novel Topical Therapies for the Treatment of Genital Pain [NCT02099006]Phase 2/Phase 39 participants (Actual)Interventional2013-11-30Completed
Intra-operative Ketamine Infusions in Patients With Chronic Lower Back Discomfort Undergoing Laminectomies. [NCT00899600]102 participants (Actual)Interventional2007-02-28Completed
Effect of Ketamine Assisted Analgesia on Oxygen Supply and Oxygen Consumption in Patients After Cardiac Surgery [NCT04906915]112 participants (Anticipated)Interventional2021-05-08Recruiting
Optimal Dosing of Ketamine for Procedural Sedation and Analgesia in Children [NCT02519595]Phase 4182 participants (Actual)Interventional2010-08-31Completed
Preoperative Low-dose Ketamine Has no Preemptive Analgesic Effect in Opioid-naïve Patients Undergoing Colon Surgery When Nitrous Oxide is Used [NCT02241278]Phase 448 participants (Actual)Interventional2001-09-30Completed
Comparison of Ketamine 0.1 mg/kg, 0.2 mg/kg, and 0.3 mg/kg Intravenous Doses for Acute Pain in the Emergency Department: A Prospective, Randomized, Double-blind, Active-controlled, Clinical Trial [NCT03896230]Phase 411 participants (Actual)Interventional2019-05-03Terminated(stopped due to Due to resource limitations the study was on hold and was then terminated.)
Pericapsular Nerve Group Block for Positional Pain and Postoperative Analgesia [NCT05079087]100 participants (Anticipated)Interventional2021-04-01Recruiting
Ketamine vs. Midazolam: Testing Rapid Relief of Suicide Risk in Depression [NCT01700829]Phase 482 participants (Actual)Interventional2012-06-30Completed
Double-blind Trial of Intraoperative Ketamine Versus Saline in Depressed Patients Undergoing Anesthesia for Non-cardiac Surgery [NCT03861988]Phase 445 participants (Actual)Interventional2019-08-22Completed
Comparative Effectiveness of Multi-modal Pain Management Versus Standard Intra- and Post-operative Analgesia: Randomized Controlled Clinical Trial to Reduce Post-operative Pain and Opioid Use Among Patients Undergoing Lumbar Spine Surgery [NCT03088306]Early Phase 149 participants (Actual)Interventional2017-07-01Completed
The Effect of Therapeutic Ketamine Infusions on the Symptoms of Post-Traumatic Stress Disorder in Combat Veterans [NCT03088384]30 participants (Actual)Observational2016-11-28Completed
Impact of Dexmedetomidine and Ketamine and Their Combination for the Reduction of Postoperative Morphine Requirements After VATS Surgery [NCT03596424]120 participants (Anticipated)Interventional2018-02-01Recruiting
Rapid Reversal of Suicidal Depression: Comparative Effectiveness of ECT vs. KETAMINE Over the Lifespan (REaKT-SD) [NCT06034821]Phase 41,500 participants (Anticipated)Interventional2023-10-01Not yet recruiting
Examining Mu Opioid Mechanisms of Ketamine's Rapid Effects in OCD (MKET2) [NCT05940324]Phase 2150 participants (Anticipated)Interventional2023-11-30Not yet recruiting
A 2-part Phase 2 Study to Assess the Efficacy, Safety, and Tolerability of SLS-002 (Intranasal Racemic Ketamine) Administered to Adults With Major Depressive Disorder at Imminent Risk of Suicide [NCT04669665]Phase 2164 participants (Actual)Interventional2020-12-17Completed
Ketamine Versus Placebo as Adjuvant Treatment for Major Depressive Disorder and Wish to Hasten Death in Advanced Cancer Patients Undergoing Palliative Care [NCT04471818]Phase 1/Phase 219 participants (Actual)Interventional2019-09-19Completed
Influence of Ultrasonography Guided Ilioinguinal / Iliohipogastric Block in Intraoperative Anesthesia in Children - Randomized Controlled Study [NCT02990884]60 participants (Anticipated)Interventional2016-12-31Active, not recruiting
Is it Possible to Replace Fentanyl by Non Narcotic Medication for Induction and Maintenance of Anesthesia in Minor Procedures? [NCT03806374]120 participants (Actual)Interventional2018-01-02Completed
Efficacy and Safety of Multimodal Analgesia Used in Patients With Microvascular Decompression [NCT03152955]Phase 490 participants (Anticipated)Interventional2017-05-15Active, not recruiting
Benefit of the Association of Low Doses of Ketamine With Intravenous Morphine in the Treatment of Acute Severe Pain in Emergency Department [NCT03017248]Phase 1125 participants (Actual)Interventional2016-01-31Active, not recruiting
Effect of Intranasal Midazolam Versus Ketamine Midazolam Combination as a Premedication in Children Undergoing Tonsillectomy and Adenoidectomy on the Occurrence of Postoperative Respiratory Adverse Events: a Double-blind, Randomized Controlled Trial [NCT06122948]Phase 3200 participants (Anticipated)Interventional2023-09-10Recruiting
Repeated Neurocognitive Measurements in Depressed Patients [NCT05991232]Phase 1/Phase 220 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Ketamine Infusion for Pain Control in Severe Traumatic Injury: A Randomized Controlled Trial [NCT04274361]130 participants (Anticipated)Interventional2021-01-20Recruiting
Effect of Adding Dexmedetomidine, Ketamine and Their Combination to Bupivicaine in Thoracic Epidural Analgesia on Post-mastectomy Pain [NCT03063671]Phase 2/Phase 320 participants (Anticipated)Interventional2017-01-31Completed
Analgesic Effects of Low-dose S-ketamine in Patients Undergoing Major Spine Fusion Surgery: A Double-blinded, Randomized Controlled Trial [NCT04964219]Phase 4164 participants (Anticipated)Interventional2022-02-08Recruiting
Quality of Recovery of Opioid Free Anaesthesia Versus Opioids Anaesthesia Within Enhanced Recovery Protocol Following Laparoscopic Sleeve Gastrectomy in Saudi Arabia, Randomized Controlled Trial [NCT04285255]103 participants (Actual)Interventional2020-03-01Completed
Per-operative Low-Dose Ketamine For Postoperative Pain Relief In Patients Undergoing Bariatric Surgery: A Randomised Study [NCT03052673]Phase 476 participants (Actual)Interventional2017-02-20Completed
Safety and Efficacy Evaluation of S (+) -Ketamine for Postoperative Acute Pain in Children in Perioperative Settings: A Multicenter, Randomized, Open-label, Active Controlled Pragmatic Clinical Trial [NCT04834427]Phase 43,000 participants (Anticipated)Interventional2021-05-01Not yet recruiting
Evaluation of the Efficacy of a Single Infusion of Ketamine Combined With Magnesium Sulfate to Treat Refractory Chronic Cluster Headache [NCT04814381]Phase 490 participants (Anticipated)Interventional2021-09-15Recruiting
Impact of Ketamine on Epigenetic Age (IKEA) [NCT05294835]Phase 220 participants (Anticipated)Interventional2022-04-01Recruiting
Intranasal Ketamine Versus Intranasal Fentanyl on Pain Management in Isolated Traumatic Patients [NCT04414800]Phase 3125 participants (Actual)Interventional2017-04-01Completed
Pharmacokinetics of Anesthetics and Analgesics in Children and Adolescent [NCT03427736]460 participants (Anticipated)Observational2018-12-13Recruiting
Machine-learning Algorithm to Differentiate Intraoperative Ketamine Dosing Based on Electroencephalographic Density Spectrum Array Analysis [NCT05256264]90 participants (Anticipated)Observational2022-03-01Recruiting
The Antidepressant Action of Ketamine: Brain Chemistry [NCT01558063]Phase 238 participants (Actual)Interventional2012-02-29Completed
Repeated Ketamine Infusions for Treatment-Resistant Bipolar Disorder: A Randomized, Double-blind, Midazolam-controlled, Phase II Clinical Trial [NCT05004896]Phase 2100 participants (Anticipated)Interventional2022-04-30Recruiting
Investigation of Antidepressant Efficacy of Oral Ketamine Treatment [NCT02992496]Phase 260 participants (Anticipated)Interventional2017-04-24Recruiting
Ketamine Infusion for Obsessive-Compulsive Disorder [NCT01349231]Phase 210 participants (Actual)Interventional2009-02-28Completed
Opioid-free Anesthesia With a Mixture of Dexmedetomidine-lidocaine-ketamine in Laparoscopic Cholecystectomies [NCT05089526]70 participants (Anticipated)Interventional2021-10-11Recruiting
Comparison of Ketamine Versus Co-Administration of Ketamine and Propofol for Procedural Sedation in a Pediatric Emergency Department [NCT01387139]Phase 3183 participants (Actual)Interventional2011-01-31Completed
Investigating Rapid Anti-Suicidal Ideation Effects of Intravenous (IV) Ketamine in Hospitalized Patients [NCT01507181]Phase 424 participants (Actual)Interventional2012-01-31Completed
Ketamine Hydrochloride Versus Magnesium Sulfate as Analgesic Adjuvants in Pediatric Adenotonsillectomy, a Randomized Comparative Study [NCT05565664]Phase 438 participants (Anticipated)Interventional2022-10-31Not yet recruiting
Psilocybin and Depression - Assessing the Long-term Effects of a Single Administration of Psilocybin on the Psychiatric Symptoms and Brain Activity of Patients With Severe Depression [NCT03380442]Phase 260 participants (Anticipated)Interventional2018-09-30Not yet recruiting
Low Dose Ketamine as an Adjunct to Opiates for Acute Pain in the Emergency Department [NCT02489630]Phase 4116 participants (Actual)Interventional2013-09-30Completed
Post-operative Pain Relief in Laparoscopic Cholecystectomy Using a Combination of Intraperitoneal Bupivacaine Morphine, Bupivacaine Fentanyl and Bupivacaine Ketamine: A Comparative Study [NCT03355716]120 participants (Anticipated)Interventional2018-01-31Not yet recruiting
Subcutaneous Wound Infiltration of Ketamine is Superior to Bupivacaine in Terms of Pain Perception and Opioid Consumption After Cesarean Section: a Double-blinded Randomized Placebo Controlled Clinical Trial. [NCT02515422]Phase 1120 participants (Actual)Interventional2014-06-30Completed
A Randomized Controlled Trial to Determine the Efficacy of Ketamine as an Adjunct for Pain Management in Patients With Sickle Cell Crisis [NCT03502421]Phase 30 participants (Actual)Interventional2018-09-01Withdrawn(stopped due to Never IRB approved, no intention to proceed with the study)
Mean Effective Dose of Rapidly Administered Ketamine for Brief Pediatric Procedural Sedation [NCT01669642]111 participants (Actual)Interventional2012-04-30Completed
Oral Ketamine in the Treatment of Depression and Anxiety in Patients With Cancer [NCT01680172]Phase 25 participants (Actual)Interventional2012-08-31Terminated(stopped due to Slow enrollment)
Comparative Bioavailability Study of Ketamine and Norketamine After Single Dose Administration of Ketamine 10, 20, 40 and 80 mg Prolonged Release Tablets in Fasting State and 5 mg Ketamine Solution for Infusion in 15 Healthy Subjects in Serum, Urine and F [NCT02494830]Phase 115 participants (Actual)Interventional2014-08-31Completed
Understanding the Safety of Home Ketamine Treatment Plans for Chronic Conditions [NCT06038409]500 participants (Anticipated)Observational2023-01-01Recruiting
Repeated Neurocognitive Measurements in Depressed Patients [NCT04916548]Phase 1/Phase 215 participants (Actual)Interventional2021-09-16Completed
The Effect and Contribution of a Perioperative Ketamine Infusion in an Established Enhanced Recovery Pathway [NCT04625283]Phase 41,544 participants (Anticipated)Interventional2021-04-12Enrolling by invitation
Intravenous Infusions of S-KETAMINE in Fibromyalgia Syndromes: an Exploratory Study. [NCT04436250]210 participants (Anticipated)Interventional2020-10-10Recruiting
Comparison of Effects of Intravenous Midazolam and Ketamine on Emergence Agitation : a Randomized Controlled Trial [NCT02256358]68 participants (Actual)Interventional2013-01-31Completed
Intramuscular Ketamine Effect on Postnasal Surgery Agitation: a Double Blinded Randomized Controlled Trial. [NCT05313659]Phase 2193 participants (Actual)Interventional2022-05-11Completed
Combined Ketamine/Propofol for Emergency Department Procedural Sedation [NCT01126957]107 participants (Actual)Interventional2007-05-31Terminated(stopped due to Investigator left institution.)
The Check Trial: A Comparison of Headache Treatment in the ED: Compazine Versus Ketamine. A Multi-Center, Randomized Double-Blind, Clinical Control Trial. [NCT02657031]Phase 454 participants (Actual)Interventional2016-03-17Completed
Testing a Synergistic, Neuroplasticity-Based Intervention for Depressive Neurocognition [NCT03237286]Phase 1/Phase 2154 participants (Actual)Interventional2017-12-01Completed
Ketamine for The Rapid Treatment of Major Depression and Alcohol Use Disorder [NCT02461927]Phase 1/Phase 265 participants (Actual)Interventional2015-01-01Completed
A Multi-center Randomized Controlled Trial of Efficacy and Safety of Intravenous Ketamine for Chronic Daily Headaches: The KetHead Study [NCT05306899]Phase 356 participants (Anticipated)Interventional2022-06-01Recruiting
A Randomized Pilot Study Examining DCEEG Characteristics in Ketamine Versus Methohexital Induction in Depressed Patients Receiving Electroconvulsive Therapy [NCT04022226]Early Phase 111 participants (Actual)Interventional2019-10-01Completed
Multimodal Analgesia Versus Traditional Opiate Based Analgesia and Cardiac Surgery Outcome [NCT03521167]225 participants (Anticipated)Interventional2018-05-01Not yet recruiting
Effect of Ketamine Versus Sufentanil on Cerebral Glutamate After Traumatic Brain Injury : a Randomized, Double-blinded, Microdialysis Study [NCT02232347]Phase 220 participants (Anticipated)Interventional2014-10-31Not yet recruiting
Subcutaneous Ketamine for Postoperative Pain Relief in Rwanda: a Randomized Control Trial [NCT02514122]Phase 2/Phase 361 participants (Actual)Interventional2015-06-30Completed
IM Ketamine vs Midazolam for Suicidal ER Patients [NCT04640636]Phase 490 participants (Anticipated)Interventional2021-01-02Active, not recruiting
"A Randomized-Controlled Trial to Compare the Effect of Propofol vs. Ketofol on Hemodynamic Stability During Induction of General Anesthesia" [NCT02282891]Phase 20 participants (Actual)Interventional2015-01-31Withdrawn(stopped due to No subjects were ever recruited and enrolled.)
Evaluating the Effect of Subanaesthetic Dose of Esketamine on Prevention of Postoperative Depression in Patients Undergoing Cardiac Surgery:a Randomized, Double-blind, Placebo-controlled Pilot and Feasibility Trial [NCT05155969]80 participants (Anticipated)Interventional2021-12-01Recruiting
Ketamine as an Adjunctive Therapy for Major Depression - A Randomised Controlled Trial: [KARMA-Dep (2)] [NCT04939649]Phase 3104 participants (Anticipated)Interventional2021-09-13Recruiting
Intranasal Ketamine Use in the Management of Upper Limb's Fracture Reduction in Pediatric Emergencies [NCT03525821]Phase 39 participants (Actual)Interventional2018-07-05Completed
Comparison of Analgesic Effectiveness of Intravenous Ketamine and Fentanyl for Spinal Anesthesia is Sitting Position in Patients With Proximal Femur Fracture [NCT04418674]52 participants (Anticipated)Interventional2020-06-25Recruiting
The Immunomodulatory Effects of Ketamine and Lidocaine in Abdominal Surgery: Double-Blind, Placebo-Controlled Clinical Study [NCT03821545]82 participants (Actual)Interventional2019-01-28Completed
Single-dose Ketamine to Reduce Pain Severity, Depressive Symptoms and the Need for Opiates Both During and After Emergency Department Care [NCT03436121]Phase 2/Phase 30 participants (Actual)Interventional2019-12-31Withdrawn(stopped due to Ketamine shortage during the funding period of the trial)
The Effect Of Adding Ketamine to Propofol For Drug-induced Sleep Endoscopy in Adult Patients With Obstructive Sleep Apnea A Randomized Controlled Study [NCT04452383]Phase 430 participants (Anticipated)Interventional2020-07-23Recruiting
Low Dose Ketamine for Acute Pain Crisis in Patients With Sickle Cell Disease [NCT04330183]Phase 420 participants (Actual)Interventional2020-07-01Completed
Ketamine Reduces Tourniquet Pain In Patients Undergoing Lower Limb Surgery Under Spinal Anaesthesia [NCT03357055]Phase 460 participants (Anticipated)Interventional2017-12-13Not yet recruiting
A Phase II, Randomised, Double-blind, Placebo- Controlled, Multi-site, Parallel Group Clinical Trial to Examine Ketamine as a Pharmacological Treatment for Alcohol Dependence in an Alcohol Dependent Population [NCT02649231]Phase 296 participants (Actual)Interventional2016-10-31Completed
Esketamine Combined With Pregabalin on Chronic Postsurgical Pain in Patients Undergoing Primary Spinal Tumor Surgery. [NCT06117917]Phase 2/Phase 3150 participants (Anticipated)Interventional2023-11-10Not yet recruiting
Comparison of Pain and Comfort in Patients Following Cardiac Surgery: Opioid- Morphine Managed Versus Multimodal Pain-management [NCT04987372]Phase 4100 participants (Actual)Interventional2019-01-21Completed
Effect of Intravenous S-ketamine on Opioid Consumption and Postoperative Pain in Patients Undergoing Breast Cancer Surgery:a Multicenter, Randomised, Control Trial [NCT05060068]352 participants (Anticipated)Interventional2021-10-07Recruiting
Intravenous Ketamine for Pain Control During First Trimester Surgical Abortion [NCT03751423]Phase 3123 participants (Anticipated)Interventional2019-06-10Suspended(stopped due to Study on-hold due to COVID-19 pandemic restrictions. Will resume when possible.)
Anesthetic Techniques and the Effect on Cardiac Electrophysiology Procedures [NCT02664922]Phase 435 participants (Actual)Interventional2012-05-31Terminated(stopped due to Poor study design and too many study groups.)
NMDA Antagonists in Bipolar Depression [NCT01833897]Phase 48 participants (Actual)Interventional2013-03-31Completed
A Randomized, Double-Blinded Controlled Trial of an N-Methyl D-Aspartate Antagonist as a Rapidly-Acting Antidepressant in Depressed Emergency Department Patients [NCT02106325]Phase 221 participants (Actual)Interventional2013-12-31Completed
Ketamine Patient-Controlled Analgesia for Acute Pain in Native Airway Multiple and Orthopedic Trauma Patients: A Randomized, Active Comparator, Blinded Trial [NCT02062879]Phase 320 participants (Actual)Interventional2014-04-30Terminated(stopped due to Withdrawals from study due to anticipated effects from study drugs)
Extending Ketamine's Effects in Obsessive-Compulsive Disorder (OCD) With Exposure and Response Prevention (EX/RP) [NCT02062658]Phase 210 participants (Actual)Interventional2013-12-31Completed
Observational Study of the Efficacy of Ketamine for Rescue Analgesia in the Post Anesthesia Recovery Room [NCT04701008]143 participants (Actual)Observational2020-09-01Completed
Effects of Low Dose Ketamine Given at Induction of Anesthesia on Postoperative Mood in Patients With Depressive Symptoms [NCT02422303]12 participants (Actual)Interventional2015-12-31Terminated
Spreading Depolarization and Ketamine Suppression [NCT02501941]Phase 110 participants (Actual)Interventional2015-07-31Completed
Assessing a Combined Ketamine and Online Cognitive Behavioural Therapy Intervention for Treatment Resistant Post-Traumatic Stress Disorder [NCT04771767]Phase 216 participants (Anticipated)Interventional2021-08-01Recruiting
Preoperative Ketamine as a Strategy to Decrease Perioperative Depression During the Perioperative Period: a Randomized Active Controlled Pilot Study [NCT04220125]Phase 40 participants (Actual)Interventional2022-09-01Withdrawn(stopped due to No enrollment)
Rapid Agitation Control With Ketamine in the Emergency Department (RACKED): a Randomized Controlled Trial [NCT03375671]Phase 281 participants (Actual)Interventional2018-05-29Completed
Intrathecally Administered Ketamine, Dexmedetomidine, and Their Combination With Bupivacaine for Postoperative Analgesia in Major Abdominal Cancer Surgery [NCT02455609]Phase 2/Phase 390 participants (Anticipated)Interventional2015-03-31Active, not recruiting
Ambulatory Infusion of Lidocaine and Ketamine for Management of Chronic Pain: An Observational Prospective Study [NCT03249025]72 participants (Anticipated)Interventional2017-09-01Not yet recruiting
Intranasal Ketamine for Treatment of Acute Pain in the Emergency Department : A Randomized Controlled Trial [NCT03233035]Phase 21,102 participants (Actual)Interventional2018-01-01Completed
Propofol-Ketamine vs. Propofol-Fentanyl for Sedation During Pediatric Diagnostic Gastrointestinal Endoscopy [NCT03235609]60 participants (Anticipated)Interventional2017-08-16Not yet recruiting
Effect of Intraoperative IV Ketamine on Postoperative Morphine Consumption During Intestinal Surgery and Its Effect on Salivary Cortisol and Alpha Amylase Levels [NCT03344393]60 participants (Anticipated)Interventional2017-12-01Not yet recruiting
Non Randomized Cohort Study to Evaluate Pre-operative Ketamine Infusion for the Decrease Overall Pain Levels Following Revision Cervical or Lumbar Fusion Surgery Through the Post-operative Phase, Decreasing Reliance on Opioids for Daily Pain Control, Opio [NCT06066879]Phase 440 participants (Anticipated)Interventional2023-09-18Recruiting
Does Modulation of Glutamate Transmission in the Brain Using a Sub-anaesthetic Dose of Ketamine Affect Autobiographical Memory, Emotional Processing and Decision-making in Treatment-resistant Depression? [NCT05809609]60 participants (Anticipated)Interventional2022-07-01Recruiting
A Pilot Phase 1, Randomized, Single-Dose, 6-Sequences, 3-Period, Crossover Bioavailability Study of MELT-100 (Midazolam and Ketamine Sublingual Tablet) and Intravenous Midazolam or Ketamine in Healthy Volunteers [NCT04485702]Phase 117 participants (Actual)Interventional2020-07-20Completed
Comparison of Opioid Based and Opioid Free Anaesthesia in Transsphenoidal Surgery for Haemodynamic Stability and Recovery Characteristics [NCT03120234]60 participants (Actual)Interventional2017-01-31Completed
Ketamine Infusion for Acute Sickle Cell crisiS in the Emergency Department [NCT02417298]12 participants (Actual)Interventional2015-11-30Terminated(stopped due to Feasibility)
Intranasal Ketamine Versus Intravenous Ketamine for Procedural Conscious Sedation in Children: a Multi-centre Randomized Controlled Non-inferiority Trial [NCT02402868]Phase 317 participants (Actual)Interventional2016-01-31Completed
PET Imaging of mGluR5 With Drug Challenge [NCT01691092]79 participants (Actual)Interventional2012-06-30Completed
The Use of Ketamine Versus Methohexital for Electroconvulsive Therapy: A Cross-Over Comparative Study on Patient Recovery and Re-Orientation Time [NCT01567852]20 participants (Actual)Interventional2011-08-31Completed
Low-dose S-ketamine and Dexmedetomidine in Combination With Opioids for Patient-controlled Analgesia After Scoliosis Correction Surgery: a Randomized, Double-blind, Placebo-controlled Trial [NCT04791059]Phase 4200 participants (Actual)Interventional2021-04-09Completed
Double-Blind, Placebo-Controlled Trial of Ketamine Therapy in Treatment-Resistant Depression (TRD) [NCT01920555]Phase 299 participants (Actual)Interventional2014-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00088699 (2) [back to overview]MADRS Score - Baseline
NCT00088699 (2) [back to overview]MADRS Score - Day 1 Following Intervention
NCT00205712 (3) [back to overview]Visual Analog Scale (VAS) Anxiety Rating
NCT00205712 (3) [back to overview]Brief Psychiatric Ratings Scale (BPRS) Positive Symptom Subscale Score
NCT00205712 (3) [back to overview]Visual Analog Scale (VAS) Pain Intensity
NCT00354029 (1) [back to overview]NRS Pain = Numeric Rating Scale (0-10)
NCT00419003 (1) [back to overview]Montgomery-Asberg Depression Rating Scale (MARDS) Score (Acute Response to IV Ketamine in Patients With Treatment Resistant Major Depression)
NCT00471445 (1) [back to overview]Change in Average Daily Peripheral Neuropathy Intensity Score From Baseline to Week 6 in Patients Treated With Amitriptyline and Ketamine Hydrochloride vs Placebo
NCT00476151 (1) [back to overview]Placebo vs. Active Comparison of the Change From Average Pain at Baseline to Average Pain at 4 Weeks.
NCT00486902 (8) [back to overview]Disturbing Dreams
NCT00486902 (8) [back to overview]Pain Score (0-10) at 2 Weeks Following Cesarean Delivery
NCT00486902 (8) [back to overview]Number of Subjects Requiring Supplemental Analgesia in the First 24 Hours Following Cesarean Delivery
NCT00486902 (8) [back to overview]Cumulative Hydrocodone/Acetaminophen for Supplemental Analgesia to Treat Breakthrough Pain
NCT00486902 (8) [back to overview]Postoperative Vomiting
NCT00486902 (8) [back to overview]Verbal Pain Scores (0 to 10) at First Analgesia Request
NCT00486902 (8) [back to overview]Postperative Pruritus
NCT00486902 (8) [back to overview]Postoperative Nausea
NCT00504725 (3) [back to overview]C-reactive Protein (CRP) Serum Levels
NCT00504725 (3) [back to overview]Interleukin Levels at 24 Hours
NCT00504725 (3) [back to overview]Verbal Pain Scores
NCT00516503 (7) [back to overview]Autonomic Symptoms and Functioning as Measured by the EORTC QLQ-CIPN20 at Baseline and Week 4
NCT00516503 (7) [back to overview]Adverse Event Profile of Topical Amitriptyline HCl/ Baclofen/Ketamine > Frequency and Severity of Adverse Events Reported by the Patient in the > Symptom Experience Diary and Evaluated Through Clinical Assessment by NCI CTCAE v3.0
NCT00516503 (7) [back to overview]Total Sensory Neuropathy as Measured by the European Organization for Research and Treatment of Cancer [EORTC] Quality of Life [QLQ] - Chemo-induced Peripheral Neuropathy [CIPN20]
NCT00516503 (7) [back to overview]Numbness, Tingling, and Pain as Measured by the Peripheral Neuropathy Questionnaire at Baseline and Weekly for 4 Weeks
NCT00516503 (7) [back to overview]Mood States and Total Mood Disturbance as Measured by the Profile of Mood States (POMS)
NCT00516503 (7) [back to overview]Pain Severity and Interference as Measured by the Brief Pain Inventory (BPI) at Baseline and Week 4
NCT00516503 (7) [back to overview]Motor Neuropathy as Measured by the EORTC QLQ-CIPN20 at Baseline and Week 4
NCT00553839 (3) [back to overview]Residual Error
NCT00553839 (3) [back to overview]Total Clearance and Intercompartmental Clearance
NCT00553839 (3) [back to overview]Central and Peripheral Volume of Distribution
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation
NCT00588952 (8) [back to overview]Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation
NCT00595530 (2) [back to overview]Number of Participants With Improvement in Pain Scores of >2 Points on the Pain Scale
NCT00595530 (2) [back to overview]Number of Participants Who Showed a Reduction of Opioid Utilization While on IV Ketamine
NCT00611897 (5) [back to overview]Novel P300
NCT00611897 (5) [back to overview]Target P300
NCT00611897 (5) [back to overview]Mismatch Negativity (MMN) Duration
NCT00611897 (5) [back to overview]Mismatch Negativity (MMN) Frequency
NCT00611897 (5) [back to overview]Mismatch Negativity (MMN) Intensity
NCT00720330 (5) [back to overview]Postoperative Opioid Consumption in Oral Oxycodone Equivalents
NCT00720330 (5) [back to overview]Pain Scores on Numerical Rating Scale
NCT00720330 (5) [back to overview]Time From the End of Surgery to Readiness for Hospital Discharge.
NCT00720330 (5) [back to overview]Pre- and Intra-operative Opioid Consumption in Fentanyl Equivalents
NCT00720330 (5) [back to overview]Postoperative Nausea
NCT00721110 (5) [back to overview]Verbal Response Fatigue Score on Postoperative Day 1
NCT00721110 (5) [back to overview]The Effects of Lidocaine and Ketamine on Functional Recovery Assessed by 6 Minute Walk Test on Postoperative Day Two
NCT00721110 (5) [back to overview]Presence of Nausea and Vomiting After Two Hours in the PACU and the First Postoperative Day
NCT00721110 (5) [back to overview]Total Opioid Consumption at PACU Admission and Discharge as Well as Mornings of Postoperative Days 1 and 2
NCT00721110 (5) [back to overview]Verbal Response Pain Scores (VRS) at PACU Admission and Discharge as Well as Mornings and Afternoons of Postoperative Days 1 and 2
NCT00749203 (4) [back to overview]Quick Inventory of Depressive Symptomatology - Self Report (QIDS-SR)
NCT00749203 (4) [back to overview]Impact of Event Scale - Revised (IES-R)
NCT00749203 (4) [back to overview]Clinician-Administered PTSD Scale (CAPS)
NCT00749203 (4) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT00768430 (1) [back to overview]MADRS
NCT00833755 (3) [back to overview]Change in Duration of Supra-threshold Pain Tolerance
NCT00833755 (3) [back to overview]Change in Temperature of Pain Tolerance
NCT00833755 (3) [back to overview]Change in Temperature of Pain Threshold
NCT00899600 (5) [back to overview]Hospital Duration
NCT00899600 (5) [back to overview]Morphine Consumption in the First 48 Hours After Surgery
NCT00899600 (5) [back to overview]Hemodynamic Changes - Blood Pressure
NCT00899600 (5) [back to overview]Hemodynamic Changes - Heart Rate
NCT00899600 (5) [back to overview]Percentage of Participants With Complications/Adverse Events
NCT00957333 (1) [back to overview]Substance Abuse Situation Record
NCT00978757 (1) [back to overview]The Effect of Ketamine on Interleukin 6 (IL-6) Synthesis in Hepatic Resections Requiring Temporary Porto-arterial Occlusion (Pringle Maneuver)
NCT00997321 (4) [back to overview]Time to Return of Baseline Mental Status
NCT00997321 (4) [back to overview]Depth of Sedation
NCT00997321 (4) [back to overview]Respiratory Depression (Sub-clinical and Clinical Signs)
NCT00997321 (4) [back to overview]Patient Reported Pain or Recall of the Procedure
NCT01017237 (24) [back to overview]Surgeon Satisfaction With Sedation Technique
NCT01017237 (24) [back to overview]Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown 15 Minutes Into Surgery.
NCT01017237 (24) [back to overview]Amnesia: Lack of Picture Recall at Surgery End Time.
NCT01017237 (24) [back to overview]Amnesia: Lack of Picture Recall Following Dexmedetomidine Infusion Plus Midazolam.
NCT01017237 (24) [back to overview]Amnesia: Lack of Picture Recall Shown 15 Minutes Into Surgery
NCT01017237 (24) [back to overview]Amnesia: Lack of Picture Recall Shown 30 Minutes Into Surgery
NCT01017237 (24) [back to overview]Amnesia: Lack of Picture Recall Shown Prior to Sedation.
NCT01017237 (24) [back to overview]Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown at Surgery End Time.
NCT01017237 (24) [back to overview]Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown Following Dexmedetomidine Infusion Plus Midazolam.
NCT01017237 (24) [back to overview]Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown Prior to Sedation.
NCT01017237 (24) [back to overview]Bispectral Index Score (BIS)
NCT01017237 (24) [back to overview]Heart Rate
NCT01017237 (24) [back to overview]Heart Rate
NCT01017237 (24) [back to overview]Mean Arterial Blood Pressure
NCT01017237 (24) [back to overview]Mean Arterial Blood Pressure
NCT01017237 (24) [back to overview]Patient Satisfaction With Sedation Technique
NCT01017237 (24) [back to overview]Primary Title: Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown 30 Minutes Into Surgery.
NCT01017237 (24) [back to overview]Ramsey Sedation Scale Score
NCT01017237 (24) [back to overview]Respiratory Parameters: End-tidal Carbon Dioxide
NCT01017237 (24) [back to overview]Respiratory Parameters: End-tidal Carbon Dioxide
NCT01017237 (24) [back to overview]Respiratory Parameters: Oxyhemoglobin Saturation
NCT01017237 (24) [back to overview]Respiratory Parameters: Oxyhemoglobin Saturation
NCT01017237 (24) [back to overview]Respiratory Parameters: Respiratory Rate
NCT01017237 (24) [back to overview]Respiratory Parameters: Respiratory Rate
NCT01047241 (6) [back to overview]Procedural Pain Intensity Score
NCT01047241 (6) [back to overview]Sedation Score (UMSS)
NCT01047241 (6) [back to overview]Acceptance of Intranasal Administration
NCT01047241 (6) [back to overview]Bioavailability of Sufentanil and Ketamine
NCT01047241 (6) [back to overview]Maximum Plasma Concentration (Cmax) of Sufentanil and Ketamine
NCT01047241 (6) [back to overview]Time to Maximum Plasma Concentrations (Tmax) Sufentanil and Ketamine
NCT01065350 (14) [back to overview]Average Change in Total Peripheral Resistance Index (TPRI)
NCT01065350 (14) [back to overview]Percent of Subjects With a Greater Than 20% Decrease in Diastolic Blood Pressure (DBP) Following Induction of General Anesthesia
NCT01065350 (14) [back to overview]Percent of Subjects With a Greater Than 20% Decrease in Mean Arterial Pressure (MAP) Following Induction of General Anesthesia
NCT01065350 (14) [back to overview]Percent of Subjects With a Greater Than 20% Decrease in Systolic Blood Pressure (SBP) Following Induction of General Anesthesia
NCT01065350 (14) [back to overview]Average Change in Cardiac Output (CO)
NCT01065350 (14) [back to overview]Average Change in Diastolic Blood Pressure (DBP)
NCT01065350 (14) [back to overview]Average Change in Cardiac Index (CI)
NCT01065350 (14) [back to overview]Average Change in Heart Rate (HR)
NCT01065350 (14) [back to overview]Average Change in Mean Arterial Pressure (MAP)
NCT01065350 (14) [back to overview]Average Change in Stroke Volume (SV)
NCT01065350 (14) [back to overview]Average Change in Stroke Volume Index (SVI)
NCT01065350 (14) [back to overview]Average Change in Stroke Volume Variation (SVV)
NCT01065350 (14) [back to overview]Average Change in Systolic Blood Pressure (SBP)
NCT01065350 (14) [back to overview]Average Change in Total Peripheral Resistance (TPR)
NCT01089361 (7) [back to overview]Serum Levels of IL-6, IL-10 and TNFα
NCT01089361 (7) [back to overview]PCR Substudy
NCT01089361 (7) [back to overview]Adverse Effects Attributable to Ketamine
NCT01089361 (7) [back to overview]Acute Physiology and Chronic Health Evaluation (APACHE) Scores
NCT01089361 (7) [back to overview]Organ Failures
NCT01089361 (7) [back to overview]28 Day Mortality
NCT01089361 (7) [back to overview]Length of Intensive Care Unit (ICU) Stay
NCT01100255 (1) [back to overview]Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale.
NCT01106846 (1) [back to overview]Quality of Recovery Score Post Operative at 24 Hours
NCT01158820 (8) [back to overview]Conversion to General Anesthesia
NCT01158820 (8) [back to overview]Decreased Minute Ventilation
NCT01158820 (8) [back to overview]Patient Satisfaction
NCT01158820 (8) [back to overview]Endoscopist Satisfaction
NCT01158820 (8) [back to overview]Total Fentanyl
NCT01158820 (8) [back to overview]Desaturation (Longest)
NCT01158820 (8) [back to overview]Total Midazolam
NCT01158820 (8) [back to overview]Desaturation (Cumulative)
NCT01170247 (1) [back to overview]Onset of Sedation
NCT01179009 (1) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT01250418 (1) [back to overview]TcCO2 Above 50
NCT01260649 (2) [back to overview]Change in Hamilton Depression Rating Scale - 28
NCT01260649 (2) [back to overview]Number of Participants With Cognitive Side Effects
NCT01260662 (4) [back to overview]Procedural Recall
NCT01260662 (4) [back to overview]Respiratory Depression
NCT01260662 (4) [back to overview]Hypoxia
NCT01260662 (4) [back to overview]Clinical Interventions During Sedation
NCT01296347 (6) [back to overview]Analgesic Consumption (Opioid)
NCT01296347 (6) [back to overview]Incidence of Side-effects, Nausea
NCT01296347 (6) [back to overview]Incidence of Side Effect, Vomiting
NCT01296347 (6) [back to overview]Incidence of Side Effect, Vivid Dreams
NCT01296347 (6) [back to overview]Incidence of Side Effect, Lightheaded
NCT01296347 (6) [back to overview]Pain Score on Moving at 6 Weeks
NCT01301079 (36) [back to overview]Pain 18 Hours
NCT01301079 (36) [back to overview]Pain 180 Minutes
NCT01301079 (36) [back to overview]Pain 210 Minutes
NCT01301079 (36) [back to overview]Pain 24 Hours
NCT01301079 (36) [back to overview]Pain 240 Minutes
NCT01301079 (36) [back to overview]Pain 30 Minutes
NCT01301079 (36) [back to overview]Pain 6 Hours
NCT01301079 (36) [back to overview]Pain 60 Minutes
NCT01301079 (36) [back to overview]Pain 90 Minutes
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-10 24 h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-10 5h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-10 Before the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-6 24 h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-6 5 h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-6 Before the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-8 24 h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-8 5 h After the Procedure
NCT01301079 (36) [back to overview]Serum Level of Interleukin (IL)-8 Before the Procedure
NCT01301079 (36) [back to overview]Time to First Morphine Supplementation
NCT01301079 (36) [back to overview]Hyperalgesia in the Preoperative Period as Measured With Algometer in Thenar Eminence
NCT01301079 (36) [back to overview]Allodynia as Detected With a Soft Brush in the Periumbilical Region 24 h After the Procedure
NCT01301079 (36) [back to overview]Allodynia as Detected With a Soft Brush in the Periumbilical Region Before the Procedure
NCT01301079 (36) [back to overview]Allodynia as Detected With a Soft Brush in the Thenar Eminence 24 h After the Procedure
NCT01301079 (36) [back to overview]Allodynia as Detected With a Soft Brush in the Thenar Eminence Before the Procedure
NCT01301079 (36) [back to overview]Extension of Hyperalgesia
NCT01301079 (36) [back to overview]Hyperalgesia in the Postoperative Period as Measured With Algometer in the Periumbilical Region
NCT01301079 (36) [back to overview]Hyperalgesia in the Postoperative Period as Measured With Algometer in Thenar Eminence
NCT01301079 (36) [back to overview]Hyperalgesia in the Postoperative Period as Measured With Monofilaments in the Periumbilical Region
NCT01301079 (36) [back to overview]Hyperalgesia in the Postoperative Period as Measured With Monofilaments in Thenar Eminence
NCT01301079 (36) [back to overview]Hyperalgesia in the Preoperative Period as Measured With Algometer in the Periumbilical Region
NCT01301079 (36) [back to overview]Hyperalgesia in the Preoperative Period as Measured With Monofilaments in the Periumbilical Region
NCT01301079 (36) [back to overview]Hyperalgesia in the Preoperative Period as Measured With Monofilaments in Thenar Eminence
NCT01301079 (36) [back to overview]Morphine Consumption Within 24 h
NCT01301079 (36) [back to overview]Pain 12 Hours
NCT01301079 (36) [back to overview]Pain 120 Minutes
NCT01301079 (36) [back to overview]Pain 150 Minutes
NCT01304147 (2) [back to overview]Systematic Assessment for Treatment Emergent Effects (SAFTEE)
NCT01304147 (2) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT01325493 (4) [back to overview]Morphine Equivalent Consumption (mg/kg)
NCT01325493 (4) [back to overview]Pain Score at Rest
NCT01325493 (4) [back to overview]Pain Score During Cough.
NCT01325493 (4) [back to overview]Sedation Score
NCT01349231 (4) [back to overview]OCD Severity
NCT01349231 (4) [back to overview]Depression Symptoms
NCT01349231 (4) [back to overview]OCD Severity
NCT01349231 (4) [back to overview]OCD Severity
NCT01365195 (3) [back to overview]Postoperative Pain
NCT01365195 (3) [back to overview]Participants With Nausea and Vomiting at PACU
NCT01365195 (3) [back to overview]Number of Participants With Opioid Consumption
NCT01367119 (3) [back to overview]Mean Depression Rating Using the Patient Health Questionnaire-9 (PHQ-9)
NCT01367119 (3) [back to overview]Mean Post Anesthesia Recovery Side Effects
NCT01367119 (3) [back to overview]Mean Depression Rating Using the Hospital Anxiety and Depression Scale (HADS)
NCT01369680 (4) [back to overview]Pain Control
NCT01369680 (4) [back to overview]Number of Participants Tolerating Dose
NCT01369680 (4) [back to overview]Norketamine Cmax (Measured in ng/mL).
NCT01369680 (4) [back to overview]Neurocognitive Effect
NCT01371110 (2) [back to overview]Percentage of Patients Who Meet Response and Remission
NCT01371110 (2) [back to overview]Change in Yale-Brown Obsessive Compulsive Scale (Y-BOCCS) Rating OCD Symptom Severity From Baseline to 24-hours After Ketamine Administration
NCT01387139 (6) [back to overview]Recovery Time
NCT01387139 (6) [back to overview]Frequency of Adverse Events
NCT01387139 (6) [back to overview]Physician Performing Procedure Satisfaction
NCT01387139 (6) [back to overview]Nurse Satisfaction
NCT01387139 (6) [back to overview]Efficacy of Sedation
NCT01387139 (6) [back to overview]Parent Satisfaction
NCT01507181 (8) [back to overview]The Young Mania Rating Scale (YMRS)
NCT01507181 (8) [back to overview]Suicidality Item of the MADRS (MADRS-SI)
NCT01507181 (8) [back to overview]Patient Rated Inventory of Side Effects (PRISE)
NCT01507181 (8) [back to overview]Change in Beck Scale for Suicidal Ideation (BSSI)
NCT01507181 (8) [back to overview]Change in Beck Scale for Suicidal Ideation (BSSI)
NCT01507181 (8) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT01507181 (8) [back to overview]The Brief Psychiatric Rating Scale (BPRS)
NCT01507181 (8) [back to overview]The Clinician-Administered Dissociative States Scale (CADSS)
NCT01535937 (2) [back to overview]Abstinence
NCT01535937 (2) [back to overview]Number of Participants With Cocaine Use/Drop Out
NCT01535976 (1) [back to overview]Intraoperative Hypoventilation
NCT01538745 (6) [back to overview]Incidence of Treatment Failure
NCT01538745 (6) [back to overview]Maximal Change in Numerical Rating Scale (NRS) Pain Score From Baseline NRS Pain Score
NCT01538745 (6) [back to overview]Maximum Deviation From 0 on the Richmond Agitation Sedation Scale (RASS)
NCT01538745 (6) [back to overview]Time to Change in NRS Pain Score
NCT01538745 (6) [back to overview]Time to Maximal Change in NRS Pain Score
NCT01538745 (6) [back to overview]Incidence of Side Effects, Including Outlying Vital Signs
NCT01558063 (1) [back to overview]Number of Responders 24-hours Post-ketamine Infusion
NCT01566448 (4) [back to overview]Change in Use of Narcotic Analgesics
NCT01566448 (4) [back to overview]Change in Topical Lidocaine Usage
NCT01566448 (4) [back to overview]Change in Sleep Quality
NCT01566448 (4) [back to overview]Change in Pain Scores
NCT01567852 (2) [back to overview]Recovery Time
NCT01567852 (2) [back to overview]Re-orientation Time
NCT01582945 (1) [back to overview]Response to Ketamine as Measured by Hamilton Depression Rating Scale -28 Items (HAMD28)
NCT01591382 (5) [back to overview]Least Postoperative Pain Score
NCT01591382 (5) [back to overview]24-Hour Postoperative Opioid Use
NCT01591382 (5) [back to overview]Average Postoperative Pain Score
NCT01591382 (5) [back to overview]Worst Postoperative Pain Score
NCT01591382 (5) [back to overview]Number of Participants With Treatment Related Adverse Events (AEs)
NCT01594047 (3) [back to overview]Opioid Consumption
NCT01594047 (3) [back to overview]Pain Intensity Measured by a Numeric Rating Scale (NRS)
NCT01594047 (3) [back to overview]the Extent of Hyperalgesia Area Proximal to Surgical Wound
NCT01627782 (16) [back to overview]Volume of Distribution at Steady-State (Vss) of Ketamine
NCT01627782 (16) [back to overview]Total Systemic Clearance (CL) of Ketamine
NCT01627782 (16) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Ketamine
NCT01627782 (16) [back to overview]Number of Responders Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT01627782 (16) [back to overview]Number of Remitters Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT01627782 (16) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Ketamine
NCT01627782 (16) [back to overview]Elimination Half-Life (t1/2)
NCT01627782 (16) [back to overview]Change in Patient Global Impression-Severity (PGI-S) Score From Baseline to Endpoint (Day 29)
NCT01627782 (16) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Day 29
NCT01627782 (16) [back to overview]Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity])
NCT01627782 (16) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Day 15
NCT01627782 (16) [back to overview]Change in Clinical Global Impression-Severity (CGI-S) Score From Baseline to Endpoint (Day 29)
NCT01627782 (16) [back to overview]Area Under the Plasma Concentration-Time Curve From Time Zero to Last Quantifiable Time (AUC[0-last])
NCT01627782 (16) [back to overview]Clinical Global Impression of Improvement (CGI-I) Score at Endpoint of Double Blind Phase
NCT01627782 (16) [back to overview]Number of Sustained Responders Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT01627782 (16) [back to overview]Patient Global Impression-Change (PGI-C) Score at Endpoint of Double Blind Phase
NCT01645098 (5) [back to overview]EtCO2 Change After Dexmedetomidine Loading Dose
NCT01645098 (5) [back to overview]Heart Rate Change After Dexmedetomidine Loading Dose
NCT01645098 (5) [back to overview]Mean Arterial Pressure (MAP) Change After Dexmedetomidine Loading Dose
NCT01645098 (5) [back to overview]Oxygen Saturation Change After Dexmedetomidine Loading Dose
NCT01645098 (5) [back to overview]Time to Sedation Score of 3-4
NCT01653327 (2) [back to overview]Change in Pain Score
NCT01653327 (2) [back to overview]Duration of Analgesic Effect
NCT01667926 (2) [back to overview]HDRS-28 Total
NCT01667926 (2) [back to overview]Hamilton Depression Rating Scale - Suicidal Ideation (HDRS-SI)
NCT01669642 (4) [back to overview]ED95
NCT01669642 (4) [back to overview]Total Sedation Time
NCT01669642 (4) [back to overview]Median Effective Dose (ED50) and ED95 of Rapidly Administered Ketamine
NCT01669642 (4) [back to overview]Number of Participants With Wisconsin Sedation Scale Score of 2 or Less at 1 Minute After First Dose of Ketamine
NCT01680172 (2) [back to overview]Hospital Anxiety Depression Scale- Depression Score (HADS-D)
NCT01680172 (2) [back to overview]Hospital Anxiety and Depression Scale - Anxiety Score (HADS-A)
NCT01690988 (6) [back to overview]Number of Patients With Incidence of Delirium Across All Patients at Baseline and Over Post-operative Days 1-3
NCT01690988 (6) [back to overview]Median Opioid Consumption
NCT01690988 (6) [back to overview]Adverse Outcomes (Number of Patients With Nightmares)
NCT01690988 (6) [back to overview]Adverse Outcomes (Number of Patients With Hallucinations)
NCT01690988 (6) [back to overview]Number of Patients With Postoperative Nausea and Vomiting
NCT01690988 (6) [back to overview]Daily Maximum Pain Recorded
NCT01691092 (1) [back to overview]Change in Glutamate Levels at Baseline and After Ketamine Administration as Confirmed by Positron Emission Tomography (PET) Imaging
NCT01700829 (3) [back to overview]Neuropsychological Effects
NCT01700829 (3) [back to overview]Change in Scale for Suicidal Ideation
NCT01700829 (3) [back to overview]Saliva Cortisol Awakening Response (CAR).
NCT01755169 (1) [back to overview]Number of Participants With Dose Limiting Toxicity
NCT01790490 (2) [back to overview]Change in Cue Reactivity
NCT01790490 (2) [back to overview]Change in Motivation to Quit
NCT01823328 (8) [back to overview]Peak and Plateau Pressure
NCT01823328 (8) [back to overview]Mortality
NCT01823328 (8) [back to overview]SOFA Score
NCT01823328 (8) [back to overview]Number of Patients With First-pass Success
NCT01823328 (8) [back to overview]Number of Patients With Hypotension
NCT01823328 (8) [back to overview]Mortality in Sepsis and Septic Shock
NCT01823328 (8) [back to overview]Doses of Post-intubation Sedation
NCT01823328 (8) [back to overview]Number of Patients With Post-intubation Hypoxemia
NCT01833897 (5) [back to overview]Hamilton Anxiety Scale
NCT01833897 (5) [back to overview]Hamilton Depression Rating Scale (HAM-D)
NCT01833897 (5) [back to overview]Loss of Motivated Behavior HAM-D Factor
NCT01833897 (5) [back to overview]Beck's Depression Inventory
NCT01833897 (5) [back to overview]HAM-D Suicide Item
NCT01835262 (1) [back to overview]Numeric Rating Scale of Pain
NCT01868425 (12) [back to overview]Opioid Consumption in the Immediate Postoperative Period
NCT01868425 (12) [back to overview]Number of Participants With Complications From the Procedure
NCT01868425 (12) [back to overview]Intraoperative Medication Use: Fentanyl
NCT01868425 (12) [back to overview]Post-Operative Nausea Scores
NCT01868425 (12) [back to overview]Post-Operative Pruritis Score
NCT01868425 (12) [back to overview]Time to Discharge
NCT01868425 (12) [back to overview]Post-Operative Incidence of Nausea
NCT01868425 (12) [back to overview]Sedation Scale
NCT01868425 (12) [back to overview]Pain Scores During Recovery
NCT01868425 (12) [back to overview]Number of Participants Who Received Medication for Nausea
NCT01868425 (12) [back to overview]Intraoperative Medication Use: Ketorolac and Lidocaine
NCT01868425 (12) [back to overview]Incidence of Post-Operative Pruritus
NCT01880593 (7) [back to overview]BSS Score
NCT01880593 (7) [back to overview]MADRS-S Score
NCT01880593 (7) [back to overview]QIDS-SR Score
NCT01880593 (7) [back to overview]Patient Rated Inventory of Side Effects (PRISE)
NCT01880593 (7) [back to overview]HAM-A Score
NCT01880593 (7) [back to overview]CGI-S Score
NCT01880593 (7) [back to overview]CSSRS Score
NCT01881763 (1) [back to overview]Hamilton Rating Scale for Depression (HRSD) Improvement
NCT01887990 (2) [back to overview]Depression
NCT01887990 (2) [back to overview]Suicidality
NCT01892189 (8) [back to overview]Ketamine-Induced Brain Activity in Regions of Interest During Resting State
NCT01892189 (8) [back to overview]Percentage of Participants Who Meet the TGRD Markedly Abnormal Criteria for Safety Electrocardiogram (ECG) Parameters at Least Once Post Dose
NCT01892189 (8) [back to overview]Tmax: Time to Reach Cmax for TAK-063 and TAK-063 M-I
NCT01892189 (8) [back to overview]Cmax: Maximum Observed Plasma Concentration for TAK-063 and TAK-063 Metabolite (M-I)
NCT01892189 (8) [back to overview]AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-063 and TAK-063 M-I
NCT01892189 (8) [back to overview]Percentage of Participants Who Meet the TGRD Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose
NCT01892189 (8) [back to overview]Percentage of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)
NCT01892189 (8) [back to overview]Percentage of Participants Who Meet the Takeda Global Research and Development Center, Inc. (TGRD) Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose
NCT01900847 (3) [back to overview]Number of Participants With Adverse Events
NCT01900847 (3) [back to overview]Total Amount of Morphine and Other Pain Medications Administered
NCT01900847 (3) [back to overview]Numeric Pain Score
NCT01920555 (10) [back to overview]Clinical Positive Affect Scale (CPAS)
NCT01920555 (10) [back to overview]Clinician-Administered Dissociative States Scale (CADSS) Scores During Infusion
NCT01920555 (10) [back to overview]Number of Participants With Abnormal and Clinically Significant CBC and Chemistry Labs by Treatment
NCT01920555 (10) [back to overview]Number of Participants Reporting Suicidal Ideation/Behavior on the Columbia Suicide Severity Rating Scale (C-SSRS)
NCT01920555 (10) [back to overview]Snaith-Hamilton Pleasure-Scale (SHAPS)
NCT01920555 (10) [back to overview]Symptoms of Depression Questionnaire (SDQ)
NCT01920555 (10) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT01920555 (10) [back to overview]Clinical Global Impressions-Improvement (CGI-I) Scale
NCT01920555 (10) [back to overview]Clinical Global Impressions-Severity (CGI-S)
NCT01920555 (10) [back to overview]Hamilton Rating Scale for Depression - 6 Items
NCT01938079 (1) [back to overview]Cumulative Fentanyl Equivalents From ECMO Initiation to Decision to Achieve Wakefulness
NCT01944293 (2) [back to overview]Change in Suicidal Ideation Measured With the Beck Scale for Suicidal Ideation
NCT01944293 (2) [back to overview]Change in Systolic Blood Pressure
NCT01951963 (3) [back to overview]Pain Scale Rating Agreement Among Patient, Parent, and Research Staff
NCT01951963 (3) [back to overview]Cumulative Narcotic Consumption
NCT01951963 (3) [back to overview]Adverse Drug Reaction
NCT01957410 (2) [back to overview]Comparison of Ketamine Responders and Ketamine Non-responders in the Change From Baseline in Somatosensory Evoked Potential (SEPs) Amplitudes at 4 Hours Postdose on Day 1
NCT01957410 (2) [back to overview]Comparison of Ketamine Responders and Ketamine Non-responders in the Change From Baseline in Motor Evoked Potential (MEPs) Amplitudes at 4 Hours Postdose on Day 1
NCT01983020 (1) [back to overview]Pain Intensity
NCT01988922 (1) [back to overview]The Effects of CYP2B6 Genetic Variants on Ketamine Metabolism and Clearance by CYP2B6*6 Hetero or Homozygote Genotype.
NCT01997515 (4) [back to overview]Quality of Recovery 40
NCT01997515 (4) [back to overview]Postoperative Pain Scores
NCT01997515 (4) [back to overview]Postoperative Opioid Consumption
NCT01997515 (4) [back to overview]Length of Hospital Stay
NCT02062658 (1) [back to overview]Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale
NCT02062879 (3) [back to overview]Total Daily Opioid Requirement
NCT02062879 (3) [back to overview]Median Pain Score
NCT02062879 (3) [back to overview]Breakthrough Daily Opioid Requirement
NCT02078817 (9) [back to overview]Maximum Decrease in Pulse Oximetry
NCT02078817 (9) [back to overview]Beck Depression Inventory-II (BDI-II)
NCT02078817 (9) [back to overview]Change in Clinician Administered Dissociative States Scale (CADSS)
NCT02078817 (9) [back to overview]Children's Depression Rating Scale-Revised
NCT02078817 (9) [back to overview]Maximum Change in Diastolic Blood Pressure
NCT02078817 (9) [back to overview]Number of Responders Measured by Clinical Global Impression (CGI)
NCT02078817 (9) [back to overview]Montgomery-Åsberg Depression Rating Scale (MADRS)
NCT02078817 (9) [back to overview]Maximum Change in Heart Rate
NCT02078817 (9) [back to overview]Maximum Change in Systolic Blood Pressure
NCT02083926 (2) [back to overview]Liebowitz Social Anxiety Score (LSAS)
NCT02083926 (2) [back to overview]Visual Analogue Scale for Anxiety Symptoms (VAS-anxiety)
NCT02094898 (14) [back to overview]CGI-S Score, Percentage Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 1 Score, Percent Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 2 Score, Percentage Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 3 Score, Percentage Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 4 Score, Percentage Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Suicide (Item 10) Score, Percentage Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Total Score, Percent Change From Baseline at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 2 Score at Baseline and Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 3 Score at Baseline and Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 4 Score at Baseline and Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Suicide Thoughts (Item 10) Score at Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Total Score at Baseline and Last Acute Phase Observation
NCT02094898 (14) [back to overview]Clinical Global Impression-severity Subscale (CGI-S) at Baseline and Last Acute Phase Observation
NCT02094898 (14) [back to overview]MADRS Factor 1 Score at Baseline and Last Acute Phase Observation
NCT02099006 (2) [back to overview]Reduction in Daily Genital Pain.
NCT02099006 (2) [back to overview]Reduction in Tampon Test Pain
NCT02105415 (8) [back to overview]Number of Participants With Adrenal Insufficiency
NCT02105415 (8) [back to overview]Vasopressor Use
NCT02105415 (8) [back to overview]Mechanical Ventilation Free Days
NCT02105415 (8) [back to overview]Mean Arterial Pressure
NCT02105415 (8) [back to overview]Mortality
NCT02105415 (8) [back to overview]Number of Participants Experiencing Delirium Using Confusion Assessment Method in ICU
NCT02105415 (8) [back to overview]Intensive Care Unit Free Days
NCT02105415 (8) [back to overview]Blood Product Transfusions
NCT02106325 (9) [back to overview]Outpatient Follow-up Compliance
NCT02106325 (9) [back to overview]Length of Inpatient Stay
NCT02106325 (9) [back to overview]Montgomery-Åsberg Depression Rating Scale Suicide Ideation Item (MADRS-SI)
NCT02106325 (9) [back to overview]Hamilton Depression Scale (Ham-D)
NCT02106325 (9) [back to overview]Change in Treatment Alliance Score
NCT02106325 (9) [back to overview]Inpatient Treatment Alliance Scale (ITAS)
NCT02106325 (9) [back to overview]Beck Depression Inventory-II (BDI-II)
NCT02106325 (9) [back to overview]Evaluate the Effects of Ketamine on Depressive Symptomatology by Measuring Change in Score on the Montgomery-Asberg Depressive Rating Scale
NCT02106325 (9) [back to overview]Beck Scale for Suicidal Ideation (BSSI)
NCT02129426 (4) [back to overview]Percent Change in Heart Rate From Baseline
NCT02129426 (4) [back to overview]The Number of Participants With Adverse Recovery-related Behaviors During Sedation Recovery
NCT02129426 (4) [back to overview]The Number of Participants With Hypotension and/or Bradycardia During Sedation and Recovery (Generally 2-3 Hours)
NCT02129426 (4) [back to overview]Percent Change in Blood Pressure From Baseline
NCT02134951 (2) [back to overview]Pharmacological Blood-oxygen-level Dependent (pharmacoBOLD) Response
NCT02134951 (2) [back to overview]Glutamate + Glutamine (Glx) Response
NCT02150759 (2) [back to overview]Quality of Patient Positioning
NCT02150759 (2) [back to overview]Pain Score Using Five Scales
NCT02196259 (1) [back to overview]Functional Connectivity
NCT02206776 (1) [back to overview]Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale.
NCT02256358 (1) [back to overview]Emergence Agitation
NCT02295553 (4) [back to overview]Duration of Apnea After Propofol Administration
NCT02295553 (4) [back to overview]Incidence of Adverse Respiratory Events During the Procedure
NCT02295553 (4) [back to overview]Incidence of Side Effects and Complications During the Recovery Period
NCT02295553 (4) [back to overview]Dose of Propofol Required to Prevent Movement (Response) to Insertion of Endoscope Into the Patient's Esophagus
NCT02306759 (5) [back to overview]ED Length of Stay (Minutes)
NCT02306759 (5) [back to overview]Change From Baseline of Pain as Described by Numeric Rating Scale (NRS) [Minimum:0, Maximum 10] at 15 Minutes
NCT02306759 (5) [back to overview]Mean Consumption of Rescue Analgesia
NCT02306759 (5) [back to overview]Patient Satisfaction of Pain Control Based on a Likert Scale
NCT02306759 (5) [back to overview]Number of Participants With Adverse Events
NCT02334059 (3) [back to overview]Total Hydromorphone Use
NCT02334059 (3) [back to overview]Intraoperative Minimum Alveolar Concentration (MAC) of Desflurane
NCT02334059 (3) [back to overview]Pain Scores Using Verbal Analogue Scale (VAS)
NCT02360280 (4) [back to overview]Remission Defined as MADRS Score Equal or Less Than 9
NCT02360280 (4) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Score After 12 Days of Treatment
NCT02360280 (4) [back to overview]Antidepressant Response Defined as >50% Decrease in MADRS Baseline Score
NCT02360280 (4) [back to overview]Time From Post-infusion Response to Occurrence of Relapse Defined as <50% of Baseline MADRS Score
NCT02363270 (1) [back to overview]Overall Rate of Feeling Unreality
NCT02388321 (2) [back to overview]Pain Score at 30 Minutes
NCT02388321 (2) [back to overview]Adverse Events at 30 Minutes
NCT02397889 (6) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS)
NCT02397889 (6) [back to overview]The Impact of Event Scale - Revised (IES-R)
NCT02397889 (6) [back to overview]Quick Inventory of Depression Symptomatology - Self-Report (QIDS-SR)
NCT02397889 (6) [back to overview]Number of Participants With Patient-Rated Inventory of Side Effects (PRISE)
NCT02397889 (6) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS)
NCT02397889 (6) [back to overview]Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
NCT02414932 (2) [back to overview]Depression Relapse Rate
NCT02414932 (2) [back to overview]Completion Rate for Randomised Treatment
NCT02418195 (9) [back to overview]4-item Brief Psychiatric Rating Scale (BPRS)
NCT02418195 (9) [back to overview]Clinician-Administered Dissociative States Scale (CADSS)
NCT02418195 (9) [back to overview]Systematic Assessment for Treatment Emergent Events (SAFTEE)
NCT02418195 (9) [back to overview]Young Mania Rating Scale (YMRS)
NCT02418195 (9) [back to overview]Beck Scale for Suicide Ideation (BSS)
NCT02418195 (9) [back to overview]Beck Hopelessness Scale (BHS)
NCT02418195 (9) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS)
NCT02418195 (9) [back to overview]Beck Depression Inventory (BDI)
NCT02418195 (9) [back to overview]Beck Anxiety Inventory (BAI)
NCT02422290 (4) [back to overview]OCD Visual Analogue Scale (OCD-VAS)
NCT02422290 (4) [back to overview]Clinical Global Impressions - Severity Scale (CGI-S)
NCT02422290 (4) [back to overview]Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
NCT02422290 (4) [back to overview]Yale-Brown Obsessive Compulsive Challenge Scale (Y-BOCCS)
NCT02424591 (3) [back to overview]Beck's Depression Inventory
NCT02424591 (3) [back to overview]Pain Score
NCT02424591 (3) [back to overview]Scores on Questionnaires
NCT02430818 (3) [back to overview]Pain Treatment-VAS (Visual Analog Scale)
NCT02430818 (3) [back to overview]Would the Participant Would Consider Using the Drug Given to Them for Pain Relief in the Future
NCT02430818 (3) [back to overview]Number of Participants With an Adverse Effects
NCT02432456 (9) [back to overview]Length of Stay
NCT02432456 (9) [back to overview]Oral Morphine Equivalent (Narcotic Usage)
NCT02432456 (9) [back to overview]Visual Analog Numeric Pain Score
NCT02432456 (9) [back to overview]Oral Morphine Equivalent (Narcotic Usage) in Severely Injured
NCT02432456 (9) [back to overview]Oral Morphine Equivalent (Narcotic Usage)
NCT02432456 (9) [back to overview]Visual Analog Numeric Pain Score
NCT02432456 (9) [back to overview]Regional Anesthesia Utilization
NCT02432456 (9) [back to overview]Respiratory Failure
NCT02432456 (9) [back to overview]Hallucination
NCT02434939 (4) [back to overview]Incidence of Treatment Failure by Treatment Group.
NCT02434939 (4) [back to overview]Maximal Change in NRS Pain Scores as a Percentage of Baseline NRS Pain Score.
NCT02434939 (4) [back to overview]Incidence of Side Effects, Including Outlying Vital Signs
NCT02434939 (4) [back to overview]Time to Maximal Analgesic Effect and Duration of Action of Ketamine
NCT02452060 (2) [back to overview]Change in Pain Scores
NCT02452060 (2) [back to overview]Length of Stay During Hospitalization
NCT02487485 (7) [back to overview]Ketamine Level
NCT02487485 (7) [back to overview]Positive and Negative Symptom Scale (PANSS) - Positive
NCT02487485 (7) [back to overview]Rapamycin Level
NCT02487485 (7) [back to overview]Hamilton Anxiety Rating Scale (HAMA)
NCT02487485 (7) [back to overview]Montgomery-Asberg Depression Rating Scale
NCT02487485 (7) [back to overview]Quick Inventory of Depressive Symptoms (QIDS)
NCT02487485 (7) [back to overview]Clinician Administered Dissociative States Scale (CADSS)
NCT02489630 (3) [back to overview]Change in Level of Pain Control as Reported on the NRS-11
NCT02489630 (3) [back to overview]Change in Patient Satisfaction With Pain Control on a 1-4 Likert Scale
NCT02489630 (3) [back to overview]Difference in Opiate Dosage Between Study Arms in Morphine Equivalents
NCT02514122 (1) [back to overview]Postoperative Pain as Measured on a 11-point Numerical Rating Scale
NCT02515890 (1) [back to overview]Memory Testing
NCT02519595 (6) [back to overview]Sedation Efficacy
NCT02519595 (6) [back to overview]Additional Dose
NCT02519595 (6) [back to overview]Pain
NCT02519595 (6) [back to overview]Sedation Duration
NCT02519595 (6) [back to overview]Sedation Satisfaction
NCT02519595 (6) [back to overview]Adverse Events
NCT02521415 (2) [back to overview]Secondary Outcome: Total Dose of Opioid Pain Medication in Morphine Equivalents/kg/Hour
NCT02521415 (2) [back to overview]Exploratory Outcome: Reduction in Age Appropriate Pain Scale Scores
NCT02522377 (5) [back to overview]Controlled Oral Word Association Test (COWAT) at Last Infusion
NCT02522377 (5) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS) at Last Infusion
NCT02522377 (5) [back to overview]Montreal Cognitive Assessment (MOCA) at Last Infusion
NCT02522377 (5) [back to overview]Hopkins Verbal Learning Test - Revised (HVLT-R) at Last Infusion
NCT02522377 (5) [back to overview]Hamilton Depression Rating Scale (HAMD-17) at Last Infusion
NCT02539511 (1) [back to overview]Percentage of Participants Demonstrating Alcohol Abstinence in the Control (Midazolam) Group Versus the Active (Ketamine) Group
NCT02544607 (5) [back to overview]Percent Change in Tissue Fractional Anisotropy Quantification (Right Inferior Longitudinal Fasciculus)
NCT02544607 (5) [back to overview]Percent Change in Tissue Fractional Anisotropy Quantification (Left Inferior Longitudinal Fasciculus)
NCT02544607 (5) [back to overview]Change in Hamilton Depression Rating Scale (HDRS) From Baseline/Minute 0 to 4 Hours Post-infusion.
NCT02544607 (5) [back to overview]Percent Change in Tissue Fractional Anisotropy Quantification (Right Uncinate Fasciculus)
NCT02544607 (5) [back to overview]Percent Change in Tissue Fractional Anisotropy Quantification (Left Superior Longitudinal Fasciculus)
NCT02554253 (3) [back to overview]Number of Patients Who Develop Postoperative Delirium
NCT02554253 (3) [back to overview]Number of Patients With Acute Kidney Injury
NCT02554253 (3) [back to overview]Number of Patients With Postoperative Cognitive Dysfunction
NCT02556606 (6) [back to overview]Change in Resting-state Quantitative Electroencephalography (EEG) Frontal Gamma Band Power (Log of Microvolt Squared)
NCT02556606 (6) [back to overview]Change in Diastolic Blood Pressure (Millimeters of Mercury, mm Hg)
NCT02556606 (6) [back to overview]Change in Clinician-Administered Dissociative States Scale (CADSS)
NCT02556606 (6) [back to overview]Percentage of Patients With Continuation From Day 7 to Day 28 Post-infusion of at Least a 50% Improvement in MADRS
NCT02556606 (6) [back to overview]Percentage of Participants Demonstrating at Least a 50% Reduction on Montgomery-Asberg Depression Rating Scale Scores
NCT02556606 (6) [back to overview]Change in Systolic Blood Pressure (Millimeters of Mercury, mm Hg)
NCT02571153 (7) [back to overview]Quality of Postoperative Recovery Assessed by QoR-40 Questionnaire 24 Hours After Surgery
NCT02571153 (7) [back to overview]The Severity of Postoperative Pain
NCT02571153 (7) [back to overview]Percentage of Participants With Tramadol Consumption
NCT02571153 (7) [back to overview]Occurrence of Postoperative, Nausea and Vomiting
NCT02571153 (7) [back to overview]Occurrence of Pain at PACU Using a 0-10 Numeric Pain Rating Scale
NCT02571153 (7) [back to overview]Morphine Consumption (mg) at PACU
NCT02571153 (7) [back to overview]Length of PACU Stay
NCT02579928 (1) [back to overview]Montgomery-Asberg Depression Rating Scale Score 1 Day After Infusion
NCT02596022 (1) [back to overview]Number of Choices to Self-administer Cocaine (Out of 5 Choices)
NCT02625181 (4) [back to overview]Time to Discharge From the Postanesthesia Care Unit (PACU)
NCT02625181 (4) [back to overview]The Number of Prophylactic Interventions for PONV
NCT02625181 (4) [back to overview]PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting
NCT02625181 (4) [back to overview]Adherence to PONV Guidelines
NCT02643381 (7) [back to overview]Number of Participants With New Diagnosis of Adrenal Insufficiency
NCT02643381 (7) [back to overview]Survival at Day 28
NCT02643381 (7) [back to overview]Survival at Day 7
NCT02643381 (7) [back to overview]Duration of Mechanical Ventilation
NCT02643381 (7) [back to overview]Length of Stay in ICU
NCT02643381 (7) [back to overview]Duration of Catecholamine Therapy
NCT02643381 (7) [back to overview]Sequential Organ Failure Assessment (SOFA) Scores
NCT02643979 (7) [back to overview]Total Sedation Required to Allow Initiation of Procedure
NCT02643979 (7) [back to overview]Total Dose of Propofol Used During the Procedure
NCT02643979 (7) [back to overview]Number of Participants With Gagging Reaction
NCT02643979 (7) [back to overview]Time to Recovery
NCT02643979 (7) [back to overview]Number of Participants With Post-operative Nausea and/or Vomiting
NCT02643979 (7) [back to overview]Number of Participants With Any Type of Airway Obstruction
NCT02643979 (7) [back to overview]Number of Participants With Emergence Delirium
NCT02649231 (2) [back to overview]Relapse Rates
NCT02649231 (2) [back to overview]Percentage Days Abstinent
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02655692 (32) [back to overview]The PTSD Checklist (PCL)
NCT02657031 (5) [back to overview]Anxiety
NCT02657031 (5) [back to overview]Headache Following Intervention
NCT02657031 (5) [back to overview]The Number of Patients Experiencing Restlessness
NCT02657031 (5) [back to overview]The Number of Participants Experiencing Vomiting
NCT02657031 (5) [back to overview]Nausea
NCT02661061 (2) [back to overview]Depression Relapse Rate During Treatment and Follow-up Phase
NCT02661061 (2) [back to overview]Completion Rate for Randomised Treatment Phase
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Number of Participants With Adverse Events.
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Number of Participants With Clinical Success.
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Proceduralist Satisfaction.
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Patient Satisfaction.
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Pain Relief.
NCT02664922 (6) [back to overview]Effectiveness of Anesthetic Drugs in Terms of Patient Comfort.
NCT02669043 (1) [back to overview]Hamilton Depression Rating Scale (HDRS, HAM-D)
NCT02673372 (1) [back to overview]Reduction of Pain Score at 30 Minutes
NCT02697071 (3) [back to overview]Achievement of Pain Response After Ketamine Dose.
NCT02697071 (3) [back to overview]Categorical Pain Score Change From Baseline
NCT02697071 (3) [back to overview]Functional Disability Score Change From Baseline
NCT02727998 (2) [back to overview]Change in PTSD Symptoms
NCT02727998 (2) [back to overview]Change in Beck Depression Inventory (BDI-II)
NCT02761330 (15) [back to overview]Change in Anterior-Posterior Phase-lag in the Scalp EEG During Recovery
NCT02761330 (15) [back to overview]Average Change in Mood Based on the Depression PROMIS-CAT
NCT02761330 (15) [back to overview]Change in Anterior-Posterior Functional Connectivity in the Scalp During Recovery
NCT02761330 (15) [back to overview]Change in Theta Band (4-8 Hz) Relative Power in the Scalp EEG During Recovery
NCT02761330 (15) [back to overview]Change in Alpha Band (8-13 Hz) Power in the Scalp EEG During Recovery
NCT02761330 (15) [back to overview]Delirium Incidence and Severity
NCT02761330 (15) [back to overview]Change in Cognitive Function During Recovery: Initial Decrement
NCT02761330 (15) [back to overview]Suicidality
NCT02761330 (15) [back to overview]Change in Mood Assessed Using the Mood Self-Assessment Manikin
NCT02761330 (15) [back to overview]Change in Cognitive Function During Recovery: Rate of Recovery
NCT02761330 (15) [back to overview]Subjective Assessment of Whether ECT Was Performed, Determined by Asking the Patient.
NCT02761330 (15) [back to overview]ECT Electrical Dose
NCT02761330 (15) [back to overview]Change in EEG Entropy in the Scalp EEG During Recovery
NCT02761330 (15) [back to overview]Change in Delta Band (0.5-4 Hz) Relative Power in the Scale EEG During Recovery
NCT02761330 (15) [back to overview]Change in Beta Band (13-20 Hz) Relative Power in the Scalp EEG During Recovery
NCT02778880 (21) [back to overview]Diastolic Blood Pressure
NCT02778880 (21) [back to overview]Capnometry Value
NCT02778880 (21) [back to overview]Heart Rate
NCT02778880 (21) [back to overview]Heart Rate
NCT02778880 (21) [back to overview]Heart Rate
NCT02778880 (21) [back to overview]Diastolic Blood Pressure
NCT02778880 (21) [back to overview]Difference From Baseline in Visual Analog Scale Pain Score
NCT02778880 (21) [back to overview]Difference From Baseline in Visual Analog Scale Pain Score
NCT02778880 (21) [back to overview]Difference From Baseline in Visual Analog Scale Pain Score
NCT02778880 (21) [back to overview]Diastolic Blood Pressure
NCT02778880 (21) [back to overview]Capnometry Value
NCT02778880 (21) [back to overview]Capnometry Value
NCT02778880 (21) [back to overview]Oxygen Saturation
NCT02778880 (21) [back to overview]Oxygen Saturation
NCT02778880 (21) [back to overview]Oxygen Saturation
NCT02778880 (21) [back to overview]Respiratory Rate
NCT02778880 (21) [back to overview]Respiratory Rate
NCT02778880 (21) [back to overview]Respiratory Rate
NCT02778880 (21) [back to overview]Systolic Blood Pressure
NCT02778880 (21) [back to overview]Systolic Blood Pressure
NCT02778880 (21) [back to overview]Systolic Blood Pressure
NCT02882711 (2) [back to overview]Safety Will be Measured Through Number of Adverse Events
NCT02882711 (2) [back to overview]Severity of Depressive Symptoms as Assessed by the PHQ-9
NCT02916927 (5) [back to overview]Side Effects
NCT02916927 (5) [back to overview]Side Effect Severity
NCT02916927 (5) [back to overview]Side Effects
NCT02916927 (5) [back to overview]Reduction in Pain on Numeric Rating Scale.
NCT02916927 (5) [back to overview]How Bothersome Are the Side Effects?
NCT02920528 (3) [back to overview]Follow-up Pain Scores Obtained by Telephone at 24 - 48 Hours
NCT02920528 (3) [back to overview]Assess the Risk for Adverse Events Associated With Sub-dissociative Dose Ketamine
NCT02920528 (3) [back to overview]"To Compare the Percentage of Subjects Who Achieved Significant Pain Relief Between the 3 Treatment Groups as Measured by a Visual Analog Pain Scale at 60 Minutes A Decrease of at Least 20 mm on the VAS Will be Considered Significant Pain Relief"
NCT02925858 (10) [back to overview]Quantity of Opioids Used in the First 48 Hours Postoperatively
NCT02925858 (10) [back to overview]Time to Ambulation
NCT02925858 (10) [back to overview]Time to Extubation
NCT02925858 (10) [back to overview]Time to Mobilization
NCT02925858 (10) [back to overview]Delirium
NCT02925858 (10) [back to overview]Intensive Care Unit Length of Stay
NCT02925858 (10) [back to overview]Hospital Length of Stay
NCT02925858 (10) [back to overview]Quantity of Opioids Used
NCT02925858 (10) [back to overview]Postoperative Nausea and Vomiting
NCT02925858 (10) [back to overview]Pain Scores (Visual Analog Scale)
NCT02935595 (7) [back to overview]Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02935595 (7) [back to overview]Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02935595 (7) [back to overview]Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02935595 (7) [back to overview]Cortical Excitability in DLPFC Using TMS-EEG
NCT02935595 (7) [back to overview]Cortical Excitability in DLPFC Using TMS-EEG
NCT02935595 (7) [back to overview]Cortical Excitability in the Dorsolateral Prefrontal Cortex (DLPFC) as Assessed by Transcranial Magnetic Stimulation-evoked Activity Detected by Electroencephalography (TMS-EEG)
NCT02935595 (7) [back to overview]Safety as Indicated by Number of Adverse Events
NCT02946489 (2) [back to overview]Confidence in Abstaining From Cannabis
NCT02946489 (2) [back to overview]Percentage of Participants With Cannabis Abstinence or Significant Reduction in Cannabis Use
NCT02974010 (1) [back to overview]BDM Score (BISS-derived MADRS) Change From Baseline at Day 42
NCT02996591 (16) [back to overview]Opioid-Related Symptom Distress Scale (ORSDS) Score
NCT02996591 (16) [back to overview]Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.
NCT02996591 (16) [back to overview]Cognitive Recovery at 2 Hours Post-operative
NCT02996591 (16) [back to overview]Cognitive Recovery on POD1
NCT02996591 (16) [back to overview]Assessment of Patient Blinding to Group Assignment
NCT02996591 (16) [back to overview]Incidence of Transient Neurologic Symptoms
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Nausea Intensity
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop
NCT02996591 (16) [back to overview]Back Pain on POD1
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores at 2 Hours Postop
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1
NCT02996591 (16) [back to overview]Opioid Consumption
NCT02996591 (16) [back to overview]Opioid Consumption Through First Postoperative Day. Measured in mg OME
NCT02997722 (1) [back to overview]Inpatient Hospital Length of Stay
NCT03001843 (2) [back to overview]Pain Measured Based on Pain Medication Used on a Scale of 0-10
NCT03001843 (2) [back to overview]Length of Stay (Hours)
NCT03040024 (7) [back to overview]Associations of Intraoperative EEG Patterns With PACU Delirium
NCT03040024 (7) [back to overview]Change in Cognitive Failure Questionnaire (CFQ) Score
NCT03040024 (7) [back to overview]Change in Confusion Assessment Method fo Intensive Care Unit (CAM-ICU) Delirium Score
NCT03040024 (7) [back to overview]Change in Mini Cog Score
NCT03040024 (7) [back to overview]Change in Pain Level Assessed by the Visual Analog Scale (VAS) Score
NCT03040024 (7) [back to overview]Post Operative Narcotics Use
NCT03040024 (7) [back to overview]Change in Mini-Mental Status Examination (MMSE) Score
NCT03054103 (4) [back to overview]Measure of Comfort (See Link to Study Protocol for Scale)
NCT03054103 (4) [back to overview]Eye Mobility During Surgery (See Link to Study Protocol for Scale)
NCT03054103 (4) [back to overview]PACU Length of Stay
NCT03054103 (4) [back to overview]Nausea
NCT03096444 (3) [back to overview]Mechanical Thresholds (Mechanical Detection and Pain).
NCT03096444 (3) [back to overview]Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).
NCT03096444 (3) [back to overview]Thermal Threshold Detection (Warmth and Heat Pain)
NCT03102736 (3) [back to overview]Clinician-Administered Dissociative States Scale
NCT03102736 (3) [back to overview]Brief Psychiatric Rating Scale (BPRS)
NCT03102736 (3) [back to overview]Montgomery-Asberg Depression Rating Scale
NCT03113968 (2) [back to overview]Number of Participants With Treatment Responses Based on the Montgomery-Åsberg Rating Scale (MADRS)
NCT03113968 (2) [back to overview]Number of Participants With Treatment Responses Based on the 16-item Quick Inventory of Depressive Symptomatology-Self-Report Scale (QIDS-SR-16)
NCT03146806 (24) [back to overview]Heart Rate
NCT03146806 (24) [back to overview]Systolic Blood Pressure
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Nausea Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Mood Change Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Headache Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Feeling of Unreality Score
NCT03146806 (24) [back to overview]Area Under the Curve of Ketamine
NCT03146806 (24) [back to overview]Eastern Cooperative Oncology Group (ECOG) Score
NCT03146806 (24) [back to overview]Peak Concentration (Cmax) of Ketamine
NCT03146806 (24) [back to overview]Time to Peak Concentration (Tmax) of Ketamine
NCT03146806 (24) [back to overview]Bioavailability of Ketamine
NCT03146806 (24) [back to overview]Bioavailability of Ketamine
NCT03146806 (24) [back to overview]Diastolic Blood Pressure
NCT03146806 (24) [back to overview]Edmonton Symptom Assessment System (ESAS) Score
NCT03146806 (24) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS) Score
NCT03146806 (24) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Change in Hearing Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Hallucinations Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Change in Vision Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Dizziness Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Fatigue Score
NCT03146806 (24) [back to overview]Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) General Discomfort Score
NCT03146806 (24) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS) Score
NCT03146806 (24) [back to overview]Numerical Pain Rating Scale (NPRS) Score
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Number of Participants With Abnormal Vital Signs (Elevated Blood Pressure)
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Number of Participants With Abnormal Vital Signs (Elevated Heart Rate)
NCT03149991 (11) [back to overview]Long-term Sustained Response, as Measured by Achieving a 50% Reduction on the Montgomery-Asberg Depression Rating Scale (MADRS) on Day 28 (Number and Percentage of Participants Achieving Sustained Response Reported)
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Treatment-emergent Adverse Events (Number of Participants Reporting)
NCT03149991 (11) [back to overview]Change From Baseline on Symptoms of Depression Questionnaire (SDQ)
NCT03149991 (11) [back to overview]Efficacy on Secondary Outcome Variables
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: 12-lead Electrocardiogram (ECG) - Number of Participants With Abnormal ECGs
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Treatment-emergent Adverse Events (Average Number Per Person Per Group)
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Suicidal Ideation and Behavior
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: 12-lead Electrocardiogram (ECG) - Total Number of Abnormal ECGs
NCT03149991 (11) [back to overview]Safety and Tolerability Outcomes: Number of Participants With Abnormal Laboratory Test Results
NCT03156504 (2) [back to overview]Clinical Remission of Depression
NCT03156504 (2) [back to overview]Suicidal Ideation
NCT03237286 (20) [back to overview]PROMIS Measures-depression
NCT03237286 (20) [back to overview]PROMIS Measures-positive Affect
NCT03237286 (20) [back to overview]PROMIS Measures-sleep Disturbance
NCT03237286 (20) [back to overview]PROMIS Measures-substance Use
NCT03237286 (20) [back to overview]Quick Inventory of Depressive Symptoms
NCT03237286 (20) [back to overview]WHO Disability Assessment Scale (SR)
NCT03237286 (20) [back to overview]PROMIS Measures-cognitive Function
NCT03237286 (20) [back to overview]Cognitive Flexibility Scale
NCT03237286 (20) [back to overview]Affective Flexibility
NCT03237286 (20) [back to overview]Cognitive Flexibility
NCT03237286 (20) [back to overview]Executive-salience Network Functional Connectivity During Resting State
NCT03237286 (20) [back to overview]Implicit Self-representations
NCT03237286 (20) [back to overview]Montgomery Asberg Depression Scale
NCT03237286 (20) [back to overview]Neuroplasticity-related Markers in Blood
NCT03237286 (20) [back to overview]PROMIS Measures-alcohol
NCT03237286 (20) [back to overview]PROMIS Measures-anger
NCT03237286 (20) [back to overview]PROMIS Measures-anxiety
NCT03237286 (20) [back to overview]Cognitive Triad Inventory
NCT03237286 (20) [back to overview]Executive-salience Network Functional Connectivity
NCT03237286 (20) [back to overview]Columbia-Suicide Severity Rating Scale
NCT03256162 (7) [back to overview]The Patient-Rated Inventory of Side Effects (PRISE)
NCT03256162 (7) [back to overview]The Montreal Cognitive Assessment (MoCA)
NCT03256162 (7) [back to overview]The Quick Inventory of Depressive Symptoms, Self-report Version (QIDS-SR16)
NCT03256162 (7) [back to overview]The Hamilton Rating Scale for Depression-24 Item Version (HRSD-24)
NCT03256162 (7) [back to overview]The Brief Psychiatric Rating Scale (BPRS)
NCT03256162 (7) [back to overview]The Clinician-Administered Dissociative States Scale (CADSS)
NCT03256162 (7) [back to overview]Young Mania Rating Scale (YMRS; Mood Item)
NCT03274453 (1) [back to overview]Hydromorphone Use/24 Hours postOP in mg/kg
NCT03284307 (5) [back to overview]Effect of Study Drug on Ability to Form Implicit Memory
NCT03284307 (5) [back to overview]Effect of Study Drug on Ability to Correctly Identify Shapes/Images
NCT03284307 (5) [back to overview]Number of Instances of Disconnected Conscious Experience (Dreaming) vs Connected Conscious Experience (Awareness of External World).
NCT03284307 (5) [back to overview]Occipital Delta Power Spectral Density by Conscious State and Study Group.
NCT03284307 (5) [back to overview]Effect of Study Drug on Ability to Correctly Identify Images
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine on Pain Scores on Presentation to the ED
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine on Patient Pain Scores on Discharge From the ED/Admission to the Hospital
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine on Percent Difference of Length of Stay (LOS) in the ED
NCT03296345 (7) [back to overview]Subjective Effect of Low Dose Ketamine on Pain Relief Assessed Via a Patient Survey
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine on Time to 50% Pain Reduction
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine (LDK) on Opioid Usage in the ED
NCT03296345 (7) [back to overview]Effect of Low-dose Ketamine on Discharge Rates From the ED
NCT03395314 (18) [back to overview]Change in Suicidality as Measured by Item 9 on Beck Depression Inventory
NCT03395314 (18) [back to overview]Change in Social Adjustment Scale Self Report (SAS-SR) Short Version Score
NCT03395314 (18) [back to overview]Change in Preferred Distance in Stop-distance Paradigm (SDP)
NCT03395314 (18) [back to overview]Change in Adverse Events
NCT03395314 (18) [back to overview]Change in Clinician-Administered Dissociative States Scale (CADSS) Score
NCT03395314 (18) [back to overview]Change in Brief Psychiatric Rating Scale (BPRS) Total Scores
NCT03395314 (18) [back to overview]Change in Brief Pain Inventory Score - Interference
NCT03395314 (18) [back to overview]Change in Zanarini Rating Scale for Borderline Personality Disorder
NCT03395314 (18) [back to overview]Change in Suicidality as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)
NCT03395314 (18) [back to overview]Change in Suicidality as Measured by Item-12 on the Quick Inventory of Depressive Symptomatology (QIDS SR-16)
NCT03395314 (18) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT03395314 (18) [back to overview]Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)
NCT03395314 (18) [back to overview]Change in Brief Pain Inventory Score - Intensity
NCT03395314 (18) [back to overview]Change in Behavior in the Economic Trust Game - Cooperation
NCT03395314 (18) [back to overview]Change in Beck Suicide Scale Total Score
NCT03395314 (18) [back to overview]Change in Beck Depression Inventory Score
NCT03395314 (18) [back to overview]Change in Beck Anxiety Inventory Score
NCT03395314 (18) [back to overview]Change in 'Reading the Mind in the Eyes' Test (RMET) Score
NCT03448068 (8) [back to overview]Total Cumulative Perioperative Opioid Dose
NCT03448068 (8) [back to overview]Length of Stay in Hospital
NCT03448068 (8) [back to overview]Patient Satisfaction With Pain Control at Time of Hospital Discharge
NCT03448068 (8) [back to overview]Post-Operative Nausea
NCT03448068 (8) [back to overview]Patient Satisfaction With Pain Control at Postoperative Visit
NCT03448068 (8) [back to overview]Average Pain Score 0-12 Hours
NCT03448068 (8) [back to overview]Average Pain Score 12-24 Hours
NCT03448068 (8) [back to overview]Average Pain Score 24-48 Hours
NCT03500289 (6) [back to overview]Change in Daily Fatigue Severity Score
NCT03500289 (6) [back to overview]Change in Beck Depression Inventory (BDI) Score
NCT03500289 (6) [back to overview]Change in Epworth Sleepiness Scale Score
NCT03500289 (6) [back to overview]Change in Fatigue Severity Scale (FSS) Score
NCT03500289 (6) [back to overview]Change in Modified Fatigue Impact Scale (MFIS) Score
NCT03500289 (6) [back to overview]Change in Quality of Life in Neurological Disorders (NeuroQol) Fatigue Item Bank Score
NCT03503578 (1) [back to overview]Frequencies At Which Changes in Alpha, Theta, and Slow-Delta Wave Power Were Observed From Baseline During Sevoflurane-induced General Anesthesia
NCT03528512 (6) [back to overview]Change in Vitals
NCT03528512 (6) [back to overview]Proportion of Children With Maximum Sedation Score
NCT03528512 (6) [back to overview]Rates of Failure
NCT03528512 (6) [back to overview]Sedation Score
NCT03528512 (6) [back to overview]Nurse and Physician Satisfaction
NCT03528512 (6) [back to overview]Pain Scores During Laceration Repair
NCT03539887 (6) [back to overview]Alcohol Urge Questionnaire (AUQ)
NCT03539887 (6) [back to overview]Suicidal Ideation as Assessed by the Scale for Suicide Ideation (SSI)
NCT03539887 (6) [back to overview]Snaith-Hamilton Pleasure Scale
NCT03539887 (6) [back to overview]Manic Symptoms as Assessed by Score on the Young Mania Rating Scale (YMRS)
NCT03539887 (6) [back to overview]Dissociative State as Assessed by Score on Clinician-Administered Dissociative States Scale (CADSS)
NCT03539887 (6) [back to overview]Depression as Assessed by the Montgomery-Åsberg Depression Rating Scale (MADRS)
NCT03545503 (1) [back to overview]Hemodynamic Effect as Measured by Systolic Blood Pressure Before and After RSI
NCT03553758 (3) [back to overview]Difference of the Mean Clinician Administered Dissociative States Scale Before and After Midazolam Administration
NCT03553758 (3) [back to overview]Average Dissociation States Score Pre- and Post-Ketamine Induction
NCT03553758 (3) [back to overview]Average Pain Intensity Pre- and Post-Ketamine Induction
NCT03621085 (2) [back to overview]Pressure Pain Tolerance
NCT03621085 (2) [back to overview]Cumulative Stress Index
NCT03643796 (5) [back to overview]Incidence of Unacceptable Movement Under General Anesthesia
NCT03643796 (5) [back to overview]Hemodynamic Stability
NCT03643796 (5) [back to overview]Time to Extubation
NCT03643796 (5) [back to overview]Quality of Recovery
NCT03643796 (5) [back to overview]Narcotic Consumption
NCT03714620 (6) [back to overview]Change in Pain Score From Baseline to 60 Minutes
NCT03714620 (6) [back to overview]Number of Participants Who Need Additional Pain Medication at 30 Minutes
NCT03714620 (6) [back to overview]Adverse Effects at 30 Min
NCT03714620 (6) [back to overview]Number of Patients Who Need Rescue Medications at 60 Minutes
NCT03714620 (6) [back to overview]Change in Pain Score From Baseline to 15 Minutes
NCT03714620 (6) [back to overview]Change in Pain Score From Baseline to 30 Minutes Post Initiation of Drug Administration
NCT03714919 (5) [back to overview]End of Surgery to Hospital Discharge
NCT03714919 (5) [back to overview]Average Pain Score
NCT03714919 (5) [back to overview]Number of Participants With Sedation, Nausea/Vomiting, or Hallucinations
NCT03714919 (5) [back to overview]Time in PACU
NCT03714919 (5) [back to overview]Extubation Time
NCT03756129 (19) [back to overview]PK Properties of MIJ821 in Plasma - AUClast (h*ng/mL)
NCT03756129 (19) [back to overview]PK Properties of MIJ821 in Plasma - Cmax (ng/mL)
NCT03756129 (19) [back to overview]PK Properties of MIJ821 in Plasma - Tmax (ng/mL)
NCT03756129 (19) [back to overview]Summary Statistics of Total Hamilton Anxiety Scale - Change From Baseline
NCT03756129 (19) [back to overview]Bech-Rafaelsen Melancholia Scale
NCT03756129 (19) [back to overview]Change From Baseline in the CORE Melancholia Total Scale
NCT03756129 (19) [back to overview]Change From Baseline in the Dissociative Experiences Total Score
NCT03756129 (19) [back to overview]Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at 48 Hrs
NCT03756129 (19) [back to overview]Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at 24 Hrs
NCT03756129 (19) [back to overview]Change From Baseline in the Total Hamilton Anxiety Scale
NCT03756129 (19) [back to overview]Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at Week 6
NCT03756129 (19) [back to overview]PK Properties of MIJ821 in Plasma - AUC0-24h (h*ng/mL)
NCT03756129 (19) [back to overview]Summary of Adverse Events
NCT03756129 (19) [back to overview]Sheehan Suicidality Tracking Scale - (SSTS)
NCT03756129 (19) [back to overview]Responders (>50% Improvement in Bech-Rafaelsen Melancholia Scale) and Melancholia and Mixed Depression Checklist Factor.
NCT03756129 (19) [back to overview]Percentage of Participants With Treatment Remissions (MADRS<7)
NCT03756129 (19) [back to overview]Clinician-Administered Dissociative States Scale
NCT03756129 (19) [back to overview]Change From Baseline in the Young Mania Rating Scale
NCT03756129 (19) [back to overview]Change From Baseline in the Total Koukopoulos Mixed Depression Rating Scale
NCT03781817 (4) [back to overview]Percentage of Adequately Sedated Participants Successfully Completing the Procedure Without Requiring Rescue Medications.
NCT03781817 (4) [back to overview]Number of Participants Who Achieved Adequate Sedation.
NCT03781817 (4) [back to overview]Duration of Emergency Department Stay.
NCT03781817 (4) [back to overview]Duration of Sedation Using Modified Ramsay Sedation Scale.
NCT03792672 (6) [back to overview]Change From Baseline in in Peak-to-Peak Amplitude of MEP Obtained With Single-pulse TMS to Assess the Effect of Ketamine at 2.5 Hours and 24 Hours Post Dose of Ketamine
NCT03792672 (6) [back to overview]Change From Baseline in Resting Motor Threshold (rMT) Obtained With Single-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose
NCT03792672 (6) [back to overview]Change From Baseline in Peak-to-Peak Amplitude of Motor-evoked Potential (MEP) Obtained With Single-pulse Transcranial Magnetic Stimulation (TMS) for TAK-653 at 2.5 Hours Post TAK-653 Dose
NCT03792672 (6) [back to overview]Change From Baseline in Magnitude of Short Intracortical Inhibition (SICI) Obtained With Paired-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose
NCT03792672 (6) [back to overview]Change From Baseline in Magnitude of Long Intracortical Inhibition (LICI) Obtained With Paired-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose
NCT03792672 (6) [back to overview]Change From Baseline in rMT Obtained With Single-pulse TMS to Assess the Effect of Ketamine at 2.5 Hours and 24 Hours Post-dose of Ketamine
NCT03813121 (1) [back to overview]Side Effects
NCT03831854 (9) [back to overview]Opioid Related Side-effects (ORSDS)-POD1
NCT03831854 (9) [back to overview]Total Opioid Consumption in PACU (mg)
NCT03831854 (9) [back to overview]Daily Average Opioid Use During Hospital Stay
NCT03831854 (9) [back to overview]Psychologic Side-effects
NCT03831854 (9) [back to overview]Number of Patients With Psychologic Disturbances-
NCT03831854 (9) [back to overview]Number of Patients Who Had PONV (Postoperative Nausea Vomiting)
NCT03831854 (9) [back to overview]Pain Score in PACU
NCT03831854 (9) [back to overview]PACU Length of Stay, Hours
NCT03831854 (9) [back to overview]Opioid Related Side-effects (ORSDS)-POD2
NCT03861988 (9) [back to overview]Brief Pain Inventory Pain Interference Scale Score
NCT03861988 (9) [back to overview]Brief Pain Inventory Pain Intensity Scale Score
NCT03861988 (9) [back to overview]Number of Participants With Remission
NCT03861988 (9) [back to overview]Hospital Length of Stay
NCT03861988 (9) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS) Score
NCT03861988 (9) [back to overview]Number of Participants With Clinical Response
NCT03861988 (9) [back to overview]Hospital Anxiety and Depression Scale (HADS) Scale Score
NCT03861988 (9) [back to overview]Cumulative Opioid Use
NCT03861988 (9) [back to overview]Cumulative Opioid Use
NCT03889756 (2) [back to overview]Tolerability of a Multiple-dosing Ketamine Infusion Paradigm (2 Infusions Per Week for 3 Weeks) Compared to Midazolam in Adolescents With Treatment Resistant Depression
NCT03889756 (2) [back to overview]Efficacy of a Multiple-dosing Ketamine Infusion Paradigm (2 Infusions Per Week for 3 Weeks) Compared to Midazolam in Adolescents With Treatment Resistant Depression Using the Children's Depression Rating Scale (CDRS)
NCT03896230 (3) [back to overview]Pain Score
NCT03896230 (3) [back to overview]Pain Score
NCT03896230 (3) [back to overview]Adverse Events
NCT03909607 (1) [back to overview]Change in Pain Scores From Baseline to 30 Minutes
NCT03960658 (3) [back to overview]Change in Severity of Depressive Symptoms
NCT03960658 (3) [back to overview]Change in Severity of Post-traumatic Stress Disorder (PTSD) Symptoms
NCT03960658 (3) [back to overview]Change in PTSD Symptoms for DSM-5
NCT04011592 (4) [back to overview]Number of Treatment-Emergent Adverse Events
NCT04011592 (4) [back to overview]Change in Depressed Mood as Indicated by Hamilton Depression Rating Scale (HAM-D) Score
NCT04011592 (4) [back to overview]Change in Anxiety as Indicated by Generalized Anxiety Disorder 7-Item (GAD-7) Scale
NCT04011592 (4) [back to overview]Change in Postnatal Depression as Indicated by Edinburgh Postnatal Depression Scale (EPDS) Scale
NCT04037085 (9) [back to overview]Ketamine (AUC)
NCT04037085 (9) [back to overview]Nor-ketamine Milk to Plasma Ratio
NCT04037085 (9) [back to overview]Relative Infant Dose of Ketamine (RID KET)
NCT04037085 (9) [back to overview]Relative Infant Dose of Ketamine Equivalent (Ketamine, Norketamine, Dehydro-norketamine)
NCT04037085 (9) [back to overview]Steady State (Css)
NCT04037085 (9) [back to overview]Hydroxynorketamine M:P Ratio
NCT04037085 (9) [back to overview]Elimination Half Life (T1/2) for Ketamine
NCT04037085 (9) [back to overview]Volume of Distribution Steady State (Vdss)
NCT04037085 (9) [back to overview]Ketamine Milk to Plasma Ratio (M:P)
NCT04091971 (2) [back to overview]Synaptic Density
NCT04091971 (2) [back to overview]17-item Hamilton Depression Rating Scale
NCT04129086 (31) [back to overview]Number of Patients That Showed Signs of Delirium During In-hospital Stay
NCT04129086 (31) [back to overview]Number of Patients Who Continue to Use Opioids at 6 Months Post Admission
NCT04129086 (31) [back to overview]Number of Patients Who Reported Continued Pain Continued Post-traumatic Pain at 6 Months Post Admission
NCT04129086 (31) [back to overview]Number of Patients Who Required Unplanned Admission to Intensive Care Unit During In-hospital Stay
NCT04129086 (31) [back to overview]Ventilator Free Days
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Anxiety/Depression)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Anxiety/Depression)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Mobility)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Mobility)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Pain/Discomfort)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Pain/Discomfort)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Self-Care)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Self-Care)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Previous Experience)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Usual Activities)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Usual Activities)
NCT04129086 (31) [back to overview]Number of Patients Discharged From the Hospital With an Opioid Prescription
NCT04129086 (31) [back to overview]Post Traumatic Stress Disorder (PTSD) as Assessed by the PC-PTSD-5 Questionnaire
NCT04129086 (31) [back to overview]Post Traumatic Stress Disorder (PTSD) as Assessed by the PC-PTSD-5 Questionnaire
NCT04129086 (31) [back to overview]Risk of Future Opioid Abuse as Assessed by the Opioid Risk Tool (ORT)
NCT04129086 (31) [back to overview]Use of Other Pain Control Adjuncts Including Regional Anesthesia and Lidocaine Patch
NCT04129086 (31) [back to overview]Pain as Assessed by Average Score on the Defense and Veterans Pain Rating Scale (DVPRS)
NCT04129086 (31) [back to overview]Average Daily Opioid Use as Measured by the Morphine Milligram Equivalents (MME) Per Day
NCT04129086 (31) [back to overview]Duration of Ketamine Drip
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Current Health)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Current Health)
NCT04129086 (31) [back to overview]Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Previous Experience)
NCT04129086 (31) [back to overview]Hospital Free Days
NCT04129086 (31) [back to overview]ICU Free Days
NCT04129086 (31) [back to overview]Number of Patients Requesting to Discontinue Ketamine
NCT04129086 (31) [back to overview]Number of Patients That Required Unplanned Intubation During In-hospital Stay
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04154150 (26) [back to overview]Number of Participants Reporting Suicidal Behaviors Per the Columbia Suicide Severity Rating Scale (CSSRS)
NCT04154150 (26) [back to overview]Number of Participants With Occurrence of Suicidal Behaviors Per Medical Chart Review
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire (Past Day Version)
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire (Past Day Version)
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Quick Inventory of Depressive Symptoms
NCT04154150 (26) [back to overview]Scale for Suicide Ideation
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04154150 (26) [back to overview]Adult Suicide Ideation Questionnaire (Past Day Version)
NCT04154150 (26) [back to overview]Montgomery Asberg Depression Rating Scale
NCT04173962 (9) [back to overview]Change in Visual Analog Scale: Stressed (VAS-Stressed)
NCT04173962 (9) [back to overview]Change in Diastolic Blood Pressure
NCT04173962 (9) [back to overview]Change in Beck Anxiety Inventory (BAI)
NCT04173962 (9) [back to overview]Change in Salivary Cortisol
NCT04173962 (9) [back to overview]Change in Systolic Blood Pressure
NCT04173962 (9) [back to overview]Change in Heart Rate
NCT04173962 (9) [back to overview]Change in Positive and Negative Affect Scale (PANAS)
NCT04173962 (9) [back to overview]Change in The Profile of Mood States - Bipolar Version (POMS - Bi) Composed-Anxious Subscale
NCT04173962 (9) [back to overview]Change in Salivary Alpha-amylase Level
NCT04227704 (19) [back to overview]The Number of Participants Achieving Breastfeeding Success
NCT04227704 (19) [back to overview]Dose of Opiate Analgesics Administered
NCT04227704 (19) [back to overview]Postpartum Anxiety
NCT04227704 (19) [back to overview]Edinburgh Postpartum Depression Scale (EPDS)
NCT04227704 (19) [back to overview]Apgar Scores
NCT04227704 (19) [back to overview]Dose of Ketorolac Administered (mg)
NCT04227704 (19) [back to overview]Adverse Effects
NCT04227704 (19) [back to overview]Total Opiate Consumption in Morphine Equivalents
NCT04227704 (19) [back to overview]The Prevalence of Postpartum Depression in the Study Population, as Defined as EPDS Greater Than 10 Out of 30
NCT04227704 (19) [back to overview]Prevalence of Intraoperative Tachycardia
NCT04227704 (19) [back to overview]Prevalence of Intraoperative Hypotension
NCT04227704 (19) [back to overview]Prevalence of Intraoperative Hypertension
NCT04227704 (19) [back to overview]Prevalence of Intraoperative Bradycardia
NCT04227704 (19) [back to overview]Percentage of Patients With a Complete Dataset
NCT04227704 (19) [back to overview]Number of Patients in Study Arms Experiencing One or More Severe Side Effects
NCT04227704 (19) [back to overview]Admission to NICU
NCT04227704 (19) [back to overview]Maximum Intraoperative Pain (NRS)
NCT04227704 (19) [back to overview]Surgical Site Pain: Numerical Rating Scale (NRS 0-10)
NCT04227704 (19) [back to overview]Percentage of Eligible Patients Consenting to Participation
NCT04285684 (12) [back to overview]Norketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Norketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine
NCT04285684 (12) [back to overview]Norketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Ketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Ketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine
NCT04285684 (12) [back to overview]Ketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Hydroxynorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Hydroxynorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine
NCT04285684 (12) [back to overview]Hydroxynorketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Dehydronorketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Dehydronorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine
NCT04285684 (12) [back to overview]Dehydronorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine
NCT04322968 (5) [back to overview]Impact of Event Scale-Revised (IES-R)
NCT04322968 (5) [back to overview]Visual Analogue Scale (VAS)
NCT04322968 (5) [back to overview]Brief Pain Inventory (Short Form)
NCT04322968 (5) [back to overview]Impact of Event Scale-Revised (IES-R)
NCT04322968 (5) [back to overview]Visual Analogue Scale (VAS)
NCT04365985 (11) [back to overview]Intensive Care Unit (ICU) Admission
NCT04365985 (11) [back to overview]COVID Mortality
NCT04365985 (11) [back to overview]Time Until Recovery
NCT04365985 (11) [back to overview]Cytokine Storm
NCT04365985 (11) [back to overview]Renal Failure
NCT04365985 (11) [back to overview]Progression of Oxygenation Needs
NCT04365985 (11) [back to overview]Liver Failure
NCT04365985 (11) [back to overview]Length of Hospital Stay
NCT04365985 (11) [back to overview]Intensive Care Unit (ICU) Duration
NCT04365985 (11) [back to overview]Intubation Duration
NCT04365985 (11) [back to overview]Intubation
NCT04388774 (13) [back to overview]Childrens Sleep Habits Questionnaire
NCT04388774 (13) [back to overview]Number of Participants With an Adverse Event
NCT04388774 (13) [back to overview]Aberrant Behavior Checklist
NCT04388774 (13) [back to overview]Anxiety, Depression and Mood Scales (ADAMS)
NCT04388774 (13) [back to overview]Caregiver Strain Questionnaire (CGSQ)
NCT04388774 (13) [back to overview]Electrophysiology Recording
NCT04388774 (13) [back to overview]Clinical Global Impressions - Improvement Scale (CGI-I)
NCT04388774 (13) [back to overview]Latency to First Saccade
NCT04388774 (13) [back to overview]Peabody Picture Vocabulary Test and Expressive Vocabulary Test
NCT04388774 (13) [back to overview]Proportion of Target-Dwelling
NCT04388774 (13) [back to overview]Proportion of Target-First Trials Saccades
NCT04388774 (13) [back to overview]Repetitive Behavior Scale-Revised (RBS-R)
NCT04388774 (13) [back to overview]Vineland Adaptive Behavior Scales
NCT04467424 (3) [back to overview]Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Extubation Time in Children
NCT04467424 (3) [back to overview]Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Length of Stay in the PACU
NCT04467424 (3) [back to overview]Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Total Opioid Consumption
NCT04504175 (1) [back to overview]Remission From Depression
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score
NCT04831736 (25) [back to overview]Quality of Recovery (QoR-15) Survey Score
NCT04831736 (25) [back to overview]Generalized Anxiety Disorder (GAD-2) Score
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score
NCT04831736 (25) [back to overview]Total Dosage of Opioid Use
NCT04831736 (25) [back to overview]Total Dosage of Opioid Use
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score
NCT04831736 (25) [back to overview]Total Dosage of Opioid Use
NCT04831736 (25) [back to overview]Total Dosage of Opioid Use
NCT04831736 (25) [back to overview]Quality of Recovery (QoR-15) Survey Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score
NCT04831736 (25) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score
NCT04831736 (25) [back to overview]Number of Participants Who Experience Side Effects
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score
NCT04831736 (25) [back to overview]Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score
NCT04831736 (25) [back to overview]Breast Cancer Pain Questionnaire (BCPQ) - Pain Score
NCT04831736 (25) [back to overview]Number of Participants Who Experience Side Effects
NCT04831736 (25) [back to overview]Generalized Anxiety Disorder (GAD-2) Score
NCT04860804 (1) [back to overview]Reduction in Pain Score at 60 Minutes
NCT04871425 (4) [back to overview]Provider Satisfaction With Anesthesia Assessed by the VAS
NCT04871425 (4) [back to overview]Satisfaction With Anesthesia Assessed by the ISAS
NCT04871425 (4) [back to overview]Postoperative Pain Assessed by the VAS
NCT04871425 (4) [back to overview]Number of Participants Administered Additional Pain Medications
NCT04987372 (2) [back to overview]Postoperative Pain After Cardiac Surgery
NCT04987372 (2) [back to overview](ICDSC)Delirium After Stop Sedation by Using Intensive Care Delirium Screening Checklist
NCT05604794 (3) [back to overview]9-item Patient Health Questionnaire (PHQ-9)
NCT05604794 (3) [back to overview]7-item Generalized Anxiety Disorder Measure (GAD-7)
NCT05604794 (3) [back to overview]6-item PTSD Checklist (PCL-6)

MADRS Score - Baseline

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Baseline

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers1.17
Placebo - Healthy Volunteers1.48
Ketamine - MDD Patients33.83
Placebo - MDD Patients31.82

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MADRS Score - Day 1 Following Intervention

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Day 1

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers2.45
Placebo - Healthy Volunteers0.67
Ketamine - MDD Patients23.73
Placebo - MDD Patients30.68

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Visual Analog Scale (VAS) Anxiety Rating

Anxiety was measured on a scale of 1-10 (1=lowest pain intensity, 10=highest pain intensity) in participants before medication, during medication, post medication and 1 week follow up. (NCT00205712)
Timeframe: Before Ketamine, During Ketamine, Post Ketamine, 1 week follow up

,
InterventionScale of 1-10 (Mean)
VAS Anxiety-Before MedicationVAS Anxiety-Before Cogntive TestingVAS Anxiety-After Cognitive TestingVAS Anxiety-1 Week Follow Up
Ketamine Alone5.01.671.711.56
Ketamine Plus Dexmedetomidine5.02.533.002.06

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Brief Psychiatric Ratings Scale (BPRS) Positive Symptom Subscale Score

Participant received behavioral ratings before medication and during medication for the primary analysis comparison. This is an observer-scale with a value range from 0-6 (0=no symptoms 6=worst symptoms) (NCT00205712)
Timeframe: Before Ketamine, During Ketamine

,
InterventionScale of 0-6 (Mean)
BPRS Positive symptom subscale-before medicationBPRS Positive symptom subscale-during medication
Ketamine Alone0.001.40
Ketamine Plus Dexmedetomidine0.001.00

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Visual Analog Scale (VAS) Pain Intensity

Pain intensity was measured on a scale of 1-10 (1=lowest pain intensity, 10=highest pain intensity) in participants before medication, during medication, post medication and 1 week follow up. (NCT00205712)
Timeframe: Before Ketamine, During Ketamine, Post Ketamine and 1 Week Follow up

,
InterventionScale of 1-10 (Mean)
VAS Pain-Before MedicationVAS Pain-Before Cognitive TestingVAS Pain-After Cognitive TestingVAS Pain-1 Week F/U
Ketamine Alone4.722.752.611.33
Ketamine Plus Dexmedetomidine4.032.894.081.76

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NRS Pain = Numeric Rating Scale (0-10)

The numeric rating scale (NRS) is used to measure the intensity of pain. The value 0 means no pain and the value 10 represents maximal pain. a higher intensity of pain is associated with a worse outcome. (NCT00354029)
Timeframe: 24 hours

InterventionUnits on a scale (Mean)
S (+) Ketamine1.6
Placebo1.5

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Montgomery-Asberg Depression Rating Scale (MARDS) Score (Acute Response to IV Ketamine in Patients With Treatment Resistant Major Depression)

Montgomery-Asberg Depression Rating Scale, each of the ten items can be scored from 0 (absence of symptoms to 6 most severe) and has a total score range of 0-60. A lower score on a MADRS indicates a less severe depression. The primary outcome for the initial phase of the trial was the 24-h MADRS score, which included all 10 MADRS items. (NCT00419003)
Timeframe: 24 Hours

Interventionscores on a scale (Mean)
Riluzole Group24.4
Placebo22.0

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Change in Average Daily Peripheral Neuropathy Intensity Score From Baseline to Week 6 in Patients Treated With Amitriptyline and Ketamine Hydrochloride vs Placebo

"Cancer survivors who completed chemotherapy at least 1 month prior and had Chemotherapy Induced Peripheral Neuropathy (CIPN) (greater than or equal to 4 out of 10) were enrolled. CIPN was assessed using average scores from a 7-day daily diary that asks patients to rate the average pain, numbness, or tingling in their hands and feet over the past 24 hours on an 11-point numeric rating scale at baseline and 6 weeks post intervention. CIPN ranges from 0 (no pain) to 10 (worst possible pain)." (NCT00471445)
Timeframe: Week 6 - Baseline

,
Interventionunits on a scale (Mean)
BaselineWeek 6
Ketamine/Amitriptyline NP-H Cream6.554.93
Placebo Cream6.475.19

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Placebo vs. Active Comparison of the Change From Average Pain at Baseline to Average Pain at 4 Weeks.

diabetic peripheral neuropathy (DPN) pain is recorded on a numerical rating scale of 0 (no pain) to 10 (worst possible pain) at baseline and the endpoint of 4 weeks. (NCT00476151)
Timeframe: baseline and 4 weeks treatment

Interventionunits on a scale (Least Squares Mean)
Placebo Cream1.64
Amitriptyline 4% Ketamine 2% Cream2.12

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Disturbing Dreams

Number of subject reporting disturbing dreams at 72 hours post cesarean delivery (NCT00486902)
Timeframe: 72 hours

Interventionparticipants (Number)
Ketamine0
Placebo0

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Pain Score (0-10) at 2 Weeks Following Cesarean Delivery

Numeric rating for pain score (0 to 10) reported at 2 weeks following cesarean delivery. Zero is no pain and 10 is worst pain imaginable. (NCT00486902)
Timeframe: 2 weeks

InterventionScores on a scale (Median)
Ketamine2
Placebo2.6

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Number of Subjects Requiring Supplemental Analgesia in the First 24 Hours Following Cesarean Delivery

Request for oral hydrocodone/acetaminophen for pain not controlled by around the clock non-steroidal antiflammatory drugs in the first 24 hours following cesarean delivery. (NCT00486902)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketamine64
Placebo66

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Cumulative Hydrocodone/Acetaminophen for Supplemental Analgesia to Treat Breakthrough Pain

Cumulative hydrocodone/acetaminophen for supplemental analgesia to treat breakthrough pain for 72 hours following cesarean delivery (NCT00486902)
Timeframe: 72 hours

Interventiontablets (Median)
Ketamine10
Placebo9

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Postoperative Vomiting

Number of subjects that vomited in the first 24 hours following cesarean delivery (NCT00486902)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketamine13
Placebo13

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Verbal Pain Scores (0 to 10) at First Analgesia Request

Numeric rating of pain scores (NRS) scale (0 to 10) at time of supplemental analgesia request. Zero is no pain and 10 is worst pain imaginable. (NCT00486902)
Timeframe: 24 hours

InterventionScores on a scale (Median)
Ketamine3
Placebo4

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Postperative Pruritus

Number of subjects with pruritus in the first 24 hours following cesarean delivery (NCT00486902)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketamine12
Placebo19

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Postoperative Nausea

Number of subjects reporting nausea in first 24 hours following cesarean delivery (NCT00486902)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketamine27
Placebo30

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C-reactive Protein (CRP) Serum Levels

The CRP levels were measured 24 hours postoperatively. (NCT00504725)
Timeframe: 24 hours

Interventionpg/ml (Mean)
Ketamine8.8
Placebo9.3

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Interleukin Levels at 24 Hours

(NCT00504725)
Timeframe: 24 Hours

,
Interventionpg/ml (Mean)
Interleukin-6 (IL-6)Interleukin-8 (IL-8)Interleukin-10 (IL-10)
Ketamine24511.33.0
Placebo26914.84.9

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Verbal Pain Scores

Pain scores rated by the subject on a scale of 0 low - 10 high (NCT00504725)
Timeframe: baseline, 4 hours, 24 hours and at discharge

,
Interventionunits on a scale (Mean)
Baseline4 Hours24 HoursDischarge
Ketamine0.303.82.61.8
Placebo0.353.12.81.1

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Autonomic Symptoms and Functioning as Measured by the EORTC QLQ-CIPN20 at Baseline and Week 4

The scoring algorithm for the parent instrument, the EORTC QLQ-C30, was applied for linearly converting items and subscales of CIPN-20 to 0-100 scales so that a high score corresponds to better condition or less symptom. The secondary analysis was to compare changes from baseline at 4 weeks for the autonomic neuropathy subscale of the CIPN-20. To analyze this endpoint, the area under the curve (AUC) from baseline to week 4 was calculated for each patient's motor neuropathy score. The average AUC for the placebo arm was compared to the average AUC for the topical amitriptyline HCl/ baclofen/ ketamine arm using a Wilcoxon rank sum test. (NCT00516503)
Timeframe: Up to 4 weeks

Intervention(units on a scale)*week (Mean)
Baclofen-amitriptyline Hydrochloride-ketamine85.0
Placebo86.8

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Adverse Event Profile of Topical Amitriptyline HCl/ Baclofen/Ketamine > Frequency and Severity of Adverse Events Reported by the Patient in the > Symptom Experience Diary and Evaluated Through Clinical Assessment by NCI CTCAE v3.0

Frequency and severity of adverse events reported by patients in weekly diary and evaluated through clinical assessment by NCI CTCAE v3.0. The number of patients reporting grade 3 or higher events are reported in this outcome measure. For a full list of all events, please refer to the Adverse Events section of this report. (NCT00516503)
Timeframe: Up to 4 weeks

,
InterventionParticipants (Count of Participants)
Grade 3+ Adverse EventGrade 4+ Adverse Event
Baclofen-amitriptyline Hydrochloride-ketamine81
Placebo51

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Total Sensory Neuropathy as Measured by the European Organization for Research and Treatment of Cancer [EORTC] Quality of Life [QLQ] - Chemo-induced Peripheral Neuropathy [CIPN20]

The scoring algorithm for the parent instrument, the EORTC QLQ-C30, was applied for linearly converting items and subscales of CIPN-20 to 0-100 scales so that a high score corresponds to better condition or less symptom. The primary analysis was the change in sensory neuropathy subscale of the CIPN-20 from baseline to week 4. The area under the curve (AUC) from baseline to week 4 was calculated for each patient's sensory neuropathy score. The average AUC for the placebo arm was compared to the average AUC for the topical amitriptyline HCl/ baclofen/ ketamine arm using a Wilcoxon rank sum test. (NCT00516503)
Timeframe: From baseline to 4 weeks

Intervention(units on a scale) * week (Mean)
Baclofen-amitriptyline Hydrochloride-ketamine61.0
Placebo60.9

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Numbness, Tingling, and Pain as Measured by the Peripheral Neuropathy Questionnaire at Baseline and Weekly for 4 Weeks

The Peripheral Neuropathy Questionnaire was used to analyze this endpoint. Patient neuropathy symptoms were scored on a 0 - 100 scale (higher score represents less symptomatic). The area under the curve (AUC) from baseline to week 4 was calculated for each patient's score. The average AUC for the placebo arm and the topical amitriptyline HCl/ baclofen/ ketamine arm are reported. (NCT00516503)
Timeframe: Up to 4 weeks

Interventionunits on a scale * week (Mean)
Baclofen-amitriptyline Hydrochloride-ketamine172.6
Placebo175.7

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Mood States and Total Mood Disturbance as Measured by the Profile of Mood States (POMS)

Each mood scale (0 - 100, higher is better mood) will be analyzed as an endpoint along with the total mood disturbance score. (NCT00516503)
Timeframe: At 4 weeks

,
Interventionunits on a scale (Mean)
POMS Tension-Anxiety SubscalePOMS VA SubscalePOMS Anger-Hostility ScorePOMS Confusion-BewildermentPOMS Depression-Dejection ScorePOMS Fatigue-Inertia ScoreMean POMS Score
Baclofen-amitriptyline Hydrochloride-ketamine83.231.187.876.986.467.271.5
Placebo83.033.087.777.985.863.671.8

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Pain Severity and Interference as Measured by the Brief Pain Inventory (BPI) at Baseline and Week 4

Pain severity, defined by the four items addressing worst, least, and average pain and pain right now as measured by the BPI will be analyzed identical to the primary endpoint. Additionally, total pain interference as measured by the BPI will be transformed onto a 0-100 ( higher is less pain) point scale. The area under the curve (AUC) from baseline to week 4 was calculated for each patient's score. The average AUC for the placebo arm and the topical amitriptyline HCl/ baclofen/ ketamine arm are reported. (NCT00516503)
Timeframe: Up to 4 weeks

,
Interventionunits on a scale * week (Mean)
Worst PainLeast PainAverage PainBPI Total Interference
Baclofen-amitriptyline Hydrochloride-ketamine58.178.066.476.5
Placebo58.777.365.477.3

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Motor Neuropathy as Measured by the EORTC QLQ-CIPN20 at Baseline and Week 4

The scoring algorithm for the parent instrument, the EORTC QLQ-C30, was applied for linearly converting items and subscales of CIPN-20 to 0-100 scales so that a high score corresponds to better condition or less symptom. The secondary analysis was to compare changes from baseline at 4 weeks for the motor neuropathy subscale of the CIPN-20. To analyze this endpoint, the area under the curve (AUC) from baseline to week 4 was calculated for each patient's motor neuropathy score. The average AUC for the placebo arm was compared to the average AUC for the topical amitriptyline HCl/ baclofen/ ketamine arm using a Wilcoxon rank sum test. (NCT00516503)
Timeframe: From Baseline to week 4

Intervention(units on a scale)* week (Mean)
Baclofen-amitriptyline Hydrochloride-ketamine69.2
Placebo70.1

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Residual Error

"pK analysis of ketamine in children with pre-existing congenital heart disease following a single dose of ketamine in order to rationalize an effective 2-h anesthetic medication, personalized based on cardiac function and age.~Residual Error was analyzed using Bootstrap model." (NCT00553839)
Timeframe: 5, 10, 15, 20, 30, 45, 60, 120, 180, 240, 300, 360 and 720 minutes after bolus.

Interventionproportional % (Median)
Single Group Assignment16.1

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Total Clearance and Intercompartmental Clearance

"pK analysis of ketamine in children with pre-existing congenital heart disease following a single dose of ketamine in order to rationalize an effective 2-h anesthetic medication, personalized based on cardiac function and age.~Total Clearance and Intercompartmental Clearance were analyzed using Bootstrap model." (NCT00553839)
Timeframe: 5, 10, 15, 20, 30, 45, 60, 120, 180, 240, 300, 360 and 720 minutes after bolus.

InterventionL/h/70kg (Median)
Total ClearanceIntercompartmental Clearance
Single Group Assignment60.070.8

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Central and Peripheral Volume of Distribution

"pK analysis of ketamine in children with pre-existing congenital heart disease following a single dose of ketamine in order to rationalize an effective 2-h anesthetic medication, personalized based on cardiac function and age.~Central and Peripheral Volume of Distribution were analyzed using Bootstrap model." (NCT00553839)
Timeframe: 5, 10, 15, 20, 30, 45, 60, 120, 180, 240, 300, 360 and 720 minutes after bolus.

InterventionL/70kg (Median)
Central Volume of DistributionPeripheral Volume of Distribution
Single Group Assignment57.6149

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Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation

Self-reporting rating scale to measure the sedative effects (0 not at all sedated - 70 extremely sedated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 45 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative25.061.64
Family History Positive18.361.46

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Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation

Self-reporting rating scale to measure the stimulation effects (0 not at all stimulated - 70 extremely stimulated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 45 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative9.061.64
Family History Positive15.41.54

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Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation

Self-reporting rating scale to measure the sedative effects (0 not at all sedated - 70 extremely sedated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 15 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative24.741.36
Family History Positive18.962.46

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Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation

Self-reporting rating scale to measure the stimulation effects (0 not at all stimulated - 70 extremely stimulated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 15 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative14.581.82
Family History Positive22.391.82

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Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation

Self-reporting rating scale to measure the sedative effects (0 not at all sedated - 70 extremely sedated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: Baseline

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative0.961.25
Family History Positive0.630.71

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Biphasic Alcohol Effects Scale (BAES) - Subscale Sedation

Self-reporting rating scale to measure the sedative effects (0 not at all sedated - 70 extremely sedated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 80 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative9.990.92
Family History Positive7.461.07

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Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation

Self-reporting rating scale to measure the stimulation effects (0 not at all stimulated - 70 extremely stimulated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: 80 minutes

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative3.022.12
Family History Positive3.811.61

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Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulation

Self-reporting rating scale to measure the stimulation effects (0 not at all stimulated - 70 extremely stimulated) of alcohol effects. We used the BAES to measure alcohol-like effects in subjects that received ketamine infusions. (NCT00588952)
Timeframe: Baseline

,
Interventionunits on a scale (Mean)
KetaminePlacebo
Family History Negative2.432.88
Family History Positive3.782.36

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Number of Participants With Improvement in Pain Scores of >2 Points on the Pain Scale

Determine if there is an apparent improvement in pain control with the ketamine infusion based on the investigator's discretion and comparison to past pain scores. Pain was scored on a scale from 0 to 10. Zero equaled no pain and 10 equaled a lot of pain. (NCT00595530)
Timeframe: Baseline then daily while inpatient, up to 72 hours

InterventionParticipants (Count of Participants)
Ketamine3

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Number of Participants Who Showed a Reduction of Opioid Utilization While on IV Ketamine

Looking at the reduction of opioid utilization while on IV Ketamine. Three participants were enrolled in the study, therefore a comprehensive analysis could not be done due to the low enrollment. (NCT00595530)
Timeframe: Baseline then daily while inpatient, up to 72 hours

InterventionParticipants (Count of Participants)
Ketamine3

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Novel P300

"The Novel P300 measures were obtained from the Fz, Cz and Pz electrodes.~Target stimuli were 1000 Hz tones (500 ms) and novel stimuli (~250 ms) were unique environmental sounds (e.g., dog bark) used in prior studies of the novelty P300. Subjects were instructed to respond to the target sounds by pressing a button using their dominant hand index finger. The standard stimuli were 20, 30 or 40 Hz click trains (500 ms) in the first, second, and third runs, respectively. The auditory steady state EEG driving data obtained from these standard stimuli will be presented in a separate report. All stimuli were presented at 80 dB SPL." (NCT00611897)
Timeframe: daily

,,,
Interventionmicrovolts (Least Squares Mean)
FzCzPz
NAC+Ketamine5.37.46.1
NAC+Saline7.611.510.8
Placebo+Ketamine5.27.05.7
Placebo+Saline5.610.510.7

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Target P300

"The Target P300 measures were obtained from the Fz, Cz and Pz electrodes.~Target stimuli were 1000 Hz tones (500 ms) and novel stimuli (~250 ms) were unique environmental sounds (e.g., dog bark) used in prior studies of the novelty P300. Subjects were instructed to respond to the target sounds by pressing a button using their dominant hand index finger. The standard stimuli were 20, 30 or 40 Hz click trains (500 ms) in the first, second, and third runs, respectively. The auditory steady state EEG driving data obtained from these standard stimuli will be presented in a separate report. All stimuli were presented at 80 dB SPL." (NCT00611897)
Timeframe: daily

,,,
Interventionmicrovolts (Least Squares Mean)
FzCzPz
NAC+Ketamine3.45.48.2
NAC+Saline5.29.912.6
Placebo+Ketamine3.25.58.1
Placebo+Saline2.57.711.8

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Mismatch Negativity (MMN) Duration

"Mismatch Negativity (MMN) Duration difference waves at midline electrodes (Fz, Cz and Pz).~The frequent standard tones were of 75 ms duration with 5 ms rise and fall time, and were composed of 500, 1000, and 1500 Hz sinusoidal partials (harmonics) that resulted in a single high pitched beep sound.~All tones were presented at 76 dB sound pressure level (SPL) with the exception of intensity deviants. The three deviants were distinguishable from standard tones in either intensity, frequency, or duration.~Subjects performed a visual discrimination distractor task during the MMN runs and were instructed to ignore the tones.~The mismatch negativity (MMN) measure included 3 types of deviant tones (stimuli) that the subjects heard: 1. Frequency deviant, 2. Intensity deviant, 3. Duration deviant. The response to these 3 types of deviants were recorded in the EEG. Therefore each deviant was associated with different waves which we measured in amplitude (microvolts)" (NCT00611897)
Timeframe: daily

,,,
Interventionmicrovolts (Least Squares Mean)
FzCzPz
NAC+Ketamine-2.8-2.8-2.1
NAC+Saline-3.2-3.3-2.4
Placebo+Ketamine-3.1-3.1-2.3
Placebo+Saline-3.2-3.1-2.4

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Mismatch Negativity (MMN) Frequency

"Mismatch Negativity (MMN) Frequency difference waves at midline electrodes (Fx, Cz and Pz).~The frequent standard tones were of 75 ms duration with 5 ms rise and fall time, and were composed of 500, 1000, and 1500 Hz sinusoidal partials (harmonics) that resulted in a single high pitched beep sound.~All tones were presented at 76 dB sound pressure level (SPL) with the exception of intensity deviants. The three deviants were distinguishable from standard tones in either intensity, frequency, or duration.~Subjects performed a visual discrimination distractor task during the MMN runs and were instructed to ignore the tones.~The mismatch negativity (MMN) measure included 3 types of deviant tones (stimuli) that the subjects heard: 1. Frequency deviant, 2. Intensity deviant, 3. Duration deviant. The response to these 3 types of deviants were recorded in the EEG. Therefore each deviant was associated with different waves which we measured in amplitude (microvolts)" (NCT00611897)
Timeframe: daily

,,,
Interventionmicrovolts (Least Squares Mean)
FzCzPz
NAC+Ketamine-2.9-2.9-1.9
NAC+Saline-3.1-3.1-1.8
Placebo+Ketamine-2.7-2.7-1.7
Placebo+Saline-3.3-3.3-2.3

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Mismatch Negativity (MMN) Intensity

"Mismatch Negativity (MMN) Intensity difference waves at midline electrodes (Fz, Cz and Pz).~The frequent standard tones were of 75 ms duration with 5 ms rise and fall time, and were composed of 500, 1000, and 1500 Hz sinusoidal partials (harmonics) that resulted in a single high pitched beep sound.~All tones were presented at 76 dB sound pressure level (SPL) with the exception of intensity deviants. The three deviants were distinguishable from standard tones in either intensity, frequency, or duration.~Subjects performed a visual discrimination distractor task during the MMN runs and were instructed to ignore the tones.~The mismatch negativity (MMN) measure included 3 types of deviant tones (stimuli) that the subjects heard: 1. Frequency deviant, 2. Intensity deviant, 3. Duration deviant. The response to these 3 types of deviants were recorded in the EEG. Therefore each deviant was associated with different waves which we measured in amplitude (microvolts)" (NCT00611897)
Timeframe: daily

,,,
Interventionmicrovolts (Least Squares Mean)
FzCzPz
NAC+Ketamine-2.6-2.6-2.1
NAC+Saline-3.4-3.4-2.4
Placebo+Ketamine-2.7-2.5-2.0
Placebo+Saline-3.5-3.2-2.1

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Postoperative Opioid Consumption in Oral Oxycodone Equivalents

The cumulative opioid consumption after surgery until the end of second postoperative day. (NCT00720330)
Timeframe: 2 days after surgery

Interventionmg (Mean)
Ropivacaine564
Lidocaine/Ketamine73
Placebo1381

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Pain Scores on Numerical Rating Scale

Numerical Rating Scales is a measurement of pain ranging from 0 to 10 (11 point scale), where 0 is equal to no pain and 10 is equal to worst possible pain. Pain scores were measured in PACU, first and second postoperative mornings. (NCT00720330)
Timeframe: After surgery until the second postoperative mornings.

,,
Interventionunits on a scale (Mean)
PACUPOD1POD2
Lidocaine/Ketamine2.03.32.8
Placebo6.33.72
Ropivacaine0.84.62.6

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Time From the End of Surgery to Readiness for Hospital Discharge.

(NCT00720330)
Timeframe: Until hospital discharge, assessed up to 6 months

Interventionhours (Mean)
Ropivacaine2.2
Lidocaine/Ketamine3.8
Placebo3.0

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Pre- and Intra-operative Opioid Consumption in Fentanyl Equivalents

The cumulative opioid consumption is calculated as fentanyl equivalent (NCT00720330)
Timeframe: From admission to the end of surgery

Interventionmcg (Mean)
Ropivacaine100
Lidocaine/Ketamine113
Placebo134

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Postoperative Nausea

Number of patients who had postoperative nausea or vomiting were recorded. (NCT00720330)
Timeframe: After surgery until the second postoperative day.

InterventionParticipants (Count of Participants)
Ropivacaine2
Lidocaine/Ketamine1
Placebo0

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Verbal Response Fatigue Score on Postoperative Day 1

Verbal response fatigue score on postoperative day 1. Verbal response fatigue score measured on a scale ranging from 0 to 10, where 0 is no fatigue and 10 is the worst possible fatigue. (NCT00721110)
Timeframe: postoperative day 1

Interventionunits on a scale (Mean)
Lidocaine7.2
Nonlidocaine7.2
Ketamine7.4
Nonketamine7.0

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The Effects of Lidocaine and Ketamine on Functional Recovery Assessed by 6 Minute Walk Test on Postoperative Day Two

The effects of lidocaine and ketamine on functional recovery assessed by 6 minute walk test on postoperative day two after hysterectomy. This outcome measures return to ambulation after surgery. (NCT00721110)
Timeframe: postoperative day 2

Interventionmeters (Mean)
Lidocaine202
Nonlidocaine202
Ketamine193
Nonketamine210

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Presence of Nausea and Vomiting After Two Hours in the PACU and the First Postoperative Day

(NCT00721110)
Timeframe: 2 hours after surgery, on postoperative day 1

,,,
Interventionpercentage of participants (Number)
Nausea, PACUNausea, POD 1Vomiting, PACUVomiting, POD 1
Ketamine30531023
Lidocaine3255623
Nonketamine28501616
Nonlidocaine26481916

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Total Opioid Consumption at PACU Admission and Discharge as Well as Mornings of Postoperative Days 1 and 2

(NCT00721110)
Timeframe: intraoperative through postoperative day 2

,,,
Interventionmilligram morphine sulfate equivalents (Median)
intraoperativepostoperative care unitpostoperative day 1postoperative day 2
Ketamine2020219
Lidocaine20202310
Nonketamine2323238
Nonlidocaine2023226

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Verbal Response Pain Scores (VRS) at PACU Admission and Discharge as Well as Mornings and Afternoons of Postoperative Days 1 and 2

Verbal response pain scores (VRS) at PACU admission and discharge as well as mornings and afternoons of postoperative days 1 and 2. VRS scale ranges from 0 to 10, with 0 denoting no pain and 10 denoting worst possible pain. (NCT00721110)
Timeframe: PACU admission and discharge, postoperative mornings and afternoons on days 1 and 2

,,,
Interventionunits on a scale (Mean)
PACU admitPACU dischargePOD 1POD 2
Ketamine6.44.63.73.1
Lidocaine6.24.04.03.1
Nonketamine6.94.33.62.8
Nonlidocaine7.14.93.32.9

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Quick Inventory of Depressive Symptomatology - Self Report (QIDS-SR)

Self-report questionnaire measuring depressive symptoms. Each item is rated 0 (no depression) to 3 (severe depression). The total score ranges from 0-27. (NCT00749203)
Timeframe: 24 hours after first infusion

Interventionunits on a scale (Mean)
Ketamine12.4
Midazolam11.3

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Impact of Event Scale - Revised (IES-R)

"A 22-item self-report questionnaire measuring PTSD symptoms. Items are rated on a 5-point scale ranging from 0 (not at all) to 4 (extremely). The IES-R yields a total score ranging from 0 (not at all) to 88 (extremely)" (NCT00749203)
Timeframe: 7 days after first infusion

Interventionunits on a scale (Mean)
Ketamine25.76
Midazolam36.32

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Clinician-Administered PTSD Scale (CAPS)

Clinician-administered structured interview measuring PTSD symptoms. frequency score - scale 0 = none of the time to 4 = most or all of the time intensity score - scale 0 = none to 4 = extreme To meet criteria for a symptom, a patient must meet criteria in both frequency and intensity score for each item. Frequency and intensity and then combined to form a single severity score. 30 questions scale, with total score ranging from 0 to 240. (NCT00749203)
Timeframe: 7 days after first infusion

Interventionunits on a scale (Mean)
Ketamine54
Midazolam65.69

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Montgomery-Asberg Depression Rating Scale (MADRS)

Clinician-administered questionnaire measuring depressive symptoms. The MADRS-S has 10-items which are based on mood symptoms over the past 7 days. Each items is scored 0 (normal) to 6 (severe depression) with overall score ranges from 0 (normal) to 60 (severe depression). Mean difference between baseline and 2 weeks. (NCT00749203)
Timeframe: 24 hours after first infusion

Interventionunits on a scale (Mean)
Ketamine12.6
Midazolam10.1

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MADRS

Montgomery-Asberg Depression Rating Scale, each of the ten items can be scored from 0 (absence of symptoms to 6 most severe) and has a total score range of 0-60. A lower score on a MADRS indicates a less severe depression. (NCT00768430)
Timeframe: 24 hours post-infusion

Interventionunits on a scale (Mean)
Ketamine14.77
Midazolam22.72

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Change in Duration of Supra-threshold Pain Tolerance

"Using QST, we detected the duration (seconds) of tolerance to supra-threshold heat pain stimulation. In this test, subjects were asked to tolerate, as long as he or she could, heat stimulation preset at 47°C for a maximum of 60 seconds. They were given the computer mouse to stop the test if they reached their limit before 60 seconds. If they stopped the test before the 60 seconds, the time that they stopped it was recorded.~This test was repeated 3 times and an average duration was calculated. The duration could range from a minimum of 0 seconds to a maximum of 60 seconds." (NCT00833755)
Timeframe: Baseline at visit 1, post inufsion at visit 1, and at visit 2 which was 1 week after visit 1

Interventionseconds (Mean)
Opioid - Ketamine-5.22
Opioid - Placebos13.81
Non-opioid - Ketamine-1.91
Non-opioid - Placebos-0.39

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Change in Temperature of Pain Tolerance

"Using QST, we measured the change in pain tolerance which was the maximum thermal stimulation intensity (in °C) tolerable. In this test, the subject was instructed to press the computer mouse to stop stimulation when the thermode reached the maximal tolerable temperature.~This test was repeated 3 times and an average temperature was calculated. The temperatures could range from a minimum of 0°C to 53°C." (NCT00833755)
Timeframe: Baseline at visit 1, post inufsion at visit 1, and at visit 2 which was 1 week after visit 1

InterventionDegrees Celsius (Mean)
Opioid - Ketamine-0.06
Opioid - Placebo0.52
Non-opioid - Ketamine-0.42
Non-opioid - Placebos-0.19

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Change in Temperature of Pain Threshold

"We measured the change in pain threshold using Quantitative Sensory Testing (QST). QST refers to a set of quantitative testing of individual responses to mechanical, thermal, and/or electrical stimulation. In this study, pain threshold was the thermal stimulation intensity (in°C) first perceived as painful. To measure this, a contact thermode was attached onto the dorsal surface of the forearm. By pressing a computer mouse button, each subject was able to stop stimulation when they first perceived a painful stimulation from the thermode as the temperature increased 1°C/s.~This test was repeated 3 times and an average temperature was calculated. The temperatures could range from a minimum of 0°C to 53°C." (NCT00833755)
Timeframe: Baseline at visit 1, post inufsion at visit 1, and at visit 2 which was 1 week after visit 1

InterventionDegrees Celsius (Mean)
Opioid - Ketamine-0.02
Opioid - Placebos-0.61
Non-opioid - Ketamine-0.61
Non-opioid - Placebos-0.77

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Hospital Duration

(NCT00899600)
Timeframe: Discharge from hospital, approximately 2 days after surgery

Interventionminutes (Mean)
Normal Saline4571
Ketamine4364

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Morphine Consumption in the First 48 Hours After Surgery

Total morphine(mg)consumed at 48 hours. (NCT00899600)
Timeframe: 48 hours

Interventionmg (Mean)
Normal Saline309
Ketamine195

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Hemodynamic Changes - Blood Pressure

Hemodynamic change (Blood Pressure) from baseline in the intraoperative and 48-h postoperative periods (NCT00899600)
Timeframe: Baseline, Inoperative (approximately) 48 hours

,
InterventionmmHg (Mean)
Baseline systolic blood pressureBaseline diatolic blood pressureInteroperative Systolic blood pressureInteroperative diastolic blood pressure48-hours post operative systolic blood pressure48-hours post operative diastolic blood pressure
Ketamine132.277.3139.977.8129.775.6
Normal Saline133.881.3139.680.813375.9

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Hemodynamic Changes - Heart Rate

Hemodynamic change (Heart Rate) from baseline in the intraoperative and 48-h postoperative periods (NCT00899600)
Timeframe: Baseline, Inoperative (approximately) 48 hours

,
Interventionbeats per minute (Mean)
Baseline Peak Heart RateInteroperative Peak Heart Rate48-hours Post Operative
Ketamine7487.699.8
Normal Saline77.391.498.6

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Percentage of Participants With Complications/Adverse Events

Adverse events (NCT00899600)
Timeframe: 48 hours and 6 weeks

,
InterventionPercent (Number)
Nausea, 48 hoursVomiting, 48 hoursHallucinations, 48 hoursUrinary Retention, 48 hoursNausea, 6 weeksVomiting, 6 weeksHallucinations, 6 weeksUrinary Retention, 6 weeks
Ketamine26.915.41.97.711.89.811.845.1
Normal Saline22.512.22.02.017.08.523.457.5

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Substance Abuse Situation Record

Substance abuse situation record: ketamine (NCT00957333)
Timeframe: 1 day

Interventionyears (Mean)
Case2

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The Effect of Ketamine on Interleukin 6 (IL-6) Synthesis in Hepatic Resections Requiring Temporary Porto-arterial Occlusion (Pringle Maneuver)

As an outcome, Interleukin 6 (IL-6) was measured in plasma concentration of hepatic resections requiring temporary porto-arterial occlusion patients. (NCT00978757)
Timeframe: Plasma concentration of IL-6 levels were obtained prior to surgery, upon placement of the first intravenous

Interventionpg/ml (Mean)
Ketamine116.14
Placebo151.29

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Time to Return of Baseline Mental Status

time in seconds from the first dose of medication until the patient has regained baseline mental status (NCT00997321)
Timeframe: from start of procedure until the return of baseline mental status up to 120 minutes

Interventionminutes (Median)
Propofol5
Ketamine14

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Depth of Sedation

Observes assesment of alertness scale, 1-5 ordinal scale measuring level of awareness, one represents awake, 5 general anesthesia/unresponsive to pain (NCT00997321)
Timeframe: single measurement during sedation procedure

Interventionscore on a scale (Median)
Propofol2
Ketamine2

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Respiratory Depression (Sub-clinical and Clinical Signs)

binary measure based on the occurrence of an oxygen saturation less than 93 at any time, a change in baseline end tidal co2 >10 or an absence on capnographic waveform (NCT00997321)
Timeframe: From one minute prior to start of the procedure until the patient has returned to baseline mental status after the conclusion of the sedation procedure up to 60 minutes)

Interventionpercentage of participants (Number)
Propofol0.4
Ketamine0.6

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Patient Reported Pain or Recall of the Procedure

"patient completed question after return to baseline mental status did you feel pain during the procedure and do you remember any part of the procedure answered by circling yes or no on a question sheet, positive if yes to either question" (NCT00997321)
Timeframe: single measurement immediately after patient returns to baseline mental status after sedation procedure

Interventionpercentage of participants (Number)
Propofol0.06
Ketamine0.02

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Surgeon Satisfaction With Sedation Technique

Numerical value on scale of 1-5 from Very dissatisfied (1) to Extremely satisfied (5) (NCT01017237)
Timeframe: After surgery completed: day of surgery, within 15 minutes

Interventionunits on a scale (Mean)
Dex Plus Midazolam4.0
Dex Plus Midazolam and Ketamine3.2

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Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown 15 Minutes Into Surgery.

Lack of recall of picture demonstrates presence of amnesia on day following surgery (NCT01017237)
Timeframe: One day after surgery

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam100
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Picture Recall at Surgery End Time.

Lack of recall of picture shown indicates presence of amnesia (NCT01017237)
Timeframe: Day of surgery prior to discharge

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam83
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Picture Recall Following Dexmedetomidine Infusion Plus Midazolam.

Percentage of patients unable to recall picture (NCT01017237)
Timeframe: Day of Surgery prior to discharge

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam100
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Picture Recall Shown 15 Minutes Into Surgery

Lack of recall of picture shown at this time indicates presence of amnesia (NCT01017237)
Timeframe: Day of Surgery prior to discharge

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam100
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Picture Recall Shown 30 Minutes Into Surgery

Lack of recall of picture shown indicates presence of amnesia (NCT01017237)
Timeframe: Day of Surgery prior to discharge

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam83
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Picture Recall Shown Prior to Sedation.

Subjects were shown pictures of familiar objects prior to sedation, after the bolus dose of dexmedetomidine was administered, at 15 minutes and 30 minutes into the surgery and at the end of surgery. Subjects were shown a page containing multiple pictures to evaluate whether they could remember any of them. No recall demonstrating the presence of amnesia during that portion of the procedure. This process was repeated the day following surgery (NCT01017237)
Timeframe: Day of surgery prior to discharge

Interventionpercentage of participants (Number)
Dexmedetomidine Plus Midazolam0
Dexmedetomidine Plus Midazolam and Ketamine0

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Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown at Surgery End Time.

Lack of recall of picture shown indicates presence of amnesia on day following surgery. (NCT01017237)
Timeframe: One day after surgery

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam83
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown Following Dexmedetomidine Infusion Plus Midazolam.

Inability to recall picture shown at this time indicates presence of amnesia on the day following surgery. (NCT01017237)
Timeframe: One day after surgery

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam100
Dexmedetomidine Plus Midazolam and Ketamine100

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Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown Prior to Sedation.

Lack of recall of picture shown indicates presence of amnesia the day following surgery. (NCT01017237)
Timeframe: One day after surgery

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam0
Dexmedetomidine Plus Midazolam and Ketamine0

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Bispectral Index Score (BIS)

Bispectral Index (BIS) measures level of consciousness by algorithmic analysis of the patient's electroencephalogram (EEG) during anesthesia and sedation. The BIS can range from 0 (equivalent to EEG silence) to 100 (equivalent to fully awake and alert). A BIS value of 40-60 indicates an adequate general anesthesia state. (NCT01017237)
Timeframe: During surgery duration.

Interventionunits on a scale (Mean)
Dex Plus Midazolam75.1
Dex Plus Midazolam and Ketamine82.6

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Heart Rate

Heart rate per EKG monitor (NCT01017237)
Timeframe: Prior to sedation

InterventionBeats per minute (Mean)
Dex Plus Midazolam66.8
Dex Plus Midazolam and Ketamine71.4

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Heart Rate

Per EKG monitor (NCT01017237)
Timeframe: Duration of surgery

InterventionBeats per minute (Mean)
Dex Plus Midazolam75
Dex Plus Midazolam and Ketamine85.6

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Mean Arterial Blood Pressure

Blood pressure per automated monitor (NCT01017237)
Timeframe: Immediately prior to surgery

InterventionmmHg (Mean)
Dex Plus Midazolam96.2
Dex Plus Midazolam and Ketamine96.4

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Mean Arterial Blood Pressure

Measured using automated blood pressure monitor (NCT01017237)
Timeframe: During duration of surgery

InterventionmmHg (Mean)
Dex Plus Midazolam93.8
Dex Plus Midazolam and Ketamine95.9

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Patient Satisfaction With Sedation Technique

Rating of how satisfied the patient was with their sedation on a scale of 1-5 with 1 being very dissatisfied and 5 being extremely satisfied (NCT01017237)
Timeframe: after completion of surgery (within 15 minutes)

Interventionunits on a scale (Mean)
Dex Plus Midazolam4.7
Dex Plus Midazolam and Ketamine4.8

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Primary Title: Amnesia: Lack of Recall One Day After Surgery of The Picture That Was Shown 30 Minutes Into Surgery.

Lack of recall of picture shown indicates presence of amnesia on day following surgery. (NCT01017237)
Timeframe: One day after surgery

Interventionpercentage of patients (Number)
Dexmedetomidine Plus Midazolam83
Dexmedetomidine Plus Midazolam and Ketamine100

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Ramsey Sedation Scale Score

Rating of depth of sedation by sedationist. Scale 1 - 6, 1 being widw awake and 6 being non-responsive (NCT01017237)
Timeframe: During surgical procedure

Interventionunits on a scale (Mean)
Dex Plus Midazolam3.2
Dex Plus Midazolam and Ketamine3.5

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Respiratory Parameters: End-tidal Carbon Dioxide

Measured by capnography at nares (NCT01017237)
Timeframe: Duration of surgery

InterventionmmHg (Mean)
Dex Plus Midazolam36.9
Dex Plus Midazolam and Ketamine38.2

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Respiratory Parameters: End-tidal Carbon Dioxide

Measured via capnography at nares (NCT01017237)
Timeframe: Immediately prior to sedation

InterventionmmHg (Mean)
Dex Plus Midazolam39.4
Dex Plus Midazolam and Ketamine36.2

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Respiratory Parameters: Oxyhemoglobin Saturation

Oxyhemoglobin saturation per pule oximeter (NCT01017237)
Timeframe: Immediately prior to surgery

InterventionPercent oxyhemoglobin saturation (Mean)
Dex Plus Midazolam98
Dex Plus Midazolam and Ketamine98

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Respiratory Parameters: Oxyhemoglobin Saturation

Oxyhemoglobin saturation per pulse oximetry (NCT01017237)
Timeframe: During surgical procedure

InterventionPercent oxyhemoglobin saturation (Mean)
Dex Plus Midazolam98
Dex Plus Midazolam and Ketamine98

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Respiratory Parameters: Respiratory Rate

Rate of respirations (NCT01017237)
Timeframe: During surgical procedure

InterventionBreaths per Minute (Mean)
Dex Plus Midazolam15
Dex Plus Midazolam and Ketamine19

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Respiratory Parameters: Respiratory Rate

Respirations per minute (NCT01017237)
Timeframe: Immediately prior to sedation

InterventionBreaths per Minute (Mean)
Dex Plus Midazolam15
Dex Plus Midazolam and Ketamine17.2

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Procedural Pain Intensity Score

Children <5 years old were administered the FLACC (Face Leg Activity Cry Consolability) Scale (Range: 0-10, where 0 is no pain and 10 is worst pain). Children >= 5 years but < 8 years old were administered the Visual analog scale modified with six faces by Wong-Baker (Wong-Baker Faces Pain Rating Scale) (Range: 0-10, where 0 is no pain and 10 is worst pain). Children >= 8 years old were administered a Visual Analog Scale (Range: 0-10, where 0 is no pain and 10 is worst pain). (NCT01047241)
Timeframe: Pain assessment during painful medical procedure

Interventionunits on a scale (Median)
Intranasal Sufentanil/Ketamine3.1

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Sedation Score (UMSS)

"University of Michigan Sedation Score (UMSS) (0-4, 0 awake and alert, 4 unarousable)" (NCT01047241)
Timeframe: Time= 0-70 min. after drug administration

Interventionunits on a scale (Median)
Intranasal Sufentanil/Ketamine0

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Acceptance of Intranasal Administration

Asking the children (parents for preverbal children) if they would like to receive this treatment again in a similar situation rather than analgesic suppositories, tablets, oral solutions, or injections? (NCT01047241)
Timeframe: Immediately after the procedure

Interventionpercentage of participants (Number)
Intranasal Sufentanil/Ketamine47

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Bioavailability of Sufentanil and Ketamine

(NCT01047241)
Timeframe: Time= 5-60 min after administration of the investigational medical product

Interventionpercentage bioavailable (Mean)
Bioavailability sufentanilBioavailability ketamine
Intranasal Sufentanil/Ketamine24.635.8

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Maximum Plasma Concentration (Cmax) of Sufentanil and Ketamine

(NCT01047241)
Timeframe: Time= 5-60 min after administration of the investigational medical product

Interventionmcg/L (Mean)
Cmax sufentanilCmax ketamine
Intranasal Sufentanil/Ketamine0.042102

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Time to Maximum Plasma Concentrations (Tmax) Sufentanil and Ketamine

(NCT01047241)
Timeframe: Time=5-60 min after administration of investigational medicinal product

Interventionminutes (Mean)
Tmax sufentanilTmax ketamine
Intranasal Sufentanil/Ketamine13.88.5

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Average Change in Total Peripheral Resistance Index (TPRI)

TPRI was recorded every minute for a total of 30 minutes after anesthesia was induced and results were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in TPRI from baseline during the specified time intervals is reported. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
Interventiondynes * sec/cm^-5/m^2 (Mean)
5 minutes post induction10 minutes post induction
Ketofol-275.0-430.6
Propofol-457.6-559.3

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Percent of Subjects With a Greater Than 20% Decrease in Diastolic Blood Pressure (DBP) Following Induction of General Anesthesia

Blood pressure was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The percentage of subjects experiencing decreases in DBP of greater than 20% during the specified time intervals is reported, as compared to the baseline DBP reading. The second or lower number of a blood pressure reading is the DBP and is the measure taken when your heart is at rest. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes, 30 minutes post induction

,
InterventionPercentage of subjects (Number)
DBP baseline to 5 minutesDBP baseline to 10 minutesDBP baseline to 30 minutes
Ketofol174178
Propofol486290

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Percent of Subjects With a Greater Than 20% Decrease in Mean Arterial Pressure (MAP) Following Induction of General Anesthesia

MAP was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The percentage of subjects experiencing decreases in MAP of greater than 20% during the specified time intervals is reported, as compared to the baseline MAP reading. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes, 30 minutes post induction

,
InterventionPercentage of subjects (Number)
MAP baseline to 5 minutesMAP baseline to 10 minutesMAP baseline to 30 minutes
Ketofol103575
Propofol446083

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Percent of Subjects With a Greater Than 20% Decrease in Systolic Blood Pressure (SBP) Following Induction of General Anesthesia

Blood pressure was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The percentage of subjects experiencing decreases in SBP of greater than 20% during the specified time intervals is reported, as compared to the baseline systolic blood pressure reading. There are two numbers in a blood pressure reading, and they are expressed in millimeters of mercury (mm Hg). This tells how high in millimeters the pressure of your blood raises a column of mercury. The numbers usually are expressed in the form of a fraction; an example of a blood pressure reading is 120/80 mm Hg. The first, or top, number (120 in the example) is the systolic pressure. The systolic pressure is the measure of your blood pressure as the heart contracts and pumps blood. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes, 30 minutes post induction

,
InterventionPercentage of subjects (Number)
SBP baseline to 5 minutesSBP baseline to 10 minutesSBP baseline to 30 minutes
Ketofol123968
Propofol486776

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Average Change in Cardiac Output (CO)

"CO was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in CO as compared to baseline CO during the specified time intervals is reported.~CO is defined as the quantity of blood ejected per minute by the heart into the systemic circulation. It is the product of the heart rate (HR) (beats per minute) times the stroke volume (SV) (milliliters of blood ejected during each contraction)." (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionLiters per minute (Mean)
5 minutes post induction10 minutes post induction
Ketofol-0.6-0.9
Propofol-0.8-1.0

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Average Change in Diastolic Blood Pressure (DBP)

Blood pressure was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in DBP (as compared to baseline DBP) during the specified time intervals is reported. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionmmHg (Mean)
5 minutes post induction10 minutes post induction
Ketofol-8.8-14.5
Propofol-15.9-19.3

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Average Change in Cardiac Index (CI)

"CI was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in CI as compared to the baseline CI during the specified time intervals is reported.~To determine CI, cardiac output is divided by the body surface area in order to account for body size." (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionLiters per minute per m^2 of body area (Mean)
5 minutes post induction10 minutes post induction
Ketofol-0.3-0.5
Propofol-0.4-0.6

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Average Change in Heart Rate (HR)

HR was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in HR (as compared to baseline HR) during the specified time intervals is reported. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionBeats per minute (Mean)
5 minutes post induction10 minutes post induction
Ketofol-4.6-7.0
Propofol-4.0-5.2

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Average Change in Mean Arterial Pressure (MAP)

"MAP was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in MAP from baseline during the specified time intervals is reported.~MAP is a term used in medicine to describe an average blood pressure in an individual. It is defined as the average arterial pressure during a single cardiac cycle." (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionMillimeters of mercury (mmHg) (Mean)
5 minutes post induction10 minutes post induction
Ketofol-9.3-16.2
Propofol-18.7-22.6

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Average Change in Stroke Volume (SV)

SV was recorded every minute for a total of 30 minutes after anesthesia was induced and results were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in SV from baseline during the specified time intervals is reported. SV is the milliliters of blood ejected during each contraction of the heart. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionMilliliters of blood per beat (Mean)
5 minutes post induction10 minutes post induction
Ketofol-7.8-11.6
Propofol-12.2-16.4

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Average Change in Stroke Volume Index (SVI)

SVI was recorded every minute for a total of 30 minutes after anesthesia was induced and results were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in SVI (as compared to baseline SVI) during the specified time intervals is reported. To determine SVI, stroke volume is divided by the body surface area in order to account for body size. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionMilliters per beat per m^2 of body area (Mean)
5 minutes post induction10 minutes post induction
Ketofol-4.3-6.6
Propofol-6.8-9.2

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Average Change in Stroke Volume Variation (SVV)

SVV was recorded every minute for a total of 30 minutes after anesthesia was induced and results were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. SVV is a dynamic flow-based parameter and together with cardiac output provides an indication of fluid responsiveness. The average change in SVV (as compared to baseline SVV) during the specified time intervals is reported. SVV is calculated by taking the SVmax - SVmin /*100/ SV mean. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionPercentage of mean stroke volume (Mean)
5 minutes post induction10 minutes post induction
Ketofol-2.6-3.1
Propofol-2.2-2.6

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Average Change in Systolic Blood Pressure (SBP)

Blood pressure was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in SBP (as compared to baseline SBP) during the specified time intervals is reported. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
InterventionmmHg (Mean)
5 minutes post induction10 minutes post induction
Ketofol-12.5-21.8
Propofol-26.3-30.6

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Average Change in Total Peripheral Resistance (TPR)

TPR was recorded every minute for a total of 30 minutes after anesthesia was induced and readings were captured via a Non-Invasive Cardiac Output Monitor [NICOM], Cheetah Medical, Israel. The average change in TPR from baseline during the specified time intervals is reported. TPR is the overall resistance to blood flow through the systemic blood vessels. (NCT01065350)
Timeframe: Baseline, 5 minutes, 10 minutes post induction

,
Interventiondynes * sec/cm^-5 (Mean)
5 minutes post induction10 minutes post induction
Ketofol-147.6-235.0
Propofol-261.2-321.7

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Serum Levels of IL-6, IL-10 and TNFα

(NCT01089361)
Timeframe: first 7 days of admission, Baseline and Day 7 reported

,
Interventionpg/mL (Median)
Baseline IL-10Day 7 IL-10Baseline IL-6Day 7 IL-6Baseline TNF-alphaDay 7 TNF-alpha
Ketamine166.3613.8266.27.16.3
Normal Saline289.33227.7322.82.52

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PCR Substudy

PCR analysis on serum samples for presence of bacterial and mitochondrial DNA; This substudy was not done. (NCT01089361)
Timeframe: Daily up to 7 days

Intervention ()
Normal Saline Placebo0
Ketamine0

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Adverse Effects Attributable to Ketamine

(NCT01089361)
Timeframe: 7 days

Interventionadverse events (Number)
Normal Saline0
Ketamine2

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Acute Physiology and Chronic Health Evaluation (APACHE) Scores

Difference in average APACHE-II score between the intervention and placebo groups. APACHE II (Acute Physiology and Chronic Health Evaluation II) is a severity of disease classification system for patients admitted to the Intensive Care Unit. It uses an integer score from 0 to 71 that is computed based on age, 12 routine physiological measurements (i.e. heart rate, temperature, laboratory values), and previous health status obtained during the first 24 hours after ICU admission. Higher scores correspond to more severe disease and a higher risk of death. (NCT01089361)
Timeframe: First 24 hours after ICU admission

InterventionAPACHE score (Mean)
Normal Saline25
Ketamine23

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Organ Failures

Incidence of new organ failure as detected by Sequential Organ Failure Assessment [SOFA] score. Definitions are as follows. Central nervous system: delirium, coma, uncontrollable seizures, ICP>20cm H2O Cardiac: MAP <60mmHg, blood pressure supported with pressors, 50 > HR > 120 Respiratory: vented, RR>30, PaO2<60, PaCO2 > 55, Sat<92% Kidney: RIFLE criteria Anemia: Hct<27, transfusion of PRBC Thrombocytopenia: platelet < 50k, platelet transfusion Liver: biopsy, ALT>200, AST>200, t.bil>2.0, ALP>300 Coagulation failure: INR>2 if no anticoagulation therapy (NCT01089361)
Timeframe: 7 days

Interventionparticipants with increase in SOFA score (Number)
Normal Saline3
Ketamine2

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28 Day Mortality

(NCT01089361)
Timeframe: 28 days

Interventiondeaths (Number)
Normal Saline4
Ketamine2

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Length of Intensive Care Unit (ICU) Stay

(NCT01089361)
Timeframe: 28 days

Interventiondays (Mean)
Normal Saline19
Ketamine20

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Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale.

Patients given YBOCS (Yale Brown Obsessive-Compulsive Scale), a gold standard measure of obsessions and compulsions. For the YBOCS the minimum units are 0 and Maximum units on the total scale are 40. The higher the number on the YBOCS, the more severe the symptoms. Response was defined as at least a 35% reduction on the YBOCS. (NCT01100255)
Timeframe: 1 week

Interventionparticipants (Number)
Saline Infusion0
Ketamine Infusion5

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Quality of Recovery Score Post Operative at 24 Hours

Quality of recovery 40 score at 24 hours after the surgical procedure. 40 being a poor recovery and 200 being a good recovery. (NCT01106846)
Timeframe: 24 hours post operative

Interventionunits on scale (Mean)
Group A: Saline Group191.2
Group B: 1% Ketamine Group191.1

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Conversion to General Anesthesia

Patients in which the procedure could not be completed without conversion to general anesthesia (NCT01158820)
Timeframe: During the bronchoscopy procedure only, 58.5 minutes average

InterventionParticipants (Count of Participants)
Placebo6
Dexmedetomidine and Ketamine1

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Decreased Minute Ventilation

An initial baseline minute ventilation estimate was obtained via calibrated respiratory impedance plethysmography bands. Subsequent minute ventilation was normalized to this value. Values exceeding 100% were excluded from analysis, as these typically reflected a period of hyperpnea subsequent to relief of airway obstruction by chin lift or jaw thrust. (NCT01158820)
Timeframe: During the bronchoscopy procedure only, 58.5 minutes average

Interventionpercentage of baseline (Median)
Placebo0.736
Dexmedetomidine and Ketamine0.764

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Patient Satisfaction

Satisfaction rated by 10 point Likert scale (0 = Totally dissatisfied, 10 = Totally satisfied) (NCT01158820)
Timeframe: After the bronchoscopy procedure only

Interventionscore on a scale (Median)
Placebo9
Dexmedetomidine and Ketamine10

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Endoscopist Satisfaction

Satisfaction rated by 10 point Likert scale (0 = Totally dissatisfied, 10 = Totally satisfied) (NCT01158820)
Timeframe: After the bronchoscopy procedure only

Interventionscore on a scale (Median)
Placebo7
Dexmedetomidine and Ketamine8

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Total Fentanyl

Total fentanyl dose delivered during the procedure (NCT01158820)
Timeframe: During the bronchoscopy procedure only, 58.5 minutes average

Interventionµg (Median)
Placebo112.5
Dexmedetomidine and Ketamine68.75

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Desaturation (Longest)

Longest time below saturation of 90% (the number of seconds elapsed between the start of a period in which the pulse oximeter saturation fell below 90% and the return above 90%) (NCT01158820)
Timeframe: During the bronchoscopy procedure only, 58.5 minutes average

Interventionseconds (Median)
Placebo21
Dexmedetomidine and Ketamine18

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Total Midazolam

Total midazolam delivered during procedure (NCT01158820)
Timeframe: Duration of procedure

Interventionmg (Median)
Placebo4.5
Dexmedetomidine and Ketamine2.75

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Desaturation (Cumulative)

Cumulative time below saturation of 90% - the total number of seconds that the pulse oximeter reported a saturation below 90% (NCT01158820)
Timeframe: During the bronchoscopy procedure only, 58.5 minutes average

Interventionseconds (Median)
Placebo39
Dexmedetomidine and Ketamine40

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Onset of Sedation

Minutes it takes until the patient is cooperative enough for the procedure (NCT01170247)
Timeframe: Every 60 seconds through study completion

InterventionParticipants (Count of Participants)
Intranasal KetamineNA
Intramuscular KetamineNA

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Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The Montgomery-Asberg Depression Rating Scale (MADRS) is a 10-item scale that measures the severity of depression, with a higher score indicating a higher level of depression. The range of scores is 0 to 60. (NCT01179009)
Timeframe: 8 weeks

InterventionScores on a scale (Mean)
Ketamine 100-hour Infusion-9.0
Ketamine 40-minute Infusion-6.4

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TcCO2 Above 50

% Time Tosca Monitor (TcCO2) above 50. A TcCo2 above 50 is indicative of hypoventilation. (NCT01250418)
Timeframe: Intraoperative, an average of about 1 and 1/2 hours.

InterventionPercent time intraoperatrive (Mean)
Ketamine Group39
No Ketamine30.8

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Change in Hamilton Depression Rating Scale - 28

"HAMD will be administered at every ECT treatment.The HAM D 28 is a 28 item scale with scores ranging from 0 to 83, with 0 being no depression and 83 being high levels of depression symptoms.~The change in HAM S score was determined by the difference of the HAM D score at the last ECT administration and the baseline HAM D score. A negative change score reflects a decreased HAM D score between the first and last ECT administration and therefore a reduction in depressive symptoms." (NCT01260649)
Timeframe: baseline, one month

Interventionunits on a scale (Mean)
Ketamine-17.50
Placebo-14.00

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Number of Participants With Cognitive Side Effects

will compare the incidence of participants with memory deficits between groups, as determined by incidents of clinician reported cognitive adverse events (NCT01260649)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Ketamine0
Placebo1

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Procedural Recall

After patients returned to baseline mental status they were asked whether they were able to recall any of the procedure. Question was answered in a yes or no format. (NCT01260662)
Timeframe: Immediately after the end of the procedure, a single time point within 30 minutes of procedures conclusion.

Interventionpercentage report recall of procedure (Number)
Propofol6
1:1 Propofol/Ketamine14
4:1 Propofol/Ketamine11

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Respiratory Depression

Continuous capnographic monitoring (NCT01260662)
Timeframe: From start of sedation procedure to end of sedation procedure, up to 24 hours

Interventionnumber of respiratory depression events (Number)
Propofol15
1:1 Propofol/Ketamine16
4:1 Propofol/Ketamine21

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Hypoxia

Pulse oximetry (NCT01260662)
Timeframe: From start of sedation procedure to end of sedation procedure, up to 24 hours

InterventionPatients which experienced hypoxia (Number)
Propofol11
1:1 Propofol/Ketamine6
4:1 Propofol/Ketamine18

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Clinical Interventions During Sedation

Add/increase in supplemental oxygen, stimulation to induce respiration, airway repositioning, assisted ventilations, endotracheal intubation (NCT01260662)
Timeframe: From start of sedation procedure to end of sedation procedure, up to 24 hours

InterventionClinical interventions performed (Number)
Propofol41
1:1 Propofol/Ketamine33
4:1 Propofol/Ketamine48

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Analgesic Consumption (Opioid)

Analgesia consumption will be measured post-operatively and at 6 weeks (NCT01296347)
Timeframe: 6 weeks, 3 month, 6 month

,
Interventionmg (Median)
6 weeks3 months6 months
Ketamine0179
Saline92134

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Incidence of Side-effects, Nausea

The presence of nausea recorded at the above time points (NCT01296347)
Timeframe: 108 hours

InterventionParticipants (Count of Participants)
Saline14
Ketamine17

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Incidence of Side Effect, Vomiting

The presence of vomiting recorded at the above time points (NCT01296347)
Timeframe: 108 hours

InterventionParticipants (Count of Participants)
Saline8
Ketamine8

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Incidence of Side Effect, Vivid Dreams

The presence of vivid dreams recorded at the above time points (NCT01296347)
Timeframe: 108 hours

InterventionParticipants (Count of Participants)
Saline2
Ketamine13

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Incidence of Side Effect, Lightheaded

The presence of lightheaded recorded at the above time points (NCT01296347)
Timeframe: 108 hours

InterventionParticipants (Count of Participants)
Saline5
Ketamine14

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Pain Score on Moving at 6 Weeks

"Measures in pain include:~Numeric pain score of 0 to 10. Zero denotes 'no pain'; 10 denotes 'pain as bad as you can imagine'" (NCT01296347)
Timeframe: 6 weeks after surgery

Interventionunits on a scale (Median)
Saline0
Ketamine1.5

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Pain 18 Hours

The scale measure pain after 18 hours (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 18 hours

Interventionunits on a scale (Mean)
Ketamine1.5
Saline1.3

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Pain 180 Minutes

The scale measure pain after 180 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 180 minutes

Interventionunits on a scale (Mean)
Ketamine1.1
Saline1.3

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Pain 210 Minutes

The scale measure pain after 210 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 210 minutes

Interventionunits on a scale (Mean)
Ketamine0.9
Saline1.2

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Pain 24 Hours

The scale measure pain after 24 hours (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Ketamine1.4
Saline0.8

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Pain 240 Minutes

The scale measure pain after 240 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 240 minutes

Interventionunits on a scale (Mean)
Ketamine1.0
Saline1.1

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Pain 30 Minutes

The scale measure pain after 30 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 30 minutes

Interventionunits on a scale (Mean)
Ketamine5.5
Saline6.2

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Pain 6 Hours

The scale measure pain after 6 hours (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 6 hours

Interventionunits on a scale (Mean)
Ketamine0.9
Saline0.7

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Pain 60 Minutes

The scale measure pain after 60 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
Ketamine4.6
Saline5.1

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Pain 90 Minutes

The scale measure pain after 90 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 90 minutes

Interventionunits on a scale (Mean)
Ketamine3.4
Saline3.4

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Serum Level of Interleukin (IL)-10 24 h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 24 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-6 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 24 h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine8.6
Saline5.0

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Serum Level of Interleukin (IL)-10 5h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 5 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-10 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 5h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine9.1
Saline5.5

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Serum Level of Interleukin (IL)-10 Before the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes before the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-6 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: Baseline (Before the procedure)

Interventionpicogram/milliliter (Mean)
Ketamine7.8
Saline1.9

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Serum Level of Interleukin (IL)-6 24 h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 24 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-6 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 24 h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine24.1
Saline24.8

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Serum Level of Interleukin (IL)-6 5 h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 5 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-6 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 5 h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine29.3
Saline34.8

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Serum Level of Interleukin (IL)-6 Before the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes before the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-6 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: Baseline (Before the procedure)

Interventionpicogram/milliliter (Mean)
Ketamine3.3
Saline2.1

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Serum Level of Interleukin (IL)-8 24 h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 24 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-8 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 24 h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine6.0
Saline4.5

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Serum Level of Interleukin (IL)-8 5 h After the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes 5 h after the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-8 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: 5 h after the procedure

Interventionpicogram/milliliter (Mean)
Ketamine8.0
Saline11.3

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Serum Level of Interleukin (IL)-8 Before the Procedure

Blood samples were drawn in ethylenediaminetetraacetic acid (EDTA) tubes before the surgery. The blood was centrifuged to separate the plasma and was stored at -70°C. IL-8 was analyzed using the enzyme-linked immunosorbent assay (ELISA) methodology. (NCT01301079)
Timeframe: Baseline (Before the procedure)

Interventionpicogram/milliliter (Mean)
Ketamine3.3
Saline2.2

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Time to First Morphine Supplementation

(NCT01301079)
Timeframe: 24 hours

Interventionminutes (Median)
Ketamine18
Saline15

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Hyperalgesia in the Preoperative Period as Measured With Algometer in Thenar Eminence

The mechanical pain threshold was evaluated using an algometer. The pressure was increased by 0.1 kgf/second until the patient complained of pain. The mean of three determinations was calculated. (NCT01301079)
Timeframe: Baseline (before the procedure)

Interventionkilogram force/second (Mean)
Ketamine2.51
Saline2.19

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Allodynia as Detected With a Soft Brush in the Periumbilical Region 24 h After the Procedure

The evaluations using the soft brush were performed 2-3 cm from the incision in the periumbilical region (where the large trocar was placed) 24 h after the procedure (NCT01301079)
Timeframe: 24 h after the procedure

Interventionparticipants (Number)
Ketamine1
Saline0

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Allodynia as Detected With a Soft Brush in the Periumbilical Region Before the Procedure

The evaluations using the soft brush were performed 2-3 cm from the incision in the periumbilical region (where the large trocar was placed) before the procedure (NCT01301079)
Timeframe: Before the procedure (Baseline)

Interventionparticipants (Number)
Ketamine1
Saline0

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Allodynia as Detected With a Soft Brush in the Thenar Eminence 24 h After the Procedure

The evaluations using the soft brush were performed in the thenar eminence of the non dominant hand 24 h after the procedure (NCT01301079)
Timeframe: 24 h after the procedure

Interventionparticipants (Number)
Ketamine1
Saline3

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Allodynia as Detected With a Soft Brush in the Thenar Eminence Before the Procedure

The evaluations using the soft brush were performed in the thenar eminence of the nondominant hand before the procedure (NCT01301079)
Timeframe: Before the procedure (Baseline)

Interventionparticipants (Number)
Ketamine1
Saline0

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Extension of Hyperalgesia

The 300-g filament was used 24 hours after the operation to induce a stimulus and delineate the extent of hyperalgesia from the periumbilical region. The stimulus was started outside the periumbilical region, where no pain sensation was reported, and continued every 0.5 cm until the 4 points of the periumbilical scar were reached (top, right side, left side, and bottom). The first point where the patient complained of pain was marked. If no pain sensation was reported, the stimulus was terminated 0.5 cm from the incision. The distance of each point from the surgical incision was measured, and the sum of the distances of the points was determined. (NCT01301079)
Timeframe: 24 hours after the procedure

Interventioncentimeter (Mean)
Ketamine10.61
Saline11.82

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Hyperalgesia in the Postoperative Period as Measured With Algometer in the Periumbilical Region

The mechanical pain threshold was evaluated using an algometer. The pressure was increased by 0.1 kgf/second until the patient complained of pain. The mean of three determinations was calculated. (NCT01301079)
Timeframe: 24 h after the procedure

Interventionkilogram force/second (Mean)
Ketamine3.5
Saline3.7

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Hyperalgesia in the Postoperative Period as Measured With Algometer in Thenar Eminence

The mechanical pain threshold was evaluated using an algometer. The pressure was increased by 0.1 kgf/second until the patient complained of pain. The mean of three determinations was calculated. (NCT01301079)
Timeframe: 24 h after the procedure

Interventionkilogram force/second (Mean)
Ketamine0.56
Saline0.51

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Hyperalgesia in the Postoperative Period as Measured With Monofilaments in the Periumbilical Region

The pain threshold was assessed using six von Frey monofilaments (0,05 g; 0,2 g; 2 g; 4 g; 10 g e 300 g) in the periumbilical region in the postoperative period (24h after the procedure). The use of different von Frey monofilaments, starting with the lightest and ending with the heaviest, was separated by at least 30 seconds to reduce any anticipated responses due to a new stimulation that was performed too soon after the preceding stimulation. Three assessments were made for each monofilament, and this was considered positive when the patient responded to two of the determinations for each monofilament. (NCT01301079)
Timeframe: 24h after the procedure

Interventiongram (Mean)
Ketamine248
Saline205

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Hyperalgesia in the Postoperative Period as Measured With Monofilaments in Thenar Eminence

The pain threshold was assessed using six von Frey monofilaments (0,05 g; 0,2 g; 2 g; 4 g; 10 g e 300 g) in thenar eminence in the postoperative period (24 hours after procedure). The use of different von Frey monofilaments, starting with the lightest and ending with the heaviest, was separated by at least 30 seconds to reduce any anticipated responses due to a new stimulation that was performed too soon after the preceding stimulation. Three assessments were made for each monofilament, and this was considered positive when the patient responded to two of the determinations for each monofilament. (NCT01301079)
Timeframe: 24 hours after procedure

Interventiongram (Mean)
Ketamine290
Saline247

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Hyperalgesia in the Preoperative Period as Measured With Algometer in the Periumbilical Region

The mechanical pain threshold was evaluated using an algometer. The pressure was increased by 0.1 kgf/second until the patient complained of pain. The mean of three determinations was calculated. (NCT01301079)
Timeframe: Baseline (before the surgery)

Interventionkilogram force/second (Mean)
Ketamine3.6
Saline3.9

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Hyperalgesia in the Preoperative Period as Measured With Monofilaments in the Periumbilical Region

The pain threshold was assessed using six von Frey monofilaments (0,05 g; 0,2 g; 2 g; 4 g; 10 g e 300 g) in the periumbilical region in the preoperative period. The use of different von Frey monofilaments, starting with the lightest and ending with the heaviest, was separated by at least 30 seconds to reduce any anticipated responses due to a new stimulation that was performed too soon after the preceding stimulation. Three assessments were made for each monofilament, and this was considered positive when the patient responded to two of the determinations for each monofilament. (NCT01301079)
Timeframe: Before the procedure (Baseline)

Interventiongram (Mean)
Ketamine279
Saline269

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Hyperalgesia in the Preoperative Period as Measured With Monofilaments in Thenar Eminence

The pain threshold was assessed using six von Frey monofilaments (0,05 g; 0,2 g; 2 g; 4 g; 10 g e 300 g) in thenar eminence in the preoperative period. The use of different von Frey monofilaments, starting with the lightest and ending with the heaviest, was separated by at least 30 seconds to reduce any anticipated responses due to a new stimulation that was performed too soon after the preceding stimulation. Three assessments were made for each monofilament, and this was considered positive when the patient responded to two of the determinations for each monofilament. (NCT01301079)
Timeframe: Before the procedure (Baseline)

Interventiongram (Mean)
Ketamine300
Saline300

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Morphine Consumption Within 24 h

(NCT01301079)
Timeframe: 24 hours

Interventionmilligram (Mean)
Ketamine27.40
Saline27.70

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Pain 12 Hours

The scale measure pain after 12 hours (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 12 hours

Interventionunits on a scale (Mean)
Ketamine1.6
Saline1.4

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Pain 120 Minutes

The scale measure pain after 120 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 120 minutes

Interventionunits on a scale (Mean)
Ketamine2.2
Saline2.0

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Pain 150 Minutes

The scale measure pain after 150 minutes (0 - without pain and 10 worst pain possible). The individual can choose any number between 0 - 10. (NCT01301079)
Timeframe: 150 minutes

Interventionunits on a scale (Mean)
Ketamine1.4
Saline1.4

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Systematic Assessment for Treatment Emergent Effects (SAFTEE)

This is a self-report measure for systematically assessing 48 possible adverse events. It documents their severity, relationship to study drug, and the action taken. (NCT01304147)
Timeframe: 2 weeks

Interventionevents (Number)
Ketamine79
Placebo57

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Montgomery-Asberg Depression Rating Scale (MADRS)

"Number of patients meeting response criteria of >=50% decrease in MADRS score from baseline , ie, difference in depressive symptoms using MADRS instrument, 24 hours following drug administration~10-item instrument used for the evaluation of depressive symptoms in adults and for the assessment of any changes to those symptoms. Each of the 10 items is rated on a scale of 0 to 6, with differing descriptors for each item. These individual item scores are added together to form a total score, which can range between 0 and 60 points." (NCT01304147)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketamine8
Placebo1

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Morphine Equivalent Consumption (mg/kg)

Morphine consumption (mg/kg) was measured over time in the Ketamine group and compared to the Control (saline) group. Values are for each 24 hour time period and displayed as hours post surgery. (NCT01325493)
Timeframe: at 24, 48, 72, 96 hours post operatively

,
Interventionmg/kg (Mean)
24 hrs after surgery48 hrs after surgery72 hrs after surgery96 hrs after surgery
Ketamine1.31.28.89.57
Saline1.361.275.93.38

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Pain Score at Rest

Patient volunteered response at rest, 1-10 scale (where a higher score indicates more pain and a lower score indicates less pain). Values are for each 24 hour time period and displayed as hours post surgery. (NCT01325493)
Timeframe: 24, 48, 72, 96 hours post operatively

,
Interventionpain score at rest (Mean)
24 hrs after surgery48 hrs after surgery72 hrs after surgery96 hrs after surgery
Ketamine3.94.533.64.48
Saline4.555.23.483.8

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Pain Score During Cough.

Patient volunteered response during a cough, 1-10 scale (where a higher score indicates more pain and a lower score indicates less pain). Values are for each 24 hour time period and displayed as hours post surgery. (NCT01325493)
Timeframe: 24, 48, 72, 96 hours post operatively

,
Interventionpain score at cough (Mean)
24 hrs after surgery48 hrs after surgery72 hrs after surgery96 hrs after surgery
Ketamine4.55.44.45.15
Saline5.15.453.74.2

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Sedation Score

"Sedation scores 0 = completely awake~= sleepy but responds appropriately~= somnolent but arouses to light stimuli~= asleep but responsive to deeper physical stimuli~= asleep and not responsive to any stimuli Values are for each 24 hour time period and displayed as hours post surgery." (NCT01325493)
Timeframe: 24, 48, 72, 96 hours post operatively

,
InterventionSedation Score (Mean)
24 hrs after surgery48 hrs after surgery72 hrs after surgery96 hrs after surgery
Ketamine.73.62.38.24
Saline.75.54.3.21

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OCD Severity

We will examine change from baseline in the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) ratings of OCD severity at 1 day following infusion. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) assesses obsessive and compulsive symptom severity. Obsessions are rated on a scale from 0-20 and compulsions are rated on a scale of 0-20, for a total scale of 0-40. Scores on the obsessions scale and scores on the compulsions scale are summed to obtain the total score. The higher the score, the more severe the OCD. (NCT01349231)
Timeframe: Baseline and 1 day after ketamine infusion

Interventionunits on a scale (Mean)
Ketamine-2.7

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Depression Symptoms

We will examine change from baseline in Hamilton Rating Scale for Depression (HRDS) ratings of depression severity at day 1-3 following a single ketamine infusion. The HRDS assesses severity of, and change in, depressive symptoms. The HRDS is a 21 item scale with scores ranging from 0-66. The higher the score, the more severe the depression. (NCT01349231)
Timeframe: Baseline, Day 1, Day 2, and Day 3

Interventionunits on a scale (Mean)
HRDS change from Baseline to Day 1HRDS change from Baseline to Day 2HRDS change from Baseline to Day 3
Ketamine-6.57-7.29-5.14

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OCD Severity

We will examine change from baseline in the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) ratings of OCD severity at 3 days following infusion. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) assesses obsessive and compulsive symptom severity. Obsessions are rated on a scale from 0-20 and compulsions are rated on a scale of 0-20, for a total scale of 0-40. Scores on the obsessions scale and scores on the compulsions scale are summed to obtain the total score. The higher the score, the more severe the OCD. (NCT01349231)
Timeframe: Baseline and 3 days following infusion

Interventionunits on a scale (Mean)
Ketamine-2.9

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OCD Severity

We will examine change from baseline in the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) ratings of OCD severity at 2 days following infusion. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) assesses obsessive and compulsive symptom severity. Obsessions are rated on a scale from 0-20 and compulsions are rated on a scale of 0-20, for a total scale of 0-40. Scores on the obsessions scale and scores on the compulsions scale are summed to obtain the total score. The higher the score, the more severe the OCD. (NCT01349231)
Timeframe: Baseline and 2 days following infusion

Interventionunits on a scale (Mean)
Ketamine-3.6

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Postoperative Pain

"Postoperative pain was measured at PACU using a Verbal Rating Scale (VRS) from 0 to 10 with 0 representing no pain and 10 very much pain." (NCT01365195)
Timeframe: one day

InterventionScore on scale (Mean)
Control5.7
Ketamine Low-dose5.3
Ketamine High-dose1

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Participants With Nausea and Vomiting at PACU

Postoperative nausea and vomiting at PACU Participants experiencing nausea and/or vomiting. (NCT01365195)
Timeframe: 1 day

InterventionParticipants (Count of Participants)
Control1
Ketamine Low-dose3
Ketamine High-dose0

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Number of Participants With Opioid Consumption

Perioperative use of opioid consumption at Post Anesthesia Care Unit (PACU) Data obtained from patient charts (NCT01365195)
Timeframe: 1 day

Interventionparticipants (Number)
Control4
Ketamine Low-dose5
Ketamine High-dose2

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Mean Depression Rating Using the Patient Health Questionnaire-9 (PHQ-9)

"The PHQ-9 is the nine item depression scale of the Patient Health Questionnaire. The PHQ-9 is based directly on the diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Fourth Edition (DSM-IV). Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 (no symptoms) and 27 (severe symptoms) for depression.~The questionnaire was administered to the subjects prior to the first treatment, the morning of the third treatment, the morning of the fifth treatment, and the morning of the seventh treatment. For subjects whos treatment series ws cancelled prior to a scheduled next administration of the rating scale, every effort was mde to administer them 2 days after the last treatment.~Means are reported overall across all treatments; p-values also take into account variability across treatments and within subject." (NCT01367119)
Timeframe: Baseline and after every second treatment for 7 treatments

Interventionunits on a scale (Mean)
Ketamine15.98
Methohexital17.57

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Mean Post Anesthesia Recovery Side Effects

Post anesthesia recovery side effects were assessed at the time of discharge from recovery with five patient self-report items: nausea, headache, myalgia, visual disturbance, and confusion. These were rated by the patients on a four point scale (0, 1, 2, 3) - absent, mild, moderate, severe. This means that for each item a subject could score between 0 (no symptoms) and 3 (severe symptoms). Also, degree of recovery room agitation was rated by the nurse on a similar four point scale. (NCT01367119)
Timeframe: Time of discharge from recovery after ECT for each treatment, approximately 30 minutes after the end of the seizure

,
Interventionunits on a scale (Mean)
NauseaHeadacheMyalgiaVisual DisturbanceConfusionRecovery Room Agitation
Ketamine0.120.290.070.080.700.07
Methohexital0.150.350.150.010.300.09

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Mean Depression Rating Using the Hospital Anxiety and Depression Scale (HADS)

"The HADS is a fourteen item scale. Seven of the items relate to anxiety and seven relate to depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 (no symptoms) and 42 (severe symptoms) for either anxiety or depression.~The questionnaire was administered to the subjects prior to the first treatment, the morning of the third treatment, the morning of the fifth treatment, and the morning of the seventh treatment. For subjects whose treatment series ws cancelled prior to a scheduled next administration of the rating scale, every effort was made to administer them 2 days after the last treatment.~Means are reported overall across all treatments; p-values also take into account variability across treatments and within subject." (NCT01367119)
Timeframe: Baseline and after every second treatment for 7 treatments

Interventionunits on a scale (Mean)
Ketamine22.08
Methohexital24.45

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Pain Control

"Subjects will be assessed for clinically significant change in pain scores during and after study drug administration. Significant change in pain scores were determined at week 2, though week 14 scores were collected as well.~Participants with a 2 point (or greater) decrease in pain scores compared to baseline were considered to have responded. The NRS scale was used, the scale ranges from 0-10, with 10 being the most pain." (NCT01369680)
Timeframe: Week 2

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose2
Ketamine 1.5 mg/kg/Dose0

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Number of Participants Tolerating Dose

According to CTCae any dose causing grade 2 or worse toxicity will be an untolerated dose. Tolerability is defined as ability to take the medication for 2 weeks without having a grade 2 or worse toxicity. (NCT01369680)
Timeframe: Up to 2 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose3
Ketamine 1 mg/kg/Dose3
Ketamine 1.5 mg/kg/Dose1

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Norketamine Cmax (Measured in ng/mL).

Pharmacokinetic testing will be done during chronic ketamine administration on subjects consenting to additional testing one week into study drug administration. This is to further describe the activity of ketamine in the blood of children when administered chronically and to enable comparison of any clinical effect or toxicity with steady state levels of ketamine in children. (NCT01369680)
Timeframe: At week 1

Interventionng/mL (Mean)
Ketamine 0.25 mg/kg/Dose37.5
Ketamine 0.5 mg/kg/Dose135
Ketamine 1 mg/kg/Dose250

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Neurocognitive Effect

"Baseline neurocognitive testing will be done before study drug is given. Subjects will be reassessed for any changes in neurocognitive scores at end of dosing (week 2) and at three weeks off study drug (week 14). Significant changes were measured at week 14 compared to baseline. Week 2 was measured to inform future studies.~The neurocognitive scores are standardized scores with a mean of 100; low scores correlate with low neurocognitive function, while high scores correlate with high function. A significant change is defined as greater than or equal to 10% decrease in scores." (NCT01369680)
Timeframe: At 14 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose0
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose0
Ketamine 1.5 mg/kg/Dose0

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Percentage of Patients Who Meet Response and Remission

Percentage of patients who meet response (defined as 25% reduction in Y-BOCCS score) and remission (defined as Y-BOCS score ≤10) criteria at 24 hrs post-infusion and durability of efficacy up to two weeks after administration. Assessments will be performed 24, 48 and 72 hrs post-infusion and after 7, 10, and 14 days. (NCT01371110)
Timeframe: up to 14 days

Interventionpercentage of participants (Number)
Ketamine (Randomized Week 1, Cross Over Midazolam Week 3))0
Midazolam (Randomized Wk 1, Cross Over Ketamine Wk 3)50

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Change in Yale-Brown Obsessive Compulsive Scale (Y-BOCCS) Rating OCD Symptom Severity From Baseline to 24-hours After Ketamine Administration

"The primary efficacy outcome is change in the Y-BOCCS rating score on a scale from baseline to 24 hrs post-administration of ketamine.~The 10 Y-BOCCS items are each scored on a four-point scale from 0 = no symptoms to 4 = extreme symptoms. The sum of the first five items is a severity index for obsessions. The sum of the last five an index for compulsions. A translation of total score into an approximate index of overall severity is: 0-7 - subclinical; 8-15 - mild; 16-23 - moderate; 24-31 - severe; 32-40 - extreme." (NCT01371110)
Timeframe: Baseline and 24 Hours

InterventionUnits on a scale (Mean)
Ketamine (Randomized Week 1, Cross Over Midazolam Week 3))-2.98
Midazolam (Randomized Wk 1, Cross Over Ketamine Wk 3)-2.185

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Recovery Time

Time until the patient has a Vancouver Sedation Recovery Scale Score of 18 or greater. (NCT01387139)
Timeframe: Once Vancouver Sedation Recovery Scale Score reaches 18 or greater, on average less than 1 hour

Interventionminutes (Median)
Ketamine Alone44
Ketamine Co-Administered With Propofol43.5

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Frequency of Adverse Events

We will record all adverse events during the sedation, and then perform a follow-up call to determine if any additional adverse events occured after discharge. (NCT01387139)
Timeframe: From enrollment through completion of follow-up, up to 7 days

,
Interventionparticipants (Number)
Respiratory depressionCardiovascular eventvomiting/retchingUnpleasant recovery reaction
Ketamine Alone121214
Ketamine Co-Administered With Propofol150182

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Physician Performing Procedure Satisfaction

Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour

Interventionunits on a scale (Median)
Ketamine Alone9
Ketamine Co-Administered With Propofol8

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Nurse Satisfaction

Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour

Interventionunits on a scale (Median)
Ketamine Alone10
Ketamine Co-Administered With Propofol8

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Efficacy of Sedation

"Efficacy is defined as:~The patient does not have unpleasant recall of the procedure.~The patient did not experience sedation-related adverse events resulting in abandonment of the procedure or a permanent complication or an unplanned admission to the hospital or prolonged emergency department (ED) observation~The patient did not actively resist or require physical restraint for completion of the procedure. The need for minimal redirection of movements should not be considered as active resistance or physical restraint.~The procedure was successful" (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour

Interventionparticipants (Number)
Ketamine Alone97
Ketamine Co-Administered With Propofol81

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Parent Satisfaction

Measured on a 10-point scale (1= least satisfied, 10= most satisfied) (NCT01387139)
Timeframe: After procedure is completed, on average less than 1 hour

Interventionunits on a scale (1-10) (Median)
Ketamine Alone10
Ketamine Co-Administered With Propofol10

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The Young Mania Rating Scale (YMRS)

An 11-item questionnaire, used to assess manic symptoms based on the patient's subjective report of his or her clinical condition. There are four items that are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven items are graded on a 0 to 4 scale. The scores from each question are added together to form a total score ranging from 0 to 60, with higher scores indicating a greater severity of symptoms. (NCT01507181)
Timeframe: baseline, 40 minutes post infusion, 240 minutes post infusion

,
Interventionunits on a scale (Mean)
baseline40 minutes post infusion240 minutes post infusion
Ketamine0.00.00.2
Midazolam0.10.30.2

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Suicidality Item of the MADRS (MADRS-SI)

The MADRS-SI ranges from 0 to 6; a score of 2 corresponds to fleeting, passive SI; a score of 4 indicates that SI is frequent with at least moderate intensity but without specific plans or intention; a score of 6 corresponds to active intention and planning for suicide. (NCT01507181)
Timeframe: 24 hours post infusion

Interventionunits on a scale (Mean)
Ketamine1.8
Midazolam3.3

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Patient Rated Inventory of Side Effects (PRISE)

The PRISE assesses the presence of treatment side effects in nine organ/function systems (gastrointestinal, nervous system, heart, eyes/ears, skin, genital/urinary, sleep, sexual functioning, and other). Data reported in in Adverse Events section. (NCT01507181)
Timeframe: duration of study

Interventionevents (Number)
Ketamine29
Midazolam23

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Change in Beck Scale for Suicidal Ideation (BSSI)

Change in BSI score at 48 hours following treatment as compared to baseline. Beck Scale is a 21-item self or clinician administered instrumentation used to measure the current intensity of patients' specific attitudes, behaviors and plans to commit suicide. Score range 0-42, with higher score indicating higher intensity. (NCT01507181)
Timeframe: baseline and 48 hours post infusion

Interventionunits on a scale (Mean)
Ketamine8.8
Midazolam15.3

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Change in Beck Scale for Suicidal Ideation (BSSI)

Change in BSI score at 24 hours following treatment as compared to baseline. Beck Scale is a 21-item self or clinician administered instrumentation used to measure the current intensity of patients' specific attitudes, behaviors and plans to commit suicide. Score range 0-42, with higher score indicating higher intensity. (NCT01507181)
Timeframe: baseline and 24 hours post infusion

Interventionunits on a scale (Mean)
Ketamine10.8
Midazolam14.0

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Montgomery-Asberg Depression Rating Scale (MADRS)

The MADRS is a 10-item instrument used for the evaluation of depressive symptoms in adults and for the assessment of any changes to those symptoms. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT01507181)
Timeframe: up to 7 days post infusion

,
Interventionunits on a scale (Mean)
24 hours48 hours72 hours7 days
Ketamine19.019.320.921.7
Midazolam26.22824.122.2

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The Brief Psychiatric Rating Scale (BPRS)

The BPRS measures psychomimetic effects with higher scores indicating more severe symptoms (scale range 7 - 49). (NCT01507181)
Timeframe: baseline, 40 minutes post infusion, and 240 minutes post infusion

,
Interventionunits on a scale (Mean)
baseline40 minutes post infusion240 minutes post infusion
Ketamine7.79.98.1
Midazolam7.77.97.0

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The Clinician-Administered Dissociative States Scale (CADSS)

The CADSS measures dissociation with higher scores indicating more severe symptoms (scale range 0 - 92). (NCT01507181)
Timeframe: baseline, 40 minutes post infusion and 240 minutes post infusion

,
Interventionunits on a scale (Mean)
baseline40 minutes post infusion240 minutes post infusion
Ketamine1.117.11.2
Midazolam4.03.31.3

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Abstinence

Abstinence is defined as 2 or greater weeks of no cocaine use, as ascertained by the TLFB and urine toxicology. (NCT01535937)
Timeframe: Abstinence will be assessed over 4 weeks starting at the last day of week 1 and continuing through the end of study at the last day of week 5

InterventionParticipants (Count of Participants)
Ketamine13
Midazolam3

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Number of Participants With Cocaine Use/Drop Out

Number of participants who use cocaine and drop from study. During phase 2, patients will be assessed twice weekly by TLFB and urine toxicology for cocaine use. The day of first use will determine the length of time that transpired from discharge to the first lapse onto cocaine. (NCT01535937)
Timeframe: Over the four week period following discharge from the inpatient unit at Day 5

InterventionParticipants (Count of Participants)
Ketamine16
Midazolam26

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Intraoperative Hypoventilation

Subjects receiving intraoperative ketamine in addition to propofol will demonstrate less hypoventilation during the surgical procedure. (NCT01535976)
Timeframe: 8 hours

Intervention% time (Median)
Ketamine1.2
Placebo65

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Incidence of Treatment Failure

Requiring more than two doses of the study medication provided for adequate pain control (NCT01538745)
Timeframe: 120 minutes

InterventionPercentage of patients (Number)
Ketamine25
Morphine14

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Maximal Change in Numerical Rating Scale (NRS) Pain Score From Baseline NRS Pain Score

Numerical Rating Scale (NRS) pain score is an 11-point rating scale for pain. With 0 being no pain and 10 being the worst pain imaginable. (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes post dose

InterventionNRS pain scale score (Mean)
Ketamine-4.9
Morphine-5

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Maximum Deviation From 0 on the Richmond Agitation Sedation Scale (RASS)

"Using 0 as the normal/baseline on the RASS, maximal deviation in either direction will be used to demonstrate the effect of the study medications on levels of sedation or agitation. Results will be reported as~Richmond Agitation Sedation Scale (RASS) scores range from:~4 Combative: Overtly combative, violent, immediate danger to staff~3 Very agitated: Pulls or removes tube(s) or catheter(s); aggressive~2 Agitated: Frequent non-purposeful movement~1 Restless: Anxious but movements not aggressive. vigorous 0 Alert and calm~1 Drowsy: Not fully alert, but has sustained awakening (eye-opening/eye contact) to voice (>10 seconds)~2 Light sedation: Briefly awakens with eye contact to voice (<10 seconds)~3 Moderate sedation: Movement or eye opening to voice (but no eye contact)~4 Deep sedation: No response to voice, but movement or eye opening to physical stimulation~5 Unarousable: No response to voice or physical stimulation" (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes

Interventionunits on a scale (Mean)
Ketamine0
Morphine0

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Time to Change in NRS Pain Score

Following dosage with study medication, the amount of time taken to demonstrate a change in the patient's NRS pain score. Time to Change in NRS Pain Score for the Reporting Group as a whole will be made (NCT01538745)
Timeframe: 5,10, 20,40,60,80,100,120 minutes

Interventionminutes (Mean)
Ketamine5
Morphine5

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Time to Maximal Change in NRS Pain Score

Following dosage with study medication, the interval time taken to demonstrate the maximal change in the patient's NRS pain score will be reported for each group. (NCT01538745)
Timeframe: 5, 10, 20 minutes and then every 20 minutes to a total of 120 minutes

Interventionminutes (Median)
Ketamine5
Morphine120

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Incidence of Side Effects, Including Outlying Vital Signs

The patient will be assessed for vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), and all side effects at 5,10,20 minutes following medication administration and then every 20 minutes until a total of 120 minutes from the first dose of study medication. All side effects and outlying vital signs will be documented. (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes

InterventionPercentage of patients (Number)
Ketamine58
Morphine57

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Number of Responders 24-hours Post-ketamine Infusion

"The quantitative depressive symptom ratings were collected at Baseline, Day 1 (post ketamine), Day 3 using HDRS-24 (a 24-item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery). The total score can range from 0 to a maximum score of 15 with a higher score indicating a worse outcome. A responder was defined as an individual exhibiting a reduction in the HDRS score from baseline to 24 hours (day 1) post-treatment, and all other individuals were classified as non-responders." (NCT01558063)
Timeframe: Day 1 (post ketamine)

Interventionparticipants (Number)
Ketamine Dose 13
Ketamine Dose 21
Ketamine Dose 33
Ketamine Dose 42
Ketamine Dose 52
Saline Solution0

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Change in Use of Narcotic Analgesics

Change in IV morphine equivalents of opioid requirements (NCT01566448)
Timeframe: Days 1 after start of ketamine mouthwashes

InterventionIV morphine equivalents (Median)
Ketamine12

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Change in Topical Lidocaine Usage

Change of topical lidocaine uses in 24 hour period (NCT01566448)
Timeframe: Days 1 after start of ketamine mouthwashes

Interventionlidocaine doses per day (Median)
Ketamine1

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Change in Sleep Quality

Sleep quality, as reported by the subject on a numeric scale (1-10) will be used as a surrogate marker of quality of life with 0 indicating no sleep and 10 indicating the best sleep you have had. (NCT01566448)
Timeframe: Day 1 after start of ketamine mouthwashes

Interventionscore on a scale (Median)
Ketamine1

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Change in Pain Scores

Change in pain score as reported at baseline and after the use of ketamine mouthwash on a numeric scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain. (NCT01566448)
Timeframe: 1 hour after baseline

Interventionscore on a scale (Median)
Ketamine2

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Recovery Time

Recovery was assessed using 5 criteria (blood pressure, voluntary movement, oxygen requirement, consciousness, respiratory effort). Each criteria was scored from 0-2, with a full score of 10. The patient is scored at baseline, and is deemed recovered when all criteria has reached baseline score again. (NCT01567852)
Timeframe: 1 hour

Interventionminutes (Mean)
Ketamine Inductions28.6
Methohexital Inductions27.2

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Re-orientation Time

Patients will be scored based on 5 questions (name, age, year, day of week, location). Each patient will be scored prior to induction as to how many questions they score correctly. Patient is deemed re-oriented when they score the same as baseline after the treatment. (NCT01567852)
Timeframe: 1 hour

Interventionminutes (Mean)
Ketamine Inductions24.5
Methohexital Inductions19.5

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Response to Ketamine as Measured by Hamilton Depression Rating Scale -28 Items (HAMD28)

Patients will be assessed with HAMD-28 weekly for the first 8 weeks, then every two weeks for another 8 weeks. Participants were considered as responders if there was a ⩾50% improvement on the HAM-D28. (NCT01582945)
Timeframe: Weekly for total duration of 4 months

Interventionparticipants who met response criteria (Number)
Ketamine IV5

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Least Postoperative Pain Score

"Postoperative pain scores were collected once per day during morning rounds for the preceding 24 hours. Participant were asked to provide pain scores for worst, average, and least pain using the 11-point Numerical Rating Scale (NRS), where 0 represents the absence of pain and 10 is worst possible pain. The average least postoperative pain score for each treatment arm is reported." (NCT01591382)
Timeframe: Participants were followed for the duration of hospital stay, an average of approximately 3 days.

Interventionunits on a scale (Mean)
Ketamine4.4
Placebo5.6

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24-Hour Postoperative Opioid Use

Opioid use is defined as the total milligrams of hydromorphone plus other home or oral opioid used per 24 hours, converted to oral morphine equivalents. (NCT01591382)
Timeframe: For 24 hours following surgery

Interventionoral morphine mg equivalents (Mean)
Ketamine726
Placebo770

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Average Postoperative Pain Score

"Postoperative pain scores were collected once per day during morning rounds for the preceding 24 hours. Participant were asked to provide pain scores for worst, average, and least pain using the 11-point Numerical Rating Scale (NRS), where 0 represents the absence of pain and 10 is worst possible pain. The average postoperative pain score for each treatment arm is reported." (NCT01591382)
Timeframe: Participants were followed for the duration of hospital stay, an average of approximately 3 days.

Interventionunits on a scale (Mean)
Ketamine6.0
Placebo7.3

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Worst Postoperative Pain Score

"Postoperative pain scores were collected once per day during morning rounds for the preceding 24 hours. Participant were asked to provide pain scores for worst, average, and least pain using the 11-point Numerical Rating Scale (NRS), where 0 represents the absence of pain and 10 is worst possible pain. The average worst postoperative pain score for each treatment arm is reported." (NCT01591382)
Timeframe: Participants were followed for the duration of hospital stay, an average of approximately 3 days.

Interventionunits on a scale (Mean)
Ketamine8.7
Placebo9.0

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Opioid Consumption

Cumulative opioid consumption at 48 hours from surgery ( end of the study) (NCT01594047)
Timeframe: 48 hours

Interventionmg (Mean)
Zero/Morphine56.09
Ketamine/Morphine66.9
Zero/Metadone43.64
Ketamine/Methadone38.96

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Pain Intensity Measured by a Numeric Rating Scale (NRS)

A Numerical Rating Scale (NRS) from 0 to 10 is used as a measure of pain intensity. Zero indicates the absence of any pain and 10 the worse pain never felt. (NCT01594047)
Timeframe: 24 and 48 hours after surgery

,,,
Interventionunits on NRS (Mean)
NRS static 24 hoursNRS dynamic 24 hoursNRS static 48 hoursNRS dynamic 48 hours
Ketamine/Methadone0.783.040.52.75
Ketamine/Morphine1.644.680.884.44
Zero/Metadone0.613.130.872.65
Zero/Morphine1.924.751.364.27

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the Extent of Hyperalgesia Area Proximal to Surgical Wound

"Hyperalgesia is determined by stimulating with a won Fray hair N°16 along three lines at a right angle to the top, middle, and bottom sides of the surgical incision. Each line starts from the edge of the abdomen to the surgical incision.~Stimulation continue from the edge toward the surgical incision until the patients reported a worsening in sensation The distance from the incision to where sensation change was measured. The mean of the three assessments was used as a measure of the extent of the hyperalgesia area." (NCT01594047)
Timeframe: 24 and 48 hours after surgery

,,,
Interventioncm (Mean)
24 hours48 hours
Ketamine/Methadone11.0414.51
Ketamine/Morphine14.6816.38
Zero/Metadone15.2818.09
Zero/Morphine19.516.04

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Volume of Distribution at Steady-State (Vss) of Ketamine

The Vss is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of ketamine at steady state. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionliter (Mean)
Day 1 (n=13,13)Day 15 (n=9,8)
Ketamine: 2 Times Per Week275239
Ketamine: 3 Times Per Week276290

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Total Systemic Clearance (CL) of Ketamine

The CL is a quantitative measure of the rate at which a drug substance is removed from the body. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionliter per hour (Mean)
Day 1 (n=13,13)Day 15 (n=9,8)
Ketamine: 2 Times Per Week11393.9
Ketamine: 3 Times Per Week108117

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Ketamine

The Tmax is defined as actual sampling time to reach maximum observed drug concentration. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
InterventionHour (Median)
Day 1 (n=16,16)Day 15 (n=14,15)
Ketamine: 2 Times Per Week0.670.67
Ketamine: 3 Times Per Week0.660.67

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Number of Responders Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

Participants with a reduction in the MADRS total score of greater than or equal to (>=) 50 percent from baseline were defined as responders. The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition. (NCT01627782)
Timeframe: Day 15 and Day 29

,,,
InterventionParticipants (Number)
Day 15 (n=13,16,16,13)Day 29 (n=2,13,1,13)
Ketamine: 2 Times Per Week1113
Ketamine: 3 Times Per Week79
Placebo: 2 Times Per Week21
Placebo: 3 Times Per Week10

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Number of Remitters Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

Participants who had a MADRS total score of less than or equal to (<=) 10 were considered remitters. The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition. (NCT01627782)
Timeframe: Day 15 and Day 29

,,,
InterventionParticipants (Number)
Day 15 (n=13,16,16,13)Day 29 (n=2,13,1,13)
Ketamine: 2 Times Per Week612
Ketamine: 3 Times Per Week35
Placebo: 2 Times Per Week11
Placebo: 3 Times Per Week00

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Maximum Observed Plasma Concentration (Cmax) of Ketamine

The Cmax is the maximum observed plasma concentration of drug. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionnanogram per milliliter (ng/ml) (Mean)
Day 1 (n=16,16)Day 15 (n=14,15)
Ketamine: 2 Times Per Week207219
Ketamine: 3 Times Per Week168189

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Elimination Half-Life (t1/2)

The elimination half-life (t1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z). (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionhour (Mean)
Day 1 (n=13,13)Day 15 (n=9,8)
Ketamine: 2 Times Per Week2.182.39
Ketamine: 3 Times Per Week2.182.21

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Change in Patient Global Impression-Severity (PGI-S) Score From Baseline to Endpoint (Day 29)

The PGI-S is an 11-point (0 to 10) scale that required the participant to rate the severity of their illness at the time of assessment, relative to the participants past experience. Considering their total experience, the participant was to assess the severity of their depression illness at the time of rating as none, mild, moderate or severe. The scale is rated as, 0=very well and 10=very poor. (NCT01627782)
Timeframe: Baseline (Day 1) and Endpoint (Day 29)

,,,
InterventionUnits on a scale (Median)
Baseline (n=15,18,16,17)Change at Endpoint (n=15,18,16,17)
Ketamine: 2 Times Per Week7.5-4.0
Ketamine: 3 Times Per Week7.0-3.0
Placebo: 2 Times Per Week8.00.0
Placebo: 3 Times Per Week8.0-1.0

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Day 29

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition. (NCT01627782)
Timeframe: Baseline (Day 1) and Day 29

,,,
InterventionUnits on a scale (Mean)
Baseline (n=16,18,16,17)Change at Day 29 (n=2,13,1,13)
Ketamine: 2 Times Per Week33.3-27.1
Ketamine: 3 Times Per Week35.4-22.9
Placebo: 2 Times Per Week35.6-23.5
Placebo: 3 Times Per Week36.8-1

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Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity])

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC (last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionhour*nanogram per milliliter (Mean)
Day 1 (n=13,13)Day 15 (n=9,8)
Ketamine: 2 Times Per Week369416
Ketamine: 3 Times Per Week344340

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Day 15

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition. (NCT01627782)
Timeframe: Baseline (Day 1) and Day 15

,,,
InterventionUnits on a scale (Mean)
Baseline (n=16,18,16,17)Change at Day 15 (n=13,16,16,13)
Ketamine: 2 Times Per Week33.3-18.4
Ketamine: 3 Times Per Week35.4-17.7
Placebo: 2 Times Per Week35.6-5.7
Placebo: 3 Times Per Week36.8-3.1

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Change in Clinical Global Impression-Severity (CGI-S) Score From Baseline to Endpoint (Day 29)

The CGI-S was used to rate the severity of the participants illness at the time of assessment, relative to the clinician's past experience with participants who had the same diagnosis and improvement with treatment. Considering total clinical experience, a participant was assessed on severity of mental illness at the time of rating according to: 0= not assessed; 1=normal (not at all ill); 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill participants. (NCT01627782)
Timeframe: Baseline (Day 1) and Endpoint (Day 29)

,,,
InterventionUnits on a scale (Median)
Baseline (n=15,18,16,17)Change at Endpoint (n=15,18,16,17)
Ketamine: 2 Times Per Week5.0-2.0
Ketamine: 3 Times Per Week5.0-2.0
Placebo: 2 Times Per Week5.00.0
Placebo: 3 Times Per Week5.00.0

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Area Under the Plasma Concentration-Time Curve From Time Zero to Last Quantifiable Time (AUC[0-last])

The AUC(0-last) is the area under the plasma concentration-time curve from time zero to last quantifiable time. (NCT01627782)
Timeframe: Pre-infusion, 20, 40 (End of the Infusion), 45, 50, 60, 90, 120, 180, 240 and 360 minutes post-infusion on Day 1 and Day 15

,
Interventionhour*nanogram per milliliter (Mean)
Day 1 (n=16,15)Day 15 (n=14,14)
Ketamine: 2 Times Per Week312342
Ketamine: 3 Times Per Week295293

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Clinical Global Impression of Improvement (CGI-I) Score at Endpoint of Double Blind Phase

The CGI-I is a 7-point scale that was used to assess how much the participants illness was improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 0= not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT01627782)
Timeframe: Endpoint (Day 29)

InterventionUnits on a scale (Median)
Placebo: 2 Times Per Week4.0
Ketamine: 2 Times Per Week2.0
Placebo: 3 Times Per Week4.0
Ketamine: 3 Times Per Week2.0

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Number of Sustained Responders Based on Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

Sustained response on Day 15 was defined as achieving an onset of antidepressant response within the first week that is maintained to the end of study Day 15. The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition. (NCT01627782)
Timeframe: Day 15

InterventionParticipants (Number)
Placebo: 2 Times Per Week1
Ketamine: 2 Times Per Week7
Placebo: 3 Times Per Week0
Ketamine: 3 Times Per Week4

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Patient Global Impression-Change (PGI-C) Score at Endpoint of Double Blind Phase

The PGI-C is a 7-point scale that required the subject to assess how much their illness had improved or worsened relative to a baseline state at the beginning of the intervention. The response options were: very much improved; much improved; improved (just enough to make a difference); no change; worse (just enough to make a difference); much worse; or very much worse. The scale is rated as, 1=very much improved and 7=very much worse. (NCT01627782)
Timeframe: Endpoint (Day 29)

InterventionUnits on a scale (Median)
Placebo: 2 Times Per Week4.0
Ketamine: 2 Times Per Week2.0
Placebo: 3 Times Per Week4.0
Ketamine: 3 Times Per Week3.0

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EtCO2 Change After Dexmedetomidine Loading Dose

Change in end-tidal carbon dioxide from baseline measurement to immediately post dexmedetomidine infusion. (NCT01645098)
Timeframe: Baseline to immediately post dexmedetomidine infusion.

InterventionmmHg (Mean)
Dexmedetomidine 1 mcg/kg1
Dexmedetomidine 0.5 mcg/kg2

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Heart Rate Change After Dexmedetomidine Loading Dose

Difference in heart rate from baseline to immediately following infusion of dexmedetomidine loading dose. (NCT01645098)
Timeframe: Baseline to immediately post dexmedetomidine infusion.

InterventionBPM (Mean)
Dexmedetomidine 1 mcg/kg-13
Dexmedetomidine 0.5 mcg/kg-5

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Mean Arterial Pressure (MAP) Change After Dexmedetomidine Loading Dose

Change in MAP from baseline measurement to immediately post dexmedetomidine infusion measured via blood pressure cuff. (NCT01645098)
Timeframe: Baseline to immediately post dexmedetomidine infusion.

InterventionmmHg (Mean)
Dexmedetomidine 1 mcg/kg9
Dexmedetomidine 0.5 mcg/kg5

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Oxygen Saturation Change After Dexmedetomidine Loading Dose

Change in oxygen saturation from baseline measurement to immediately post dexmedetomidine infusion. (NCT01645098)
Timeframe: Baseline to immediately post dexmedetomidine infusion.

Interventionpercentage of oxygen (Mean)
Dexmedetomidine 1 mcg/kg-0.3
Dexmedetomidine 0.5 mcg/kg0.4

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Time to Sedation Score of 3-4

The depth of sedation was judged using the University of Michigan Sedation Scale (UMSS). The score ranges from zero, awake and alert, to four, unarousable. A score of three, deeply sedated, or more was considered to be an appropriate level of sedation for the procedure. (NCT01645098)
Timeframe: Immediately prior to incision

Interventionminutes (Mean)
Dexmedetomidine 1 mcg/kg3.7
Dexmedetomidine 0.5 mcg/kg2.8

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Change in Pain Score

The primary analysis is testing and estimating the effect of ketamine in comparison to placebo. Pain assessment will be analyzed using descriptive statistics. We will determine average pain scores. Pain will be measured using a 0-10 scale with 0 representing no pain; 1-3 representing mild pain; 4-6 representing moderate pain; and 7-10 representing severe pain. The effect of ketamine in comparison to placebo will be estimated with a mean and confidence interval. Proportional changes in pain scores (post-treatment pain score ÷ pre-treatment pain score) will be calculated and similarly analyzed. The proportion of subjects experiencing a reduction in pain scores of >33% will be calculated. (NCT01653327)
Timeframe: After 9-10 doses, expected average 1 month

Interventionscore on a scale (Mean)
Ketamine1.167
Placebo1.58

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Duration of Analgesic Effect

The secondary analysis is testing and estimating the analgesic effect of ketamine in comparison to placebo. Pain assessment will be analyzed using descriptive statistics. We will also determine average duration of analgesia. The effect of ketamine in comparison to placebo will be estimated with a mean and confidence interval. (NCT01653327)
Timeframe: After 9-10 doses, expected average 1 month

Interventionminutes (Mean)
Ketamine39.231
Placebo35.357

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HDRS-28 Total

Hamilton Depression Rating Scale Total scores after completing 6 infusions. Scores may range from 0-81 with higher scores indicating greater depression severity. HDRS-28 score ≤ 7 was considered remission. (NCT01667926)
Timeframe: up to 5 months

Interventionunits on a scale (Mean)
Ketamine20.2
Placebo20.0

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Hamilton Depression Rating Scale - Suicidal Ideation (HDRS-SI)

The HDRS-SI score consists of a single item on the Hamilton Depression Rating Scale (HDRS). Scores range from 0 to 4, with 0 representing no suicidal ideation, and 4 representing a suicide attempt. (NCT01667926)
Timeframe: up to 4 months

Interventionunits on a scale (Mean)
Ketamine1.6
Placebo1.6

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ED95

ED95 is the dose of ketamine effective for 95% of children. this outcome is estimated from ED50. (NCT01669642)
Timeframe: Dose administration through 5 minutes

Interventionmg/kg of ketamine dose (Number)
Fracture Reduction Group 2-5 Years0.7
Fracture Reduction Group 6-11 Years0.7
Fracture Reduction Group 12-17 Years0.8
Abscess Drainage Group 2-5 Years1.1
Abscess Drainage Group 6-11 Years1.1

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Total Sedation Time

during recovery, all participants are monitored for recovery to baseline at which point participants are ready for discharge. we will document the time from induction to recovery to aldrete score of 10. (NCT01669642)
Timeframe: Time of administration of ketamine through sedation recovery

,,,,
Interventionminutes (Median)
Patients requiring single dose of ketaminepatients requiring more than single dose
Abscess Drainage Group 2-5 Years20.527.5
Abscess Drainage Group 6-11 Years17.535
Fracture Reduction Group 12-17 Years2545
Fracture Reduction Group 2-5 Years2535
Fracture Reduction Group 6-11 Years22.525

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Median Effective Dose (ED50) and ED95 of Rapidly Administered Ketamine

ED50 is the dose of rapidly administered ketamine that achieves effective sedation in 50% of patients. ED95 is the dose of ketamine that can provide effective sedation in 95% of children undergoing abscess drainage or fracture reduction. ED95 will be calculated for the 3 age groups (2-5, 6-11 and 12-17) independently for both the procedures: abscess drainage and fracture reduction. (NCT01669642)
Timeframe: Dose administration through 5 minutes

Interventionmg/kg of ketamine dose (Median)
Fracture Reduction Group 2-5 Years0.7
Fracture Reduction Group 6-11 Years0.5
Fracture Reduction Group 12-17 Years0.6
Abscess Drainage Group 2-5 Years0.9
Abscess Drainage Group 6-11 Years0.6

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Number of Participants With Wisconsin Sedation Scale Score of 2 or Less at 1 Minute After First Dose of Ketamine

"This is a measure of sedation effectiveness; to assess the effectiveness of first dose of ketamine administered.~Possible values for the scale range from 0 to 6. A sedation score of 2 or less is considered adequate sedation. Values more than 2 indicate state of inadequate sedation. higher values indicate the need for additional doses of sedation.~Patients who achieved a score of 2 or less are considered effective sedation and a score of >2 are considered ineffective sedations." (NCT01669642)
Timeframe: Dose administration through 1 minute

Interventionparticipants (Number)
Fracture Reduction Group 2-5 Years12
Fracture Reduction Group 6-11 Years9
Fracture Reduction Group 12-17 Years10
Abscess Drainage Group 2-5 Years13
Abscess Drainage Group 6-11 Years10

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Hospital Anxiety Depression Scale- Depression Score (HADS-D)

Hospital Anxiety and Depression Scale (HADS) is a fourteen item scale. Seven of the items relate to anxiety and seven relate to depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 (no symptoms) and 21 (severe symptoms) for either anxiety or depression. Cut-offs for identifying psychiatric distress has been reported in the literature to be >10 for anxiety and >8 for depression. (NCT01680172)
Timeframe: Baseline, 120 minutes

,
Interventionunits on a scale (Mean)
HADS-D Score at baselineHADS-D Score 120 minutes post dose
Ketamine12.711.7
Placebo14.510.5

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Hospital Anxiety and Depression Scale - Anxiety Score (HADS-A)

Hospital Anxiety and Depression Scale (HADS) is a fourteen item scale. Seven of the items relate to anxiety and seven relate to depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 (no symptoms) and 21 (severe symptoms) for either anxiety or depression. Cut-offs for identifying psychiatric distress has been reported in the literature to be >10 for anxiety and >8 for depression. (NCT01680172)
Timeframe: Baseline, 120 minutes

,
Interventionunits on a scale (Mean)
HADS-A score at baselineHADS-A Score at 120 minutes post dose
Ketamine12.37.7
Placebo16.511.0

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Number of Patients With Incidence of Delirium Across All Patients at Baseline and Over Post-operative Days 1-3

"According to Confusion Assessment Method or Confusion Assessment Method for Intensive Care Unit criteria the number of patients that had any positive CAM on any day for all patients. The main effect evaluated will be to determine whether ketamine decreases delirium, table 3 of the protocol provides a useful guide for the potential findings of the current study with their implications.~To further clarify, delirium will be assessed on the day of surgery, when possible and on the subsequent three days POD 1-3, as long as as patients remain in the hospital and are assessable (i.e., not sedated to a RASS <-3). The assessments on POD 1-3 will be done twice daily, once in the morning and once in the afternoon. The primary outcome of the study includes only the delirium incidence on POD 1-3.~The primary comparison will be between the combined ketamine groups and the placebo group." (NCT01690988)
Timeframe: Delirium incidence on postoperative days 1-3, calculated by any positive CAM on any day for all patients

InterventionParticipants (Count of Participants)
Ketamine (0.5 mg/kg and 1 mg/kg)85
Normal Saline (Placebo)43

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Median Opioid Consumption

"Assessed from patients' medical charts. All morphine equivalent drugs consumed by patients perioperatively~Opioid Drugs included:~* Postoperatively while still in hospital, the list of pain medication used included Morphine, Hydromorphone, Meperidine, Nalbuphine, Oxycodone,Oxymorphone, Tramadol, bupivacaine, (Codeine, Fentanyl, Naloxone) Total Opiates (Morphine Equivalent) in milligrams The median(IQR) opioid consumption was compared across the three study groups Placebo vs. Lo-K (0.5 mg/kg) vs. Hi-K (1 mg/kg)" (NCT01690988)
Timeframe: Postoperative days 0-3

Interventionmg (Median)
Ketamine (0.5 mg/kg)88.9
Normal Saline (Placebo)94.7
Ketamine (1 mg/kg)78.7

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Adverse Outcomes (Number of Patients With Nightmares)

Assessed via Confusion Assessment Method or Confusion Assessment Method for Intensive care Unit (NCT01690988)
Timeframe: Postoperative days 1-3

InterventionParticipants (Count of Participants)
Ketamine (0.5 mg/kg)27
Normal Saline (Placebo)18
Ketamine (1 mg/kg)34

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Adverse Outcomes (Number of Patients With Hallucinations)

Assessed via Confusion Assessment Method or Confusion Assessment Method for Intensive Care Unit (NCT01690988)
Timeframe: Postoperative days 1-3

InterventionParticipants (Count of Participants)
Ketamine (0.5 mg/kg)45
Normal Saline (Placebo)40
Ketamine (1 mg/kg)62

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Number of Patients With Postoperative Nausea and Vomiting

"Assessed from patient-reported postoperative nausea and vomiting section of Behavioral Pain Scale or Behavioral Pain Scale (Non-Intubated) Patients where asked whether they currently have nausea/vomiting AM & PM the response choices: None, Mild, Moderate, Severe Incidence of nauseavomiting accounted for any positive reporting(Mild, moderate, or sever) Daily incidence accounted for any positive incidence AM/PM in each POD Any POD nausea/vomiting reports the incidence across day 1-3~The incidence of nausea and or vomiting was compared across the three study groups Placebo vs. Lo-K (0.5 mg/kg) vs. Hi-K (1 mg/kg) for POD 1-3 and overall." (NCT01690988)
Timeframe: Postoperative days 1-3

InterventionParticipants (Count of Participants)
Ketamine (0.5 mg/kg)72
Normal Saline (Placebo)73
Ketamine (1 mg/kg)64

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Daily Maximum Pain Recorded

Assessed by observer-based Behavioral Pain Scale or Behavioral Pain Scale (Non-Intubated) with subsequent administration of patient-reported Visual Analog Scale The behavioral pain scale has three domains and ranges from 3 to 15. The visual analog scale is a continuous scale from 0 to 100 mm. Daily Maximum Pain accounted for pain level in the AM or PM for both the VAS and the BPS/BPS-NI a higher value means a worse outcome. (NCT01690988)
Timeframe: Postoperative days 1-3, two assessment daily (morning and afternoon), with at least six hours between assessments

,,
Interventionparticipants (Median)
VAS day 1VAS day 2VAS day 3BPS/BPS-NI day 1BPS/BPS-NI 2BPS/BPS-NI 3
Ketamine (0.5 mg/kg )705646443
Ketamine (1 mg/kg)6857.547433
Normal Saline (Placebo)63.55952.5433

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Change in Glutamate Levels at Baseline and After Ketamine Administration as Confirmed by Positron Emission Tomography (PET) Imaging

PET imaging obtained in healthy and Major Depressive Disorder (MDD) subjects. Glutamate levels determined by radiotracer uptake in PET images. (NCT01691092)
Timeframe: 1st scan: 90 minute baseline scan; 2nd scan: 90 minutes, ketamine administration at start of scan; scan 3: 90 minute scan 24 hours post ketamine

Interventionpercentage reduction (Mean)
HC % reduction from baseline immediately post ketMDD % reduction from baseline immediately post ketHC % reduction from baseline 24 hrs post ketMDD % reduction from baseline 24 hrs post ket
Ketamine19143114

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Neuropsychological Effects

The average Z-scores reported below are the average of the Z-scores for all tests administered. The Z-scores for each test were based on published normative data and normative data available in our laboratory. The population mean for a Z-score is zero, with a SD of 1, thus scores below zero would indicate performance below the population norm; a score close to zero indicates performance close to the population norm (or a normalizing of performance). (NCT01700829)
Timeframe: Baseline and Day 1

,
Interventionscore on a scale (Mean)
Pre-infusion overall neuropsych performanceDay1 post-infusion overall neuropsych performance
Ketamine-0.306-0.01
Midazolam-0.252-0.146

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Change in Scale for Suicidal Ideation

Change in suicidal ideation in depressed patients with moderate to severe suicidal thoughts from the pre-infusion baseline to 24 hours after the infusion with ketamine or midazolam, a sedative not known to reduce suicidal ideation, measured with Beck Scale for Suicidal Ideation - clinician rated version. This scale has 19 items scaled 0 (least severe) to 2 (most severe) and a potential score ranging from 0 to 38, with higher score indicating greater severity. (NCT01700829)
Timeframe: Day 1 (24 hours) post-treatment

Interventionunits on a scale (Mean)
Midazolam-3.66
Ketamine-8.62

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Saliva Cortisol Awakening Response (CAR).

"On the mornings of an infusion day and on post-treatment day1, participants used salivettes (Sarstedt AG & Co.) to provide saliva samples upon awakening (Cort1) and 30 minutes later (Cort2) to measure cortisol awakening response (CAR) = (Cort2 - Cort1).~Differences between the midazolam and ketamine groups were tested using an analysis of covariance (ANCOVA) model of the change in CAR from baseline to day1, with treatment group and baseline measurement of the outcome variable as predictors.~Range from 0.1 to 12.5 ng/ml and lower means less stress response, higher means greater stress response." (NCT01700829)
Timeframe: Cort2 - Cort1 = (Day 1 30-mins post-awakening cortisol) - (Day 1 awakening cortisol)

,
Interventionlog(ng/mL) (Mean)
Baseline awakeningBaseline 30 mins post-awakeningDay1 awakeningDay1 30 minutes post-awakening
Ketamine0.470.880.741.06
Midazolam0.941.290.771.19

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Number of Participants With Dose Limiting Toxicity

A total of 7 patients enrolled on the trial. However, 2 participants withdrew from the trial before they were randomized and 1 participant withdrew from the trial before being treated. Hence, the total number of patients for assessment is 4. (NCT01755169)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
Ketamine 0.25 mg/kg/Dose0
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose0
Placebo0

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Change in Cue Reactivity

Serial visual analogue scale (VAS) scores for craving elicited by cocaine cue: units on a scale (0-200), high is worse. Scores are obtained at baseline and at 24 hours after the infusion. (NCT01790490)
Timeframe: Baseline and 24 hours after infusion

Interventionunits on a scale (0-200), high is worse (Median)
Ketamine Infusion 0.41 mg/kg Over 52 Minutes (K1)126
Ketamine Infusion 0.71 mg/kg Over 52 Minutes (K2)18
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP)16

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Change in Motivation to Quit

Motivation score obtained from the University of Rhode Island Change Assessment (URICA). Scores are obtained at baseline and at 24 hours after each infusion. The scores are 0-13, with higher scores indicating greater motivation. The analysis is within-subject. Scores included below are means; higher scores represent higher motivation to quit than do lower scores. (NCT01790490)
Timeframe: Baseline and 24 hours post-infusion

Interventionunits on a scale (Mean)
Ketamine Infusion 0.41 mg/kg Over 52 Minutes (K1)4.35
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP)3.2
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP) Following K14.2

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Peak and Plateau Pressure

The Peak and plateau pressures will be compared between the two groups, with a pre-defined subgroup analysis of patients who are being intubated for severe asthma and chronic obstructive pulmonary disease (COPD). The ventilator was used to measure these values. (NCT01823328)
Timeframe: up to 30 minutes (average time frame)

,
Interventioncm water (Median)
Peak pressurePlateau Pressure
Etomidate2617
Ketamine2516

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Mortality

Mortality will be assessed at 30 days or at discharge from the hospital, whichever occurs first. This study is not powered to detect a significant difference in mortality, however; this will primarily be a safety study comparing the use ketamine versus etomidate as sedative agents for rapid sequence intubation (RSI) in the Emergency Department (ED). (NCT01823328)
Timeframe: 30 Days or Discharge

InterventionParticipants (Count of Participants)
Ketamine8
Etomidate15

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SOFA Score

*Maximum SOFA score within three hospital days: all patients. SOFA score is the Sequential Organ Failure Assessment. The minimum score is 0, the maximum score is 24, with higher scores indicating higher likelihood of worse outcome. (NCT01823328)
Timeframe: up to 3 days

Interventionunits on a scale (Median)
Ketamine6.5
Etomidate7

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Number of Patients With First-pass Success

The rate of first pass success, defined as successful tracheal intubation on the first attempt. An attempt is defined as the insertion and subsequent removal of the laryngoscopic device from the patient's mouth, regardless of whether an endotracheal tube was inserted. (NCT01823328)
Timeframe: up to 5 minutes (average time frame)

InterventionParticipants (Count of Participants)
Ketamine59
Etomidate60

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Number of Patients With Hypotension

"The following will be compared between the two groups:~Hypotension in the ED post-intubation~Hypotension within the first 6 hours of the hospital stay, including time spent in the ED~Hypotension is defined as a systolic blood pressure less than 90 mm Hg" (NCT01823328)
Timeframe: up to 6 hours

,
InterventionParticipants (Count of Participants)
Hypotension in the first 6 hours of hospitalizatioHypotension in the ED
Etomidate3017
Ketamine2416

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Mortality in Sepsis and Septic Shock

"Evaluate mortality for the sub-group diagnosed with sepsis and septic shock, defined as:~- Suspected infection, and at least 2 of 4 systemic inflammatory response syndrome (SIRS) criteria:~Temperature >38C or <36C~Respiratory Rate >20 or PaCO2 <32 mmHg~Heart Rate >90~White blood cell count >12,000 or <4,000, or > 10% bands~Septic shock:~defined as sepsis plus either: 1) Systolic blood pressure <90 after 1L of intravenous fluid or 2) lactate >=4mmol/L" (NCT01823328)
Timeframe: 30 Days

InterventionParticipants (Count of Participants)
Ketamine1
Etomidate4

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Doses of Post-intubation Sedation

The number of bolus doses of sedative administered post-intubation will be compared up to 6 hours (including morphine, dexmedetomidine, propofol , etomidate, ketamine, lorazepam (Ativan), midazolam (Versed), diazepam (Valium), fentanyl, hydromorphone (Dilaudid)). Infusions of these medications will be recorded separately but will not be part of this outcome. (NCT01823328)
Timeframe: up to 6 hours

Interventionbolus doses of sedation (Median)
Ketamine1
Etomidate1

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Number of Patients With Post-intubation Hypoxemia

"The following will be compared between the two groups:~Hypoxemia and severe hypoxemia in the peri-intubation period. Peri-intubation hypoxemia was defined as during after the 5 minutes immediately after intubation.~Hypoxemia within the first 2 hours intubation~Hypoxemia is defined as SpO2 less than 90%. Severe hypoxemia is defined as SpO2 less than 90% for 60 seconds or more." (NCT01823328)
Timeframe: up to 2 hours

,
InterventionParticipants (Count of Participants)
Peri-intubation hypoxemiaHypoxemia within 2 h of ICU admission
Etomidate135
Ketamine81

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Hamilton Anxiety Scale

Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indi- cates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. (NCT01833897)
Timeframe: 8 weeks

Interventionunits on a scale (final score) (Mean)
Ketamine and DCS Treatment6.4

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Hamilton Depression Rating Scale (HAM-D)

"Depression rating scale: Range 0-53, higher scores indicate worse depression. 0-7 = Normal 8-13 = Mild Depression 14-18 = Moderate Depression 19-22 = Severe Depression~≥ 23 = Very Severe Depression" (NCT01833897)
Timeframe: 8 weeks

Interventionunits on a scale (final score) (Mean)
Ketamine and DCS Treatment9.5

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Loss of Motivated Behavior HAM-D Factor

includes the total of four HAM-D items: (Item 7: Work and activities, Item 12. Somatic symptoms (appetite), Item 14. Genital symptoms (libido), and Item 16. Weight loss). Range 0-11, higher scores indicate worse symptoms (NCT01833897)
Timeframe: 8 weeks

Interventionunits on a scale (final score) (Mean)
Ketamine and DCS Treatment1.6

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Beck's Depression Inventory

Range 0-63, with higher scores worse. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT01833897)
Timeframe: 8 weeks

Interventionunits on a scale (final score) (Mean)
Ketamine and DCS Treatment10.8

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HAM-D Suicide Item

Ham-D suicide item: range 0-4, higher scores indicate worse symptoms (NCT01833897)
Timeframe: 8 weeks

Interventionunits on a scale (final) (Mean)
Ketamine and DCS Treatment0.3

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Numeric Rating Scale of Pain

"We will compare efficacy as a difference between 2 groups in pain score at 30 minutes post-analgesic administration. The primary outcome is the difference between 2 groups in pain score at 30 minutes.~Pain will be measured via Numeric rating scale from 0 to 10 with 0 being no pain, 5 being moderate pain, and 10 being severe pain" (NCT01835262)
Timeframe: 30 minutes

InterventionUnits on a scale (Mean)
Morphine3.93
Ketamine Group4.07

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Opioid Consumption in the Immediate Postoperative Period

"This data will be entered into the participants electronic medical record and collected from their chart once the participant has been discharged. The immediate postoperative period covers the participant's entire time in the outpatient surgery center after they have entered the recovery room postoperatively. The amount of time they remain in the outpatient surgery center postoperatively varies from a minimum of 1 hour to a maximum of 10 hours and an average of 4 hours." (NCT01868425)
Timeframe: Up to 10 hours

Interventionmorphine mg equivalents (Mean)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine12.0
Placebo Pills and Injectables14.4

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Number of Participants With Complications From the Procedure

(NCT01868425)
Timeframe: Up to 24 hours following surgery

InterventionParticipants (Count of Participants)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine0
Placebo Pills and Injectables0

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Intraoperative Medication Use: Fentanyl

All participants received standard induction medications. (NCT01868425)
Timeframe: From induction until arrival in post anesthesia care unit.

Interventionmcg (Mean)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine125
Placebo Pills and Injectables128

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Post-Operative Nausea Scores

Nausea scores will be collected in post-operative recovery and 24 hours later (via phone). The participant will be asked to rate their nausea on a scale of 0 (no nausea) - 10 (worst possible). (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
Post Operative (recovery room)24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine1.22.2
Placebo Pills and Injectables0.71.6

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Post-Operative Pruritis Score

Participants will be asked to rate their pruritis on a scale of 0 (no itching) - 10 (worst itchiness) while in post-op recovery room and then at 24 hours post-op via phone call. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
Post Operative (recovery room)24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine0.40.7
Placebo Pills and Injectables0.71.2

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Time to Discharge

Time to discharge from the recovery room (Phase I recovery) and the outpatient surgery center (Phase II recovery). (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionminutes (Mean)
Discharge from Recovery RoomDischarge from Outpatient Center
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine64.8132.1
Placebo Pills and Injectables61.4123.6

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Post-Operative Incidence of Nausea

Incidence of nausea as recorded in the electronic medical record (EMR) in the recovery room through the first 24-hrs post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Nausea Post op to dischargeNausea - discharge to 24 hour
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine1624
Placebo Pills and Injectables1223

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Sedation Scale

Sedation scale measured in recovery room, 1-hr post op, and 24 hrs op. The Sedation Scale is scored from 0-10 where 0 = normal, no sleepier than average, 10 = sleepy, hard to stay awake. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
1 hour post-op in Recovery Room24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine5.04.2
Placebo Pills and Injectables4.64.3

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Pain Scores During Recovery

Pain scores during recovery period through the first 24 hours of recovery, recorded upon arrival to recovery room, 1-hr post-op, 24-hrs post-op. This outcome reports lowest and highest pain score since discharge to 24 hour phone call. Pain scores are collected verbally on a scale of 0-10 where 10 is the most severe pain. (NCT01868425)
Timeframe: up to 24 hours postoperatively

,
Interventionscore on a scale (Mean)
Lowest Score Upon Arrival to Recovery RoomHighest Score Upon Arrival to Recovery Room1 hour post-op24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine2.34.83.42.4
Placebo Pills and Injectables3.05.53.82.6

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Number of Participants Who Received Medication for Nausea

Number of participant who received medication for nausea prior to discharge and after discharge, up to 24 hours post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Anti-Nausea Medication Before DischargeAnti-Nausea Medication after Discharge
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine86
Placebo Pills and Injectables73

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Intraoperative Medication Use: Ketorolac and Lidocaine

All participants received standard induction medications. (NCT01868425)
Timeframe: From induction until arrival in post anesthesia care unit.

,
Interventionmg (Mean)
Intraoperative KetorolacIntraoperative Lidocaine
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine15.071.5
Placebo Pills and Injectables14.765.6

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Incidence of Post-Operative Pruritus

Pruritus in recovery and through the first 24 hours post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Number of patients with pruritis OR to dischargeNumber of patients with pruritis discharge to 24 h
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine813
Placebo Pills and Injectables1019

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BSS Score

BECK Scale for Suicidal Ideation (BSS) - 0-13 Minimal; 14-19 Mild; 20-28 Moderate; 29-63 Severe (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium4.94
Ketamine and Placebo2.69

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MADRS-S Score

The Montgomery Asberg Depression Rating Scale (MADRS-S) has 10-items which are based on mood symptoms over the past 7 days. Each items is scored 0 (normal) to 6 (severe depression) with overall score ranges from 0 (normal) to 60 (severe depression). (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium22.56
Ketamine and Placebo23

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QIDS-SR Score

Quick Inventory of Depressive Symptomatology, Self-Report (QIDS-SR) score - Each item is rated 0 (no depression) to 3 (severe depression), for a total score range of 0 (no depression) to 27 (severe depression). (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium9.89
Ketamine and Placebo10.13

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Patient Rated Inventory of Side Effects (PRISE)

Number of Participants with PRISE (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

InterventionParticipants (Count of Participants)
Ketamine and Lithium3
Ketamine and Placebo2

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HAM-A Score

Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium13.5
Ketamine and Placebo11.13

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CGI-S Score

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium3.83
Ketamine and Placebo3.875

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CSSRS Score

Columbia Suicide Severity Rating Scale (CSSRS) - Full range from 0 (low intensity suicidal ideation to 9 (high intensity suicidal ideation). (NCT01880593)
Timeframe: 2 weeks after last ketamine infusion

Interventionunits on a scale (Mean)
Ketamine and Lithium.833
Ketamine and Placebo.44

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Hamilton Rating Scale for Depression (HRSD) Improvement

The items mostly range from a score of 0-4 but there are some questions that range from a score of 0-2. The maximum total score that can be reported is 76 and the lowest score is 0. Higher values represent a worse outcome. Items are summed together to compute the total score. Remission is defined as two consecutive Hamilton Rating Scale for Depression, 24 items (HRSD-24) scores < 10, and HRSD-24 total score does not increase > 3 points on the second consecutive HRSD-24, or remains < 6 at the last two consecutive treatments. HRSD-24 scores are used to define remission. (NCT01881763)
Timeframe: Days required to achieve remission (on average 3-4 weeks)

InterventionHRSD units (Mean)
Ketamine7.82
Methohexital8.60

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Depression

Scales and Questionnaire using the MADRS (Montgomery-Asberg Depression Rating Scale) . This is a ten item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. the scale: 0 - 6 (normal/symptom absent), 7 - 19 (mild depression), 20 - 34 (moderate depression), and > 34 (severe depression).The overall score ranges from 0 to 60 (NCT01887990)
Timeframe: 2 hours

Interventionunits on a scale (Mean)
Suicidal, Depression With Ketamine43.9
Suicidal, Depression With Saline59.4
Suicidal, Opioid Use With Ketamine22.5
Suicidal, Opioid Use With Saline12.5

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Suicidality

"Scales and questionnaires using the Beck Scale for Suicidal Ideation. The Beck Scale is a self-report questionnaire. The items on this scale identify the presence and severity of suicidal ideation.~Beck Scale for Suicidal Ideation has 19 items,preceded by a 5 item screener. Each item is rated on a 3 point scale from 0 to 2. Scores range from 0 to 48. Total scoreScores of 0 - 16 indicate low risk for suicide; scores of 16 or greater indicate higher risk for suicide." (NCT01887990)
Timeframe: 2 hours

Interventionunits on a scale (Mean)
Suicidal, Depression With Ketamine7.3
Suicidal, Depression With Saline21.5
Suicidal, Opioid Use With Ketamine18.0
Suicidal, Opioid Use With Saline0

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Ketamine-Induced Brain Activity in Regions of Interest During Resting State

Ketamine model was used to enhance the sensitivity to detect an effect of phosphodiesterase 10a (PDE10a) inhibition by TAK-063 by ketamine using neuroimaging battery tests. Ketamine induced robust blood oxygen level-dependent(BOLD) functional magnetic resonance imaging(fMRI) response while maintaining minimal accompanying psychotomimetic symptoms. The regions of interest include:left anterior cingulate cortex,right anterior cingulate cortex,left posterior cingulate cortex,right posterior cingulate cortex,left striatum,right striatum,left amygdala,right amygdala,left substantia nigra,right substantia nigra,left thalamus,right thalamus,left ventrolateral prefrontal cortex,right ventrolateral prefrontal cortex,left dorsolateral prefrontal cortex,right dorsolateral prefrontal cortex,left hippocampus,right hippocampus,left subgenual cingulate/Ba25,right subgenual cingulate/Ba25,left paracingulate gyrus/Ba32, and right paracingulate gyrus/Ba32. (NCT01892189)
Timeframe: Day 1: 4 hours post TAK-063 dose or placebo

,,,
Interventionpercent signal change in brain activity (Mean)
Left Anterior Cingulate CortexRight Anterior Cingulate CortexLeft Posterior Cingulate CortexRight Posterior Cingulate CortexLeft StriatumRight StriatumLeft AmygdalaRight AmygdalaLeft Substantia NigraRight Substantia NigraLeft ThalamusRight ThalamusLeft Ventrolateral Prefrontal CortexRight Ventrolateral Prefrontal CortexLeft Dorsolateral Prefrontal CortexRight Dorsolateral Prefrontal CortexLeft HippocampusRight HippocampusLeft Subgenual Cingulate/BA25Right Subgenual Cingulate/BA25Left Paracingulate Gyrus/BA32Right Paracingulate Gyrus/BA32
Placebo0.49540.46110.49220.54120.29140.36050.34130.21020.39890.29250.51660.48070.63550.79320.39180.47150.31500.2540-0.3974-0.14630.47760.5849
TAK-063 10 mg0.44390.41990.53160.61320.30450.31240.48880.01060.55600.33980.55640.51590.60810.66610.44510.54030.30730.2141-0.2448-0.63790.40690.4972
TAK-063 3 mg0.29430.25420.46470.45150.06440.11540.47760.11800.28570.22090.34060.33920.51830.51340.25760.27990.17900.18140.2236-0.34300.27990.3583
TAK-063 30 mg0.38760.32510.39870.37830.24530.26170.34350.26860.22140.11480.35890.37340.59000.61190.37200.43310.21230.0989-0.00020.04240.32810.3969

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Percentage of Participants Who Meet the TGRD Markedly Abnormal Criteria for Safety Electrocardiogram (ECG) Parameters at Least Once Post Dose

The percentage of participants who meet markedly abnormal criteria designated by TGRD measured throughout study. (NCT01892189)
Timeframe: Baseline up to 14 days after last dose of study drug (Day 32)

Interventionpercentage of participants (Number)
Placebo27.3
TAK-063 3 mg14.3
TAK-063 10 mg35.7
TAK-063 30 mg53.3
TAK-063 300 mg100

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Tmax: Time to Reach Cmax for TAK-063 and TAK-063 M-I

(NCT01892189)
Timeframe: Day 1: pre-dose and at multiple time points (up to 24 hours) postdose

,,
Interventionhours (Median)
TAK-063M-I
TAK-063 10 mg3.033.03
TAK-063 3 mg3.022.96
TAK-063 30 mg3.024.23

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Cmax: Maximum Observed Plasma Concentration for TAK-063 and TAK-063 Metabolite (M-I)

(NCT01892189)
Timeframe: Day 1: pre-dose and at multiple time points (up to 24 hours) postdose

,,
Interventionnanogram per milliliter (ng/mL) (Mean)
TAK-063M-I
TAK-063 10 mg48.1648.94
TAK-063 3 mg10.3512.07
TAK-063 30 mg109.9103.72

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AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-063 and TAK-063 M-I

(NCT01892189)
Timeframe: Day 1: Pre-dose and at multiple time points (up to 24 hours) post-dose

,,
Interventionnanogram hours per milliliter (ng*hr/mL) (Mean)
TAK-063M-I
TAK-063 10 mg548.58582.91
TAK-063 3 mg111.36114.81
TAK-063 30 mg1298.891285.18

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Percentage of Participants Who Meet the TGRD Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose

The percentage of participants who meet markedly abnormal criteria designated by TGRD. Vital signs included oral temperature, respiration, blood pressure and pulse (beats per minute). (NCT01892189)
Timeframe: Baseline up to 14 days after last dose of study drug (Day 32)

Interventionpercentage of participants (Number)
Placebo50.0
TAK-063 3 mg64.3
TAK-063 10 mg57.1
TAK-063 30 mg53.3
TAK-063 300 mg100

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Percentage of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)

(NCT01892189)
Timeframe: Baseline up to 14 days after last dose of study drug (Day 32)

Interventionpercentage of participants (Number)
Placebo68.2
TAK-063 3 mg50
TAK-063 10 mg57.1
TAK-063 30 mg86.7
TAK-063 300 mg100

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Percentage of Participants Who Meet the Takeda Global Research and Development Center, Inc. (TGRD) Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose

The percentage of participants with any markedly abnormal standard safety laboratory values collected throughout study. (NCT01892189)
Timeframe: Baseline up to 14 days after last dose of study drug (Day 32)

Interventionpercentage of participants (Number)
Placebo9.1
TAK-063 3 mg0
TAK-063 10 mg14.3
TAK-063 30 mg6.7
TAK-063 300 mg0

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Number of Participants With Adverse Events

(NCT01900847)
Timeframe: Data collected from the duration of the patient's Emergency Department stay (expected average 5 hours)

InterventionParticipants (Count of Participants)
Morphine and Placebo4
Morphine and Ketamine4

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Total Amount of Morphine and Other Pain Medications Administered

(NCT01900847)
Timeframe: Data collected from the duration of the patient's Emergency Department stay (expected average 5 hours)

Interventionmg (Mean)
Morphine and Placebo9
Morphine and Ketamine10.3

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Numeric Pain Score

Pain 0-10 with 0 being no pain and 10 being the worst pain (NCT01900847)
Timeframe: Baseline (zero minutes), 30 minutes and 1 hour after receiving study drug

,
Interventionscore on a scale (Mean)
time 030 min60 min
Morphine and Ketamine7.33.74.9
Morphine and Placebo6.97.76.8

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Clinical Positive Affect Scale (CPAS)

"The CPAS is a 16-item self-report scale to assess the level to which participants experience persistent distress due to feeling that they have not returned to their normal or premorbid state. Items (e.g., I look forward to things) are rated on a 5-point scale (0=not at all, 1=very much less than normal, 2=much less than normal, 3=slightly less than normal, 4=same as best or normal self). The possible scale range is 0 to 64, with higher scores indicating greater recovery from depression. Patients were asked to rate their experience of the past 24 hours." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1 and 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg19.333333335.250000038.8666667
Ketamine 0.2mg20.500000027.052631628.3888889
Ketamine 0.5mg20.636363640.869696439.7619048
Ketamine 1.0mg21.250000033.000000037.4500000
Midazolam 0.045mg21.263157924.444444433.3750000

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Clinician-Administered Dissociative States Scale (CADSS) Scores During Infusion

"The CADSS is a 23-item self-report scale for the assessment of dissociative states. It is a reliable, valid self-report instrument. The severity of each dissociative symptom ranges from 0 (not present) to 4 (extreme). The total score is calculated by summing across items, with a total possible range of 0-92. The CADSS was administered right before infusion, and 40, 80 minute and 120 minutes after the start of infusion. The timeframe is at this moment." (NCT01920555)
Timeframe: Day 0/baseline at 0, 40, 80, and 120 minutes

,,,,
Interventionunits on a scale (Mean)
Minute 0Minute 40Minute 80Minute 120
Ketamine 0.1mg0.11111113.00000000.44444440.0555556
Ketamine 0.2mg0.10000004.05000000.10000000
Ketamine 0.5mg014.27272730.77272730.1363636
Ketamine 1.0mg0.100000024.68421051.80000000.6500000
Midazolam 0.045mg0.42105262.68421051.15789470.5789474

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Number of Participants With Abnormal and Clinically Significant CBC and Chemistry Labs by Treatment

"CBC~Chemistry (Total bilirubin, AST, ALT, GGT, ALK Phosphatase, Creatinine, BUN/Urea, Glucose, Uric Acid)~Testing was performed by study site laboratories and used institutional normal lab value ranges." (NCT01920555)
Timeframe: Day 3 and Early Termination Visit (approximately 3 weeks following intervention)

,,,,
InterventionParticipants (Count of Participants)
Chemistry ALT(SGPT)Chemistry AST(SGOT)Chemistry Total BilirubinChemistry Remaining TestsCBC
Ketamine 0.1mg00000
Ketamine 0.2mg11100
Ketamine 0.5mg00000
Ketamine 1.0mg00000
Midazolam 0.045mg00000

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Number of Participants Reporting Suicidal Ideation/Behavior on the Columbia Suicide Severity Rating Scale (C-SSRS)

The Columbia Suicide Severity Rating Scale (C-SSRS): The C-SSRS is a low-burden measure of the spectrum of suicidal ideation and behavior that was developed in the National Institute of Mental Health Treatment of Adolescent Suicide Attempters Study to assess severity and track suicidal events through any treatment. It is a clinical interview providing a summary of both ideation and behavior that can be administered during any evaluation or risk assessment to identify the level and type of suicidality present. The C-SSRS can also be used during treatment to monitor for clinical worsening or improvement. It contains 5 rating scale questions (yes/no) for suicidal ideation increasing severity and 5 rating scale questions (yes/no) for suicidal behavior of increasing severity. The time frame is for both lifetime and the past six months for the Baseline/Screening scale and since the last visit for the Since Last Visit scale. (NCT01920555)
Timeframe: Screening Visit and Days 0, 1, 3, 5, 7, 14 and 30 combined

,,,,
InterventionParticipants (Count of Participants)
Screening: # with suicidal ideation/behaviorFollow-Up: # with suicidal ideation/behavior
Ketamine 0.1mg1715
Ketamine 0.2mg159
Ketamine 0.5mg1710
Ketamine 1.0mg146
Midazolam 0.045mg1713

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Snaith-Hamilton Pleasure-Scale (SHAPS)

"The SHAPS is a 14-item self-report scale to measure hedonic tone. Items (e.g., I would enjoy reading a book, magazine, or newspaper.) are rated on a 4-point scale (1=strongly disagree, 2=disagree, 3=agree, 4=strongly agree). Either of the 'disagree' responses scores 1 point, and either of the 'agree' responses scores 0 points, for a total scale range of 0-14. Higher scores indicate greater inability to experience pleasure. Patients were asked to rate their experience of the past 24 hours." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1 and 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg7.22222223.93750003.5333333
Ketamine 0.2mg7.55000005.73684216.3888889
Ketamine 0.5mg6.59090912.227272733.0000000
Ketamine 1.0mg7.35000004.30000003.6500000
Midazolam 0.045mg6.47368425.00000004.2500000

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Symptoms of Depression Questionnaire (SDQ)

"The SDQ is a 44-item self-report scale, which aims to measure depression more comprehensively by including the assessment of symptoms in the anxiety-depression spectrum, including symptoms of irritability, anger attacks, and anxiety. Items are rated on an 6-point Likert scale, where participants are asked to rate if a specific symptom (e.g. How has your mood been over the past 24 hours?) is normal for him or her (score = 2), what is better than normal (score = 1), and what is worse than normal (scores = 3-6). The total scale score is calculated by averaging across the items, resulting in a possible range from 1 to 6. Higher scores indicate greater depression severity. When rating, patients were asked to consider their symptoms during the past 24 hours." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1 and 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg3.51641412.57528432.5106061
Ketamine 0.2mg3.46363642.90961952.7828283
Ketamine 0.5mg3.53925622.31095042.5573593
Ketamine 1.0mg3.41136362.61136362.5909091
Midazolam 0.045mg3.42645072.92005732.8751353

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Montgomery-Asberg Depression Rating Scale (MADRS)

"The MADRS is a 10-item clinician-rated scale measuring depression severity. Symptoms are rated on a 7-point scale, where 0 = not present, and 1-6 represent increasing severity. Values 2, 4, and 6 have specific anchoring text (e.g., 2=Difficulties in starting activities. 4=Difficulties in starting simple routine activities which are carried out with effort, 6=Complete lassitude. Unable to do anything without help.) Values 1, 3, and 5 do not have specific text. The possible scale range is 0-60, where higher values represent higher severity. In this study, the MADRS was used to rate symptoms occurring in the past 3 days." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0 and 3.

,,,,
Interventionunits on a scale (Mean)
Day 0Day 3
Ketamine 0.1mg33.833333319.6666667
Ketamine 0.2mg34.450000022.6315789
Ketamine 0.5mg31.590909114.7619048
Ketamine 1.0mg32.650000017.1000000
Midazolam 0.045mg33.631578924.8333333

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Clinical Global Impressions-Improvement (CGI-I) Scale

"The CGI-I is a clinician rated single-item scale: Compared to the patient's condition at admission, how much has the patient changed?, rated on a 7-point response scale: 1 = Very much improved, 2 = Much improved, 3 = Minimally improved, 4 = No change, 5 = Minimally worse, 6 = Much worse, and 7 = Very much worse. In this case, admission referred to the CGI-S screening assessments performed between Day -28 an -7, one conducted during the screening visit, and a second rating conducted by a remote, independent rater." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1 and 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg3.88888893.06250002.9333333
Ketamine 0.2mg4.05000003.36842112.8421053
Ketamine 0.5mg4.13636362.63636362.5714286
Ketamine 1.0mg4.00000003.05000002.5500000
Midazolam 0.045mg4.15789473.61111113.1666667

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Clinical Global Impressions-Severity (CGI-S)

"The CGI-S is a clinician rated single-item scale: How depressed is the patient at this time?, rated on a 7-point response scale: 1 = Normal, not at all depressed, 2 = Borderline depressed, 3 = Mildly depressed, 4 = Moderately depressed. 5 = Markedly depressed, 6 = severely depressed, 7 = Among the most severely depressed patients. When rating patients, clinicians were asked to consider the past 24 hours." (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1 and 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg5.00000003.56250003.4000000
Ketamine 0.2mg5.20000004.26315793.7368421
Ketamine 0.5mg4.86363643.27272733.1428571
Ketamine 1.0mg5.20000003.50000003.3000000
Midazolam 0.045mg5.0000004.5555564.1666667

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Hamilton Rating Scale for Depression - 6 Items

The HAMD6 is a 6-item clinician-rated scale, where clinicians rate the presence of depression symptoms (i.e., depressed mood, guilt, work and interests, psychomotor retardation, psychic anxiety, somatic symptoms) on a 5-point scale, where 0 = not present, and 1-4 represent increasingly severe symptoms. One item (i.e., somatic symptoms) is rated on only a 3-point scale, ranging from 0-2. The possible scale range is 0-22, where higher values represent more severe depression. This instrument is completed with a structured interview guide by the clinician based on his/her assessment of the patient's symptoms. This structured interview has been validated for use with time frames shorter than one week. In this study, the HAMD6 was used to assess symptoms occurring in the past 24 hours. (NCT01920555)
Timeframe: A baseline assessment was made on Day 0, preceding infusion (i.e., treatment). Outcome assessments were made on days 1, 3, 5, 7, 14, and 30. The primary endpoint for this study was Day 3. Thus, the outcome measure table provides data on Days 0, 1, & 3

,,,,
Interventionunits on a scale (Mean)
Day 0Day 1Day 3
Ketamine 0.1mg12.55555567.50000006.8000000
Ketamine 0.2mg12.75000009.26315798.4736842
Ketamine 0.5mg12.59090915.86363645.9047619
Ketamine 1.0mg12.63157896.90000007.2000000
Midazolam 0.045mg13.052631610.66666679.0555556

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Cumulative Fentanyl Equivalents From ECMO Initiation to Decision to Achieve Wakefulness

Culmulative fentanyl equivalents meaning the combination of sedative drug regimen - measured in mg - from ECMO initiation to decision to achieve wakefulness. (NCT01938079)
Timeframe: Up to 14 days

Interventionmg (Median)
Sedative Without Ketamine330
Sedative With Ketamine834

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Change in Suicidal Ideation Measured With the Beck Scale for Suicidal Ideation

Change in suicidal ideation in Bipolar Disorder during a Major Depressive Episode (MDE), with moderate to severe suicidal thoughts, from the pre-infusion baseline to 24 hours after the infusion of Ketamine (study drug) or Midazolam (active control). (NCT01944293)
Timeframe: At 24 hours post-Infusion

Interventionunits on a scale (Mean)
Ketamine-12.4
Midazolam-6.7

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Change in Systolic Blood Pressure

Blood pressure is measured in millimeters of mercury. (NCT01944293)
Timeframe: During study infusion

Interventionmm Hg (Mean)
Ketamine23
Midazolam3

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Pain Scale Rating Agreement Among Patient, Parent, and Research Staff

"FLACC scores were assessed on the patient using the FLACC scale (0-10) by the parent, treating RN/trained research assistant.~FLACC - Parents 30 Minutes Post dose~FLACC - Staff 30 Minutes Post dose~Wong-Baker Faces scale is a self-assessment of pain Scale of 1-10 pain." (NCT01951963)
Timeframe: Up to 3 hours post pain medication administration

,
InterventionScores on a scale (Mean)
FLACC - Staff 30 Minutes Post doseFLACC - Parents 30 Minutes Post doseWong-Baker Faces pain scale changes
Ketamine1.12.0-3.5
Morphine1.11.9-3.7

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Cumulative Narcotic Consumption

All opioids administered were converted to morphine equivalents in milligrams (eq. mg) via standard equianalgesic calculations. Pre-study drug opioids information was also collected.The number of subjects who received a morphine dose after administration of the study drug, both within one hour or at all was included in the outcome measure results. (NCT01951963)
Timeframe: 3 hours post study drug administration

InterventionParticipants (Count of Participants)
Ketamine19
Morphine14

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Adverse Drug Reaction

Rate of pain medication related adverse events during their ED stay and at 24 hours post discharge from the ED. the research team will complete the Adverse Event case report form to determine any adverse events occurring during the study period. Family members will be contacted via telephone 24 hours (±8 hours) following their visit in the Emergency Department to complete the Discharge Adverse Event case report form. (NCT01951963)
Timeframe: 3 hours post study drug administration

InterventionParticipants (Count of Participants)
Ketamine2
Morphine3

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Comparison of Ketamine Responders and Ketamine Non-responders in the Change From Baseline in Somatosensory Evoked Potential (SEPs) Amplitudes at 4 Hours Postdose on Day 1

SEPs are the electrical signals generated by the nervous system in response to somatosensory stimuli - typically through electrical stimulation of the median nerve. SEPs are read on the skull with electroencephalography (EEG). SEPs was recorded using a 64-channel EEG system at baseline (predose) and regularly after study drug administration. The change from baseline was calculated as post-baseline value minus baseline value for each participant. Since the number of participants at baseline differ from the number of participants at post-baseline measure (that is [i.e.] not all baseline values are paired), the mean change is not equal to the difference between the means at the two time points. (NCT01957410)
Timeframe: Baseline and Day 1 (4 hours postdose)

Interventionmillivolts (mV) (Mean)
Responders: Baseline (n=9)Responders: Day 1, 4 Hours (n=6)Responders: Change from Baseline (n=6)Non-Responders: Baseline (n=4)Non-Responders: Day 1, 4 Hours (n=3)Non-Responders: Change from Baseline (n=3)
Ketamine IV 0.5mg/kg1.832.580.471.701.840.47

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Comparison of Ketamine Responders and Ketamine Non-responders in the Change From Baseline in Motor Evoked Potential (MEPs) Amplitudes at 4 Hours Postdose on Day 1

MEPs are generated when stimulation of the brain on the motor cortex (with Transcranial Magnetic Stimulation [TMS]) causes the spinal cord and peripheral muscles to produce neuroelectrical signals. MEPs are typically measured in the hand muscles. The Motor Evoked Response to Transcranial Magnetic Stimulation (TMS MEPs) was evaluated at baseline and regularly after study drug administration. Intracortical inhibition and facilitation was also evaluated using TMS. A figure-of-eight coil with external loop diameters of 9 cm was used to elicit motor responses in the contralateral first dorsal interosseus. (NCT01957410)
Timeframe: Baseline and Day 1 (4 hours postdose)

InterventionmV (Mean)
Responders: Baseline (n=9)Responders: Day 1, 4 hour (H) (n=9)Responders: Change from Baseline (n=9)Non-Responders: Baseline (n=4)Non-Responders: Day 1, 4H (n=4)Non-Responders: Change from Baseline (n=4)
Ketamine IV 0.5mg/kg0.8741.0520.1791.2571.197-0.060

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Pain Intensity

The primary outcome will be average pain intensity at rest on postoperative day 1 - 3. Pain Intensity rated from 0 (none) to 10 (severe). (NCT01983020)
Timeframe: postoperative day 1 - 3

Interventionunits on a scale (Mean)
Ketamine6.29
Lidocaine5.76
Ketamine and Lidocaine5.51
Placebo6.40

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The Effects of CYP2B6 Genetic Variants on Ketamine Metabolism and Clearance by CYP2B6*6 Hetero or Homozygote Genotype.

Ketamine metabolism, measured as the plasma norketamine/ketamine AUC ratio in CYP2B6*6 carriers (CYP2B6*6 hetero or homozygotes) compared to the wild-type CYP2B6*1/*1 genotype Ketamine, norketamine, and dehydronorketamine concentrations in plasma and urine were determined by enantioselective HPLC tandem mass spectrometry, using solid phase extraction, based on a modification of a published method. (NCT01988922)
Timeframe: up to 24 hours

Interventionng/ml*hr (Mean)
R-ketamine *1/*129
S-ketamine *1/*121
R-ketamine *1/*626
S-ketamine *1/*619
R-ketamine *6/*635
S-ketamine *6/*623

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Quality of Recovery 40

Scores on QOR (quality of recovery) 40 questionnaire. The QoR-40 score, which ranges from 40 to 200, representing very poor (low scores) to outstanding quality of recovery (high scores), respectively. (NCT01997515)
Timeframe: 24 hours

Interventionscore on a scale (Median)
Group K (Ketamine)170
Group P (Placebo)179

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Postoperative Pain Scores

Participants pain scores will be recorded at 24 hours after surgery. Pain scores range from 0 (no pain) to 10 (worst pain imaginable). (NCT01997515)
Timeframe: 24 hours

Interventionscore on a scale (Median)
Group K (Ketamine)4
Group P (Placebo)4

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Postoperative Opioid Consumption

Total number of opioids (morphine equivalents) consumed 24 hours after surgery (NCT01997515)
Timeframe: 24 hours

InterventionMorphine Equivalents (Median)
Group K (Ketamine)4.45
Group P (Placebo)6.3

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Length of Hospital Stay

The subjects length of hospital stay will be recorded. Length of stay is defined as day of surgery to date of discharge from the hospital which may be up to 2 weeks.. (NCT01997515)
Timeframe: Up to 2 weeks

Interventiondays (Median)
Group K (Ketamine)2.00
Group P (Placebo)2.00

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Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale

Patients given YBOCS (Yale Brown Obsessive-Compulsive Scale), a gold standard measure of obsessions and compulsions. For the YBOCS the minimum units are 0 and Maximum units on the total scale are 40. The higher the number on the YBOCS, the more severe the symptoms. Response was defined as at least a 35% reduction on the YBOCS. (NCT02062658)
Timeframe: 2 weeks

Interventionparticipants (Number)
Ketamine, Exposure & Response Prevention5

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Total Daily Opioid Requirement

Daily breakthrough opioid requirement plus non-breakthrough opioid use in milligrams of morphine equivalents (NCT02062879)
Timeframe: Participants will be followed for their entire hospital stay, an expected average of 1 week.

Interventionmg morphine equivalents/day (Median)
Ketamine10
Hydromorphone42.5

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Median Pain Score

Median daily pain score measures on a visual analogue scale for pain, with a range of 0 to 10. Higher scored indicate worse pain. (NCT02062879)
Timeframe: Participants will be followed for their entire hospital stay, an expected average of 1 week

Interventionscores on a scale (Median)
Ketamine6.3
Hydromorphone5.3

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Breakthrough Daily Opioid Requirement

Breakthrough daily opioid requirement in milligrams of morphine equivalents/day (NCT02062879)
Timeframe: Participants will be followed for their entire hospital stay, an expected average of 1 week

Interventionmg morphine equivalents/day (Median)
Ketamine10
Hydromorphone10

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Maximum Decrease in Pulse Oximetry

(NCT02078817)
Timeframe: 4 hours

Interventionpercent (Mean)
Ketamine-2.5

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Beck Depression Inventory-II (BDI-II)

BDI-II is a 21-item self-report multiple-choice inventory that assesses the severity of depressive symptoms over the prior week. Items are rated on a 4-point scale ranging from 0 to 3. Total scores are a sum of the 21 item scores ranging from 0 to 63. Higher scores indicate more severe depression symptoms. (NCT02078817)
Timeframe: 2 weeks

Interventionscore on a scale (Mean)
Ketamine17.8

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Change in Clinician Administered Dissociative States Scale (CADSS)

CADSS is a 27-item instrument measuring symptoms of dissociative stress, with 19 items completed by the patient and 8 items completed by the clinician. Items are rated on a scale of 0 (not at all) to 4 (extreme). Total scores are a sum of the 27 item scores and range from 0 to 108, with higher scores indicating greater symptom severity. (NCT02078817)
Timeframe: baseline, 2 weeks

Interventionscore on a scale (Mean)
Ketamine-19.8

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Children's Depression Rating Scale-Revised

The CDRS-R measure is given in interview form to child and parent separately. A consensus is then created with best-estimate for 17 items (each with a range of 1-5 or 1-7) using both sources of information. The total score is the sum of 17 item scores, ranging from 17-113 with higher scores indicating greater depression symptoms. (NCT02078817)
Timeframe: 2 weeks

Interventionscore on a scale (Mean)
Ketamine44.1

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Maximum Change in Diastolic Blood Pressure

(NCT02078817)
Timeframe: baseline, 45 minutes post infusion

InterventionmmHg (Mean)
Ketamine13.6

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Number of Responders Measured by Clinical Global Impression (CGI)

Responders will be defined as those with CGI ratings (given by the study clinician) of 1 or 2 (much or very much improved). Patients that are given a scores of 3-7 (minimally improved to very much worse) will be considered non-responders. (NCT02078817)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
Ketamine5

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Montgomery-Åsberg Depression Rating Scale (MADRS)

MADRS is a 10-item clinician-administered inventory measuring depression symptoms. Items are scored on a scare from 0 (none) to 6 (constant). Total scores are a sum of the 10 item scores, ranging from 0 to 60, with higher scores indicating greater symptom severity. (NCT02078817)
Timeframe: 2 weeks

Interventionscore on a scale (Mean)
Ketamine18.5

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Maximum Change in Heart Rate

(NCT02078817)
Timeframe: 4 hours

Interventionbeats per minute (Mean)
Ketamine8.9

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Maximum Change in Systolic Blood Pressure

Vital signs were measured every 15 minutes, starting from the beginning of the infusion and ending 2 hours after the infusion ended (2 hours, 40 minutes total). Maximum increase of blood pressure compared to baseline was calculated. (NCT02078817)
Timeframe: 2 hours and 40 minutes

InterventionmmHg (Mean)
Ketamine13.9

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Liebowitz Social Anxiety Score (LSAS)

Clinician-administered scale for the assessment of fear and avoidance found in social phobia (SAD); it has 24 items divided into 2 subscales, 13 for performance anxiety, and 11 for social situations each rated from 0 to 3 (0=none,1=mild,2=moderate,3=definite). The sum scores for Fear and Avoidance results in an overall score (max 144 points). There are 4 clinician subscales: fear of social interaction, fear of performance, avoidance of social interaction and avoidance of performance 0 to 30= SAD is unlikely 30 to 60=SAD is probable 60 to 90=SADis very probable >90= SAD highly probable (NCT02083926)
Timeframe: Day 1 (1+28)

Interventionscore on a scale (Mean)
Ketamine Infusion on Day 0 or Day 2866.1
Saline Infusion on Day 0 or Day 2886.1

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Visual Analogue Scale for Anxiety Symptoms (VAS-anxiety)

"Instrument that tries to measure anxiety, that is believed to range across a continuum of values and cannot easily be directly measured.We used a straight horizontal line of 100 mm in length. The ends were defined as the extreme limits of the parameter to be measured (anxiety); oriented from the left (no anxiety) to the right (worst anxiety ever felt). The patient marks on the line the point that they feel represents their perception of their current state.The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.~We examined Visual Analog Scale (VAS) for anxiety symptoms at screening, 1 hour prior to infusion, 1, 2 and 3 hours after infusion, 1, 2, 3, 5, 7, 10, and 14 days following a single ketamine/saline infusion." (NCT02083926)
Timeframe: Day 1 (1+28)

Interventionunits on a scale (Mean)
Ketamine Infusion on Day 0 or Day 2812.1
Saline Infusion on Day 0 or Day 2819.6

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CGI-S Score, Percentage Change From Baseline at Last Acute Phase Observation

The Clinical Global Impression Severity Subscale is an observer rated scale that measures illness severity. It has a range of responses from 1 (normal) through to 7 (among the most extremely ill patients). (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-29.4
Remission-50.7
Non-Remission-14.3

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MADRS Factor 1 Score, Percent Change From Baseline at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 1 (Sadness) consisted of MADRS items 1 (Apparent Sadness) and 2 (Reported Sadness). The MADRS Factor 1 Score is derived by adding all the scores from the 2 items, meaning the lowest possible score is 0 and the highest possible is 12. (NCT02094898)
Timeframe: baseline, last acute phase observation

Interventionpercentage change in score (Mean)
Entire Cohort-50.3
Remission-83.6
Non-Remission-26.5

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MADRS Factor 2 Score, Percentage Change From Baseline at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 2 (negative thoughts) consisted of MADRS items 9 (Pessimistic Thoughts) and 10 (Suicidal Thoughts). The MADRS Factor 2 Score is derived by adding all the scores from the 2 items, meaning the lowest possible score is 0 and the highest possible is 12. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-37.0
Remission-65.4
Non-Remission-16.7

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MADRS Factor 3 Score, Percentage Change From Baseline at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 3 (detachment) consisted of MADRS items 6 - 8 (Concentration Difficulties, Lassitude, and Inability to Feel). The MADRS Factor 3 Score is derived by adding all the scores from the 3 items, meaning the lowest possible score is 0 and the highest possible is 18. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-40.2
Remission-84.3
Non-Remission-8.9

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MADRS Factor 4 Score, Percentage Change From Baseline at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 4 (neurovegetative symptoms) consisted of MADRS items 3-5 (Inner Tension, Reduced Sleep, and Reduced Appetite). The MADRS Factor 4 Score is derived by adding all the scores from the 3 items, meaning the lowest possible score is 0 and the highest possible is 18. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-36.0
Remission-84.3
Non-Remission-8.4

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MADRS Suicide (Item 10) Score, Percentage Change From Baseline at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. Item 10 scores can range from 0 to 6 (with 0 indicating enjoying life, and 6 indicating explicit plans for suicide.) (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-26.7
Remission-50.0
Non-Remission-7.2

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MADRS Total Score, Percent Change From Baseline at Last Acute Phase Observation

The Montgomery Asberg Depression Scale (MADRS) is a 10-item observer rating scale assessing symptoms of depression. The score ranges from 0 (no depression) to 60 (very depressed). For this study a score of less than or equal to 9 was considered clinical remission of depression. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

Interventionpercentage change in score (Mean)
Entire Cohort-41.5
Remission-79.1
Non-Remission-14.5

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MADRS Factor 2 Score at Baseline and Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 2 (Negative Thoughts) consisted of MADRS items 9 (Pessimistic Thoughts) and 10 (Suicidal Thoughts). The MADRS Factor 2 Score is derived by adding all the scores from the 2 items, meaning the lowest possible score is 0 and the highest possible is 12. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort6.03.4
Non-Remission5.94.6
Remission6.21.8

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MADRS Factor 3 Score at Baseline and Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 3 (Detachment) consisted of MADRS items 6 - 8 (Concentration Difficulties, Lassitude, and Inability to Feel). The MADRS Factor 3 Score is derived by adding all the scores from the 3 items, meaning the lowest possible score is 0 and the highest possible is 18. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort9.54.9
Non-Remission9.37.4
Remission9.81.4

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MADRS Factor 4 Score at Baseline and Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 4 (Neurovegetative Symptoms) consisted of MADRS items 3-5 (Inner Tension, Reduced Sleep, and Reduced Appetite). The MADRS Factor 4 Score is derived by adding all the scores from the 3 items, meaning the lowest possible score is 0 and the highest possible is 18. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort6.53.8
Non-Remission6.95.9
Remission6.01.0

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MADRS Suicide Thoughts (Item 10) Score at Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. Item 10 scores can range from 0 to 6 (with 0 indicating enjoying life, and 6 indicating explicit plans for suicide.) (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort2.91.7
Non-Remission2.72.2
Remission3.21.2

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MADRS Total Score at Baseline and Last Acute Phase Observation

The Montgomery Asberg Depression Scale (MADRS) is a 10-item observer rating scale assessing symptoms of depression. The score ranges from 0 (no depression) to 60 (very depressed). For this study a score of less than or equal to 9 was considered clinical remission of depression. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort29.415.9
Non-Remission29.423.4
Remission29.45.4

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Clinical Global Impression-severity Subscale (CGI-S) at Baseline and Last Acute Phase Observation

The Clinical Global Impression Severity Subscale is an observer rated scale that measures illness severity. It has a range of responses from 1 (normal) through to 7 (among the most extremely ill patients). (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort5.63.9
Non-Remission5.74.9
Remission5.42.6

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MADRS Factor 1 Score at Baseline and Last Acute Phase Observation

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. MADRS Factor 1 (Sadness) consisted of MADRS items 1 (Apparent Sadness) and 2 (Reported Sadness). The MADRS Factor 1 Score is derived by adding all the scores from the 2 items, meaning the lowest possible score is 0 and the highest possible is 12. (NCT02094898)
Timeframe: baseline, last acute phase observation (approximately 2 weeks)

,,
Interventionunits on a scale (Mean)
BaselineLast acute phase observation
Entire Cohort7.43.5
Non-Remission7.45.1
Remission7.41.2

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Reduction in Daily Genital Pain.

"Each subject was asked to keep a symptom diary recording her daily genital pain, measured on a 10 point Likert scale. A score of 0 was defined as no pain and a score of 10 was defined as worst imaginable pain. These daily values were collected and a mean pain score for the period of treatment was calculated." (NCT02099006)
Timeframe: 13 weeks

,
Interventionunits on a scale (Mean)
LoperamideKetamineGabapentinamtriptyline/baclofenketoprofen
Medications2.43.423.703.875.05
Placebo2.922.773.413.615.05

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Reduction in Tampon Test Pain

"Reduction in the pain, as measured on a 10 point Likert scale, associated with the insertion and removal of a tampon. This is a validated surrogate for pain associated with intercourse. Subjects were asked to insert and remove a tampon each week and report the degree of pain associated with this. A score of 0 was defined as no pain, and a score of 10 was defined as worst imaginable pain." (NCT02099006)
Timeframe: 13 weeks

,
Interventionunits on a scale (Mean)
loperamideketaminegabapentinketoprofenamitriptyline/baclofen
Medications4.715.925.1256.175.43
Placebo5.295.924.8756.05.36

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Number of Participants With Adrenal Insufficiency

Incidence of adrenal insufficiency between ketamine/propofol admixture and etomidate. Adrenal insuffiency was evaluated with co-syntropin stimulation test. (NCT02105415)
Timeframe: up to 24 hours post study drug administration

InterventionParticipants (Count of Participants)
Etomidate (3-5 Hours)13
Ketamine/Propofol Admixture (3-5 Hours)5
Etomidate (23-25 Hours)9
Ketamine/Propofol Admixture (23-25 Hours)6

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Vasopressor Use

The use of vasoactive medications to restore the blood pressure post-administration in the ketamine/propofol combination as compared to the etomidate group. (NCT02105415)
Timeframe: up to 24 hours post study drug administration

,
InterventionParticipants (Count of Participants)
Pre-treamentNew-onset pressors (within 3 minutes)Delayed-onset pressors (within 24 hours)
Etomidate11257
Ketamine / Propofol Admixture51864

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Mechanical Ventilation Free Days

comparison of mechanical ventilation free days between the two groups (NCT02105415)
Timeframe: hospital discharge or day 28, whichever comes first

Interventiondays (Median)
Etomidate22
Ketamine / Propofol Admixture20

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Mean Arterial Pressure

Mean arterial pressure for the ketamine/propofol group at a 1:1 dose ratio compared to the etomidate group within the first 15 minutes post-administration in patients in need of urgent and/or emergent endotracheal intubation, as defined by any intubation within the intensive care unit excluding intubations for elective procedural events and codes. (NCT02105415)
Timeframe: baseline and every 5 minutes up to 15 minutes minutes post study drug administration

,
Interventionmm Hg (Mean)
Baseline5 minutes10 minutes15 minutes
Etomidate82.881.781.979.1
Ketamine / Propofol Admixture80.977.675.375.5

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Mortality

In-hospital/28 day mortality among patients in ketamine/propofol combination compared to in-hospital/28-day mortality in etomidate. (NCT02105415)
Timeframe: Hospital Discharge or Day 28, whichever comes first

InterventionParticipants (Count of Participants)
Etomidate26
Ketamine / Propofol Admixture25

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Number of Participants Experiencing Delirium Using Confusion Assessment Method in ICU

Comparison of number of participants who were positive for delirium using CAM-ICU between groups (NCT02105415)
Timeframe: up to 24 hours post study drug administration

InterventionParticipants (Count of Participants)
Etomidate7
Ketamine / Propofol Admixture4

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Intensive Care Unit Free Days

comparison of intensive care unit free days between the two groups (NCT02105415)
Timeframe: hospital discharge or day 28, whichever comes first

Interventiondays (Median)
Etomidate16
Ketamine / Propofol Admixture17

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Blood Product Transfusions

blood product transfusions [Red Blood Cells vs. non-Red Blood Cells] between the two groups (NCT02105415)
Timeframe: hospital discharge or day 28, whichever comes first

,
InterventionParticipants (Count of Participants)
Red blood cellNon-red blood cellColloid
Etomidate211628
Ketamine / Propofol Admixture13826

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Outpatient Follow-up Compliance

Scoring System: 0= not compliant, 1=compliant (NCT02106325)
Timeframe: 1 Day

Interventionunits on follow up compliance scale (Mean)
Ketamine0.73
Diphenhydramine.70

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Length of Inpatient Stay

(NCT02106325)
Timeframe: 2 Weeks Post-infusion

InterventionDays (Mean)
Ketamine6.33
Diphenhydramine7.80

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Montgomery-Åsberg Depression Rating Scale Suicide Ideation Item (MADRS-SI)

"40 Minutes Post Infusion, The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 54 points.~0 to 6 - normal /symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression." (NCT02106325)
Timeframe: 40 minutes post-infusion

Interventionunits on a scale (Mean)
Ketamine0.83
Diphenhydramine0.75

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Hamilton Depression Scale (Ham-D)

"Although the HAM-D form lists 21 items, the scoring is based on the first 17. It generally takes 15-20 minutes to complete the interview and score the results. Eight items are scored on a 5-point scale, ranging from 0 = not present to 4 = severe. Nine are scored from 0-2.~Sum the scores from the first 17 items 0-7= Normal 8-13= Mild Depression 14-18= Moderate Depression 19-22= Severe Depression >23= Very Severe Depression" (NCT02106325)
Timeframe: 4-6 hours post-infusion

InterventionScored units on a scale (Mean)
Ketamine21.48
Diphenhydramine17.00

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Change in Treatment Alliance Score

The I-TAS is a 10-item, Likert-style rating scale designed to assess a patient's composite treatment alliance as it develops across multi-disciplinary treatment components. The I-TAS was intended to measure the primary alliance factors identified by Hatcher and Barends (1996) of bond, goals and collaboration. Each question is scored on a scale of 0 (Completely False) to 6 (Completely True). Total scores on the ITAS range from 0 to 60, with higher scores representing greater alliance with the treatment team (better outcome). The reported score is an average of each participant's total score on the ITAS. (NCT02106325)
Timeframe: Baseline and 16 weeks

InterventionScored units on a scale (Mean)
Ketamine43.52
Diphenhydramine53.15

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Inpatient Treatment Alliance Scale (ITAS)

The I-TAS is a 10-item, Likert-style rating scale designed to assess a patient's composite treatment alliance as it develops across multi-disciplinary treatment components. The I-TAS was intended to measure the primary alliance factors identified by Hatcher and Barends (1996) of bond, goals and collaboration. Each question is scored on a scale of 0 (Completely False) to 6 (Completely True). Total scores on the ITAS range from 0 to 60, with higher scores representing greater alliance with the treatment team (better outcome). The reported score is an average of each participant's total score on the ITAS. (NCT02106325)
Timeframe: 7 days post-infusion

InterventionScored units on ITAS Scale (Mean)
Ketamine43.52
Diphenhydramine53.15

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Beck Depression Inventory-II (BDI-II)

"BDI-II items are rated on a 4-point scale ranging from 0 to 3 based on severity of each item. The maximum total score is 63.~0-13 Indicates minimal depression 14-19 Indicates mild depression 20-28 Indicates Moderate depression 29-63 Indicates Severe depression" (NCT02106325)
Timeframe: 120 min post-infusion

InterventionScored units on a scale (Mean)
Ketamine20.00
Diphenhydramine24.72

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Evaluate the Effects of Ketamine on Depressive Symptomatology by Measuring Change in Score on the Montgomery-Asberg Depressive Rating Scale

"40 Minutes Post Infusion, The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 54 points.~0 to 6 - normal /symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression." (NCT02106325)
Timeframe: Baseline and 16 weeks

Interventionunits on a scale (Mean)
Ketamine28.82
Diphenhydramine25.20

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Beck Scale for Suicidal Ideation (BSSI)

"BDI-II items are rated on a 4-point scale ranging from 0 to 3 based on severity of each item. The maximum total score is 63.~0-13 Indicates minimal depression 14-19 Indicates mild depression 20-28 Indicates Moderate depression 29-63 Indicates Severe depression" (NCT02106325)
Timeframe: 40 minutes post-infusion

Interventionunits on a scale (Mean)
Ketamine1.58
Diphenhydramine1.08

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Percent Change in Heart Rate From Baseline

Change in heart rate from baseline. (NCT02129426)
Timeframe: during sedation and recovery (generally 2-3 hours)

Interventionpercent change from baseline (Mean)
Dexmedetomidine and Ketamine-29.9
Dexmedetomidine and Midazolam-29.6

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The Number of Participants With Hypotension and/or Bradycardia During Sedation and Recovery (Generally 2-3 Hours)

number of participants developing hypotension and or bradycardia (NCT02129426)
Timeframe: a total of 2-3 hours during sedation and recovery.

,
InterventionParticipants (Count of Participants)
HypotensionBradycardia
Dexmedetomidine and Ketamine00
Dexmedetomidine and Midazolam00

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Percent Change in Blood Pressure From Baseline

Change in blood pressure from baseline. (NCT02129426)
Timeframe: during sedation and recovery (generally 2-3 hours)

Interventionpercent change from baseline (Mean)
Dexmedetomidine and Ketamine-18.7
Dexmedetomidine and Midazolam-14.9

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Pharmacological Blood-oxygen-level Dependent (pharmacoBOLD) Response

Compare changes inpharmacoBOLD in response to infusion of ketamine vs. placebo, as measured by resting state functional magnetic resonance imaging. Calculated by post-pre changes, with higher values indicating higher response (NCT02134951)
Timeframe: Day 14

InterventionBOLD signal units (Mean)
Ketamine.91
Placebo-0.27

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Glutamate + Glutamine (Glx) Response

Compare changes in Glx response to infusion of ketamine vs placebo, as measured by proton magnetic resonance spectroscopy (¹H MRS). Calculated by post-pre changes in the Glx over creatinine ratios, with higher values indicating higher Glx/creatinine ratios. (NCT02134951)
Timeframe: Day 1

InterventionGlx over creatinine ratio (Mean)
Ketamine0.015
Placebo0.007

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Quality of Patient Positioning

We estimate quality of patient positioning (0=not satisfactory, 1=satisfactory, 2=good, 3=optimal) during spinal anesthesia between two groups. (NCT02150759)
Timeframe: average 10-20 minutes during spinal anesthesia

InterventionParticipants (Count of Participants)
Lateral position72104134Lateral position72104135Hip flexion72104134Hip flexion72104135Spinal block72104134Spinal block72104135
2013
Dexmedetomidine-ketamine2
Dexmedetomidine-fentanyl15
Dexmedetomidine-ketamine9
Dexmedetomidine-ketamine3
Dexmedetomidine-fentanyl5
Dexmedetomidine-ketamine6
Dexmedetomidine-ketamine5
Dexmedetomidine-ketamine8
Dexmedetomidine-fentanyl0
Dexmedetomidine-ketamine1
Dexmedetomidine-fentanyl3
Dexmedetomidine-ketamine7
Dexmedetomidine-fentanyl13

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Pain Score Using Five Scales

We want to compare pain score (five scales; 0=calm, 1=facial grimacing, 2=moaning, 3=screaming, 4=restlessness or agitation, unable to proceed) when patients are lateral position during spinal anesthesia. (NCT02150759)
Timeframe: average 10-20 minutes

InterventionParticipants (Count of Participants)
Lateral position72104134Lateral position72104135Hip flexion72104134Hip flexion72104135Spinal blodk72104134Spinal blodk72104135
02341
Dexmedetomidine-ketamine15
Dexmedetomidine-ketamine5
Dexmedetomidine-fentanyl5
Dexmedetomidine-fentanyl16
Dexmedetomidine-fentanyl1
Dexmedetomidine-fentanyl6
Dexmedetomidine-ketamine1
Dexmedetomidine-fentanyl14
Dexmedetomidine-fentanyl0
Dexmedetomidine-ketamine17
Dexmedetomidine-fentanyl11
Dexmedetomidine-ketamine2
Dexmedetomidine-fentanyl8
Dexmedetomidine-ketamine3
Dexmedetomidine-fentanyl2
Dexmedetomidine-ketamine0

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Functional Connectivity

"The imaging experiments and analysis of subject-specific data will lead to maps corresponding to separate measures: resting state functional connectivity maps. The outcome of interest is whether ketamine reduces functional connectivity between the anterior (subgenual anterior cingulate corte, sgACC) and posterior regions (posterior cingulate cortex, PCC) of the default mode network. This is the z-score of the functional connectivity correlation.~Timepoints for Initial fMRI were: Time 1:Immediately before Infusion, Time 2: After washout (Approx. 40 min after end of infusion).~Timepoints for Depression were: Time 1: 1 Day before Infusion, Time 2: 1 Day after Infusion" (NCT02196259)
Timeframe: 8 minutes scans, acquired between 1 day and 3 days (see above)

,
Interventionz score (Mean)
Before Infusion sgACC-PCC connectivityAfter Infusion sgACC-PCC connectivity
Depression0.34590.3208
Initial MRI0.3114-0.4424

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Number of Patients Who Met and Exceeded Response Criteria of Yale-Brown Obsessive-Compulsive Scale.

Patients given YBOCS (Yale Brown Obsessive-Compulsive Scale), a gold standard measure of obsessions and compulsions. For the YBOCS the minimum units are 0 and Maximum units on the total scale are 40. The higher the number on the YBOCS, the more severe the symptoms. Response was defined as at least a 35% reduction on the YBOCS. (NCT02206776)
Timeframe: Baseline and 1 Week

InterventionParticipants (Count of Participants)
Midazolam0
Ketamine0

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Emergence Agitation

The primary endpoint is the incidence of postoperative emergence agitation that was defined as an Aono's four-point scale(AFPS) score of 3 or higher. (NCT02256358)
Timeframe: During 30 minutes after extubation at post-anesthetic care unit, every 5 minutes

Interventionparticipants (Number)
Midazolam6
Ketamine0

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Duration of Apnea After Propofol Administration

The patient will be observed for apnea after propofol is administered until the endoscopy procedure is complete. Duration of apnea will be recorded. (NCT02295553)
Timeframe: This outcome will be measured after propofol is administered until the end of the procedure.

Interventionseconds (Mean)
Ketamine 0 mg/kg59
Ketamine 0.25 mg/kg45
Ketamine 0.5 mg/kg57
Ketamine 1.0 mg/kg39

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Incidence of Adverse Respiratory Events During the Procedure

Any respiratory adverse event including desaturation <95 requiring oxygen administration or need for airway management maneuvers (jaw thrust, bag/mask ventilation) to relieve upper airway obstruction (NCT02295553)
Timeframe: From induction of anesthesia until endoscopy procedure is complete

,,,
InterventionParticipants (Count of Participants)
Desaturation requiring supplemental oxygenNeed for airway management
Ketamine 0 mg/kg111
Ketamine 0.25 mg/kg101
Ketamine 0.5 mg/kg112
Ketamine 1.0 mg/kg91

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Incidence of Side Effects and Complications During the Recovery Period

"Side effects including:~hallucinations and/or emergence delirium measured by the Pediatric Anesthesia Emergence Delirium (PAED) scale dizziness nausea and/or vomiting administration of antiemetic pain > 3/10 at any site (measured using age appropriate scale) time to discharge readiness using established criteria reasons for delayed discharge (if any)" (NCT02295553)
Timeframe: From the time procedure is complete until discharge from hospital with an average time of 1 hour.

,,,
InterventionParticipants (Count of Participants)
HallucinationsNausea/vomitingDizzinessNystagmus/visual disturbanceEmergence delirium
Ketamine 0 mg/kg00630
Ketamine 0.25 mg/kg00750
Ketamine 0.5 mg/kg12830
Ketamine 1.0 mg/kg04990

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Dose of Propofol Required to Prevent Movement (Response) to Insertion of Endoscope Into the Patient's Esophagus

The objective is to determine the effective bolus dose in 50% of subjects (ED50) of propofol in combination with ketamine 0, 0.25, 0.5 and 1 mg/kg that produces an adequate depth of anesthesia to prevent minimal or no movement on endoscope insertion in children (NCT02295553)
Timeframe: This outcome is measured at the time of insertion of the endoscope into the esophagus.

Interventionmg/kg (Mean)
Ketamine 0 mg/kg6.1
Ketamine 0.25 mg/kg4.5
Ketamine 0.5 mg/kg4.7
Ketamine 1.0 mg/kg1.1

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ED Length of Stay (Minutes)

ED Length of stay (minutes) throughout study period (NCT02306759)
Timeframe: throughout study completion

Interventionminutes (Mean)
Treatment267
Placebo292

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Change From Baseline of Pain as Described by Numeric Rating Scale (NRS) [Minimum:0, Maximum 10] at 15 Minutes

Change from Baseline of Pain as described by Numeric Rating Scale (NRS) [minimum:0, maximum 10] at 15 minutes. Lower values indicate worst outcomes while higher values indicate better outcomes. (NCT02306759)
Timeframe: 15 minutes after administration of study intervention

Interventionunits on a scale (Median)
Treatment3.5
Placebo6.0

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Mean Consumption of Rescue Analgesia

(NCT02306759)
Timeframe: at designated intervals during study period (0, 15, 30, 45, 60, 75, 90, 105, 120 minutes)

,
Interventionmilligrams (Mean)
T5T15T30T45T60T75T90T105T120
Placebo00.140.2800.22000.420.42
Treatment00.230.370.07000.480.550

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Patient Satisfaction of Pain Control Based on a Likert Scale

Patient satisfaction of pain control based on a Likert Scale at the end of study completion, an average of 90 minutes. Scores reported out of scale of 10, 10 being most satisfied and 1 being least satisfied. (NCT02306759)
Timeframe: At the end of study period

Interventionunits on a scale (Mean)
Treatment8.57
Placebo6.05

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Number of Participants With Adverse Events

Incidence or number of participants with adverse events. (NCT02306759)
Timeframe: during the study period

Interventionparticipants (Number)
Treatment2
Placebo4

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Total Hydromorphone Use

Total hydromorphone use in 1st 24 hours post-operatively. (NCT02334059)
Timeframe: During surgery and 24 hours post-op

,,
Interventionmcg/Kg (Mean)
IntraoperativePACU
Ketamine161.541.9
Ketamine Plus Magnesium159.647.8
Placebo195.947.3

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Intraoperative Minimum Alveolar Concentration (MAC) of Desflurane

The average MAC concentration of desflurane will be recorded during the intraoperative period. The Minimum Alveolar Concentration (MAC) of an inhaled anesthetic is the alveolar (or end-expiratory) concentration at which 50% of patients will not show a motor response to a standardized surgical incision. (NCT02334059)
Timeframe: Intraoperative period

InterventionMinimal Alveolar Concentration (MAC) (Mean)
Ketamine4.05
Ketamine Plus Magnesium4.02
Placebo4.34

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Pain Scores Using Verbal Analogue Scale (VAS)

Pain scores using VAS scale will be recorded pre-operatively, in the PACU, and every 4 hours until 24 hours post-op. The VAS is a 10 point scale, where 0 = no pain and 10 = the worst pain a subject has ever felt. The highest value 10, indicates an extreme self reported level of pain. (NCT02334059)
Timeframe: Preoperatively and the 1st 24 hours post-op

,,
Interventionunits on a scale (Mean)
Prior to SurgeryPACU4h after surgery8h after surgery12h after surgery16h after surgery20h after surgery24h after surgery
Ketamine0.415.783.893.673.162.973.223.24
Ketamine Plus Magnesium0.356.034.293.753.913.644.133.48
Placebo0.275.954.653.642.693.092.943.33

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Remission Defined as MADRS Score Equal or Less Than 9

Comparing the number of subjects that achieve remission between groups as defined above (NCT02360280)
Timeframe: 13 days

InterventionParticipants (Count of Participants)
Six Ketamine Infusions12
Single Ketamine Infusion Preceded by 5 Midazolam Infusions11

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Score After 12 Days of Treatment

Average difference in the Montgomery-Asberg Depression Rating Scale (MADRS) score change between groups. The MADRS has 10-items which are based on mood symptoms over the past 7 days. Each items is scored 0 (normal) to 6 (severe depression) with overall score ranges from 0 (normal) to 60 (severe depression). (NCT02360280)
Timeframe: 13 days

Interventionunits on a scale (Mean)
Six Ketamine Infusions21.0
Single Ketamine Infusion Preceded by 5 Midazolam Infusions17.2

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Antidepressant Response Defined as >50% Decrease in MADRS Baseline Score

Comparing the number of subjects that achieve response between groups as defined above. (NCT02360280)
Timeframe: 13 days

InterventionParticipants (Count of Participants)
Six Ketamine Infusions19
Single Ketamine Infusion Preceded by 5 Midazolam Infusions20

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Time From Post-infusion Response to Occurrence of Relapse Defined as <50% of Baseline MADRS Score

The length of time from post-infusion response until relapse (defined as >50% of MADRS baseline score) assessed for up to 6 months. (NCT02360280)
Timeframe: 6 months

Interventionweeks (Median)
Six Ketamine Infusions6.00
Single Ketamine Infusion Preceded by 5 Midazolam Infusions2.00

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Overall Rate of Feeling Unreality

Overall rate of feeling of unreality as measured by Side Effects Rating Scale for Dissociative Anesthetics (SERSDA) (NCT02363270)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
IV Push Group22
IV Drip Group13

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Pain Score at 30 Minutes

An 11 point Likert Visual Analog Scale with 0 being no pain, 5 being moderate pain and 10 being very severe pain was verbally administered to the patient at 30 minutes post administration of analgesia. (NCT02388321)
Timeframe: 30 minutes

Interventionunits on a scale (Mean)
Ketamine3.36
Fentanyl2.09

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Adverse Events at 30 Minutes

The patient were asked at 30 minutes post administration of analgesia if they experienced any side effects like nausea, vomiting, headache etc. (NCT02388321)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
Ketamine0
Fentanyl0

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Montgomery Asberg Depression Rating Scale (MADRS)

full range score from 0-60, with higher scores indicating greater depressive symptoms (NCT02397889)
Timeframe: 2 weeks after the first drug infusion

Interventionscore on a scale (Mean)
Experimental Ketamine Group14.7
Active Control Midazolam Group21.9

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The Impact of Event Scale - Revised (IES-R)

full range score from 0-88, with higher scores indicating greater PTSD symptoms (NCT02397889)
Timeframe: 24 hours after the first drug infusion

Interventionscore on a scale (Mean)
Experimental Ketamine Group19.7
Active Control Midazolam Group24.8

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Quick Inventory of Depression Symptomatology - Self-Report (QIDS-SR)

full range score from 0-27, with higher scores indicating greater depressive symptoms (NCT02397889)
Timeframe: 2 weeks after the first drug infusion

Interventionscore on a scale (Mean)
Experimental Ketamine Group6.6
Active Control Midazolam Group6.7

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Number of Participants With Patient-Rated Inventory of Side Effects (PRISE)

All side effects listed in Adverse Event section. (NCT02397889)
Timeframe: up to 21 weeks

InterventionParticipants (Count of Participants)
Experimental Ketamine Group15
Active Control Midazolam Group15

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Montgomery Asberg Depression Rating Scale (MADRS)

full range score from 0-60, with higher scores indicating greater depressive symptoms (NCT02397889)
Timeframe: 24 hours after the first drug infusion

Interventionscore on a scale (Mean)
Experimental Ketamine Group16.5
Active Control Midazolam Group17.1

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Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)

full range score from 0-80, with higher scores indicating greater PTSD symptoms (NCT02397889)
Timeframe: 2 weeks after the first infusion

Interventionscore on a scale (Mean)
Experimental Ketamine Group22.5
Active Control Midazolam Group33.2

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Depression Relapse Rate

Clinical outcomes are secondary in this pilot trial. The 24-item Hamilton Rating Scale for Depression (HRSD-24) will be used to assess for the main clinical outcome, the relapse rate over six months. Criteria for relapse are ≥10 point increase in HRSD-24 compared to baseline Phase 2 score plus HRSD ≥16; in addition, increase in the HRSD should be maintained one week later (if indicated, additional follow-ups will be arranged). Hospital admission, further ECT, and deliberate self-harm/suicide also constitute relapse. (NCT02414932)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Ketamine1
Midazolam1

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Completion Rate for Randomised Treatment

Process outcomes are primary in this pilot trial. These include recruitment methods and rate of completion and will be assessed following the completion of the trial (NCT02414932)
Timeframe: 30 months

InterventionParticipants (Count of Participants)
Ketamine0
Midazolam0

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4-item Brief Psychiatric Rating Scale (BPRS)

"The Brief Psychiatric Rating Scale is used to assess the presence of psychotic symptoms. This 4-item version assesses conceptual disorganization, suspiciousness/persecution, hallucinatory behavior, and unusual thought content. Each item is rated on a scale from 0 (not present) to 6 (extreme). The scores range from 0-24, with higher scores indicating more severe symptoms.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt0.02
MDD With Suicidal Ideation no Attempt0.04
MDD Without Suicidal Ideation no Attempt0.03

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Clinician-Administered Dissociative States Scale (CADSS)

"The Clinician-Administered Dissociative States Scale, ascertains the presence or absence of dissociative symptoms. There are 23 clinician-administered items, each scored from 0 (not at all) to 4 (extreme). Scores range from 0-92, with higher scores indicating more severe symptoms. Items assess impairment in body sensation, perception of time and environment, memory impairment, and feelings of unreality.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt0.5
MDD With Suicidal Ideation no Attempt0.37
MDD Without Suicidal Ideation no Attempt0.34

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Systematic Assessment for Treatment Emergent Events (SAFTEE)

"The Systematic Assessment for Treatment Emergent Events, is a 56 item, self-report inventory for adverse events. Each item is categorized by severity as: 0-none, 1-mild, 2-moderate, 3-severe. Score range is 0-168, with higher scores indicating more severe symptoms. It is designed to report adverse health events, regardless of whether or not they are suspected to be drug related, in order to reduce the under-reporting of unanticipated events compared with known or expected events.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt20.66
MDD With Suicidal Ideation no Attempt18.67
MDD Without Suicidal Ideation no Attempt11.81

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Young Mania Rating Scale (YMRS)

This scale assesses for manic symptoms. The scale has 11 items and is based on the patient's subjective report of his or her clinical condition over the previous 48 hours. 13-19=minimal symptoms; 20-25=mild mania, 26-37=moderate mania, 38-60=severe mania. The YMRS total score ranges from 0 to 60 where higher scores indicate more severe mania. (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt1.61
MDD With Suicidal Ideation no Attempt2.02
MDD Without Suicidal Ideation no Attempt0.85

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Beck Scale for Suicide Ideation (BSS)

"The Beck Scale for Suicidal Ideation (BSSI) is a 21-item, self-report rating scale that measures the current intensity of specific attitudes, behaviors, and plans to commit suicide. Each item consists of 3 options graded according to intensity on a 3-point scale (0-2). Scores range from 0-42, with higher scores indicating more severe symptoms.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt9.09
MDD With Suicidal Ideation no Attempt8.46
MDD Without Suicidal Ideation no Attempt1.9

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Beck Hopelessness Scale (BHS)

"The Beck Hopelessness Scale is a 20-item self-report index of pessimism about the future, loss of motivation, and negative expectations. Each optimistic response is scored as 0 and each pessimistic response is scored as 1. A total score is calculated by summing the pessimistic responses for each of the 20 items. Minimum possible score is 0.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt8.25
MDD With Suicidal Ideation no Attempt8.35
MDD Without Suicidal Ideation no Attempt7.22

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Montgomery Asberg Depression Rating Scale (MADRS)

"The Montgomery-Åsberg Depression Rating Scale revised to reflect shorter timeframes will be the primary measure of change in depression. The Montgomery-Asberg Depression Rating Scale is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders. A total score ranging from 0 to 6 indicates that the patient is in the normal range (no depression), a score ranging from 7 to 19 indicates mild depression, 20 to 34 indicates moderate depression, a score of 35 and greater indicates severe depression, and a total score of 60 indicates very severe depression. Scores range form 0-60, with higher scores indicating more severe symptoms.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers" (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt11.7
MDD With Suicidal Ideation no Attempt11.56
MDD Without Suicidal Ideation no Attempt8.14

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Beck Depression Inventory (BDI)

"The Beck Depression Inventory is a 21-item, self-report rating inventory that measures characteristic attitudes and symptoms of depression. The inventory contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). Anxiety symptoms are not assessed but affective, cognitive, somatic and vegetative symptoms are covered. Scoring is achieved by adding the highest ratings for all 21 items. The minimum score is 0 and maximum score is 63. Higher scores indicate greater symptom severity.~The participant numbers below correlate to the number of usable lab samples. This is the reason for discrepancy in numbers." (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt18.02
MDD With Suicidal Ideation no Attempt15.85
MDD Without Suicidal Ideation no Attempt12.12

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Beck Anxiety Inventory (BAI)

"The scale is a 21-item self-report of anxiety. The total score is calculated by finding the sum of the 21 items. The scores range form 0-63, with higher scores indicating more severe symptoms.~Score of 0 - 21 = low anxiety Score of 22 - 35 = moderate anxiety Score of 36 and above = potentially concerning levels of anxiety" (NCT02418195)
Timeframe: 180 minutes post dose

Interventionunits on a scale (Mean)
MDD With Recent Suicide Attempt6.76
MDD With Suicidal Ideation no Attempt6.59
MDD Without Suicidal Ideation no Attempt3.31

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OCD Visual Analogue Scale (OCD-VAS)

"The OCD-VAS is a one-item unipolar scale to assess OCD symptoms over a rapid time frame (No obsessions to Constant obsessions). The scale ranges from 0-10 with higher scores indicating higher presence of obsessions." (NCT02422290)
Timeframe: Screening, Baseline, Day 1-14, 3-Month; Baseline and Day 14 pre-specified to be reported

Interventionscore on a scale (Mean)
OCD-VAS BaselineOCD-VAS Day 14
Ketamine Treatment Group5.005.00

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Clinical Global Impressions - Severity Scale (CGI-S)

The CGI-S is a clinician rated 7-point rating scale for the severity of a participant's illness relative to the clinician's experience of working with this particular population. The score ranges from 1-7 with higher scores indicating greater illness severity. (NCT02422290)
Timeframe: Screening, Baseline, Day 7, Day 17, 3-Month; Baseline and Day 14 pre-specified to be reported

Interventionscore on a scale (Mean)
CGI-S BaselineCGI-S Day 14
Ketamine Treatment Group5.805.00

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Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)

The CY-BOCS is a semi-structured measure of OCD severity with excellent inter-rater reliability, internal consistency, and test-retest reliability. It is validated in those starting at age 7 and used in studies up to age 20. The CYBOCS differs from the adult YBOCS only in its use of simpler language. The CY-BOCS consists of 10 items which are summed up to derive the total CY-BOCS score. The total score ranges from 0-40 with higher scores indicating greater severity of OCD symptoms. (NCT02422290)
Timeframe: Screening, Baseline, Day 7, Day 17, 3-Month; Baseline and Day 14 pre-specified to be reported

Interventionscore on a scale (Mean)
CY-BOCS BaselineCY-BOCS Day 14
Ketamine Treatment Group29.0026.20

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Yale-Brown Obsessive Compulsive Challenge Scale (Y-BOCCS)

"The Y-BOCCS is self-report scale which assesses OCD symptoms on a 5-point likert scale (None to Extreme). It consists of 10 items which are summed up to derive the total Y-BOCCS score. The total score ranges from 0-40 with higher scores indicating higher prevalence of OCD symptoms." (NCT02422290)
Timeframe: Screening, Baseline, Day 1-14, 3-Month; Baseline and Day 14 pre-specified to be reported

Interventionscore on a scale (Mean)
Y-BOCCS BaselineY-BOCCS Day 14
Ketamine Treatment Group18.2516.50

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Beck's Depression Inventory

"Beck's Depression Inventory (BDI) is a 21-item, self-report rating inventory that measures attitudes and symptoms of depression. Each sentence has a rating from 0 to 3 and the sentences go from mild to fairly severe descriptions of moods. The numbers are tabulated, the lowest possible score is 0 and the highest is 63.~A score of 1-10 indicates normal ups and downs. 11-16 indicates a mild mood disturbance; 17-20, borderline clinical depression; 21-30, moderate depression; 31-40, severe depression; over 40, extreme depression" (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine8
Placebo9

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Pain Score

"McGill Short Form measures pain in different ways. The first part of the form lists 15 adjectives for pain, for which the answers can be none (0), Mild (1), Moderate (2) and Severe (3). Descriptors 1-11 represent the sensory dimension of pain experience and 12-15 represent the affective dimension. A score of 0 is good, and a score of 45 indicates extreme pain. The lower the score the less pain a subject feels (better), as the scores go up, so do the pain levels (worse).~PPI (Present Pain Intensity) asks patients to measure pain from 0 (no pain) to 5 (excruciating). Again, a lower score is ideal." (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine11
Placebo10.5

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Scores on Questionnaires

Quality of Recovery 15 questions questionnaires that ask, on a scale of 0-10, with 0 always being bad and 10 always being best, how the patient is recovering. The total number is reviewed, so the highest total score possible is 150 and the lowest is 0. (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine95
Placebo101

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Pain Treatment-VAS (Visual Analog Scale)

Study outcomes involve change in participants' pain as measured by a visual analog scale. The scale is a 10 inch line from 0 to 10 inches with 10 being the most pain and 0 being no pain. There are no units on the scale; it is just a straight line from no pain (0) to the worst pain (10). We assessed at o, 15, and 60 minutes but only scored the VAS at 60 minutes. (NCT02430818)
Timeframe: At 0 minutes and 60 minutes

Interventionscore on a scale (Median)
Ketamine4
Morphine4

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Would the Participant Would Consider Using the Drug Given to Them for Pain Relief in the Future

Patients will be assessed to determine whether the participant would consider using the drug given to them for pain relief in the future. It was measured on a likert scale from 1-5 with 1 being did not like and would not use the drug again to 5 being like and would definitely receive the medication again. There are no units. The numbers below are the total number of patients that completed this answer. This was only asked on patients that received medication as if they did not receive medication the answer would not make sense. The median value is the likert value on a scale of 1-5 with the standard deviation. (NCT02430818)
Timeframe: 60 minutes

Interventionunits on a scale (Median)
Ketamine4
Morphine4

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Number of Participants With an Adverse Effects

We will monitor for adverse effects and record for changes in vital signs including nausea and vomiting, hypotension, respiratory depression, laryngospasm, and emotional and psychological effects (emergence reactions). (NCT02430818)
Timeframe: 60 minutes

Interventionparticipants (Number)
Ketamine1
Morphine1

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Length of Stay

Total hospital length of stay in days up to 365 days. (NCT02432456)
Timeframe: Total Index Hospitalization up to 365 days

,
Interventiondays (Median)
AdultElderly
Ketamine Infusion55
Placebo Infusion4.06

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Oral Morphine Equivalent (Narcotic Usage)

This is an analysis of the narcotic utilization during the study. Oral Morphine Equivalents is a means of standardizing narcotic utilization given a multitude of different medications are utilized. Medications are standardized to units (milligrams) or oral morphine for a standardized comparison. (NCT02432456)
Timeframe: 12-24 hours post infusion

,
Interventionoral morphine equivalents (Median)
AdultElderly
Ketamine Infusion4521.3
Placebo Infusion45.030

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Visual Analog Numeric Pain Score

Visual Analog Numeric Pain scores are reported as a single numeric score between 0 and 10. The more severe the pain the higher the number with 10 representing the most severe pain imaginable. (NCT02432456)
Timeframe: 12-24 hours post infusion

,
Interventionscore on a scale (Mean)
AdultElderly
Ketamine Infusion5.75.1
Placebo Infusion6.15.2

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Oral Morphine Equivalent (Narcotic Usage) in Severely Injured

This is an analysis of the narcotic utilization during the study. Oral Morphine Equivalents is a means of standardizing narcotic utilization given a multitude of different medications are utilized. Medications are standardized to units (milligrams) or oral morphine for a standardized comparison. (NCT02432456)
Timeframe: Total Index Hospitalization up to 365 days

,
Interventionoral morphine equivalents (Median)
AdultElderly
Ketamine Infusion153.067.5
Placebo Infusion170.586.8

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Oral Morphine Equivalent (Narcotic Usage)

This is an analysis of the narcotic utilization during the study. Oral Morphine Equivalents is a means of standardizing narcotic utilization given a multitude of different medications are utilized. Medications are standardized to units (milligrams) or oral morphine for a standardized comparison. (NCT02432456)
Timeframe: 24-48 hours post infusion

,
Interventionoral morphine equivalents (Median)
AdultElderly
Ketamine Infusion69.025
Placebo Infusion6744

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Visual Analog Numeric Pain Score

Visual Analog Numeric Pain scores are reported as a single numeric score between 0 and 10. The more severe the pain the higher the number with 10 representing the most severe pain imaginable. (NCT02432456)
Timeframe: 24-48 hours post infusion

,
Interventionscore on a scale (Mean)
AdultElderly
Ketamine Infusion5.65.1
Placebo Infusion5.84.4

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Regional Anesthesia Utilization

This is a measure of the Epidural Placement rates. Epidural placement was binary as in patient received or did not receive an epidural infusion catheter for supplemental pain management. (NCT02432456)
Timeframe: Total Index Hospitalization up to 365 days

,
Interventionparticipants (Number)
AdultElderly
Ketamine Infusion74
Placebo Infusion36

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Respiratory Failure

Respiratory failure within this trial was defined by the need for unanticipated intubation and/or transfer to ICU for respiratory support. (NCT02432456)
Timeframe: Total Index Hospitalization up to 365 days

,
InterventionParticipants (Count of Participants)
AdultElderly
Ketamine Infusion20
Placebo Infusion30

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Hallucination

Hallucinations were documented and confirmed by the treating medical team. (NCT02432456)
Timeframe: Total Index Hospitalization up to 365 days

,
InterventionParticipants (Count of Participants)
AdultElderly
Ketamine Infusion02
Placebo Infusion12

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Incidence of Treatment Failure by Treatment Group.

Requiring more than two doses of the study medication provided for adequate pain control (NCT02434939)
Timeframe: 120 minutes

Interventionparticipants (Number)
Low Dose Ketamine34
Morphine48

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Maximal Change in NRS Pain Scores as a Percentage of Baseline NRS Pain Score.

Our primary outcome measurement was the maximum change on the verbal NRS pain scale compared with their initial score (baseline). The NRS was used to measure a patient's subjective level of pain on a scale from 0 (representing no pain at all) to 10 (the worst pain imaginable) using whole numbers. The NRS score was documented just prior to the administration of the study drug (time zero). After infusion of the study drug was complete, NRS scores were documented at 5, 10, 20, and then every 20 minutes thereafter up to 120 minutes. We stopped recording NRS scores prior to 120 minutes if the patient requested a third dose of the study drug, withdrew consent or developed a severe adverse effect. (NCT02434939)
Timeframe: 5, 10, 20,25,30, 40,45,50 60, 80, 100, 120 minutes post drug adminstration

,
Interventionpercent change from baseline NRS score. (Mean)
OverallExcluding Treatment failuresAmong Treatment failuresThose still at maximal effect at 120
Low Dose Ketamine-66.4-81.1-33.8-80
Morphine-61.3-79.8-33.9-81.7

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Incidence of Side Effects, Including Outlying Vital Signs

The patient will be assessed for vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), Ramsay Sedation Scale (RSS) score at 5,10,20 minutes following medication administration and then every 20 minutes until a total of 120 minutes from the first dose of study medication. outlying vital signs recorded.( systolic Blood pressure less than 90mmHg or greater than 150mmHg, Heart rate less than 50bpm or greater than 150bpm, oxygen saturation below 90%, respiratory rate below 9breaths/minute or greater than 40breaths/minute and RSS of 1 or greater than 3) The RSS was used to asses the level of agitation or sedation caused by the intervention .the scale ranges from 1(anxious/agitated) to 6( no response to stimulus-deep sedation) with 2 being the optimal (cooperative, oriented and tranquil).A checklist for side effects like airway problems, allergic reactions, salivation, dysphoria,nystagmus, respiratory/cardiac arrest, awakening hallucinations, nausea/vomiting was used (NCT02434939)
Timeframe: 5, 10, 20, 40, 60, 80, 100, 120 minutes post drug administration

Interventionparticipants (Number)
Low Dose Ketamine45
Morphine4

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Time to Maximal Analgesic Effect and Duration of Action of Ketamine

"Following dosage with study medication, the amount of time taken to demonstrate the maximal change in the patient's NRS pain score.~Maximal change in NRS pain score is to be defined as the largest change from patient's baseline pain score. Duration of maximal change is how long the patient's pain score remained at this level." (NCT02434939)
Timeframe: 5, 10, 20, 40, 60, 80, 100, 120 minutes post drug administration

,
Interventionminutes (Mean)
time to maximal effectduration of maximal effect
Low Dose Ketamine19.860
Morphine34.158.5

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Change in Pain Scores

VAS Scores will be assessed on Day of Surgery (DOS), Post-op Day (POD) 1, 2 and 7. If patients have been discharged, coordinators will contact patient by home. (NCT02452060)
Timeframe: Baseline (DOS) to 7 days (Post Op)

Interventionscore on a scale (Mean)
Treatment/Placebo1.45
Treatment1

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Length of Stay During Hospitalization

LOS will be recorded from medical record. (NCT02452060)
Timeframe: 8 days

InterventionDays (Median)
Treatment/Placebo1.3
Treatment1.2

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Ketamine Level

Plasma level of ketamine (NCT02487485)
Timeframe: During infusion, approximately 40 mins

Interventionng/mL (Mean)
Ketamine + Sirolimus115
Ketamine + Placebo125

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Positive and Negative Symptom Scale (PANSS) - Positive

Positive and Negative Symptom Scale (PANSS): The PANSS is commonly used to measure the severity of symptoms in psychotic disorders. It is a clinician- administered scale and includes three categories of symptoms: (1) positive symptoms, such as hallucination and delusion; (2) negative symptoms, such as flat affect and difficulty in abstract thinking; (3) general psychopathology, such as mannerisms and posturing. Ranges from 0-49 for positive scale (higher is worse). (NCT02487485)
Timeframe: During infusion, approximately 40 mins

Interventionscore on a scale (Mean)
Ketamine + Sirolimus9.1537
Ketamine + Placebo8.9444

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Rapamycin Level

Plasma level of rapamycin (a.k.a. sirolimus). (NCT02487485)
Timeframe: During infusion, approximately 0 mins

Interventionng/mL (Mean)
Ketamine + Sirolimus26.5
Ketamine + Placebo0

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Hamilton Anxiety Rating Scale (HAMA)

Hamilton Anxiety Rating Scale (HAM-A): The HAM-A is a standardized clinician-rated instrument to evaluate the severity of anxiety symptoms. Ranges from 0-56 (higher is worse). (NCT02487485)
Timeframe: Pretreatment and 2 week

,
Interventionscore on a scale (Mean)
PretreatmentAt 2 weeks
Ketamine + Placebo13.822210.8669
Ketamine + Sirolimus12.96789.8755

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Montgomery-Asberg Depression Rating Scale

Montgomery-Asberg Depression Rating Scale (MADRS): The MADRS is a standardized instrument to ascertain depressed mood and neurovegetative signs and symptoms of depression. Ranges from 0-60 (higher is worse). (NCT02487485)
Timeframe: Pretreatment and 2 week

,
Interventionscore on a scale (Mean)
PretreatmentAt 2 weeks
Ketamine + Placebo26.575620.9065
Ketamine + Sirolimus27.938716.5482

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Quick Inventory of Depressive Symptoms (QIDS)

Quick Inventory of Depressive Symptoms - Self-Report (QIDS-SR): The QIDS-SR is a patient-rated depression instrument. Ranges from 0-27 (higher is worse). (NCT02487485)
Timeframe: Pretreatment and 2 week

,
Interventionscore on a scale (Mean)
PretreatmentAt 2 weeks
Ketamine + Placebo11.394210.6699
Ketamine + Sirolimus12.63429.1193

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Clinician Administered Dissociative States Scale (CADSS)

Clinician Administered Dissociative States Scale (CADSS): The CADSS has self and interviewer-administered items including 5 subscales, generated a priori, evaluating dissociation including altered environmental perception, time perception, spatial/body perception, derealization and memory impairment. Ranges from 0-108 (higher is worse). (NCT02487485)
Timeframe: During infusion, approximately 40 mins

Interventionscore on a scale (Mean)
Ketamine + Sirolimus12.1
Ketamine + Placebo13.95

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Change in Level of Pain Control as Reported on the NRS-11

"Patient-reported pain scores on numerical rating scale (NRS) -11 pain scale (where 0 indicates no pain at all, 10 indicates the most severe pain). Initial group were patients enrolled and randomized in to the study, assessments were taken at the time of enrollment/randomization in to the study (up to 20 min prior to T=0). T = 0 min assessments were conducted at the time of medication administration (study allowed for an up to 20-minute delay in receiving study drug in order to retrieve study drug from secure storage, nursing documentation and patient verification prior to administration)." (NCT02489630)
Timeframe: 20 min pre-medication administration, 0 min, 30 min, 60 min, 90 min, 120 min post medication administration

,
InterventionUnits on a scale (1-10) (Mean)
InitialT = 0 minT = 30 minT = 60 minT = 90 minT = 120 min
Ketamine9.387.515.255.314.514.24
Placebo9.448.102.276.186.215.68

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Change in Patient Satisfaction With Pain Control on a 1-4 Likert Scale

Patient-reported score regarding satisfaction with pain control, reported on a 4-point Likert scale (1-4, where 1 is the lowest satisfaction score possible and 4 is the highest satisfaction score possible). No data is reported for T = 0 min, as that assessment was conducted concurrently with initial medication dosing (since patients were at that point receiving their first pain control efforts, they could not yet assess their satisfaction with those efforts). (NCT02489630)
Timeframe: 0 min, 30 min, 60 min, 90 min, 120 min post medication administration

,
InterventionUnits on a scale (1-4) (Mean)
T = 30 minT = 60 minT = 90 minT = 120 min
Ketamine2.092.382.542.66
Placebo2.272.332.382.52

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Difference in Opiate Dosage Between Study Arms in Morphine Equivalents

"Average difference in opiate dosage between study arms, calculated in morphine equivalents. Initial indicates at first dose of opioid administration, up to 20 mins prior to study drug administration, and from 0 min to 120 min after study drug administration." (NCT02489630)
Timeframe: 20 mins pre-medication administration, 0 min, 30 min, 60 min, 90 min, 120 min post medication administration

,
InterventionMilligrams of Morphine Equivalent (Mean)
Initial Narcotic DosageTotal Narcotic Dosage
Ketamine5.419.95
Placebo5.8312.81

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Postoperative Pain as Measured on a 11-point Numerical Rating Scale

Pain will be measured using an 11-point numerical rating scale from 0 (no pain) to 10 (worst pain imaginable) units on a scale. (NCT02514122)
Timeframe: The average of twice daily pain scores, from end of surgery until 60 hours postoperative.

Interventionunits on a scale (Mean)
Ketamine3.5
Saline4.9

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Memory Testing

Subjects completed the Remember, Know, New (RKN) task during next day testing. Their d' memory score was calculated based on their ability to discriminate between previously heard words and new words. A higher d' score indicates stronger recollection. D' scores were compared across the control condition (saline) and the drug conditions dexmedetomidine, midazolam, and ketamine. Performance was also calculated according to words associated with Pain and No Pain conditions. (NCT02515890)
Timeframe: At memory testing 1 day later

,,,
Interventiond' score (Mean)
All ConditionsNo Pain ConditionPain Condition
Dexmedetomidine1.201.121.28
Ketamine.82.85.78
Midazolam.56.55.57
Saline1.181.181.10

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Sedation Efficacy

Measure sedation depth using Ramsay Sedation Scale. Varies from 1-6 with 1: anxious, agitated, restless 2: Cooperative, oriented, tranquil 3: responsive to commands 4: Brisk response to light glabellar tap or auditory stimulus 5: Sluggish response to light glabellar tap or loud auditory stimulus 6 being no response to light glabellar tap or loud auditory stimulus. Higher the score, greater is the depth of sedation. Use of ketamine usually provides a depth of sedation of 5 or 6. (NCT02519595)
Timeframe: Participants will be assessed after study drug adminsitration and the maximum depth of sedation achieved recorded. Approximately 2 hours

Interventionunits on a scale (Median)
Ketamine IV 1 mg/kg5.5
Ketamine IV 1.5 mg/kg6
Ketamine IV 2 mg/kg6

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Additional Dose

Number of participants to whom additional doses of ketamine administered apart from the study dose (NCT02519595)
Timeframe: Patients will be assessed during procedure . Approximately 1 hours

Interventionparticipants (Number)
Ketamine IV 1 mg/kg8
Ketamine IV 1.5 mg/kg1
Ketamine IV 2 mg/kg2

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Pain

"Measure pain using self reported Wong Baker faces pain rating scale prior to sedation, during sedation and prior to discharge.The scale shows a series of faces ranging from a happy face at 0, No hurt to a crying face at 10 Hurts worst. The patient must choose the face that best describes how they are feeling. The score has values of 0(no hurt), 2(hurts little bit), 4(hurts little more), 6(hurts even more), 8(hurts whole lot),10 (hurts worst). The patient chooses one number that describes the pain best (eg. Either a 2 or 4)." (NCT02519595)
Timeframe: Patients will be assessed during the procedure after administration of sedation medicaiton. Approximately 30 minutes

Interventionunits on a scale (Median)
Ketamine IV 1 mg/kg0
Ketamine IV 1.5 mg/kg0
Ketamine IV 2 mg/kg0

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Sedation Duration

Length of sedation was defined as the time duration from the administration of study medication until ready for discharge using standardized discharge criteria (Aldrete scoring >9) followed at our institution. (NCT02519595)
Timeframe: Patients will be assessed during the length of time from administration of sedation medication until ready for discharge, Approximately 3 hours

InterventionMinutes (Median)
Ketamine IV 1 mg/kg23
Ketamine IV 1.5 mg/kg24.5
Ketamine IV 2 mg/kg23

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Sedation Satisfaction

Consultants will be asked to rate their level of satisfaction with sedation on a Likert Scale of 1-3 (NCT02519595)
Timeframe: At the end of the procedure. Approximately 1 hour

,,
Interventionparticipants (Number)
Not satisfiedSatisfiedVery Satisfied
Ketamine IV 1 mg/kg101227
Ketamine IV 1.5 mg/kg2329
Ketamine IV 2 mg/kg1629

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Adverse Events

Adverse events secondary to sedation experienced by the patient and interventions performed to overcome them (NCT02519595)
Timeframe: Patients will be assessed after administration of medication until discharge and will have a follow up phone call 48 hours after discharge for 3 attempts. 5 days.,

,,
Interventionparticipants (Number)
Adverse events in EDPost discharge Emesis
Ketamine IV 1 mg/kg54
Ketamine IV 1.5 mg/kg54
Ketamine IV 2 mg/kg46

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Secondary Outcome: Total Dose of Opioid Pain Medication in Morphine Equivalents/kg/Hour

Compare the total dose of opioid pain medication in morphine equivalents/kg/hour required during the ED evaluation of children with suspected forearm fractures after randomization and treatment with IN ketamine or IN fentanyl. (NCT02521415)
Timeframe: participants will be followed during the emergency department length of stay, estimated to average 6 hours

Interventionmorphine equivalents/kg/hr (Median)
Ketamine0.04
Fentanyl0.05

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Exploratory Outcome: Reduction in Age Appropriate Pain Scale Scores

Mean difference in the reduction of the pain scale scores at 20 minutes. Two commonly used, age appropriate and previously validated, pediatric pain assessment tools were used: FACES Pain Scale - Revised for children ages 4-10 and the Visual Analog Scale for children ages 11-17. The FACES Pain Scale - Revised is a self-reported measure of pain intensity developed for children with pain intensity represented by images of grimacing faces on a scale of 0 (no pain) to 10 (maximum pain). The Visual Analog Scale is a self-reported measure of pain intensity where patients mark their pain level on a 10 cm line that represents a continuum of no pain at 0 cm and worst pain at 10 cm. For analysis, pain scale data were merged and reported as values form 0 to 100. The minimum clinically significant reduction in pain was defined as a decrease of 20. (NCT02521415)
Timeframe: 20 minutes

Interventionunits on a scale (Mean)
Ketamine44
Fentanyl35

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Controlled Oral Word Association Test (COWAT) at Last Infusion

This is a verbal fluency measure. Outcome is the count of words that meet criteria within 1 minute, so the minimum is 0 and no fixed maximum exists. Higher scores reflect a better outcome. (NCT02522377)
Timeframe: visit 17

Interventionnumber of words (Mean)
Ketamine Infusions33.45
Midazolam37.17

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Montgomery Asberg Depression Rating Scale (MADRS) at Last Infusion

Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60 (NCT02522377)
Timeframe: visit 17

Interventionscore on a scale (Mean)
Ketamine Infusions22.29
Midazolam24.27

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Montreal Cognitive Assessment (MOCA) at Last Infusion

MoCA scores range between 0 and 30. Higher scores reflect higher cognition. (NCT02522377)
Timeframe: visit 17

Interventionscore on a scale (Mean)
Ketamine Infusions24.81
Midazolam25.79

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Hopkins Verbal Learning Test - Revised (HVLT-R) at Last Infusion

The number of words remembered are recorded. Scores range from 0 to 12 with higher scores reflecting better acquisition. (NCT02522377)
Timeframe: visit 17

Interventionscore on a scale (Mean)
Ketamine Infusions9.42
Midazolam11.20

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Hamilton Depression Rating Scale (HAMD-17) at Last Infusion

Change in HAMD-17 at Infusion 6. Scores range from 0 to 50, with higher scores representing more depression. (NCT02522377)
Timeframe: visit 17

Interventionscore on a scale (Mean)
Ketamine Infusions13.74
Midazolam14.97

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Percentage of Participants Demonstrating Alcohol Abstinence in the Control (Midazolam) Group Versus the Active (Ketamine) Group

Percentage of participants demonstrating alcohol abstinence in the control (midazolam) group versus the active (ketamine) group (NCT02539511)
Timeframe: 21 days post-infusion

Interventionpercentage of participants (Number)
Control Group: Midazolam+MET68.6
Active Group: Ketamine+MET98.6

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Percent Change in Tissue Fractional Anisotropy Quantification (Right Inferior Longitudinal Fasciculus)

Free-water imaging, a two-compartment diffusion model, was employed to quantify tissue fractional anisotropy (FAt) pre- and post-infusion (NCT02544607)
Timeframe: 4 hours

Interventionpercent change (Number)
Ketamine + MRI1.247

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Percent Change in Tissue Fractional Anisotropy Quantification (Left Inferior Longitudinal Fasciculus)

Free-water imaging, a two-compartment diffusion model, was employed to quantify tissue fractional anisotropy (FAt) pre- and post-infusion (NCT02544607)
Timeframe: 4 hours

Interventionpercent change (Number)
Ketamine + MRI.901

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Change in Hamilton Depression Rating Scale (HDRS) From Baseline/Minute 0 to 4 Hours Post-infusion.

"Hamilton Depression Rating Scale; possible scores range from 0 to 81 with higher scores indicating higher depression symptoms~Change will be calculated by difference between HDRS from Minute 0 to Minute 240." (NCT02544607)
Timeframe: 4 hours

Interventionscore on a scale (Mean)
Ketamine-9.625

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Percent Change in Tissue Fractional Anisotropy Quantification (Right Uncinate Fasciculus)

Free-water imaging, a two-compartment diffusion model, was employed to quantify tissue fractional anisotropy (FAt) pre- and post-infusion (NCT02544607)
Timeframe: 4 hours

Interventionpercent change (Number)
Ketamine + MRI1.158

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Percent Change in Tissue Fractional Anisotropy Quantification (Left Superior Longitudinal Fasciculus)

Free-water imaging, a two-compartment diffusion model, was employed to quantify tissue fractional anisotropy (FAt) pre- and post-infusion (NCT02544607)
Timeframe: 4 hours

Interventionpercent change (Number)
Ketamine + MRI.696

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Number of Patients Who Develop Postoperative Delirium

Delirium was defined as a positive CAM (Confusion assessment method) score. CAM score was recorded every 12 hours postoperatively as per routine. The CAM consists of 4 features: 1-Onset, 2-Inattention, 3-Disorganized thinking, and 4-altered level of consciousness. The diagnosis of delirium by CAM is based on the presence of features 1 and 2, and either 3 or 4. The score is either positive or negative. Positive means the patient has delirium and negative indicates the patient is not delirious. (NCT02554253)
Timeframe: Baseline (preoperative cognitive tests) to hospital discharge or 10 days postoperatively whichever came first.

InterventionParticipants (Count of Participants)
Ketamine0
Propofol1

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Number of Patients With Acute Kidney Injury

AKI was defined by Kidney Disease Improving Global Outcomes (KDIGO) criteria including an increase in serum creatinine ≥0.3 mg/dL within 48 hours, an increase in serum creatinine to ≥1.5 times baseline within 7 days, and urine output < 0.5 mL/kg/hr for 6 hours. (NCT02554253)
Timeframe: Baseline (preoperative cognitive tests) to hospital discharge or 10 days postoperatively whichever came first.

InterventionParticipants (Count of Participants)
Ketamine6
Propofol12

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Number of Patients With Postoperative Cognitive Dysfunction

"Pre and postoperative cognitive studies will be performed to assess change in cognitive function.~Postoperative cognitive dysfunction (POCD) was defined a-priori as a decline of decline of >1 standard deviation (i.e. z-score decline of > 1) on at least 2 neurocognitive tests. The neurocognitive tests utilized include Trail making Test A, Trail making Test B, Hopkins Verbal Learning Test-Revised Learning trials, Hopkins Verbal Learning Test-Revised Delayed Recall, Digit Span, Controlled Oral Word Association Test, Stroop color/word test, and the Mini Mental Status Examination." (NCT02554253)
Timeframe: Baseline (preoperative cognitive tests) to hospital discharge or 10 days postoperatively whichever came first.

InterventionParticipants (Count of Participants)
Ketamine16
Propofol10

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Change in Resting-state Quantitative Electroencephalography (EEG) Frontal Gamma Band Power (Log of Microvolt Squared)

Change in EEG frontal gamma power from pre-infusion baseline to 30 minutes after start of infusion to assess engagement of the study drug with the N-methyl-D-aspartate receptor. (NCT02556606)
Timeframe: Baseline to 30 minutes after start of infusion

,,,
InterventionuV^2 (Mean)
Pre-infusion baseline30 minutes after start of infusion
Ketamine 0.10 mg/kg0.00190.0035
Ketamine 0.25 mg/kg0.0550.0057
Ketamine 0.50 mg/kg0.00420.0098
Midazolam 0.03 mg/kg0.00610.004

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Change in Diastolic Blood Pressure (Millimeters of Mercury, mm Hg)

Change in systolic blood pressure from pre-infusion baseline to 30 minutes after start of infusion (NCT02556606)
Timeframe: Baseline to 30 minutes after start of infusion

,,,
Interventionmm Hg (Mean)
Pre-infusion baseline30 minutes after start of infusion
Ketamine 0.10 mg/kg80.591.25
Ketamine 0.25 mg/kg74.682.6
Ketamine 0.50 mg/kg82.6495.45
Midazolam 0.03 mg/kg72.2373.54

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Change in Clinician-Administered Dissociative States Scale (CADSS)

Change from pre-infusion baseline to end of infusion at 40 minutes after start of infusion on the Clinician-Administered Dissociative States Scale (CADSS; scale form 0 [no psychosis-like symptoms] to 90 [severe psychosis-like symptoms]) to assess psychosis-like side effect on day of infusion. (NCT02556606)
Timeframe: Baseline to 40 minutes after start of infusion

,,,
InterventionScore on CADSS scale (Mean)
Pre-infusion baselineEnd of infusion at 40 minutes
Ketamine 0.10 mg/kg1.414.79
Ketamine 0.25 mg/kg014.98
Ketamine 0.50 mg/kg0.0921.36
Midazolam 0.03 mg/kg0.234.38

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Percentage of Patients With Continuation From Day 7 to Day 28 Post-infusion of at Least a 50% Improvement in MADRS

Patients with a day 7 treatment response (at least a 50% improvement from baseline in Montgomery-Asberg Depression Rating Scale [MADRS]) are followed until day 28 post-infusion; day 7 non-responders are not followed. Outcome measure is the percentage of patients who continue to be responder at day 28, and is interpreted as a measure of durability of efficacy. (NCT02556606)
Timeframe: 28 days post-infusion follow-up

InterventionParticipants (Count of Participants)
Ketamine 0.10 mg/kg0
Ketamine 0.25 mg/kg1
Ketamine 0.50 mg/kg7
Midazolam 0.03 mg/kg4

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Percentage of Participants Demonstrating at Least a 50% Reduction on Montgomery-Asberg Depression Rating Scale Scores

To determine the best performing intervention among three sub-anesthetic doses of a single ketamine (0.1 mg/kg, 0.25 mg/kg, and 0.50 mg/kg) and midazolam (0.03 mg/kg) in Veterans with LL-TRD as measured by the percentage of participants demonstrating at least a 50% reduction from pre-treatment baseline on Montgomery-Asberg Depression Rating Scale (MADRS; score range 0 - 60, higher scores meaning more severe depression) scores at 7 days post-infusion. (NCT02556606)
Timeframe: Day 7 post-infusion

InterventionParticipants (Count of Participants)
Ketamine 0.10 mg/kg0
Ketamine 0.25 mg/kg2
Ketamine 0.50 mg/kg8
Midazolam 0.03 mg/kg6

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Change in Systolic Blood Pressure (Millimeters of Mercury, mm Hg)

Change in systolic blood pressure from pre-infusion baseline to 30 minutes after start of infusion (NCT02556606)
Timeframe: Baseline to 30 minutes after start of infusion

,,,
Interventionmm Hg (Mean)
Pre-infusion baseline30 minutes after start of infusion
Ketamine 0.10 mg/kg154.25152.75
Ketamine 0.25 mg/kg142.2148.2
Ketamine 0.50 mg/kg132.91160.36
Midazolam 0.03 mg/kg125.54116.62

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Quality of Postoperative Recovery Assessed by QoR-40 Questionnaire 24 Hours After Surgery

Quality of postoperative functional recovery assessed by the questionnaire QoR40 The quality of postoperative functional recovery was assessed by the QoR-40 questionnaire, which assesses five dimensions of recovery (physical comfort - 12 items; emotional state - 7 items; physical independence - 5 items; physiological support - 7 items; and pain - 7 items). Each item was rated on a five-point Likert scale: none of the time, some of the time, usually, most of the time, and all the time. The total score on the QoR-40 ranges from 40 (poorest quality of recovery) to 200 (best quality of recovery). The QoR-40 was administered by a blind investigator 24 hours after surgery. (NCT02571153)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Saline Group187.8
Ketamine 0.2189.6
Ketamine 0.4186.8

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The Severity of Postoperative Pain

"The severity of postoperative pain was rated the higher score of pain (NRS) during the hospital ward stay.~Pain was evaluated using a 0-10 numeric pain rating scale (NRS), where zero meant no pain and 10 the worst imaginable pain." (NCT02571153)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Saline Group3.2
Ketamine 0.22.8
Ketamine 0.43.6

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Percentage of Participants With Tramadol Consumption

Percentage of Participants with Tramadol during the ward stay (NCT02571153)
Timeframe: 24 hours

Interventionpercentage of participants (Number)
Saline Group5.1
Ketamine 0.210.8
Ketamine 0.413.9

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Occurrence of Postoperative, Nausea and Vomiting

Percentage of participants with postoperative nausea and vomiting at the PACU and during the hospital ward stay (NCT02571153)
Timeframe: 24 hours

Interventionpercentage of participants (Number)
Saline Group30.8
Ketamine 0.229.7
Ketamine 0.439.5

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Occurrence of Pain at PACU Using a 0-10 Numeric Pain Rating Scale

Occurrence of pain at the PACU. Average Pain will be calculated. The pain score will be evaluated using a 0-10 numeric pain rating scale, where zero mean no pain and 10 the worst imaginable pain. (NCT02571153)
Timeframe: 90 minutes postanesthesia at recovery room

Interventionunits on a scale (Mean)
Saline Group3.8
Ketamine 0.22.6
Ketamine 0.42.8

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Morphine Consumption (mg) at PACU

Morphine consumption (mg) at PACU (about 90 to 120 minutes) (NCT02571153)
Timeframe: During the stay at postanesthesia recovery room (about 90 to 120 minutes)

Interventionmg (Mean)
Saline Group1.6
Ketamine 0.20.9
Ketamine 0.41.1

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Length of PACU Stay

Length of stay at postanesthesia recovery room (NCT02571153)
Timeframe: During the stay at postanesthesia recovery room (about 90 to 120 minutes)

Interventionminutes (Mean)
Saline Group82.9
Ketamine 0.284.5
Ketamine 0.486

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Montgomery-Asberg Depression Rating Scale Score 1 Day After Infusion

"Depressive symptoms (measured by Montgomery-Asberg Depression Rating Scale, revised (MADRS) score) on 1 day after infusion, for the cohort of subjects enrolled in the MDD arm of this trial.~Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60.~Usual cutoff points are:~0 to 6 - normal /symptom absent. 7 to 19 - mild depression. 20 to 34 - moderate depression. >34 - severe depression." (NCT02579928)
Timeframe: 1 day after the infusion

Interventionunits on a scale (Mean)
Ketamine15.44
Midazolam24.13

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Number of Choices to Self-administer Cocaine (Out of 5 Choices)

Participants provided 5 choices (cocaine 25 mg now vs. $11 later), with choices spaces 15 minutes apart over the course of the session. (NCT02596022)
Timeframe: 24 hours post-infusion

Interventionnumber of cocaine choices (Mean)
CI-581a1.61
CI-581b4.33

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Time to Discharge From the Postanesthesia Care Unit (PACU)

This is the number of minutes from admission to the PACU until discharge, assessed up to 2 days (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU

Interventionminutes (Mean)
Baseline Measurement266
CDS Email Recommendations264
CDS Email + Real TIme Recommenations266

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The Number of Prophylactic Interventions for PONV

the absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic case

Interventionprophylactic antiemetics administered (Mean)
Baseline Measurement2.196
CDS Email Recommendations2.176
CDS Email + Real TIme Recommenations2.129

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PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting

The occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU. (NCT02625181)
Timeframe: PACU recovery period

InterventionParticipants (Count of Participants)
Baseline Measurement139
CDS Email Recommendations1323
CDS Email + Real TIme Recommenations1343

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Adherence to PONV Guidelines

PONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic case

InterventionParticipants (Count of Participants)
Baseline Measurement666
CDS Email Recommendations5260
CDS Email + Real TIme Recommenations5863

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Number of Participants With New Diagnosis of Adrenal Insufficiency

New diagnosis of adrenal insufficiency will be assessed by the the primary treating medical or surgical team via chart review (NCT02643381)
Timeframe: Day 28

InterventionParticipants (Count of Participants)
Etomidate11
Ketamine4

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Survival at Day 28

Survival is defined as the number of participants survived at day 28 following emergency endotracheal intubation (NCT02643381)
Timeframe: Day 28

InterventionParticipants (Count of Participants)
Etomidate254
Ketamine264

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Survival at Day 7

Survival is defined as the number of participants survived at day 7 following emergency endotracheal intubation (NCT02643381)
Timeframe: Day 7

InterventionParticipants (Count of Participants)
Etomidate306
Ketamine336

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Duration of Mechanical Ventilation

Duration (in days) from insertion to removal of mechanical ventilation (NCT02643381)
Timeframe: From time of documented insertion until the time of documented removal, assessed up to 28 days

InterventionDays (Median)
Etomidate5
Ketamine5

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Length of Stay in ICU

Length (in days) of ICU stay (NCT02643381)
Timeframe: Assessed up to 28 days

InterventionDays (Median)
Etomidate8
Ketamine9

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Duration of Catecholamine Therapy

Time (in days) from start to end of catecholamine therapy (NCT02643381)
Timeframe: From time of documented start of therapy until the time of documented end of therapy, assessed up to 28 days

InterventionDays (Median)
Etomidate1
Ketamine1

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Sequential Organ Failure Assessment (SOFA) Scores

Sequential Organ Failure Assessment (SOFA) is a scoring system that assesses the performance of several organ systems. Possible scores range from 0 to 24. Higher score indicates higher degree of organ dysfunction (NCT02643381)
Timeframe: Day 1, Day 2, Day 3, Day 4

,
Interventionscore on a scale (Mean)
Day 1Day 2Day 3Day 4
Etomidate10.79.88.47.4
Ketamine10.99.58.47.4

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Total Sedation Required to Allow Initiation of Procedure

Using the computerized record system, the amount of Propofol a patient required to allow for the procedure to start quantified and compared between groups. (NCT02643979)
Timeframe: Day 1

Interventionmg/kg (Mean)
Ketofol: Ketamine and Propofol78
Propofol Only61

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Total Dose of Propofol Used During the Procedure

Propofol doses are logged in the computerized Compurecord system used in the operating room. Patients involved in the study had their total Propofol dose required quantified and compared between groups who received Ketamine and groups who did not. (NCT02643979)
Timeframe: Day 1

Interventionmg/kg (Mean)
Ketofol: Ketamine and Propofol9.09
Propofol Only39

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Number of Participants With Gagging Reaction

"Number of participants with gagging or vomit-like reaction on endoscopic insertion" (NCT02643979)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Ketofol: Ketamine and Propofol2
Propofol Only1

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Time to Recovery

Monitored via the electronic medical record system as the time between the anesthesia end time and when the patient was safe for discharge from the hospital. (NCT02643979)
Timeframe: Day 1

Interventionminutes (Mean)
Ketofol: Ketamine and Propofol21
Propofol Only25

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Number of Participants With Post-operative Nausea and/or Vomiting

(NCT02643979)
Timeframe: up to 6 months

InterventionParticipants (Count of Participants)
Ketofol: Ketamine and Propofol0
Propofol Only0

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Number of Participants With Any Type of Airway Obstruction

The Anesthesiologist caring for the patient during the upper endoscopy made note of any obstructive events defined on a scale ranging from the patient audibly snoring (obstructing) to the patient obstructing and requiring assistance such as a chin lift or jaw thrust to relieve the obstruction and continue to move air adequately. (NCT02643979)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Ketofol: Ketamine and Propofol4
Propofol Only3

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Number of Participants With Emergence Delirium

Number of participants with emergence delirium measured from the procedure end until time of discharge. (NCT02643979)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Ketofol: Ketamine and Propofol0
Propofol Only0

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Relapse Rates

Time line follow back (NCT02649231)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Ketamine+Psychological Therapy13
Ketamine+Education15
Placebo+Psychological Therapy14
Placebo+Education18

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Percentage Days Abstinent

Time line follow back (NCT02649231)
Timeframe: 6 months

Interventionpercentage of days abstinent (Mean)
Ketamine+Psychological Therapy86.4
Ketamine+Education82.5
Placebo+Psychological Therapy78.3
Placebo+Education70.7

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 1 - Day 0

Interventionscore on a scale (Mean)
Placebo28.24
Low Dose Ketamine27.81
High Dose Ketamine27.84

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 2 - Day 1

Interventionscore on a scale (Mean)
Placebo17.75
Low Dose Ketamine17.02
High Dose Ketamine12.94

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 4 - Day 7

Interventionscore on a scale (Mean)
Placebo19.94
Low Dose Ketamine17.83
High Dose Ketamine18.54

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 6 - Day 14

Interventionscore on a scale (Mean)
Placebo18.36
Low Dose Ketamine16.71
High Dose Ketamine16.83

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 3 - Day 3

Interventionunits on a scale (Mean)
Placebo36.90
Low Dose Ketamine33.66
High Dose Ketamine34.20

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 2 - Day 1

Interventionunits on a scale (Mean)
Placebo37.65
Low Dose Ketamine32.75
High Dose Ketamine30.10

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 7 - Day 56

Interventionunits on a scale (Mean)
Placebo31.90
Low Dose Ketamine24.32
High Dose Ketamine31.23

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 1 - Day 25

Interventionscore on a scale (Mean)
Placebo15.98
Low Dose Ketamine12.91
High Dose Ketamine10.78

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 6 - Day 49

Interventionunits on a scale (Mean)
Placebo30.71
Low Dose Ketamine24.90
High Dose Ketamine30.21

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 5 - Day 10

Interventionunits on a scale (Mean)
Placebo35.11
Low Dose Ketamine28.51
High Dose Ketamine31.46

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 4 - Day 7

Interventionunits on a scale (Mean)
Placebo34.75
Low Dose Ketamine29.09
High Dose Ketamine32.58

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 9 - Day 24

Interventionunits on a scale (Mean)
Placebo28.31
Low Dose Ketamine21.94
High Dose Ketamine25.62

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 5 - Day 42

Interventionunits on a scale (Mean)
Placebo28.14
Low Dose Ketamine25.62
High Dose Ketamine29.16

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 8 - Day 21

Interventionunits on a scale (Mean)
Placebo29.31
Low Dose Ketamine24.52
High Dose Ketamine26.73

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 4 - Day 35

Interventionunits on a scale (Mean)
Placebo26.92
Low Dose Ketamine22.84
High Dose Ketamine24.09

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 3 - Day 29

Interventionunits on a scale (Mean)
Placebo33.79
Low Dose Ketamine33.72
High Dose Ketamine40.27

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 2 - Day 28

Interventionscore on a scale (Mean)
Placebo24.00
Low Dose Ketamine25.11
High Dose Ketamine25.08

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 3 - Day 29

Interventionscore on a scale (Mean)
Placebo15.00
Low Dose Ketamine19.18
High Dose Ketamine20.27

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 4 - Day 35

Interventionscore on a scale (Mean)
Placebo16.08
Low Dose Ketamine14.43
High Dose Ketamine12.72

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 5 - Day 42

Interventionscore on a scale (Mean)
Placebo16.89
Low Dose Ketamine15.74
High Dose Ketamine16.42

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 5 - Day 10

Interventionscore on a scale (Mean)
Placebo20.70
Low Dose Ketamine16.64
High Dose Ketamine18.07

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 6 - Day 49

Interventionscore on a scale (Mean)
Placebo19.60
Low Dose Ketamine15.87
High Dose Ketamine17.68

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Follow-up 7 - Day 56

Interventionscore on a scale (Mean)
Placebo19.45
Low Dose Ketamine15.44
High Dose Ketamine19.58

[back to top]

Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 3 - Day 3

Interventionscore on a scale (Mean)
Placebo19.98
Low Dose Ketamine19.34
High Dose Ketamine17.86

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 2 - Day 28

Interventionunits on a scale (Mean)
Placebo37.84
Low Dose Ketamine34.59
High Dose Ketamine39.58

[back to top]

The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Follow-up 1 - Day 25

Interventionunits on a scale (Mean)
Placebo27.34
Low Dose Ketamine21.35
High Dose Ketamine22.54

[back to top]

PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 1 -Day 0

Interventionunits on a scale (Mean)
Placebo48.56
Low Dose Ketamine46.62
High Dose Ketamine47.88

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 9 - Day 24

Interventionscore on a scale (Mean)
Placebo17.11
Low Dose Ketamine14.43
High Dose Ketamine14.24

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 8 - Day 21

Interventionscore on a scale (Mean)
Placebo17.02
Low Dose Ketamine16.44
High Dose Ketamine15.78

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Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten-item diagnostic questionnaire to measure the severity of depression. The overall score ranges from 0 to 60 (0 to 6 - normal/symptom absent; 7 to 19 mild depression; 20 to 34 - moderate depression; >34 - severe depression) (NCT02655692)
Timeframe: Session 7 - Day 17

Interventionscore on a scale (Mean)
Placebo17.02
Low Dose Ketamine14.75
High Dose Ketamine15.15

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 7 - Day 17

Interventionunits on a scale (Mean)
Placebo28.48
Low Dose Ketamine24.13
High Dose Ketamine26.54

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The PTSD Checklist (PCL)

"The PTSD Checklist (PCL) is a brief measure of the symptoms of Posttraumatic Stress Disorder (PTSD) to measure change in PTSD symptoms. The PCL-5 is a 20-item self-report measure, a total symptom severity score (range - 0-80) is obtained by summing the scores for each of the 20 items. (5-point Likert (0 = Not at all to 4 = Extremely). A total symptom severity score (range 0-80) with higher scores indicating greater severity for PTSD" (NCT02655692)
Timeframe: Session 6 - Day 14

Interventionunits on a scale (Mean)
Placebo30.80
Low Dose Ketamine26.40
High Dose Ketamine27.91

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Anxiety

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum anxiety. A change of 0 mm corresponds to no change in anxiety level, and a negative value indicates worsening of the anxiety after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm33.7
Study Arm21.2

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Headache Following Intervention

Reduction in 100 mm Visual Analog Scale (VAS) Score. Positive values represent a reduction in headache severity. The maximum possible change in VAS score is 100 mm, representing the complete relief of a maximally severe headache. A change of 0 mm corresponds to no change in headache severity, and a negative value indicates worsening of the headache after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm63.5
Study Arm43.5

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The Number of Patients Experiencing Restlessness

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm3
Study Arm3

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The Number of Participants Experiencing Vomiting

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm2
Study Arm3

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Nausea

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum nausea. A change of 0 mm corresponds to no change in nausea level, and a negative value indicates worsening of the nausea after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm38.9
Study Arm22.9

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Depression Relapse Rate During Treatment and Follow-up Phase

Clinical outcomes are secondary in this pilot trial. The 24-item Hamilton Rating Scale for Depression (HRSD-24) was used to assess for the main clinical outcome, the relapse rate over six months. Criteria for relapse are ≥10 point increase in HRSD-24 compared to baseline score plus HRSD ≥16; in addition, increase in the HRSD should be maintained one week later (if indicated, additional follow-ups will be arranged). Hospital admission, and deliberate self-harm/suicide also constitute relapse. Relapse may also occur during the eight-week treatment phase and is captured here. (NCT02661061)
Timeframe: 8 months

InterventionParticipants (Count of Participants)
Ketamine2
Midazolam3

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Completion Rate for Randomised Treatment Phase

The outcomes for this pilot trial are process outcomes, primarily rates of recruitment and retention. Thus, the completion rate for the randomised treatment phase is the primary outcome. The study is not designed to assess efficacy. (NCT02661061)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
Ketamine3
Midazolam2

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Effectiveness of Anesthetic Drugs in Terms of Number of Participants With Adverse Events.

Direct observation and medical record review will be used to analyze adverse effects. Reported as number of participants with one or more adverse events. (NCT02664922)
Timeframe: Intraoperatively to postoperatively in the ICU, an expected average of 5-7 hours.

InterventionParticipants (Count of Participants)
Sedation - Group 11
Sedation - Group 22
Sedation - Group 30
General Anesthesia - Group 10

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Effectiveness of Anesthetic Drugs in Terms of Number of Participants With Clinical Success.

The proceduralist will follow-up 1-3 months post-procedure to evaluate the number of participants with clinical success reported by number of recurrences. Clinical success is defined as 0 recurrences in participants at 1-3 months post-operatively. (NCT02664922)
Timeframe: 1-3 months postoperatively

InterventionParticipants (Count of Participants)
Sedation - Group 10
Sedation - Group 20
Sedation - Group 31
General Anesthesia - Group 11

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Effectiveness of Anesthetic Drugs in Terms of Proceduralist Satisfaction.

The proceduralist will complete a written questionnaire after the procedure to rate their satisfaction. A Likert Scale is used and ranges from 1 - Disagree very much to 6 - Agree very much. (NCT02664922)
Timeframe: Intraoperatively to postoperatively in the ICU, an expected average of 5-7 hours.

Interventionscore on a scale (Mean)
Sedation - Group 15.7
Sedation - Group 25.6
Sedation - Group 35.2
General Anesthesia - Group 15.1

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Effectiveness of Anesthetic Drugs in Terms of Patient Satisfaction.

Patients will also be asked to complete a written questionnaire prior to discharge from the hospital to measure patient satisfaction during their anesthesia care. A Likert Scale is used and ranges from 1 - Disagree very much to 6 - Agree very much. (NCT02664922)
Timeframe: Intraoperatively to postoperatively in the ICU, an expected average of 5-7 hours.

Interventionscore on a scale (Mean)
Sedation - Group 13.4
Sedation - Group 23.0
Sedation - Group 33.5
General Anesthesia - Group 13.1

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Effectiveness of Anesthetic Drugs in Terms of Pain Relief.

"A patient's pain level will be assessed using a numerical pain rating scale from 0 no pain to 10 worst possible pain." (NCT02664922)
Timeframe: Intraoperatively to postoperatively in the ICU, an expected average of 5-7 hours.

Interventionscore on a scale (Mean)
Sedation - Group 11.7
Sedation - Group 20.4
Sedation - Group 30.2
General Anesthesia - Group 10

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Effectiveness of Anesthetic Drugs in Terms of Patient Comfort.

A patient's level of sedation will be assessed using a scoring system on a scale from 1-5. The Observer's Assessment of Alertness/Sedation (OAA/S) Score Responsiveness Component score from 1 - Does not respond to mild prodding or shaking to 5 - Responds readily to name spoken in normal tone. (NCT02664922)
Timeframe: Intraoperatively to postoperatively in the ICU, an expected average of 5-7 hours.

Interventionscore on a scale (Mean)
Sedation - Group 12.9
Sedation - Group 23.0
Sedation - Group 33.0
General Anesthesia - Group 11.0

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Hamilton Depression Rating Scale (HDRS, HAM-D)

Continuous score of depression symptoms. The higher the score, the more severe the depression. HAMD scores range from 0 to 81. (NCT02669043)
Timeframe: 48 hours

Interventionunits on a scale (Mean)
Ketamine11.5

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Reduction of Pain Score at 30 Minutes

The primary outcome will be the comparative reduction of NRS pain scores between the 2 groups at 30 minutes. The NRS Pain scale ranges from 0 to 10 (0 being no pain at all to 10 being very severe pain; 5 is moderate pain) (NCT02673372)
Timeframe: 30 minutes

Interventionscore on a scale (Mean)
Morphine Group4.4
Ketamine Group4.2

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Achievement of Pain Response After Ketamine Dose.

NRS (National rating scale) pain score change from baseline following ketamine dose. Minimum score is 0, maximum score is 10, and higher scores mean worse pain. (NCT02697071)
Timeframe: 30 minutes

Interventionchange in score on a scale (Median)
Placebo Control2.0
Ketamine1.0

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Categorical Pain Score Change From Baseline

"change in baseline categorical pain score at 30 minutes (categorical pain intensity score from 0 to 3 where 0=no headache and 3=severe headache)" (NCT02697071)
Timeframe: 30 minutes

Interventionchange in score on a scale (Mean)
Placebo Control0.72
Ketamine0.56

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Functional Disability Score Change From Baseline

"change in functional disability from baseline at 30 minutes (functional disability score from 0 to 3 where 0=no disruption of daily activities and 3=performance of daily activities is severely impaired)" (NCT02697071)
Timeframe: 30 minutes

Interventionchange in score on a scale (Mean)
Placebo Control0.39
Ketamine0.44

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Change in PTSD Symptoms

"PTSD symptoms severity will be evaluated overtime using the PTSD Checklist for DSM-5 (PCL-5), a 20 items self-report measure. Items are scored 0-4 (0=not at all to 4=Extremely), thus total PCL-5 score ranges from 0 to 80. Higher scores reflect greater severity of PTSD.~Total PCL-5 scores are reported. PCL score>33 indicates probable PTSD diagnosis. Evidence for the PCL suggested 5 points reduction as a minimum threshold for determining whether an individual has responded to treatment and 10 points reduction in the PCL-5 as a minimum threshold for determining whether the improvement is clinically meaningful." (NCT02727998)
Timeframe: Baseline, 7 days, 30 days and 90 days

,
Interventionscore on a scale (Mean)
BaselineEnd of Treatment (7 days)30 Days Follow Up90 Days Follow Up
Midazolam With Prolonged Exposure44.435.128.528.7
Single Infusion of Ketamine With Prolonged Exposure48.829.532.734.2

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Change in Beck Depression Inventory (BDI-II)

The self-report BDI-II will be used to assess severity of depressive symptoms. A higher score is associated with higher severity of depression. The score is interpreted as follows: 0-13 indicates minimal depression, 14-19 indicates mild depression, 20-28 indicates moderate depression and 29-63 indicates severe depression (NCT02727998)
Timeframe: Baseline, 7 days, 30 days and 90 days

,
Interventionscore on a scale (Mean)
BaselineEnd of Treatment (7 Days)30 Days Follow Up90 Days Follow Up
Midazolam With Prolonged Exposure47.639.936.536.8
Single Infusion of Ketamine With Prolonged Exposure48.538.943.042.8

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Change in Anterior-Posterior Phase-lag in the Scalp EEG During Recovery

High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Phase-lag was assessed using the Phase-Lag Index (PLI), a measure ranging from 0 - 1. A consistent phase-lag between two tim-series results in a PLI of 1. A time-series without coupling results in a PLI near or equaling 0. Results show the difference in anterior-posterior PLI between baseline and post-ECT. (NCT02761330)
Timeframe: baseline, post-ECT from 0 -120 minutes

InterventionPhase Lag Index (PLI) (Median)
Etomidate + ECT-0.001
Ketamine + ECT-0.049
Ketamine Alone-0.017

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Average Change in Mood Based on the Depression PROMIS-CAT

"PROMIS-CAT (Patient Reported Outcomes Measurement Information System-Computer Adaptive Testing) for depression~The groups/arms for this outcome are combined as a whole-group analysis due to the Crossover design of this study, as pre-specified by the study protocol. Breaking up the analyses into the various arms of the study would change our scientific questions and approach. Further, any statistical analyses would be underpowered due to low participant numbers in each arm. Thus, the results are combined and reported as a whole group analysis. All participants included in analyses completed all treatments included in the study, the various arms for the study vary only in the order in which participants received each treatment. These data show the change in mood from baseline to treatment 6 based on the PROMIS-CAT. Additionally, data collected at baseline are not dependent on the study group/arm." (NCT02761330)
Timeframe: baseline and 120 minutes after return of responsiveness, assessed on treatment days 1-6

Interventionscore on a scale (Mean)
All Participants-0.5108

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Change in Anterior-Posterior Functional Connectivity in the Scalp During Recovery

"High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as the coherence measure, which is used for tracking changes in anterior-posterior functional connectivity.~Coherence is a measure of synchronization between two signals which is used to measure anterior-posterior functional connectivity. Coherence is a unitless measure between 0 and 1. High coherence between time-series of two neural populations reflects higher efficiency in communication between those populations and therefore stronger functional connectivity." (NCT02761330)
Timeframe: baseline, post-ECT from 0-120 minutes

Interventionunitless (Median)
Etomidate + ECT-0.014
Ketamine + ECT-0.002
Ketamine Alone-0.004

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Change in Theta Band (4-8 Hz) Relative Power in the Scalp EEG During Recovery

High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as the percent of total power in the theta band over the sum of total power between 0.5 - 70Hz. (NCT02761330)
Timeframe: baseline, post-ECT from 0-120 minutes

Interventionpercent of total power (Median)
Etomidate + ECT-0.008
Ketamine + ECT-0.015
Ketamine Alone0.015

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Change in Alpha Band (8-13 Hz) Power in the Scalp EEG During Recovery

High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as the percent of total power in the alpha band over the sum of total power between 0.5 - 70Hz. (NCT02761330)
Timeframe: baseline, post-ECT from 0-120 minutes

Interventionpercent of total power (Median)
Etomidate + ECT0.016
Ketamine + ECT0.053
Ketamine Alone0.006

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Delirium Incidence and Severity

"Assessed using 3D Confusion Assessment Method (CAM).~The groups/arms for this outcome are separated by anesthetic regimen; however, due to the crossover design of this study all participants are included in analyses for each group." (NCT02761330)
Timeframe: Immediately following return of consciousness (t=0) during treatment days 1-6.

,,
InterventionDelirium Assessments (Number)
Positive Delirium at BaselineNegative Delirium at BaselinePositive Delirium at t=0Negative Delirium at t=0
Etomidate + ECT023023
Ketamine + ECT120120
Ketamine Alone023219

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Change in Cognitive Function During Recovery: Initial Decrement

"A cognitive test battery was administered at 0, 30, 60, 90, and 120 minutes following return of consciousness after general anesthesia on each treatment day (1-6). The data from each treatment day (1-6) were averaged for analyses.~Cognition Test Battery:~Psychomotor Vigilance Task (PVT)~Digital Symbol Substitution Task (DSST)~Motor Praxis Task (MP)~Visual Object Learning Task (VOLT)~Abstract Matching (AM)~Initial Decrement for this measure is defined as the difference between response times (in seconds) at baseline and t=0 for each task." (NCT02761330)
Timeframe: 0, 30, 60, 90, 120 minutes following return of consciousness, assessed on treatment days 1-6.

,,
Interventionseconds (Median)
PVT Initial DecrementDSST Initial DecrementMP Initial DecrementVOLT Initial DecrementAM Initial Decrement
Etomidate + ECT0.42.41.94.93.2
Ketamine + ECT3.55.13.020.92.0
Ketamine Alone6.83.12.46.56.7

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Suicidality

"The groups/arms for this outcome are combined as a whole-group analysis due to the crossover design of this study, as pre-specified by the study protocol. Breaking up the analyses into the various arms of the study would change our scientific questions and approach. All participants included in analyses completed all treatments, the various arms for the study vary only in the order in which participants received each treatment. These data show the change in suicidality from baseline to treatment 6 based on the Scale of Suicide Ideation.~The measure completed was the Scale of Suicide Ideation. For this study, participants completed the following questions of the questionnaire:~wish to live (0 Moderate to Strong, 1 Weak, 2 None)~wish to die (0 None, 1 Weak, 2 Moderate to Strong)~The total scores range from 0-4. Lower scores indicate high suicide ideation, and high scores indicate low suicide ideation." (NCT02761330)
Timeframe: assessed at baseline on treatment days 1-6.

Interventionscore on a scale (Mean)
Change in Will to liveChange in Will to die
All Participants0.0770.077

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Change in Mood Assessed Using the Mood Self-Assessment Manikin

"Mood Self-Assessment Manikin (SAM) Scale: 1 (very unpleasant) - 9 (very pleasant).~The groups/arms for this outcome are combined as a whole-group analysis due to the Crossover design of this study, as pre-specified by the study protocol. Breaking up the analyses into the various arms of the study would change our scientific questions and approach. Further, any statistical analyses would be underpowered due to low participant numbers in each arm. Thus, the results are combined and reported as a whole group analysis. All participants included in analyses completed all treatments included in the study, the various arms for the study vary only in the order in which participants received each treatment. These data show the change in mood from baseline to treatment 6 based on the SAM. Additionally, data collected at baseline are not dependent on the study group/arm." (NCT02761330)
Timeframe: baseline and 120 minutes after return of responsiveness, assessed on treatment days 1-6

Interventionscore on a scale (Mean)
AllParticipants-0.266

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Change in Cognitive Function During Recovery: Rate of Recovery

"A cognitive test battery was administered at 0, 30, 60, 90, and 120 minutes following return of consciousness after general anesthesia on each treatment day (1-6). The data from each treatment day (1-6) were averaged for analyses.~Cognition Test Battery:~Psychomotor Vigilance Task (PVT)~Digital Symbol Substitution Task (DSST)~Motor Praxis Task (MP)~Visual Object Learning Task (VOLT)~Abstract Matching (AM)~Rate of Recovery for this measure is defined as the time (in inverse hours) for participants to return to their baseline performance for each task." (NCT02761330)
Timeframe: 0, 30, 60, 90, 120 minutes following return of consciousness, assessed on treatment days 1-6.

,,
Interventioninverse hours (Median)
PVT Reaction TimeDSST Reaction TimeMP Reaction TimeVOLT Reaction TimeAM Reaction Time
Etomidate + ECT3.59.73.99.24.8
Ketamine + ECT6.33.02.511.61.6
Ketamine Alone24.72.92.63.12.3

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Subjective Assessment of Whether ECT Was Performed, Determined by Asking the Patient.

"To assess patient blinding of treatment performed, the patient will be asked: Based on how you feel, did you have ECT today?~Results indicate participants correctly answering the subjective assessment." (NCT02761330)
Timeframe: Assessed at 120 minutes after return of responsiveness on treatment days 1-6

InterventionSubjective Assessments w/ paired Tx (Count of Units)
Etomidate + ECT18
Ketamine + ECT18
Ketamine Alone6

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ECT Electrical Dose

"The electrical dose necessary for seizure induction is determined during a dose-charge titration session prior to participant randomization and session 1. These results report the average electrical dose across all participants for the first treatment session during Treatment Week 1.~The range for these data is 0 - 100% electrical charge." (NCT02761330)
Timeframe: First ECT treatment session during Treatment Week 1

Interventionpercentage of electrical charge (Mean)
All Participants32.5

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Change in EEG Entropy in the Scalp EEG During Recovery

"High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as permutation entropy (PE) measures in posterior regions, which we are using to track changes in scalp EEG entropy.~Permutation Entropy (PE) is a measure that is used to quantify the complexity of time series signals. It is a unitless measure between 0 and 1. Lower the PE represents a more regular and more deterministic time series while higher PE represents a more complex time series." (NCT02761330)
Timeframe: baseline, Post-ECT from 0 -120 minutes

Interventionunitless (Median)
Etomidate + ECT-0.018
Ketamine + ECT-0.003
Ketamine Alone-0.006

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Change in Delta Band (0.5-4 Hz) Relative Power in the Scale EEG During Recovery

High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as the percent of total power in the delta band over the sum of total power between 0.5 - 70Hz. (NCT02761330)
Timeframe: baseline, post-ECT from 0-120 minutes

Interventionpercent of total power (Median)
Etomidate + ECT-0.064
Ketamine + ECT-0.111
Ketamine Alone-0.038

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Change in Beta Band (13-20 Hz) Relative Power in the Scalp EEG During Recovery

High-density EEG collected during 5-minute epochs of eyes-closed quiet resting at baseline and post-ECT. Results are reported as the percent of total power in the beta band over the sum of total power between 0.5 - 70Hz. (NCT02761330)
Timeframe: baseline, post-ECT from 0-120 minutes

Interventionpercent of total power (Median)
Etomidate + ECT-0.001
Ketamine + ECT-0.004
Ketamine Alone-0.008

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Diastolic Blood Pressure

(NCT02778880)
Timeframe: 30 minutes after study medication

InterventionmmHg (Mean)
Ketamine76.3
Fentanyl73.6

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Capnometry Value

(NCT02778880)
Timeframe: 60 minutes after study medication

InterventionmmHg (Mean)
Ketamine38.7
Fentanyl38.9

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Heart Rate

(NCT02778880)
Timeframe: 60 minutes after study medication

Interventionbeats per minute (Mean)
Ketamine85.1
Fentanyl82.9

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Heart Rate

(NCT02778880)
Timeframe: 30 minutes after study medication

Interventionbeats per minute (Mean)
Ketamine90.5
Fentanyl85.6

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Heart Rate

(NCT02778880)
Timeframe: 15 minutes after study medication

Interventionbeats per minute (Mean)
Ketamine90.1
Fentanyl84.4

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Diastolic Blood Pressure

(NCT02778880)
Timeframe: 15 minutes after study medication

InterventionmmHg (Mean)
Ketamine76.1
Fentanyl73.4

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Difference From Baseline in Visual Analog Scale Pain Score

A VAS score is a self reported pain score of 0-100 millimeters (0 = no pain; 100 = worst possible pain). A decrease in a VAS score indicates a decrease in pain severity. (NCT02778880)
Timeframe: 60 minutes after study medication

Interventionscore on a scale (Mean)
Ketamine-27.7
Fentanyl-29.0

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Difference From Baseline in Visual Analog Scale Pain Score

A VAS score is a self reported pain score of 0-100 millimeters (0 = no pain; 100 = worst possible pain). A decrease in a VAS score indicates a decrease in pain severity. (NCT02778880)
Timeframe: 30 minutes after study medication

Interventionscore on a scale (Mean)
Ketamine-30.6
Fentanyl-31.9

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Difference From Baseline in Visual Analog Scale Pain Score

A VAS score is a self reported pain score of 0-100 millimeters (0 = no pain; 100 = worst possible pain). A decrease in a VAS score indicates a decrease in pain severity. (NCT02778880)
Timeframe: 15 minutes after study medication

Interventionscore on a scale (Mean)
Ketamine-24.4
Fentanyl-25.3

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Diastolic Blood Pressure

(NCT02778880)
Timeframe: 60 minutes after study medication

InterventionmmHg (Mean)
Ketamine70.8
Fentanyl70.6

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Capnometry Value

(NCT02778880)
Timeframe: 15 minutes after study medication

InterventionmmHg (Mean)
Ketamine36.6
Fentanyl38.3

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Capnometry Value

(NCT02778880)
Timeframe: 30 minutes after study medication

InterventionmmHg (Mean)
Ketamine38.6
Fentanyl40.4

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Oxygen Saturation

(NCT02778880)
Timeframe: 15 minutes after study medication

Interventionpercent (Mean)
Ketamine99.6
Fentanyl99.2

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Oxygen Saturation

(NCT02778880)
Timeframe: 30 minutes after study medication

Interventionpercent (Mean)
Ketamine99.5
Fentanyl99.4

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Oxygen Saturation

(NCT02778880)
Timeframe: 60 minutes after study medication

Interventionpercent (Mean)
Ketamine99.3
Fentanyl99.3

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Respiratory Rate

(NCT02778880)
Timeframe: 15 minutes after study medication

Interventionbreaths per minute (Mean)
Ketamine23.1
Fentanyl22.3

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Respiratory Rate

(NCT02778880)
Timeframe: 30 minutes after study medication

Interventionbreaths per minute (Mean)
Ketamine23.3
Fentanyl19.9

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Respiratory Rate

(NCT02778880)
Timeframe: 60 minutes after study medication

Interventionbreaths per minute (Mean)
Ketamine21.8
Fentanyl19.7

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Systolic Blood Pressure

(NCT02778880)
Timeframe: 15 minutes after study medication

InterventionmmHg (Mean)
Ketamine127.3
Fentanyl127.9

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Systolic Blood Pressure

(NCT02778880)
Timeframe: 30 minutes after study medication

InterventionmmHg (Mean)
Ketamine126.3
Fentanyl123.4

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Systolic Blood Pressure

(NCT02778880)
Timeframe: 60 minutes after study medication

InterventionmmHg (Mean)
Ketamine122.3
Fentanyl122.0

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Safety Will be Measured Through Number of Adverse Events

(NCT02882711)
Timeframe: Baseline through week 12

Interventionadverse events (Number)
Ketamine2

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Severity of Depressive Symptoms as Assessed by the PHQ-9

The Patient Health Questionnaire (PHQ)-9 is the 9-item depression module from the full Patient Health Questionnaire (PHQ) PHQ-9 total score ranges from 0 to 27 (each of the 9 items can be scored from 0 (not at all) to 3 (nearly every day)), and a higher score indicates greater depression. (NCT02882711)
Timeframe: Baseline, week 8, week 12

Interventionunits on a scale (Mean)
BaselineWeek 8Week 12
Ketamine12.6755

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Side Effects

The difference in percentage of participants endorsing side effects between each arm of the study at 5, 10, 15, 20, 30, 45, and 60 minutes. (NCT02916927)
Timeframe: 5, 10, 15, 20, 30, 45, 60 minutes

,
Interventionparticipants (Number)
5 minutes10 minutes15 minutes20 minutes30 minutes45 minutes60 minutes
Ketamine IV Infusion101716131398
Ketamine IV Push20181512955

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Side Effect Severity

The difference in severity of side effects (0 - 4) experienced by participants in each arm of the study at 5, 10, 15, 20, 30, 45, and 60 minutes. 0 indicates no side effects and 4 most severe side effects. (NCT02916927)
Timeframe: 5, 10, 15, 20, 30, 45, 60 minutes

,
Interventionunits on a scale (Mean)
Fatigue at 5 minutesFatigue at 10 minutesFatigue at 15 minutesFatigue at 20 minutesFatigue at 30 minutesFatigue at 45 minutesFatigue at 60 minutesDizziness at 5 minutesDizziness at 10 minutesDizziness at 15 minutesDizziness at 20 minutesDizziness at 30 minutesDizziness at 45 minutesDizziness at 60 minutesHeadache at 5 minutesHeadache at 10 minutesHeadache at 15 minutesHeadache at 20 minutesHeadache at 30 minutesHeadache at 45 minutesHeadache at 60 minutesUnreality at 5 minutesUnreality at 10 minutesUnreality at 15 minutesUnreality at 20 minutesUnreality at 30 minutesUnreality at 45 minutesUnreality at 60 minutesHearing at 5 minutesHearing at 10 minutesHearing at 15 minutesHearing at 20 minutesHearing at 30 minutesHearing at 45 minutesHearing at 60 minutesVision at 5 minutesVision at 10 minutesVision at 15 minutesVision at 20 minutesVision at 30 minutesVision at 45 minutesVision at 60 minutesMood at 5 minutesMood at 10 minutesMood at 15 minutesMood at 20 minutesMood at 30 minutesMood at 45 minutesMood at 60 minutesDiscomfort at 5 minutesDiscomfort at 10 minutesDiscomfort at 15 minutesDiscomfort at 20 minutesDiscomfort at 30 minutesDiscomfort at 45 minutesDiscomfort at 60 minutesHallucinations at 5 minutesHallucinations at 10 minutesHallucinations at 15 minutesHallucinations at 20 minutesHallucinations at 30 minutesHallucinations at 45 minutesHallucinations at 60 minutes
Ketamine IV Infusion0.40.9.60.50.20.30.30.81.11.11.00.40.20.20.20.10.30.20.30.20.20.91.51.41.10.50.20.10.10.30.30.40.2000.030.20.20.10.1000.81.21.41.20.90.60.30.10.10.10.20.10.20.20.030.10.030.10.100
Ketamine IV Push0.60.70.70.40.30.40.52.21.91.10.90.40.30.30.20.30.30.20.20.30.32.62.21.30.80.20.100.60.20.20.10.100.040.70.40.20.10.03001.72.32.01.20.60.30.10.40.41.00.40.30.20.30.90.70.40.1000

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Side Effects

The difference in percentage of participants endorsing side effects between each arm of the study over 60 minutes. (NCT02916927)
Timeframe: 0 - 60 minutes

InterventionParticipants (Count of Participants)
Ketamine IV Infusion21
Ketamine IV Push25

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Reduction in Pain on Numeric Rating Scale.

"The difference in pain numeric rating score (NRS 0-10) experienced by participants in each arm of the study at 5, 10, 15, 20, 30, 45, and 60 minutes.~Pain numeric rating scale from 0 (no pain) to 10 (maximal pain)." (NCT02916927)
Timeframe: 5, 10 , 15, 20, 30, 45, 60 minutes

,
Interventionscore on a scale (Mean)
5 minutes10 minutes15 minutes20 minutes30 minutes45 minutes60 minutes
Ketamine IV Infusion6.55.44.74.34.85.35.4
Ketamine IV Push2.92.83.43.94.24.64.5

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How Bothersome Are the Side Effects?

"The difference in how bothersome (0, not bothersome, to 4, very bothersome, on the Side Effect Rating Scale for Dissociative Anesthetics SERSDA) the side effects experienced by participants in each arm of the study are at 5, 10, 15, 20, 30, 45, and 60 minutes.~0 (no side effects), 1 (weak), 2 (moderate), 3 (bothersome) to 4 (very bothersome)" (NCT02916927)
Timeframe: 5, 10, 15, 20, 30, 45, 60 minutes

,
Interventionscore on a scale (Mean)
Fatigue at 5 minutesFatigue at 10 minutesFatigue at 15 minutesFatigue at 20 minutesFatigue at 30 minutesFatigue at 45 minutesFatigue at 60 minutesDizziness at 5 minutesDizziness at 10 minutesDizziness at 15 minutesDizziness at 20 minutesDizziness at 30 minutesDizziness at 45 minutesDizziness at 60 minutesHeadache at 5 minutesHeadache at 10 minutesHeadache at 15 minutesHeadache at 20 minutesHeadache at 30 minutesHeadache at 45 minutesHeadache at 60 minutesUnreality at 5 minutesUnreality at 10 minutesUnreality at 15 minutesUnreality at 20 minutesUnreality at 30 minutesUnreality at 45 minutesUnreality at 60 minutesHearing at 5 minutesHearing at 10 minutesHearing at 15 minutesHearing at 20 minutesHearing at 30 minutesHearing at 45 minutesHearing at 60 minutesVision at 5 minutesVision at 10 minutesVision at 15 minutesVision at 20 minutesVision at 30 minutesVision at 45 minutesVision at 60 minutesMood at 5 minutesMood at 10 minutesMood at 15 minutesMood at 20 minutesMood at 30 minutesMood at 45 minutesMood at 60 minutesDiscomfort at 5 minutesDiscomfort at 10 minutesDiscomfort at 15 minutesDiscomfort at 20 minutesDiscomfort at 30 minutesDiscomfort at 45 minutesDiscomfort at 60 minutesHallucinations at 5 minutesHallucinations at 10 minutesHallucinations at 15 minutesHallucinations at 20 minutesHallucinations at 30 minutesHallucinations at 45 minutesHallucinations at 60 minutes
Ketamine IV Infusion0.10.40.30.30.10.20.20.50.60.50.50.30.20.20.20.10.20.10.20.20.10.30.60.50.50.20.10.0300.20.10.20.10000.10.10.10.1000.10.20.20.20.20.30.10.10.10.10.030.20.20.200.100.10.100
Ketamine IV Push0.20.30.20.20.20.10.31.40.90.70.60.20.20.20.10.20.30.20.20.30.21.60.90.40.10.030.0300.20.10.10.20.100.040.30.30.10.10000.50.30.40.30.03000.40.40.40.40.30.30.30.80.50.30.1000

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Follow-up Pain Scores Obtained by Telephone at 24 - 48 Hours

Subjects were contacted by phone 24 - 48 hours after the completion of the study infusion. Subjects were asked to score their pain on 10-point numeric rating scale where 0 represented no pain and 10 represented the worst pain they could be having. Pain score was recorded in increments of 1 from 0 - 10. Results were compared between groups using the Mann-Whitney U-test. (NCT02920528)
Timeframe: 24 - 48 hours after study drug infusion

Interventionunits on a scale (Median)
Placebo5
Very Low Dose Ketamine5
Low Dose Ketamine6

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Assess the Risk for Adverse Events Associated With Sub-dissociative Dose Ketamine

Subjects will be continuously assessed for complications secondary to the sub-dissociative ketamine (NCT02920528)
Timeframe: 1 hour

Interventionrecorded adverse events (Number)
Placebo1
Very Low Dose Ketamine14
Low Dose Ketamine12

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"To Compare the Percentage of Subjects Who Achieved Significant Pain Relief Between the 3 Treatment Groups as Measured by a Visual Analog Pain Scale at 60 Minutes A Decrease of at Least 20 mm on the VAS Will be Considered Significant Pain Relief"

The primary endpoint was clinically significant pain relief defined a priori as a decrease in the pain VAS of at least 20 mm from baseline, which was arbitrarily chosen as the minimal amount that may be important to this group of patients and was extrapolated from studies of acute pain management in the ED. Using an effect size of 20-mm change in VAS as the marker for a successful outcome and the proportion of successes by group as the analysis point, we performed a power analysis using three groups: 0.5 mg/kg ketamine, 0.25 mg/kg ketamine, and placebo and found that a sample size of 96 subjects would be required to detect a statistically significant difference among groups with a power of 90% (a = 0.05). Expecting a loss of 10% of subjects due to patient withdrawal or incomplete data, 106 subjects were recruited. Only subjects who completed the 60-minute study and had data recorded for each of the time points were included in the analysis. (NCT02920528)
Timeframe: 60 minutes

InterventionParticipants (Count of Participants)
Placebo13
Very Low Dose Ketamine28
Low Dose Ketamine25

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Quantity of Opioids Used in the First 48 Hours Postoperatively

Opioids used, in Dilaudid equivalents (NCT02925858)
Timeframe: First 48 hours after arrival to the ICU

Interventionmg of Dilaudid (Mean)
Ketamine10.71
Placebo11.14

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Time to Ambulation

Time from ICU arrival until patient able to ambulate, measured in hours (NCT02925858)
Timeframe: 1 week postoperatively

Interventionhours (Mean)
Ketamine63
Placebo56

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Time to Extubation

Number of minutes from the time of ICU arrival to extubation (NCT02925858)
Timeframe: 4 hours - 2 weeks

Interventionminutes (Mean)
Ketamine539
Placebo494

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Time to Mobilization

Time from ICU arrival until patient able to mobilize to chair, measured in hours (NCT02925858)
Timeframe: During hospital stay

Interventionhours (Mean)
Ketamine32
Placebo23

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Delirium

Delirium as assessed by a positive CAM-ICU score during the ICU stay (NCT02925858)
Timeframe: ICU stay

InterventionParticipants (Count of Participants)
Ketamine11
Placebo7

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Intensive Care Unit Length of Stay

Number of days spent in the intensive care unit (NCT02925858)
Timeframe: 1 day - 2 weeks

Interventiondays (Median)
Ketamine1
Placebo2

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Hospital Length of Stay

number of days spent in the hospital, starting from the day of surgery (NCT02925858)
Timeframe: 5 days - 2 weeks

Interventiondays (Median)
Ketamine8
Placebo7

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Quantity of Opioids Used

Quantity in mg (NCT02925858)
Timeframe: 24 hours postoperatively

Interventionmg of Dilaudid (Mean)
Ketamine6.5
Placebo6.7

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Postoperative Nausea and Vomiting

Whether or not the patient suffered from nausea and vomiting after surgery which required treatment (NCT02925858)
Timeframe: 48 hours after ICU arrival

InterventionParticipants (Count of Participants)
Ketamine3
Placebo2

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Pain Scores (Visual Analog Scale)

Average Pain Score as reported by the patient on a numeric scale ranging from 0 (no pain) to a maximum of 10 points (worst pain imaginable) (NCT02925858)
Timeframe: Postoperative days 2

Interventionscore on a scale (Median)
Ketamine2
Placebo2

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Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)

"Total MADRS score ranges from 0 to 60, and a higher score indicates more severe depression, as follows:~0 to 6 - normal/symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression" (NCT02935595)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Ketamine16.25

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Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)

"Total MADRS score ranges from 0 to 60, and a higher score indicates more severe depression, as follows:~0 to 6 - normal/symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression" (NCT02935595)
Timeframe: Baseline

Interventionunits on a scale (Mean)
Ketamine24.50

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Severity of Depressive Symptoms as Assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)

"Total MADRS score ranges from 0 to 60, and a higher score indicates more severe depression, as follows:~0 to 6 - normal/symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression" (NCT02935595)
Timeframe: 4 hours

Interventionunits on a scale (Mean)
Ketamine22.5

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Cortical Excitability in DLPFC Using TMS-EEG

Transcranial magnetic stimulation (TMS) of the left dorsolateral prefrontal cortex (DLPFC) was performed, and electroencephalography (EEG) recording was performed during TMS stimulation. Data is reported as the local mean field amplitude-area under the curve (LMFA-AUC) from a subset of EEG electrodes around the TMS stimulation site. (NCT02935595)
Timeframe: 24 hours

Interventionmicrovolt * milliseconds (µV * ms) (Mean)
Ketamine330.30

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Cortical Excitability in DLPFC Using TMS-EEG

Transcranial magnetic stimulation (TMS) of the left dorsolateral prefrontal cortex (DLPFC) was performed, and electroencephalography (EEG) recording was performed during TMS stimulation. Data is reported as the local mean field amplitude-area under the curve (LMFA-AUC) from a subset of EEG electrodes around the TMS stimulation site. (NCT02935595)
Timeframe: 4 hours

Interventionmicrovolt * milliseconds (µV * ms) (Mean)
Ketamine319.71

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Cortical Excitability in the Dorsolateral Prefrontal Cortex (DLPFC) as Assessed by Transcranial Magnetic Stimulation-evoked Activity Detected by Electroencephalography (TMS-EEG)

Transcranial magnetic stimulation (TMS) of the left dorsolateral prefrontal cortex (DLPFC) was performed, and electroencephalography (EEG) recording was performed during TMS stimulation. Data is reported as the local mean field amplitude-area under the curve (LMFA-AUC) from a subset of EEG electrodes around the TMS stimulation site. (NCT02935595)
Timeframe: Baseline

Interventionmicrovolt * milliseconds (µV * ms) (Mean)
Ketamine446.08

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Safety as Indicated by Number of Adverse Events

(NCT02935595)
Timeframe: 24 hours

Interventionadverse events (Number)
Ketamine1

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Confidence in Abstaining From Cannabis

Change in confidence in abstaining from cannabis as measured by the DCQ (Drug-Taking Confidence Questionnaire). DCQ is a scale from 0 to 100, with higher values indicating greater confidence in one's ability to abstain from cannabis. (NCT02946489)
Timeframe: Change between pre-infusion and end of 6 week study

Interventionunits on a scale (Mean)
CI-581a+MET+MBRP42.8125

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Percentage of Participants With Cannabis Abstinence or Significant Reduction in Cannabis Use

Percentage of participants with cannabis abstinence or significant reduction in cannabis use by end of study. Significant reduction in cannabis use was defined as: At least 50% reduction in cannabis use between pre-infusion and end of 6 week study. (NCT02946489)
Timeframe: At Week 6 (End of study)

InterventionParticipants (Count of Participants)
CI-581a+MET+MBRP7

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BDM Score (BISS-derived MADRS) Change From Baseline at Day 42

"The study will measure the difference on BISS-derived MADRS score between NRX-101 and lurasidone (comparator) groups. The Bipolar Inventory of Symptom Scale (BISS) is a validated 42-item clinician-rated scale (21 items each for the depression and mania subscales) in which each item is rated on a 0-4 severity scale where higher values indicate worse severity.~BISS-derived MADRS (BDM): MADRS is a 10-item clinician-rated scale, with each item rated on a 0-6 severity scale, where a higher number indicates worse severity. Responses to each question are equally weighted and summed. The BDM has a minimum score of 0 and a maximum of 40, where higher scores indicate a worse severity, therefore decreases in average BDM are considered a better outcome. Data are presented as mean change from baseline (end of stage 1, Day 1) using LOCF" (NCT02974010)
Timeframe: Day 42

,,,
Interventionscore on a scale (Least Squares Mean)
Day 2Day 7Day 14Day 21Day 28Day 35Day 42
Ketamine Followed by Lurasidone2.44.811.410.011.210.811.0
Ketamine Followed by NRX-1013.32.02.24.53.52.83.7
Saline Followed by Lurasidone0000000
Saline Followed by NRX-101-1.06-0.50.311.01.691.750.38

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Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.

Modified Aldrete Scoring System and Marshall and Chung Postanesthesia Discharge Scoring System, measured in time until discharge criteria is met (in minutes) (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery

InterventionMinutes (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.81
General Anesthesia With Popliteal and Adductor Canal Blocks.43.5

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Cognitive Recovery at 2 Hours Post-operative

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked at 2 hour post-operatively. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: 2 hours after PACU admission

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.413
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.116

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Cognitive Recovery on POD1

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked on postoperative day 1. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.215
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.314

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Assessment of Patient Blinding to Group Assignment

Patients will be asked whether they believe they were in the general anesthesia or spinal anesthesia group. These responses are then validated using the Bang Blinding Index, which either confirms or refutes the validity of the blinding. The scale runs from -1 to 1, with a score of 0 indicating complete blinding, -1 indicating opposite guessing of groups, and 1 indicating a complete lack of blinding. (NCT02996591)
Timeframe: Postoperative day 1

InterventionBang blinding index (Number)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..588
General Anesthesia With Popliteal and Adductor Canal Blocks..722

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Incidence of Transient Neurologic Symptoms

(NCT02996591)
Timeframe: Postoperative day 1 and if present, monitored until resolution

,
InterventionParticipants (Count of Participants)
NormalTransient Neurological Symptoms
General Anesthesia With Popliteal and Adductor Canal Blocks.180
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.180

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq) score. Performed at 1 hour postoperatively. To what degree did patients have the following symptoms. Rated 1-5, 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: 1 hour after surgery

,
Interventionscore on a scale (Mean)
PainA Sore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.61.61.211.31.72.5
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.11.21.211.41.92.7

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Nausea Intensity

Nausea intensity ranked on NRS score following PACU admission to 2 hours after discharge. Scored from 0-10. 0 Being no nausea, 10 being worst nausea imaginable. (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.0

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq). From 1-5. 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: Postoperative day 1

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.51.51.2111.72.2
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.41.21.111.31.42.3

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Rating the Nausea/Vomiting of patients post-operatively. (NCT02996591)
Timeframe: 2 hours after surgery

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.41.61.211.11.21.8
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.21.21.111.11.42.1

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Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop

NRS Pain scores at 1 hour after surgery. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 1 hour after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.1.8

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Back Pain on POD1

Back pain (yes/no) on POD1 (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.143
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.162

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Numerical Rating Scale Pain Scores at 2 Hours Postop

Numerical rating scale pain score as reported by the patient at 2 hours post-operatively. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..4
General Anesthesia With Popliteal and Adductor Canal Blocks..9

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Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1

Numerical Rating Scale Pain from 0-10. 0 being no pain at all. 10 being the worst pain imaginable. (NCT02996591)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1
General Anesthesia With Popliteal and Adductor Canal Blocks.1

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Opioid Consumption

Opioid consumption (mg OME) during inpatient stay (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery (average 2 hours)

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.2.2
General Anesthesia With Popliteal and Adductor Canal Blocks.5

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Opioid Consumption Through First Postoperative Day. Measured in mg OME

(NCT02996591)
Timeframe: Postoperative day 1

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.8.3
General Anesthesia With Popliteal and Adductor Canal Blocks.11

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Inpatient Hospital Length of Stay

We defined length of hospital stay as the difference between 1) the date and time that the patient was admitted to the psychiatry inpatient unit and 2) the date and time that the patient was discharged from the psychiatry inpatient. (NCT02997722)
Timeframe: The dates and times of each patients' admission to and discharge from the inpatient unit (i.e., the data necessary to calculate length of stay) were collected by chart review performed approximately 6 months after enrollment in the study.

Interventionhours (Mean)
Ketamine Infusion130.75
Normal Saline Infusion81.97

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Pain Measured Based on Pain Medication Used on a Scale of 0-10

Used to translate the dose and route of each of the opioids the patient has received over the last 48 hours to a parenteral morphine equivalent using a standard conversion table. SD standard deviation, mg: milligrams, pain measured on a 0-10 scale (NCT03001843)
Timeframe: 48 hours

Interventionunits on a scale (Mean)
Non-Ketamine1.3
Ketamine0.7

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Length of Stay (Hours)

Length of stay compared between the 2 groups in hours. (NCT03001843)
Timeframe: 48 hours

Interventionhours (Mean)
Non-Ketamine43.6
Ketamine39.8

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Associations of Intraoperative EEG Patterns With PACU Delirium

The investigators compared the relative beta power derived from the normalized power spectral density (PSD) in patients with and without PACU delirium (positive and negative delirium). Only a total of 38 EEGs with sufficient quality were analyzed. Results are expressed in percentage of cumulative power. A higher beta power correlates with worse outcome. Averages and standard deviations are shown. (NCT03040024)
Timeframe: Intraoperative EEG and delirium during PACU stay

,,
InterventionPercentage of cumulative power (Mean)
Positive Delirium for PACUNegative Delirium for PACU
Ketamine 0.5 mg/kg10.07.0
Ketamine 1.0 mg/kg7.05.0
Placebo7.06.0

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Change in Cognitive Failure Questionnaire (CFQ) Score

The CFQ is a 25-item self-report measure of failures in attention, perception, memory, and action. Participants are asked to indicate on a 5-point scale how often they have experienced each failure in the past months, from 0 (never) to 5 (very often). Scores range from 0 to 100 a higher score indicating more failures in attention. (NCT03040024)
Timeframe: Baseline, Post Surgery (Up to 6 Weeks)

,,
Interventionscore on a scale (Median)
Baseline CFQ ScoreCFQ Score Post surgery (Up to 6 weeks)
Ketamine 0.5 mg/kg2729
Ketamine 1.0 mg/kg3430
Placebo3029

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Change in Confusion Assessment Method fo Intensive Care Unit (CAM-ICU) Delirium Score

"The CAM-ICU assesses four features: 1) acute change or fluctuation in mental status from baseline, 2) inattention, 3) altered level of consciousness, and 4) disorganized thinking. The measure reports whether a participant meets criteria for delirium by summing the number of features answered as present. Feature 1 plus 2 and either 3 or 4 present = delirium positive. Results are expressed as number of participants with or without delirium at each time frame." (NCT03040024)
Timeframe: Baseline (Up to 30 minutes after PACU arrival), Post Operative (PACU discharge up to 6 hours)

,,
InterventionParticipants (Count of Participants)
Delirium CAM-ICU Score at PACU ArrivalNo Delirium CAM-ICU Score at PACU ArrivalDelirium CAM-ICU Score at PACU DischargeNo Delirium CAM-ICU Score at PACU Discharge
Ketamine 0.5 mg/kg116611
Ketamine 1.0 mg/kg913517
Placebo910215

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Change in Mini Cog Score

The Mini-Cog is a 3-minute instrument that can increase detection of cognitive impairment. A score ranging from 0-2 indicates positive screen for dementia. A score ranging from 3-5 indicates negative screen for dementia. (NCT03040024)
Timeframe: Baseline, Post Surgery (Up to 6 Weeks)

,,
InterventionParticipants (Count of Participants)
Baseline Mini Cog Score- Positive ScreenBaseline Mini Cog Score- Negative ScreenMini Cog Score Post surgery (Up to 6 weeks) - Positive ScreenMini Cog Score Post surgery (Up to 6 weeks) - Negative Screen
Ketamine 0.5 mg/kg218317
Ketamine 1.0 mg/kg520023
Placebo618317

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Change in Pain Level Assessed by the Visual Analog Scale (VAS) Score

Scores range from 0 (no pain) to 10 (worst pain). (NCT03040024)
Timeframe: Baseline, Post Surgery (PACU), Post surgery (POD 0), Post surgery (POD 1), Post surgery (POD 2), Post surgery (POD 3), Post surgery (follow up visit - Up to 6 weeks)

,,
Interventionunits on a scale (Mean)
Baseline Pain Level assessed by the Visual Analog Scale (VAS) ScorePain Level assessed by the Visual Analog Scale (VAS) Score Post surgery (PACU)Pain Level assessed by the Visual Analog Scale (VAS) Score Post surgery (POD 0)Pain Level assessed by the Visual Analog Scale (VAS) Score Post surgery (POD 1)Pain Level assessed by the Visual Analog Scale (VAS) Score Post surgery (POD 2)Pain Level assessed by the Visual Analog Scale (VAS) Score Post surgery (POD 3)Pain Level assessed by the Visual Analog Scale Score Post surgery (follow up visit - Up to 6 weeks)
Ketamine 0.5 mg/kg3.501.004.763.932.473.082.3
Ketamine 1.0 mg/kg4.362.564.223.722.813.353.09
Placebo2.301.633.623.523.383.413.00

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Post Operative Narcotics Use

The total amount of narcotics used measured in morphine milligram equivalents (MME). (NCT03040024)
Timeframe: Post Intervention (Intraoperative), Post Intervention (POD 0), Post Intervention (POD 1),Post Intervention (POD 2),Post Intervention (POD 3), Post Intervention (Follow up visit-up to 6 weeks post intervention)

,,
Interventionmorphine milligram equivalents (MME) (Median)
Post Intervention (Intraoperative)Post Intervention (POD 0)Post Intervention (POD 1)Post Intervention (POD 2)Post Intervention (POD 3)Post Intervention (Follow up visit-up to 6 weeks)
Ketamine 0.5 mg/kg13.37.1358.5919.80
Ketamine 1.0 mg/kg13.36.6741.525.734.30
Placebo13.336.1842.941.934.30

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Change in Mini-Mental Status Examination (MMSE) Score

The MMSE is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Any score greater than or equal to 24 points (out of 30) indicates a normal cognition. Below this (0-24), scores can indicate cognitive impairment. (NCT03040024)
Timeframe: Baseline, Post Surgery (Up to 6 Weeks)

,,
InterventionParticipants (Count of Participants)
Normal Baseline MMSE Score (25-30)Cognitive Impairment Baseline MMSE Score (0-24)Normal Post surgery (Up to 6 weeks) MMSE Score (25-30)Cognitive Impairment Post surgery (Up to 6 weeks) MMSE Score (0-24)
Ketamine 0.5 mg/kg182173
Ketamine 1.0 mg/kg223230
Placebo222164

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PACU Length of Stay

This is obtained from the records as time spent in the PACU (Recovery Room) after surgery. (NCT03054103)
Timeframe: This will occur one time only, in a range of 20 to 30 minutes after the surgery is completed.

InterventionMinutes (Mean)
Midazolam Alone19.2
Midazolam + Ketamine 5 mg19.0
Midazolam + Ketamine 10 mg20.1

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Nausea

Self-reported incidence of nausea. This will be assessed by asking the subjects once (just prior to discharge from the PACU) whether they experienced any nausea while they were in the PACU (Recovery Room) and will be a measurement of the count of participants that experienced nausea during this period (NCT03054103)
Timeframe: This will occur from time of entry into PACU to time of departure after their surgery. (One time only, in a range of 20 to 30 minutes after surgery.

InterventionParticipants (Count of Participants)
Midazolam Alone0
Midazolam + Ketamine 5 mg0
Midazolam + Ketamine 10 mg0

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Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

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Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

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Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

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Clinician-Administered Dissociative States Scale

This is used to measure dissociative effects during the infusions. The scale includes 23 clinician administered items scored from 0 (not at all) to 4 (extremely). The CADSS measures impairment in body perception, environmental perception, time perception, memory impairment, and feelings of unreality. Full scale from 0-92, with lower score indicating better health outcomes. (NCT03102736)
Timeframe: 240 minutes after start of infusion

Interventionscore on a scale (Mean)
Placebo and Ketamine11.5
Nitroprusside and Ketamine8.4

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Brief Psychiatric Rating Scale (BPRS)

BPRS used to assess acute behavioral changes during the infusions. Four key BPRS items for the positive (+) symptoms of psychosis will be used: conceptual disorganization, hallucinatory behavior, suspiciousness, and unusual thought content. Three items representing the negative (-) symptoms of psychosis will also be used: blunted affect, emotional withdrawal, and motor retardation. Each item scored 1-7. Full scale from 7 - 49, with higher score indicating more symptoms. (NCT03102736)
Timeframe: +240 minutes (after start of Placebo/Nitroprusside infusion)

Interventionscore on a scale (Mean)
Placebo and Ketamine7.5
Nitroprusside and Ketamine7.2

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Montgomery-Asberg Depression Rating Scale

This is a 10-item instrument used for the evaluation of depressive symptoms in adults and for the assessment of any changes to those symptoms. Each of the 10 items is rated on a scale of 0 to 6, with differing descriptors for each item. These individual item scores are added together to form a total score, which can range between 0 (normal) and 60 (severe depression). (NCT03102736)
Timeframe: 24 hours after start of infusion

Interventionscore on a scale (Mean)
Placebo and Ketamine13.4
Nitroprusside and Ketamine14.2

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Number of Participants With Treatment Responses Based on the Montgomery-Åsberg Rating Scale (MADRS)

The outcome measure was the percentage of responders at the end-of-treatment visit, defined as a ≥50% decrease in MADRS score from the baseline visit (i.e., first treatment visit) to the end-of-treatment visit (within 3 days of last treatment). (NCT03113968)
Timeframe: Acute Study Phase (Baseline Visit to End of Treatment Visit) - approximately 3-5 weeks

InterventionParticipants (Count of Participants)
Electroconvulsive Therapy (ECT)70
Ketamine Infusion99

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Number of Participants With Treatment Responses Based on the 16-item Quick Inventory of Depressive Symptomatology-Self-Report Scale (QIDS-SR-16)

Response is defined as at least a 50% improvement in the QIDS-SR-16 scale from baseline to the End of Treatment visit. The End of Treatment visit will occur 3-5 weeks after the Baseline visit. (NCT03113968)
Timeframe: Acute Study Phase (Baseline Visit to End of Treatment Visit) - approximately 3-5 weeks

InterventionParticipants (Count of Participants)
Electroconvulsive Therapy (ECT)70
Ketamine Infusion108

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Heart Rate

Heart rate was measured at Baseline and up to 240 minutes after administration of ketamine. (NCT03146806)
Timeframe: Baseline, Minutes 5, 10, 15, 30, 45, 60, 120, 180, 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionbeats per minute (Mean)
BaselineMinute 5Minute 10Minute 15Minute 30Minute 45Minute 60Minute 120Minute 180Minute 240
10 mg Intranasal Ketamine80.080.478.977.379.178.775.981.679.180.9
10 mg Intravenous (IV) Ketamine82.284.381.178.475.373.274.478.576.780.2
30 mg Intranasal Ketamine81.376.775.776.674.275.275.876.178.074.0
50 mg Intranasal Ketamine79.579.979.781.681.279.780.378.980.079.8

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Systolic Blood Pressure

Blood pressure was measured at Baseline and up to 240 minutes after administration of ketamine. (NCT03146806)
Timeframe: Baseline, Minutes 5, 10, 15, 30, 45, 60, 120, 180, 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionmillimeters of mercury (mmHg) (Mean)
BaselineMinute 5Minute 10Minute 15Minute 30Minute 45Minute 60Minute 120Minute 180Minute 240
10 mg Intranasal Ketamine118.6117.8122.3119.0121.7119.8116.9117.2111.9116.2
10 mg Intravenous (IV) Ketamine117.5134.4129.6124.0117.2117.4114.1111.5115.9111.7
30 mg Intranasal Ketamine117.6119.9122.9123.1125.4121.3118.7114.9116.3118.2
50 mg Intranasal Ketamine115.8118.3120.2123.1124.9117.0118.6111.5111.7116.5

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Nausea Score

To evaluate self-reported nausea, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.20.30.20.1
10 mg Intravenous (IV) Ketamine0.30.80.60
30 mg Intranasal Ketamine0.10.40.10.4
50 mg Intranasal Ketamine0.10.30.30.4

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Mood Change Score

To evaluate self-reported mood change, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.5000
10 mg Intravenous (IV) Ketamine00.60.40
30 mg Intranasal Ketamine00.100
50 mg Intranasal Ketamine0.50.40.10.3

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Headache Score

To evaluate self-reported headache, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.2000
10 mg Intravenous (IV) Ketamine00.10.10
30 mg Intranasal Ketamine0000
50 mg Intranasal Ketamine0000

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Feeling of Unreality Score

To evaluate self-reported feeling of unreality, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.20.400
10 mg Intravenous (IV) Ketamine01.30.50.2
30 mg Intranasal Ketamine00.200
50 mg Intranasal Ketamine00.20.10

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Area Under the Curve of Ketamine

Blood samples were obtained at the study visits where ketamine was administered to measure the elimination (a pharmacokinetic characteristic) of intranasal and intravenous ketamine. Elimination of the drug disappearing from the body is assessed as the area under the curve (AUC). Each study participant received each dose of ketamine during separate study visits. Samples were obtained at 2, 30, 60 and 240 minutes after medication administration. Each subject did not have quantitative levels at all time points. There were not enough data to construct a curve for each participant and therefore calculate an AUC. Data from all participants were naively pooled to calculate one AUC for the entire population (i.e., across all participants' data). (NCT03146806)
Timeframe: Minute 2 through Minute 240 during Study Visits 1 through 4, up to 4 Weeks

Interventionmicrograms•hour/Liter (µg•h/L) (Geometric Mean)
10 mg Intranasal Ketamine19
10 mg Intravenous (IV) Ketamine113
30 mg Intranasal Ketamine46
50 mg Intranasal Ketamine64

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Eastern Cooperative Oncology Group (ECOG) Score

The Eastern Cooperative Oncology Group (ECOG) score evaluates performance status of the participants by rating their ability to perform physical tasks and self care. Responses are 0 (fully active), 1 (restricted in physical strenuous activity but ambulatory), 2 (ambulatory and capable of all self-care but unable to carry out work activities), 3 (capable of only limited self-care), 4 (completely disabled), or 5 (dead). The ECOG score will be obtained at the baseline time point at each study visit where medication is administered. (NCT03146806)
Timeframe: Baseline during Visits 1 through 4, up to 4 weeks

Interventionunits on a scale (Mean)
10 mg Intranasal Ketamine2.1
10 mg Intravenous (IV) Ketamine2.1
30 mg Intranasal Ketamine1.8
50 mg Intranasal Ketamine1.9

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Peak Concentration (Cmax) of Ketamine

Blood samples were obtained at the study visits where ketamine was administered to measure the peak concentration (Cmax) of intranasal and intravenous ketamine. Peak concentration is assessed as the maximum ng/mL of ketamine circulating in blood. Each study participant received each dose of ketamine during separate study visits. Samples were obtained at 2, 30, 60 and 240 minutes after medication administration. (NCT03146806)
Timeframe: Minute 2 through Minute 240 during Study Visits 1 through 4, up to 4 weeks

Interventionng/ml (Geometric Mean)
10 mg Intranasal Ketamine22.9
10 mg Intravenous (IV) Ketamine296
30 mg Intranasal Ketamine60.8
50 mg Intranasal Ketamine77.6

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Time to Peak Concentration (Tmax) of Ketamine

Blood samples were obtained at the study visits where ketamine was administered to measure the time to peak concentration (Tmax) of intranasal and intravenous ketamine. Time is measured as minutes after administration when the maximum concentration of ketamine in blood is reached. (NCT03146806)
Timeframe: Minute 2 through Minute 240 during Study Visits 1 through 4, up to 4 weeks

Interventionminutes (Mean)
10 mg Intranasal Ketamine23
10 mg Intravenous (IV) Ketamine2
30 mg Intranasal Ketamine14
50 mg Intranasal Ketamine16

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Bioavailability of Ketamine

Blood samples were obtained at the study visits where ketamine was administered to measure the bioavailability (a pharmacokinetic characteristic) of intranasal and intravenous ketamine. Bioavailability is assessed as nanograms per milliliter (ng/mL) of ketamine circulating in blood. Each study participant received each dose of ketamine during separate study visits. Samples were obtained prior to ketamine administration, and at 2, 30, 60 and 240 minutes after medication administration, during study visits 1 through 4. The baseline sample was not collected at the first study visit as assessing prior intake of ketamine was not necessary. (NCT03146806)
Timeframe: Baseline, Minutes 2, 30, 60, and 240 during Study Visits 1 through 4, up to 4 weeks

Interventionng/mL (Geometric Mean)
2 minutes post-ketamine administration30 minutes post-ketamine administration60 minutes post-ketamine administration240 minutes post-ketamine administration
10 mg Intranasal Ketamine13.420.311.70

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Bioavailability of Ketamine

Blood samples were obtained at the study visits where ketamine was administered to measure the bioavailability (a pharmacokinetic characteristic) of intranasal and intravenous ketamine. Bioavailability is assessed as nanograms per milliliter (ng/mL) of ketamine circulating in blood. Each study participant received each dose of ketamine during separate study visits. Samples were obtained prior to ketamine administration, and at 2, 30, 60 and 240 minutes after medication administration, during study visits 1 through 4. The baseline sample was not collected at the first study visit as assessing prior intake of ketamine was not necessary. (NCT03146806)
Timeframe: Baseline, Minutes 2, 30, 60, and 240 during Study Visits 1 through 4, up to 4 weeks

,,
Interventionng/mL (Geometric Mean)
Baseline2 minutes post-ketamine administration30 minutes post-ketamine administration60 minutes post-ketamine administration240 minutes post-ketamine administration
10 mg Intravenous (IV) Ketamine0296.435.016.40
30 mg Intranasal Ketamine023.748.626.50
50 mg Intranasal Ketamine033.751.055.80

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Diastolic Blood Pressure

Blood pressure was measured at Baseline and up to 240 minutes after administration of ketamine. (NCT03146806)
Timeframe: Baseline, Minutes 5, 10, 15, 30, 45, 60, 120, 180, 240, during Study Visits 1 through 4, up to 4 weeks

,,,
InterventionmmHg (Mean)
BaselineMinute 5Minute 10Minute 15Minute 30Minute 45Minute 60Minute 120Minute 180Minute 240
10 mg Intranasal Ketamine72.573.076.673.474.374.873.072.969.173.3
10 mg Intravenous (IV) Ketamine76.382.481.178.572.271.773.672.971.970.2
30 mg Intranasal Ketamine73.572.175.274.175.975.575.472.169.072.7
50 mg Intranasal Ketamine72.274.473.276.877.173.473.472.270.875.3

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Edmonton Symptom Assessment System (ESAS) Score

The Edmonton Symptom Assessment System (ESAS) assesses nine symptoms that are common in cancer patients: pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, depression, anxiety, and well-being. Each symptom is rated on a scale ranging from 0 (absence of symptom) to 10 (worst possible degree of symptom). The ESAS was administered at the baseline time point at each study visit. (NCT03146806)
Timeframe: Baseline during Study Visits 1 through 5, up to 6 weeks

,,,,
Interventionunits on a scale (Mean)
PainTirednessDrowsinessNauseaLack of AppetiteShortness of BreathDepressionAnxietyWell-being
10 mg Intranasal Ketamine6.646.094.641.094.551.553.183.824.82
10 mg Intravenous (IV) Ketamine6.274.733.640.823.451.092.452.824.45
30 mg Intranasal Ketamine5.804.202.900.403.000.401.501.004.20
50 mg Intranasal Ketamine5.734.363.640.2272.200.180.821.274.09
Follow-up Visit5.303.602.0002.200.602.100.604.60

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Montgomery Asberg Depression Rating Scale (MADRS) Score

Depression was assessed on the Montgomery Asberg Depression Rating Scale (MADRS) during each study visit, before medication administration and 180 minutes after medication administration. The MADRS is designed to be particularly sensitive to treatment effects. The MADRS is a 10-item scale where the survey administrator rates the participant on a variety of aspects related to depression (such as apparent sadness, tension, and pessimistic thoughts) based on a clinical interview. Responses are provided on a scale of 0 to 6 where 0 signifies no difficulties in this area and 6 signifies severe difficulty. Total scores range from 0 to 60 with higher scores indicating greater severity of depression. (NCT03146806)
Timeframe: Baseline and Minute 180, during Study Visits 1 through 5, up to 6 weeks

Interventionscore on a scale (Mean)
Baseline
Follow-up Visit14.78

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Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Score

The PROMIS Global Health questionnaire, version 1.1, consists of 10 items assessing general domains of health and functioning. Items are scored on a 5-point scale where 1 = poor and 5 = excellent. Total scores are standardized to a T-score with a mean of 50 and a standard deviation of 10. Scores above 50 indicate better health and functioning, while scores below 50 indicate physical, mental and social health that is below average. (NCT03146806)
Timeframe: Baseline during Visit 1 and Visit 5, up to 6 weeks

,
InterventionT-score (Mean)
Physical T-ScoreMental T-Score
Follow-up Visit33.9640.52
Visit 1 (10 mg Intranasal Ketamine Administered)35.543.02

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Change in Hearing Score

To evaluate self-reported change in hearing, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0000
10 mg Intravenous (IV) Ketamine00.100.3
30 mg Intranasal Ketamine0.1000
50 mg Intranasal Ketamine0000

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Hallucinations Score

To evaluate self-reported hallucinations, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0000
10 mg Intravenous (IV) Ketamine0000
30 mg Intranasal Ketamine0000
50 mg Intranasal Ketamine0000

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Change in Vision Score

To evaluate self-reported change in vision, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.40.100
10 mg Intravenous (IV) Ketamine0.10.50.10
30 mg Intranasal Ketamine0.10.100
50 mg Intranasal Ketamine00.10.10

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Dizziness Score

To evaluate self-reported dizziness, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine0.60.100
10 mg Intravenous (IV) Ketamine0.10.80.30
30 mg Intranasal Ketamine00.30.10
50 mg Intranasal Ketamine00.50.20

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) Fatigue Score

To evaluate self-reported fatigue, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine2.910.70.8
10 mg Intravenous (IV) Ketamine1.41.61.21
30 mg Intranasal Ketamine1.61.31.20.8
50 mg Intranasal Ketamine1.51.01.20.7

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Side Effect Rating Scale for Dissociative Anesthetics (SERSDA) General Discomfort Score

To evaluate self-reported general discomfort, participants completed the Side Effect Rating Scale for Dissociative Anesthetics (SERSDA). During visits 1 through 4, side effects were documented by SERSDA prior to administration of medication and 30, 60 and 240 minutes after ketamine administration. Participants indicated the severity of this side effect by selecting 0 (side effect is absent), 1 (weak side effect), 2 (modest side effect), 3 (bothersome side effect), or 4 (side effect is very bothersome). (NCT03146806)
Timeframe: Baseline, Minutes 30, 60, and 240, during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Mean)
BaselineMinute 30Minute 60Minute 240
10 mg Intranasal Ketamine1.60.90.60.5
10 mg Intravenous (IV) Ketamine1.31.10.80.8
30 mg Intranasal Ketamine1.20.80.80.8
50 mg Intranasal Ketamine1.10.80.81.2

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Montgomery Asberg Depression Rating Scale (MADRS) Score

Depression was assessed on the Montgomery Asberg Depression Rating Scale (MADRS) during each study visit, before medication administration and 180 minutes after medication administration. The MADRS is designed to be particularly sensitive to treatment effects. The MADRS is a 10-item scale where the survey administrator rates the participant on a variety of aspects related to depression (such as apparent sadness, tension, and pessimistic thoughts) based on a clinical interview. Responses are provided on a scale of 0 to 6 where 0 signifies no difficulties in this area and 6 signifies severe difficulty. Total scores range from 0 to 60 with higher scores indicating greater severity of depression. (NCT03146806)
Timeframe: Baseline and Minute 180, during Study Visits 1 through 5, up to 6 weeks

,,,
Interventionscore on a scale (Mean)
BaselineMinute 180
10 mg Intravenous (IV) Ketamine13.413.3
30 mg Intranasal Ketamine1211.3
50 mg Intranasal Ketamine11.899.67
10 mg Intranasal Ketamine18.713.5

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Numerical Pain Rating Scale (NPRS) Score

"The Numerical Pain Rating Scale (NPRS) was used to evaluate patient reported pain. Pain scores were recorded prior to and at 5,10,15, 30, 45, 60, 120, 180 and 240 minutes after administration of ketamine. The NPRS asks participants rate their current level of pain intensity on a scale from 0 (no pain) to 10 (worst possible pain). In general, improvements of pain severity of 1.5 points or less on NPRS could be seen as clinically irrelevant. Above that value, the cutoff point for clinical relevance depends on patients' baseline pain severity, and ranges from 2.4 to 5.3. Higher baseline scores require larger raw changes to represent clinically important differences." (NCT03146806)
Timeframe: Baseline, Minutes 5, 10, 15, 30, 45, 60, 120, 180, and 240 during Study Visits 1 through 4, up to 4 weeks

,,,
Interventionunits on a scale (Median)
BaselineMinute 5Minute 10Minute 15Minute 30Minute 45Minute 60Minute 120Minute 180Minute 240
10 mg Intranasal Ketamine7.56654.554.54.555
10 mg Intravenous (IV) Ketamine6101.52.533.53.543
30 mg Intranasal Ketamine5.5533.53.532.5333
50 mg Intranasal Ketamine654322222.55

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Safety and Tolerability Outcomes: Number of Participants With Abnormal Vital Signs (Elevated Blood Pressure)

Blood pressure was measured during each administration of ketamine, occurring on days 0, 5, 8, 11, 14, and 21. This vital sign was measured 6 times following the intranasal administration of ketamine: 15 minutes post dose, 30 minutes post dose, 45 minutes post dose, 1 hour post dose, 90 minutes post dose, and 2 hours post dose. Average blood pressure per group was assessed. Medical staff monitoring the ketamine administration were prepared to treat increases in blood pressure greater than 180/110 mm Hg or follow their institutional guidelines if more conservative, if these elevations did not resolve spontaneously within a short time period. Data presented are number of participants with elevated blood pressure at any of the listed time points. (NCT03149991)
Timeframe: Blood pressure was measured during each administration of ketamine, occurring on days 0, 5, 8, 11, 14, and 21. This vital sign was measured 6 times following the intranasal administration of ketamine: 15 minutes post dose, 30 minutes post dose, 45 minutes

InterventionParticipants (Count of Participants)
Ketamine/Brexpiprazole Arm1
Ketamine/Placebo Arm0

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Safety and Tolerability Outcomes: Number of Participants With Abnormal Vital Signs (Elevated Heart Rate)

Heart rate was measured during each administration of ketamine, occurring on days 0, 5, 8, 11, 14, and 21. This vital sign was measured 6 times following the intranasal administration of ketamine: 15 minutes post dose, 30 minutes post dose, 45 minutes post dose, 1 hour post dose, 90 minutes post dose, and 2 hours post dose. Average heart rate per group was assessed. Medical staff monitoring the ketamine administration were prepared to treat heart rate greater than 110 bpm, or follow their institutional guidelines if more conservative, if these elevations did not resolve spontaneously within a short time period. Data presented are number of participants with elevated heart rate at any of the listed time points. (NCT03149991)
Timeframe: Heart rate was measured during each administration of ketamine, occurring on days 0, 5, 8, 11, 14, and 21.

InterventionParticipants (Count of Participants)
Ketamine/Brexpiprazole Arm1
Ketamine/Placebo Arm1

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Long-term Sustained Response, as Measured by Achieving a 50% Reduction on the Montgomery-Asberg Depression Rating Scale (MADRS) on Day 28 (Number and Percentage of Participants Achieving Sustained Response Reported)

The table below compares percentages of participants in each arm who achieved a 50% or greater reduction on the Montgomery-Asberg Depression Rating Scale (MADRS) on Day 28 compared with baseline. This 10- item clinician-rated instrument measures depression severity with higher scores indicating more severity. Each item can be scored from 0 to 6 for a total sore range of 0 to 60. It was administered with a structured interview guide. Experiences over the past 3 days were rated. (NCT03149991)
Timeframe: MADRS was assessed on Days 0, 2, 3, 8, 11, 14, 17, 21, 23, 28; 50% reduction compared Day 28 to Baseline.

InterventionParticipants (Count of Participants)
Ketamine/Brexpiprazole Arm10
Ketamine/Placebo Arm8

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Safety and Tolerability Outcomes: Treatment-emergent Adverse Events (Number of Participants Reporting)

Adverse events were recorded on a rolling basis from screening until the last day of the study (i.e., Day 28). For patients who reported any AEs, the average number of AEs per person per group were recorded. Site investigators rated whether AEs were possibly or probably related to treatment. (NCT03149991)
Timeframe: Adverse events were recorded on a rolling basis from screening through Day 28

InterventionParticipants (Count of Participants)
Ketamine/Brexpiprazole Arm17
Ketamine/Placebo Arm18

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Change From Baseline on Symptoms of Depression Questionnaire (SDQ)

"Superiority will be demonstrated by a statistically significant greater decrease (p<0.05, 2 sided) on the SDQ total score for participants receiving brexpiprazole versus placebo therapy.~Symptoms of Depression Questionnaire (SDQ): This validated self-rating instrument has 44 items on a scale of 1-6, measuring multiple depressive symptom domains, with higher scores indicating worse depression symptoms. Participants reported on their experiences over the past three days." (NCT03149991)
Timeframe: SDQ was assessed on Days 0, 1, 2, 5, 8, 11, 14, 17, 21, 23, 28

,
Interventionscore on a scale (Mean)
SDQ, Day 0SDQ, Day 1SDQ, Day 2SDQ, Day 5SDQ, Day 8SDQ, Day 11SDQ, Day 14SDQ, Day 17SDQ, Day 21SDQ, Day 23SDQ, Day 28
Ketamine/Brexpiprazole Arm3.73.53.53.43.33.13.03.13.02.82.9
Ketamine/Placebo Arm3.73.53.33.33.23.13.23.23.23.03.0

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Efficacy on Secondary Outcome Variables

"Montgomery-Asberg Depression Rating Scale (MADRS):This 10-item clinician-rated instrument measures depression severity. Total score range of 0-60 with higher scores indicating more severity.~6-item Hamilton Rating Scale for Depression (HAM-D6): This instrument is completed with a structured interview guide by the clinician based on his/her assessment of the patient's symptoms, with higher scores indicating worse depression. Scores range from 0-22. Experiences were rated based on the past 3 days.~Clinical Global Impressions-Severity (CGI-S) and Clinical Global Impressions-Improvement (CGI-I) scales: These clinician-rated scales rate the severity of the disorder and the global improvement since beginning of the study. Further information is in the baseline measures section." (NCT03149991)
Timeframe: These secondary outcome variables were assessed on Days 0, 1 (except for MADRS this day), 2, 5, 8, 11, 14, 17, 21, 23, 28

,
Interventionscore on a scale (Mean)
MADRS, Day 0MADRS, Day 2MADRS, Day 5MADRS, Day 8MADRS, Day 11MADRS, Day 14MADRS, Day 17MADRS, Day 21MADRS, Day 23MADRS, Day 28HAMD6, Day 0HAMD6, Day 1HAMD6, Day 2HAMD6, Day 5HAMD6, Day 8HAMD6, Day 11HAMD6, Day 14HAMD6, Day 17HAMD6, Day 21HAMD6, Day 23HAMD6, Day 28CGI-S, Day 0CGI-S, Day 1CGI-S, Day 2CGI-S, Day 5CGI-S, Day 8CGI-S, Day 11CGI-S, Day 14CGI-S, Day 17CGI-S, Day 21CGI-S, Day 23CGI-S, Day 28CGI-I, Day 0CGI-I, Day 1CGI-I, Day 2CGI-I, Day 5CGI-I, Day 8CGI-I, Day 11CGI-I, Day 14CGI-I, Day 17CGI-I, Day 21CGI-I, Day 23CGI-I, Day 28
Ketamine/Brexpiprazole Arm33.8431.8729.4627.6423.6321.2820.9220.518.3618.391110.2410.4810.089.47.967.366.966.836.686.434.964.564.614.334.293.783.483.423.463.143.174.163.83.653.53.22.872.82.672.752.412.48
Ketamine/Placebo Arm34.1928.1927.4224.4821.8322.0823.5223.7523.5722.1311.69.198.629.217.647.717.548.097.837.487.584.774.154.1243.683.383.333.483.583.483.464.153.353.423.292.922.72.542.832.832.742.54

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Safety and Tolerability Outcomes: 12-lead Electrocardiogram (ECG) - Number of Participants With Abnormal ECGs

Electrocardiograms (ECGs) were conducted at baseline, and follow-up visits conducted 5, 8, 11, 14, and 21 days after baseline. Any found to be abnormal were evaluated by a clinician as to the clinical significance of the ECG abnormality. (NCT03149991)
Timeframe: ECGs were conducted at baseline and 5, 8, 11, 14, and 21 days after baseline

,
Interventionparticipants (Number)
# of participants with abnormal ECGs, Baseline# of participants with abnormal ECGs, Day 5# of participants with abnormal ECGs, Day 8# of participants with abnormal ECGs, Day 11# of participants with abnormal ECGs, Day 14# of participants with abnormal ECGs, Day 21
Ketamine/Brexpiprazole Arm1291110108
Ketamine/Placebo Arm99121079

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Safety and Tolerability Outcomes: Treatment-emergent Adverse Events (Average Number Per Person Per Group)

Adverse events were recorded on a rolling basis from screening until the last day of the study (i.e., Day 28). For patients who reported any adverse events, the mean number of adverse events per person per group were calculated and are reported below. (NCT03149991)
Timeframe: The outcome was recorded on a rolling basis from screening through Day 28

InterventionAdverse events (Mean)
Ketamine/Brexpiprazole Arm3.8
Ketamine/Placebo Arm3.6

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Safety and Tolerability Outcomes: Suicidal Ideation and Behavior

The clinician rated behavioral module of the Concise Health Risk Tracking (CHRT) scale was used at each study visit to identify suicidal ideation and behavior. The first item assesses suicidal ideation. All subsequent items assess suicidal behavior. The below table is for Item 1. (NCT03149991)
Timeframe: The CHRT was used at each study visit through Day 28

,
InterventionParticipants (Count of Participants)
Suicidal Ideation-ScreeningSuicidal Ideation-BaselineSuicidal Ideation-Day 1Suicidal Ideation-Day 2Suicidal Ideation-Day 5Suicidal Ideation-Day 8Suicidal Ideation-Day 11Suicidal Ideation-Day 14Suicidal Ideation-Day 17Suicidal Ideation-Day 21Suicidal Ideation-Day 23Suicidal Ideation-Day 28
Ketamine/Brexpiprazole Arm945555354422
Ketamine/Placebo Arm445278332344

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Safety and Tolerability Outcomes: 12-lead Electrocardiogram (ECG) - Total Number of Abnormal ECGs

Electrocardiograms (ECGs) were conducted at baseline, and follow-up visits conducted 5, 8, 11, 14, and 21 days after baseline. Any found to be abnormal were evaluated by a clinician as to the clinical significance of the ECG abnormality. (NCT03149991)
Timeframe: ECGs were conducted at baseline and 5, 8, 11, 14, and 21 days after baseline

InterventionNumber of abnormal ECGs (Number)
Ketamine/Brexpiprazole Arm60
Ketamine/Placebo Arm56

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Safety and Tolerability Outcomes: Number of Participants With Abnormal Laboratory Test Results

Chemistry and CBC laboratory tests were obtained during the screening visit and on Day 14 and 28 follow-ups. If a test result was abnormal (i.e., outside of the site-specific pre-specified range of expected values), it was evaluated by a clinician as to its clinical significance. (NCT03149991)
Timeframe: Chemistry and CBC laboratory tests were obtained during screening and on Day 14 and 28 follow-ups

,
InterventionParticipants (Count of Participants)
Abnormal lab results at ScreeningAbnormal lab results at Day 14Abnormal lab results at Day 28
Ketamine/Brexpiprazole Arm111
Ketamine/Placebo Arm200

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Clinical Remission of Depression

Total number of subjects with ≤ 9 MADRS score 24 hours post Ketamine infusion #3. The Montgomery Åsberg Depression Scale (MÅDRS) is a 10-item observer rating scale assessing symptoms of depression. The score ranges from 0 (no depression) to 60 (very depressed). For this study a score of less than or equal to 9 was considered clinical remission of depression. (NCT03156504)
Timeframe: 24 hours post infusion #3

InterventionParticipants (Count of Participants)
Ketamine39

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Suicidal Ideation

Total number of subjects to have a reduction of suicidality, as defined by a 50% reduction on the Beck Scale for Suicidal Ideation (BSS) 24 hours post Ketamine infusion #3. The Beck Scale for Suicidal Ideation consists of 19 items which can be used to evaluate a patient's suicidal intentions. Each of the 19 items is rated on a 0-3 point scale (range 0-38, with higher scores indicating greater suicidal ideations or risk), and includes specific items that assess wish to live, wish to die, desire to make an active suicide attempt, passive suicidal desire, duration of suicidal ideations, frequency of suicidal ideations, and subjective level of control over suicidal actions. (NCT03156504)
Timeframe: 24 hours post infusion #3

InterventionParticipants (Count of Participants)
Ketamine42

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PROMIS Measures-depression

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported depression T-score range: 0-100 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training58.97
Ketamine + Sham Training61.01
Saline + Cognitive Training57.13

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PROMIS Measures-positive Affect

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported positive affect/well-being T-score range: 0-100 (higher score = better outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training44.12
Ketamine + Sham Training44.02
Saline + Cognitive Training45.98

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PROMIS Measures-sleep Disturbance

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported sleep disturbance T-score range: 0-100 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training53.06
Ketamine + Sham Training53.78
Saline + Cognitive Training51.41

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PROMIS Measures-substance Use

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported substance use Raw score range: 0-35 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training3.00
Ketamine + Sham Training2.32
Saline + Cognitive Training3.03

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT03237286)
Timeframe: Trajectories from Day 30 through 12 months post-infusion (naturalistic follow-up), Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training10.77
Ketamine + Sham Training12.03
Saline + Cognitive Training10.42

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WHO Disability Assessment Scale (SR)

Global functioning (range=0-48; higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training10.58
Ketamine + Sham Training15.75
Saline + Cognitive Training12.64

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PROMIS Measures-cognitive Function

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported cognitive function T-score range: 0-100 (higher score = better outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training43.61
Ketamine + Sham Training39.19
Saline + Cognitive Training44.87

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Cognitive Flexibility Scale

Self-reported cognitive flexibility (range=12-72; higher score = better outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training52.64
Ketamine + Sham Training50.82
Saline + Cognitive Training51.20

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Affective Flexibility

'D-Prime' discrimination Z-score measured via accuracy of responses during the Affective Go/No-Go task (range: -inf-inf; high score=better performance; Z-score of 0=the sample mean) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, Day 30 reported

InterventionZ-score (Mean)
Ketamine + Cognitive Training-.18
Ketamine + Sham Training-.07
Saline + Cognitive Training0.26

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Cognitive Flexibility

Neurocognitive testing via NIH Toolbox DCCS fully-corrected T-scores (range = 0-100; high score=better outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, Day 30 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training54.51
Ketamine + Sham Training49.34
Saline + Cognitive Training53.25

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Executive-salience Network Functional Connectivity During Resting State

fMRI measure (beta weights where larger beta weight = stronger connectivity) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, 24 hours reported

Interventionbeta weights (Mean)
Ketamine + Cognitive Training0.53
Ketamine + Sham Training0.50
Saline + Cognitive Training0.51

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Implicit Self-representations

Implicit Association Test composite difference score (performance-based measure; range = -inf-inf; high score=worse outcome; negatively signed value indicates associating oneself more strongly with positive than negative attributes) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, Day 5 reported

Interventionfactor score (Mean)
Ketamine + Cognitive Training-.16
Ketamine + Sham Training0.15
Saline + Cognitive Training0.03

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Montgomery Asberg Depression Scale

Clinician-rated depression (range: 0-60; higher scores = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, Day 30 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training19.72
Ketamine + Sham Training22.87
Saline + Cognitive Training23.51

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PROMIS Measures-alcohol

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported alcohol use T-score range: 0-100 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training46.29
Ketamine + Sham Training47.82
Saline + Cognitive Training47.25

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PROMIS Measures-anger

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported anger T-score range: 0-100 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training50.27
Ketamine + Sham Training54.21
Saline + Cognitive Training49.59

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PROMIS Measures-anxiety

Patient-Reported Outcomes Measurement Information System (PROMIS) measure: Self-reported anxiety T-score range: 0-100 (higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training58.07
Ketamine + Sham Training62.49
Saline + Cognitive Training57.88

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Cognitive Triad Inventory

Negative perceptions of self, future, & world (range=36-252; higher score = better outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training133.89
Ketamine + Sham Training126.00
Saline + Cognitive Training138.97

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Executive-salience Network Functional Connectivity

fMRI measure (beta weights where larger beta weight = stronger connectivity) (NCT03237286)
Timeframe: Trajectories from 24 hours through Day 30 post-infusion, 24 hours reported

Interventionbeta weights (Mean)
Ketamine + Cognitive Training0.55
Ketamine + Sham Training0.59
Saline + Cognitive Training0.57

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Columbia-Suicide Severity Rating Scale

Suicidality and patient safety (most severe ideation score, range=0-5; higher score = worse outcome) (NCT03237286)
Timeframe: Trajectories from 24 hours through Month 12 post-infusion, Month 12 reported

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training0.70
Ketamine + Sham Training1.30
Saline + Cognitive Training1.10

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The Patient-Rated Inventory of Side Effects (PRISE)

"The PRISE will be used to document other general adverse events by patients before, during and after infusions. This is a patient self-report used to qualify side effects by identifying and evaluating the tolerability of each symptom. It is a 9 item assessment of the side effects in the following symptom domains; Gastrointestinal, Heart, Skin, Nervous System, Eyes/Ears, Genital/Urinary, Sleep, Sexual Functioning, and Other. Each domain has multiple symptoms which can be endorsed. For each domain the patient rates whether or not the symptoms are tolerable or distressing. Data below represent the number of participants from which there was an endorsement of each listed event.~Participants will have the PRISE performed before, during (+30mins) and after (+60mins) each of the four once-weekly infusions." (NCT03256162)
Timeframe: 4 weeks

,
Interventionparticipants (Number)
dry mouthdiarrhoeaConstipationNausea / vomitingPalpitationChest painRashHeadacheTremorsPoor coordinationDizzinessBlurred visionDifficulty urinatingDifficulty sleepingSleeping too muchAnxietyPoor concentrationRestlessnessFatigue
Ketamine1000000001200002023
Midazolam1000000000000010101

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The Montreal Cognitive Assessment (MoCA)

"The MOCA was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, conceptual thinking, calculations, and orientation. It is scored out of a maximum of 30. The higher scores indicate better cognition.~The MOCA will be performed at baseline, one day after infusions 1 and 4 and 12 weeks after the final infusion." (NCT03256162)
Timeframe: 15 weeks

Interventionscore on a scale (Mean)
Ketamine26.4
Midazolam28.5

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The Quick Inventory of Depressive Symptoms, Self-report Version (QIDS-SR16)

"The QIDS-SR16 is a validated self-report measure of depressive symptoms. This consists of 16 questions rated 0-3. Its score range is 0-48, with higher scores reflecting greater burden of depressive symptoms.~Participants will have a baseline (T0) QIDS-SR16 score. This will be repeated one week after each of four once-weekly infusions (T1-4) and follow-up measures after another five (T9) and 11 (T15) weeks. Week 15 scores are reported." (NCT03256162)
Timeframe: 15 weeks

Interventionscore on a scale (Mean)
Ketamine9.1
Midazolam11.4

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The Hamilton Rating Scale for Depression-24 Item Version (HRSD-24)

"The HRSD assesses severity of depressive symptoms and is commonly used to measure depression severity. It was initially a 17-item format with the optional addition of 4 items making up the 21-item version. In addition to the original 21 items, the 24-item HRSD includes items on helplessness, hopelessness and worthlessness; its score range is 0-77, with higher scores reflecting greater burden of depressive symptoms.~Response to antidepressant treatment is defined as achieving ≥60% decrease from baseline HRSD-24 and score ≤16. Remission criteria are ≥60% decrease in HRSD from baseline and score ≤10. Criteria for relapse are ≥10 point increase in HRSD-24 compared to responder baseline score plus HRSD ≥16; in addition, increase in the HRSD should be maintained one week later.~Participants will have a baseline (T0) HRSD-24 score. This will be repeated 1 week after each of 4 once-weekly infusions (T1-4) and follow-up measures after another 5 (T9) and 11 (T15) weeks, week 15 is reported." (NCT03256162)
Timeframe: 15 weeks

Interventionscore on a scale (Mean)
Ketamine11.2
Midazolam16.6

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The Brief Psychiatric Rating Scale (BPRS)

"The BPRS measures psychotomimetic effects. The investigators will use the positive symptoms subscale of the Brief Psychiatric Rating Scale. The 4-item positive symptoms subscale measures suspiciousness, hallucinations, unusual thought content, and conceptual disorganisation. Each question is scored between 0-7. The maximum score in this 4-item questionnaire is 28. Higher scores indicate more severe psychotic symptoms.~Participants will have the BPRS performed before, during (+30mins) and after (+60mins) each of the four once-weekly infusions." (NCT03256162)
Timeframe: 4 weeks

Interventionscore on a scale (Mean)
Ketamine4.1
Midazolam4.0

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The Clinician-Administered Dissociative States Scale (CADSS)

"The CADSS measures dissociative symptoms. It will be administered before, during and after infusions in order to capture the range of possible subjective side effects of either agent. This consists of 23 questions and scores for each question range from 0-4. The maximum score is 92 with higher scores indicating more dissociative symptoms.~Participants will have the CADSS performed before, during (+30mins) and after (+60mins) each of the four once-weekly infusions." (NCT03256162)
Timeframe: 4 weeks

Interventionscore on a scale (Mean)
Ketamine5.3
Midazolam2.5

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Young Mania Rating Scale (YMRS; Mood Item)

"Investigators will use the mood item of them YMRS to assess for psychotomimetic effects. This item is rated 0-4. The higher scores reflect elevated mood.~Participants will have the YMRS performed before, during (+30mins) and after (+60mins) each of the four once-weekly infusions." (NCT03256162)
Timeframe: 4 weeks

Interventionscore on a scale (Mean)
Ketamine0.1
Midazolam0.1

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Hydromorphone Use/24 Hours postOP in mg/kg

Hydromorphone use during the first postoperative 24 hours in mg/kg (NCT03274453)
Timeframe: 24 Hours

Interventionmg/kg (Mean)
Naive Placebo.13
Naive Ketamine.09
Tolerant Placebo.27
Tolerant Ketamine.19

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Effect of Study Drug on Ability to Form Implicit Memory

Subjects will have a list of words read to them while under sedation and their ability to hear these words and form implicit memories of them will be assessed using a two-alternative forced choice task. Results will be reported as the average number of correct responses out of sixteen. (NCT03284307)
Timeframe: Intraoperative (During sedation-- up to 8 hours)

Interventioncorrect responses (Mean)
Dexmedetomidine8
Ketamine8.17
Propofol9

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Effect of Study Drug on Ability to Correctly Identify Shapes/Images

The ability to identify shapes/images in visual illusions measured by the NIH Toolbox. Will be reported by a computed score from NIH Toolbox for the Dimensional Change Card Sort Test (DCCS) and the Flanker Inhibitory Control & Attention Test (Flanker). Both Flanker and DCCS use a 2-vector scoring method that takes accuracy and reaction time (if accuracy >=80%) into account, resulting in a computed score that can range in value from 0-10. A higher score indicates better performance on the test. (NCT03284307)
Timeframe: Intraoperative (During sedation-- up to 8 hours)

,,
Interventionscore on a scale (Mean)
Baseline NIH Toolbox Card Sorting ScoreSedation NIH Toolbox Card Sorting ScoreBaseline NIH Toolbox Flanker ScoreSedation NIH Toolbox Flanker Score
Dexmedetomidine8.837.859.146.62
Ketamine9.298.28.998.47
Propofol9.456.949.488.36

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Number of Instances of Disconnected Conscious Experience (Dreaming) vs Connected Conscious Experience (Awareness of External World).

The number of instances of disconnected conscious experience (dreaming) versus connected conscious experience (awareness of the external world) during sedation is measured by subject self-report at the time of researcher initiated inquiry. (NCT03284307)
Timeframe: Intraoperative (During sedation-- up to 8 hours)

,,
Interventionnumber of instances (Number)
Instances of Connected ConsciousnessInstances of Disconnected Consciousness
Dexmedetomidine70226
Ketamine18030
Propofol5622

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Occipital Delta Power Spectral Density by Conscious State and Study Group.

The difference in spontaneous EEG slow wave activity over posterior cortex between states of consciousness measured with high-density EEG equipment and reported in spectral power in the delta band (1-4 Hz) at electrode Oz. Disconnected conscious experience (dreaming), connected conscious experience (awareness of the external world), and unconsciousness (no report) was assessed when participants were roused from sedation or sleep. (NCT03284307)
Timeframe: Intraoperative (During sedation-- up to 8 hours)

,,,
Interventionlog10(μV^2) (Least Squares Mean)
Connected ConsciousnessDisconnected ConsciousnessUnconsciousness
Dexmedetomidine2.372.572.68
Ketamine1.621.71.46
Propofol2.052.342.51
Sleep2.12.582.63

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Effect of Study Drug on Ability to Correctly Identify Images

The ability to match sounds and images measured by the predictive coding task. Will be reported by a proportion correct as a decimal. (NCT03284307)
Timeframe: Intraoperative (During sedation-- up to 8 hours)

,,
Interventionproportion correct (Mean)
Baseline Predictive Coding Task AccuracySedation Predictive Coding Task Accuracy
Dexmedetomidine0.9160.793
Ketamine0.8990.763
Propofol0.910.734

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Effect of Low-dose Ketamine on Pain Scores on Presentation to the ED

Patient pain scores at presentation for the enrolled encounters and for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. At least one but up to three prior visits were averaged and compared to the intervention visit. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: Up to one year prior and on presentation to the ED after LDK administration

InterventionScore on a scale (Mean)
Intervention9.23
Historical Control9.08

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Effect of Low-dose Ketamine on Patient Pain Scores on Discharge From the ED/Admission to the Hospital

Patient pain scores at time of discharge from the ED/admission to the hospital for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. At least one but up to three prior visits were averaged and compared to the intervention visit. Pain scores post receipt of ketamine are presented for the intervention group. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: At time of discharge from the ED/admission to the hospital (up to one year prior and after LDK administration)

InterventionScore on a scale (Mean)
Intervention7.15
Historical Control7.26

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Effect of Low-dose Ketamine on Percent Difference of Length of Stay (LOS) in the ED

Length of stay (LOS) in minutes in the ED for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. (NCT03296345)
Timeframe: Up to one year prior to and after LDK administration on day 1 of the study in the ED

InterventionLOS in minutes (Mean)
Intervention273.5
Historical Control217.3

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Subjective Effect of Low Dose Ketamine on Pain Relief Assessed Via a Patient Survey

"After receipt of LDK, patients and/or their parents, based on age, filled out a survey based on a Likert scale regarding their agreement (Strongly Disagree to Strongly Agree) with the following statements: Achieved faster pain relief with LDK, Achieved more complete pain relief with LDK, and Desire to receive LDK in a future vaso-occlusive crisis. There is also an area where patients could provide general comments regarding their experience in receiving LDK.~Count of Participants who agree or strongly agree for each question are reported." (NCT03296345)
Timeframe: after LDK administration on day 1 of the study in the ED

InterventionParticipants (Count of Participants)
Achieved faster pain relief?Achieved more complete pain relief?Desire to receive LDK in the future?
Intervention433049

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Effect of Low-dose Ketamine on Time to 50% Pain Reduction

Time to 50% pain reduction (pain reported 50% less than baseline) in minutes for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed as historical controls. Pain was assessed using the faces pain scale which consists of a series of line diagrams of faces with expressions of increasing distress. The score ranges from 0 (no pain) to 10 (the worst pain). (NCT03296345)
Timeframe: Up to one year prior to and after LDK administration on day 1 of the study in the ED

Interventiontime to 50% pain reduction in minutes (Mean)
Intervention116.1
Historical Control167.3

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Effect of Low-dose Ketamine (LDK) on Opioid Usage in the ED

Opioid usage for at least one but up to three prior patient visits in the last one year for each patient enrolled in the study was summarized, expressed as morphine equivalents in mg/kg/h, to account for different types of opioids used per patient preference, and then this was compared to the intervention group that received LDK. Percent change in opioid usage (expressed as morphine equivalents in mg/kg/h) is reported). (NCT03296345)
Timeframe: Up to one year prior and after LDK administration on day 1 of the study in the ED

Interventionpercent change (Mean)
Intervention-15

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Effect of Low-dose Ketamine on Discharge Rates From the ED

"Percent discharge from the ED for intervention group and for at least one but up to three visits prior to receipt of ketamine in the last one year, were assessed. Participants were assigned a 0 if discharged or 1 if not discharged." (NCT03296345)
Timeframe: Up to one year prior to receipt of ketamine for the historical control arm/group and up to 18 months for the intervention arm/group

Interventionpercentage of participants (Number)
Intervention33
Historical Control17

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Change in Suicidality as Measured by Item 9 on Beck Depression Inventory

When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of depression from 0 = no depression to 63 = maximally severe depression. Item 9 measures degree of suicidal thoughts or wishes from 0 = no thoughts to 3 = suicidal intent. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionunits on a scale (Least Squares Mean)
baseline1hr post-infusionDay 1 post-infusionDay 3 post-infusionDay 7 post-infusionDay 14 post-infusionDay 28 post-infusion
Low Dose Ketamine1.20.10.30.30.30.30.56
Midazolam1.160.080.360.240.410.50.70

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Change in Social Adjustment Scale Self Report (SAS-SR) Short Version Score

This questionaire measures expressive and instrumental performance over the past two weeks in six role areas: (1) work, either as a paid worker, unpaid homemaker, or student, (2) social and leisure activities, (3) relationships with extended family, (4) role as a marital partner, (5) parental role, and (6) role within the family unit, including perceptions about economic functioning.Each question is rated on a five-point scale from which role area means and an overall mean can be obtained, with higher scores denoting greater impairment. Role areas not relevant to the respondent can be skipped. Overall means are based on all items completed by the respondent. Scores range from 0 = no difficulties to 125 = broad difficulties in multiple domains. An overall adjustment (NCT03395314)
Timeframe: Timepoints will be at baseline and 3, 7, 14, 28 days after infusion

,
Interventionscore on a scale (Least Squares Mean)
BaselineDay 3Day 7Day 14Day 28
Low Dose Ketamine2.741.952.022.072.12
Midazolam2.862.302.172.582.33

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Change in Preferred Distance in Stop-distance Paradigm (SDP)

"The stop-distance paradigm is a measure of preferred interpersonal distance (PID). Subjects begin the task standing face-to-face and 6 feet away from a test confederate. On each of 3 trials, the confederate slowly approaches the subject. The subjects are instructed to say stop to indicate their 1) preferred conversational distance, then a closer distance 2) if you start to feel uncomfortable. After each stop, toe to toe distance is measured using a tape measure, and mean PID for the three trials is computed separately for conversational and uncomfortable distance. A computerized version of the task may also be implemented for remote visits and administered in place of the in-person task." (NCT03395314)
Timeframe: Timepoints will be at baseline and 3, 7, 14, 28 days after infusion

,
Interventiondistance in inches (Least Squares Mean)
BaselineDay 3Day 7Day 14Day 28
Low Dose Ketamine20.617.215.516.519.5
Midazolam18.617.314.719.417.2

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Change in Adverse Events

Adverse events were tracked in a log of treatment emergent adverse events, EKG, pulse oximetry, vital signs. A count of any treatment emergent adverse events is presented through Day 28. The outcome measure description as updated when results were entered. (NCT03395314)
Timeframe: Timepoints: Continuous monitoring throughout infusion; post-infusion days 1, 3, 7, 14, 28.

InterventionParticipants (Count of Participants)
Midazolam0
Low Dose Ketamine0

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Change in Clinician-Administered Dissociative States Scale (CADSS) Score

This scale captures the range of possible subjective side effects of ketamine or Midazolam. This consists of 23 questions and scores for each question range from 0-4. The maximum score is 92 with higher scores indicating more dissociative symptoms. (NCT03395314)
Timeframe: Timepoints: pre- infusion, during infusion +20, +40 minutes, and post-infusion 40 minutes.

,
Interventionscore on a scale (Least Squares Mean)
Baseline (pre-infusion)20 minutes (during infusion)40 minutes (during infusion)80 minutes (post infusion)
Low Dose Ketamine5.9225.416.83.0
Midazolam5.945.549.541.90

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Change in Brief Psychiatric Rating Scale (BPRS) Total Scores

BPRS is an 18-item clinician rated scale with 11 general symptom items, 5 positive-symptom items, and 2 negative symptom items scored on a 7-point scale (1=not present and 7=extremely severe), with higher score indicating greater severity of symptom. Total possible score range=18 to 126. (NCT03395314)
Timeframe: Timepoints: pre-infusion, during infusion +20, +40 minutes, post-infusion +40 minutes

,
Interventionscore on a scale (Least Squares Mean)
Baseline (pre-infusion)20 Minutes (during infusion)40 Minutes (during infusion)80 Minutes (post infusion)
Low Dose Ketamine33.7938.736.228.2
Midazolam29.3628.1828.025.9

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Change in Brief Pain Inventory Score - Interference

"Self report inventory that assesses intensity of pain and its interference with everyday life.~Intensity: pain severity as measured by a 0 to 10 visual analogue scale. 0 = no pain, 10 = worst pain imaginable.~Interference score: Interference as measured by a 0 to 10 numerical rating scale. 0 = does not interfere, 10 = completely interferes" (NCT03395314)
Timeframe: Timepoints will be at baseline, and post-infusion 1hr, and days 1, 3, 7, 14, & 28.

,
Interventionscore on a scale (Least Squares Mean)
BaselinePost-infusion 1hrDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine2.940.513.13.14.093.454.52
Midazolam3.491.224.793.414.062.214.23

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Change in Zanarini Rating Scale for Borderline Personality Disorder

A dimensional self-report measure of BPD symptoms that consists of 9 items scored on a 4 point likert scale. Scores range of 0 = minimally symptomatic to 28 = maximally symptomatic for symptoms of Borderline Personality Disorder. Originally, 1hr post-infusion was included as a time frame but this was not collected at this time frame. (NCT03395314)
Timeframe: Timepoints will be baseline and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
BaselineDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine15.45.25.26.87.211.42
Midazolam14.333.525.0456.757.16

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Change in Suicidality as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)

Suicide Rating Scale from 1-5; higher numbers indicate increased suicidal thinking. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
baseline1hr post-infusionDay 1 post-infusionDay 3 post-infusionDay 7 post-infusionDay 14 post-infusionDay 28 post-infusion
Low Dose Ketamine1.90.00.00.50.30.81.6
Midazolam1.58000.750.830.911.16

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Change in Suicidality as Measured by Item-12 on the Quick Inventory of Depressive Symptomatology (QIDS SR-16)

The Quick Inventory of Depressive Symptomatology (QIDS SR-16) is a a self-report measure of depression. Each item is scored from 0-3. Higher scores denote more severe load of depressive symptoms. Item 12 measures thoughts of death or suicide from 0 (no thoughts) to 3 (specific suicide plan or action.). Presented is the mean score across items with a range of 0 to 3 where the higher score indicates greater depressive symptoms. Outcome description was updated at the time of results entry. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
baseline1hr post-infusionDay 1 post-infusionDay 3 post-infusionDay 7 post-infusionDay 14 post-infusionDay 28 post-infusion
Low Dose Ketamine1.50.20.10.30.50.71.21
Midazolam1.250.080.340.330.340.710.55

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS scale measures the depression level of a participant. The total score was derived by adding the scores of the following 10 items: 1, Apparent sadness; 2, Reported sadness; 3, Inner tension; 4, Reduced sleep; 5, Reduced appetite; 6, Concentration difficulties; 7, Lassitude; 8, Inability to feel; 9, Pessimistic thoughts; 10, Suicidal thoughts. Each item was scored using a scale of 0 to 6 (a higher score indicates increased severity). The maximum total score is 60; 0, no depression; 60, severely depressed. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
Baseline1hr post-infusionDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine28.36.28.212.212.312.922.67
Midazolam26.753.669.2711.7012.519.2517.39

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Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)

The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. Scores are averaged across items and can range from 0 to 6 (with 0 indicating enjoying life, and 6 indicating explicit plans for suicide). Outcome description updated when results were entered. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionunits on a scale (Least Squares Mean)
baseline1hr post-infusionDay 1 post-infusionDay 3 post-infusionDay 7 post-infusionDay 14 post-infusionDay 28 post-infusion
Low Dose Ketamine2.70.10.50.70.81.32.6
Midazolam2.660.00.590.890.831.661.29

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Change in Brief Pain Inventory Score - Intensity

"Self report inventory that assesses intensity of pain and its interference with everyday life.~Intensity: pain severity as measured by a 0 to 10 visual analogue scale. 0 = no pain, 10 = worst pain imaginable.~Interference score: Interference as measured by a 0 to 10 numerical rating scale. 0 = does not interfere, 10 = completely interferes" (NCT03395314)
Timeframe: Timepoints will be at baseline, and post-infusion 1hr, and days 1, 3, 7, 14, & 28.

,
Interventionscore on a scale (Least Squares Mean)
BaselinePost-infusion 1hrDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine6.322.564.464.465.924.145.11
Midazolam6.195.756.526.739.043.26.28

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Change in Behavior in the Economic Trust Game - Cooperation

The trust game is a multi-round economic exchange game. There are two roles in the game: investor and trustee. Study participants will play as the trustee. Each round, the investor is given a set number of points and can send any amount to the trustee. The investment triples and the trustee decides how much to repay the investor. Outcome measures are cooperation (amount returned to the investor) and coaxing (amount returned to investor on trials when poor prior returns from trustee have led investor to decrease investment). Cooperation was used as part of the evaluation in this study- coaxing was not. Outcome measure description was updated at the time of results entry. (NCT03395314)
Timeframe: Timepoints will be at baseline and 3, 7, 14, 28 days after infusion

,
Interventionproportion of amount returned (Least Squares Mean)
BaselineDay 3Day 7Day 14Day 28
Low Dose Ketamine0.380.420.290.390.31
Midazolam0.390.360.420.340.31

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Change in Beck Suicide Scale Total Score

The Beck Suicide Scale is a 23 item self report scale with items to specifically assess the presence and intensity of thoughts and actions related to suicidality. Each item response is on a 3 point likert (0-2) for each of 21 items, so possible totals range from 0-42. Higher scores indicate higher suicidality. The description was updated when results were entered. (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
Baseline1hr post-infusionDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine11.54.13.33.94.65.47.12
Midazolam7.663.53.132.923.085.664.51

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Change in Beck Depression Inventory Score

"The Beck Depression Inventory (BDI) consisted of twenty-one questions about how the subject has been feeling in the last week. Each question has a set of at least four possible answer choices, ranging in intensity.~When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of depression from 0 = no depression to 63 = maximally severe depression." (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
Baseline1hr post-infusionDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine34.913.312.28.912.614.518.73
Midazolam30.7511.1612.4110.9411.3317.4117.57

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Change in Beck Anxiety Inventory Score

"The Beck Anxiety Inventory (BDI) consisted of twenty-one questions about how the subject has been feeling in the last week. Each question has a set of at least four possible answer choices, ranging in intensity.~When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of anxiety from 0 = no anxiety to 63 = maximally severe anxiety." (NCT03395314)
Timeframe: Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
Baseline1hr post-infusionDay 1Day 3Day 7Day 14Day 28
Low Dose Ketamine21.77.38.35.58.211.018.23
Midazolam21.754.07.435.717.438.886.34

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Change in 'Reading the Mind in the Eyes' Test (RMET) Score

The RMET is an advanced test of theory of mind. It is widely used to assess individual differences in social cognition and emotion recognition across different groups and cultures. This is a score from 0-36 where higher score indicates better performance. (NCT03395314)
Timeframe: Timepoints: at baseline and 3, 7, 14, 28 days after infusion.

,
Interventionscore on a scale (Least Squares Mean)
BaselineDay 3Day 7Day 14Day 28
Low Dose Ketamine25.627.326.625.125.4
Midazolam28.227.629.229.929.9

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Total Cumulative Perioperative Opioid Dose

Measured in oral morphine equivalents (NCT03448068)
Timeframe: approximately 48 hours after induction of anesthesia

InterventionMorphine Equivalents (Mean)
Ketamine Therapy179.9
Standard Therapy248.6

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Length of Stay in Hospital

Length of hospital stay measured in hours (NCT03448068)
Timeframe: Arrival at hospital until discharge from hospital, approximately 2 days

InterventionHours (Mean)
Ketamine Therapy43.9
Standard Therapy36.7

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Patient Satisfaction With Pain Control at Time of Hospital Discharge

Self-reported questionnaire at the time of discharge from the hospital rating satisfaction of pain treatment while in the hospital using a scale of 0= extremely dissatisfied, 10 = extremely satisfied. (NCT03448068)
Timeframe: approximately 1-2 days post-operatively

Interventionscore on a scale (Mean)
Ketamine Therapy9.5
Standard Therapy8.3

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Post-Operative Nausea

Number of subject to experience post-operative nausea (NCT03448068)
Timeframe: 12 hours, 24 hours, and 48 hours

,
InterventionParticipants (Count of Participants)
Nausea 1st 12 hoursNausea 2nd 12 hoursNausea 2nd 24 hours
Ketamine Therapy1063
Standard Therapy923

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Patient Satisfaction With Pain Control at Postoperative Visit

Self-reported questionnaire at the time of first post-operative visit with the surgeon, rating the worst amount of pain since being discharged from the hospital using a scale of 0= no pain, 10 = worst pain possible. (NCT03448068)
Timeframe: approximately 30 days post-operatively

Interventionscore on a scale (Mean)
Ketamine Therapy3.6
Standard Therapy6.2

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Average Pain Score 0-12 Hours

Patient reported pain scores at 0-12 hours post operatively. Measured by a 100 mm long Visual Analog Scale (VAS). The VAS does not have any pre-set marks between the extremes of 0 for no pain and 100 mm for extreme pain. The investigator measures the mark made by the participant in mm and records this for the value of pain. A higher score indicates great pain intensity. (NCT03448068)
Timeframe: approximately 0-12 hours post operatively

Interventionmm (Mean)
Ketamine Therapy3.4
Standard Therapy4.2

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Average Pain Score 12-24 Hours

Patient reported pain scores at 12-24 hours post operatively. Measured by a 100 mm long Visual Analog Scale (VAS). The VAS does not have any pre-set marks between the extremes of 0 for no pain and 100 mm for extreme pain. The investigator measures the mark made by the participant in mm and records this for the value of pain. A higher score indicates great pain intensity. (NCT03448068)
Timeframe: approximately 12-24 hours post operatively

Interventionmm (Mean)
Ketamine Therapy2.6
Standard Therapy3.7

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Average Pain Score 24-48 Hours

Patient reported pain scores at 24-48 hours post operatively. Measured by a 100 mm long Visual Analog Scale (VAS). The VAS does not have any pre-set marks between the extremes of 0 for no pain and 100 mm for extreme pain. The investigator measures the mark made by the participant in mm and records this for the value of pain. A higher score indicates great pain intensity. (NCT03448068)
Timeframe: approximately 24-48 hours post operatively

Interventionmm (Mean)
Ketamine Therapy3.1
Standard Therapy3.8

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Change in Daily Fatigue Severity Score

It is a single item question: 'how much fatigue (tiredness, weariness, problems thinking clearly) have you felt today?' with responses from 0 'None at all' to 10 'Extreme Fatigue'. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through day 7

Interventionscore on a scale (Mean)
Ketamine-0.05
Midazolam-0.05

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Change in Beck Depression Inventory (BDI) Score

The total score of the BDI ranges from 0 to 63. Higher scores denote more severe depressive symptoms. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through day 28 post-infusion

Interventionscore on a scale (Mean)
Ketamine0.07
Midazolam0.07

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Change in Epworth Sleepiness Scale Score

The Epworth Sleepiness Scale score can range from 0 to 24. The higher the score, the higher that person's average sleep propensity in daily life (ASP), or their 'daytime sleepiness'. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through day 28 post-infusion

Interventionscore on a scale (Mean)
Ketamine0.03
Midazolam0.11

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Change in Fatigue Severity Scale (FSS) Score

The total score of the FSS ranges from 9 to 63. Higher scores denote more severe fatigue. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through day 28 post-infusion

Interventionscore on a scale (Mean)
Ketamine0.03
Midazolam0.22

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Change in Modified Fatigue Impact Scale (MFIS) Score

The total score of the MFIS ranges from 0 to 84. Higher scores denote more severe fatigue. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through Day 28 post-infusion

Interventionscore on a scale (Mean)
Ketamine-0.46
Midazolam0.02

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Change in Quality of Life in Neurological Disorders (NeuroQol) Fatigue Item Bank Score

T-score distributions rescale raw scores into standardized scores with a mean of 50 and a standard deviation (SD) of 10. Higher T-scores denote more severe fatigue. Reported score changes are the average point/day score change. The mean score is reported based on this calculation: [(last day measure - baseline measure) / the number of days in the study]. (NCT03500289)
Timeframe: Baseline (infusion visit) through day 28 post-infusion

Interventionscore on a scale (Mean)
Ketamine-1.02
Midazolam-0.46

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Frequencies At Which Changes in Alpha, Theta, and Slow-Delta Wave Power Were Observed From Baseline During Sevoflurane-induced General Anesthesia

Changes in power from baseline at various EEG spectral frequencies were assessed at sevoflurane-induced loss of responsiveness. EEGs of 12 patients were analyzed to determine changes in various EEG spectral frequencies (alpha, theta, delta, etc.) from baseline. The outcome measure reflects the associated frequency (Hz) at which changes were found under sevoflurane-induced general anesthesia. These frequency values are a representation of the findings for all 12 participants. (NCT03503578)
Timeframe: Approximately 60 minutes

InterventionHz (Number)
AlphaThetaSlow-Delta
EEG Dynamics1051

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Change in Vitals

Proportion of children who have any significant change in vitals during analgosedation (any desaturation - Oxygen saturation < 90, and hypotension per age-related norms) will be compared between the two groups. (NCT03528512)
Timeframe: up to 30 minutes

InterventionParticipants (Count of Participants)
IN Ketamine0
IN Midazolam and Fentanyl0

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Proportion of Children With Maximum Sedation Score

The proportion of children who receive a maximum sedation score of either 1 or 2 (without distinguishing between those values) (NCT03528512)
Timeframe: Up to 30 minutes

InterventionParticipants (Count of Participants)
IN Ketamine2
IN Midazolam and Fentanyl2

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Rates of Failure

Rates of failure to repair laceration due to agitation or intolerable pain with the switch to intravenous medications will be compared between two groups. Percentage failure will be reported. (NCT03528512)
Timeframe: Up to 30 minutes

InterventionParticipants (Count of Participants)
IN Ketamine0
IN Midazolam and Fentanyl0

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Sedation Score

The primary outcome variable is the maximum sedation score as measured by the University of Michigan Sedation Scale. This scale consists of an ordinal scale from 0 being awake and alert and 4 being unarousable. Medians will be calculated for each group. (NCT03528512)
Timeframe: up to 30 minutes

Interventionunits on a scale (Median)
IN Ketamine1
IN Midazolam and Fentanyl1

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Nurse and Physician Satisfaction

Nurse and physician satisfaction will be assessed by a survey which will be filled in the end of the sedation. Response to overall experience question score on Likert scale where 1 is poor and 5 is Excellent. Proportion of responders giving answers of 4 or 5 will be calculated. (NCT03528512)
Timeframe: Up to 30 minutes

InterventionParticipants (Count of Participants)
IN Ketamine1
IN Midazolam and Fentanyl4

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Pain Scores During Laceration Repair

The effect of IN ketamine vs IN midazolam + IN fentanyl on pain scores during laceration repair using either Face, Legs, Activity, Cry, Consolability (FLACC) Scale or Faces Scale pain scale depending for patient age, each a Likert scale from 0 being no pain to 10 being worst pain, median scores for each group (NCT03528512)
Timeframe: Up to 30 minutes

Interventionunits on a scale (Median)
IN Ketamine4
IN Midazolam and Fentanyl0

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Alcohol Urge Questionnaire (AUQ)

"Alcohol Urge Questionnaire (AUQ) is a multi-item measure of self-reported urges to drink alcohol, predictor of drinking abuse and relapse. AUQ is an 8-item questionnaire.~Each item is scored on a 1 to 7 scale (Strongly Disagree = 1 and Strongly Agree = 7). Items 2 and 7 are reverse scored. Total score ranges from 8 to 56, and a higher score reflects greater craving." (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine13.8
Placebo16.3

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Suicidal Ideation as Assessed by the Scale for Suicide Ideation (SSI)

The scale contains 19 items rated on a scale from 0 to 2, allowing score range from 0 to 38, score over 4 (first five items) will be considered inclusion criteria. Higher values indicate worsening or presence of suicidal ideation. (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine10.8
Placebo12.3

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Snaith-Hamilton Pleasure Scale

"The Snaith-Hamilton Pleasure Scale (SHAPS) is an assessment of anhedonia, which is the inability to experience pleasure. The SHAPS has 14 items. Each item has four possible responses: strongly disagree, disagree, agree, or strongly agree. A response of strongly disagree or disagree equals one point, and a response of strongly agree or agree equals 0 points. Thus, the final score ranges from 0 to 14. A score of 2 or less constitutes a normal score, while an abnormal score is defined as 3 or more." (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine4.12
Placebo5.00

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Manic Symptoms as Assessed by Score on the Young Mania Rating Scale (YMRS)

The YMRS has 11 items, and total score ranges from 0 to 88, with a higher score indicating greater mania. (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine2.29
Placebo2.40

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Dissociative State as Assessed by Score on Clinician-Administered Dissociative States Scale (CADSS)

The CADSS consists of 23 items, and each item is rated on a scale from 0 (not at all) to 4 (severe), with the total score ranging from 0 to 92. A higher score indicates greater severity of dissociative state. (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine0.824
Placebo1.60

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Depression as Assessed by the Montgomery-Åsberg Depression Rating Scale (MADRS)

It has ten items, each item yields a score of 0 to 6. Hence the overall score ranges from 0 to 60. Higher scores indicate more severe depression. (NCT03539887)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Intranasal Ketamine16.8
Placebo22.5

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Hemodynamic Effect as Measured by Systolic Blood Pressure Before and After RSI

The primary outcome of this study is to determine the change in hemodynamic response comparing systolic blood pressure pre-versus post-administration of study drug. A significant hemodynamic response is defined as a decrease in systolic blood pressure of 20% or greater between the pre versus post administered study drug. (NCT03545503)
Timeframe: The hemodynamic response will be measured by assessing the change in vital signs between 15 minutes prior to administration and vitals up to 15 minutes after the administration of the study drug.

,
InterventionmmHg (Mean)
Pre-SBPPost SBP 0-7Post SBP 8-15
Etomidate138.04139.09130.42
Ketamine132.39130.09120.80

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Difference of the Mean Clinician Administered Dissociative States Scale Before and After Midazolam Administration

Midazolam was administered approximately 60 minutes after the administration of Ketamine in order to reduce the effects of Ketamine on dissociation. Dissociation was measured using the Clinician Administered Dissociative States Scale. Each section is scored 0 (not at all) to 4 (extreme), and totaled. The minimum total score is 0 (best, no dissociation at all) and the maximum total score is 92 (worst, the most dissociation). The difference of the mean Clinician Administered Dissociative States Scale before and after Midazolam administration was found. (NCT03553758)
Timeframe: About 60 minutes

Interventionscore on a scale (Mean)
Ketamine10.3

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Average Dissociation States Score Pre- and Post-Ketamine Induction

Patients were assessed for dissociation states prior to the induction of ketamine and at 60 minutes, 75 minutes, and 120 minutes after Ketamine was administered. The Clinician Administered Dissociation States Scale was used to measure dissociation. Each section is scored 0 (not at all) to 4 (extreme), and totaled. The minimum total score is 0 (best, no dissociation at all) and the maximum total score is 92 (worst, the most dissociation). (NCT03553758)
Timeframe: About 125 minutes

Interventionscore on a scale (Mean)
Pre-Ketamine60 minutes post-ketamine75 minutes post-ketamine120 minutes post-ketamine
Ketamine0.222.114.35.2

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Average Pain Intensity Pre- and Post-Ketamine Induction

Average Pain Intensity prior to ketamine induction, 30 minutes post ketamine, 60 minutes post ketamine, 75 minutes post ketamine, and 120 minutes post ketamine. PROMIS Pain Intensity 1a was used to assess pain delivered by a pre-calibrated pain cuff. Scale of 0 (no pain) to 10 (worst imaginable pain). (NCT03553758)
Timeframe: Approximately 125 minutes

Interventionscore on a scale (Mean)
Pre-Ketamine30 minutes Post-Ketamine60 minutes Post-Ketamine75 minutes Post-Ketamine120 minutes Post-Ketamine
Ketamine EEG Dynamics7.91.64.14.35.4

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Pressure Pain Tolerance

Pain assessments will be conducted using a digital algometer to obtain maximum pain thresholds caused by pressure. This pain assessment technique is conducted by applying the tip of a hand-held digital algometer on the subject's digit. Force is gradually increased and the peak force is recorded when the subject first reports a painful sensation. Removal of the pressure from the algometer immediately relieves the painful sensation and the subject can voluntarily stop the test at any time. This assessment will be performed after the subject has received placebo and ketamine. (NCT03621085)
Timeframe: 12 months

InterventionKilograms (Mean)
Ketamine3.3
Placebo1.6

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Cumulative Stress Index

Tolerance to a simulated hemorrhagic challenge will be assessed, for both the placebo and ketamine limbs, by causing progressive central hypovolemia via lower-body negative pressure (LBNP). This progressive lower-body negative pressure challenge will be performed until the onset of syncopal symptoms (defined as: profound bradycardia, a precipitous drop in arterial blood pressure and accompanying narrowing of pulse pressure, a sustained systolic blood pressure less than 80 mmHg, and/or subjective symptoms such as light-headedness, sweating, nausea, or dizziness). The primary variable will be the quantification of lower-body negative pressure that is required to cause these symptoms. This quantification will be objectively measured via a cumulative stress index which is calculated as the sum of the product of the LBNP level and the duration of each level, until test termination (i.e., 40 mmHg x 3 min + 50 mmHg x 3 min, etc). (NCT03621085)
Timeframe: 12 month

InterventionmmHg x minutes (Mean)
Ketamine635
Placebo649

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Incidence of Unacceptable Movement Under General Anesthesia

Gross visible movement reported by the anesthesiologist or surgical team: bucking, chewing, or reaching to the endotracheal tube and induced by nociception, or head manipulation and positioning by the surgical or anesthesiology team or during a motor evoked potential stimulation. (NCT03643796)
Timeframe: duration of surgery

InterventionParticipants (Count of Participants)
Remifentanil Group1
Ketamine and Dexmedetomidine Group1

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Hemodynamic Stability

Any increase in the heart rate by more than 20% of patient baseline before induction of anesthesia (NCT03643796)
Timeframe: up to 24 hours

InterventionParticipants (Count of Participants)
Remifentanil Group4
Ketamine and Dexmedetomidine Group5

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Time to Extubation

From start of of emergence from anesthesia until time of extubation. Shorter amount of time between the two, is desired. (NCT03643796)
Timeframe: up to 24 hours

Interventionminutes (Mean)
Remifentanil Group12
Ketamine and Dexmedetomidine Group18

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Quality of Recovery

( Modified Quality of Recovery score, QoR-15) is a psychometric assessment of recovery from general anesthesia.Answers of 15 questions are given scores from 1 to 10 on a Likert scale. The score ranges from 0 to 150. The questionnaire is designed to assess the emotional state, physical comfort, psychological support, physical independence, and pain. A higher score indicates a better outcome (NCT03643796)
Timeframe: 24 hours post-op

Interventionunits on a scale (Mean)
Ketamine and Dexmedetomidine Group122
Remifentanil Group127

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Narcotic Consumption

all narcotics and pain medication consumed by subject in the recovery room until discharged will be recorded and compared among 2 study groups. (NCT03643796)
Timeframe: 24 hours

InterventionMorphine Equivalents (Mean)
Remifentanil Group12.7
Ketamine and Dexmedetomidine Group11.5

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Change in Pain Score From Baseline to 60 Minutes

Change in numerical pain score (NRS) from time 0 to time 60 min. The NRS ranges from 0 to 10 with higher scores indicating more pain. (NCT03714620)
Timeframe: 60 minutes

Interventionscore on a scale (Mean)
0.15 mg/kg IV Ketamine3.7
0.3 mg/kg IV Ketamine3.5

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Number of Participants Who Need Additional Pain Medication at 30 Minutes

Patient request for additional pain medications at 30 minutes post initiation of drug administration (NCT03714620)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
0.15 mg/kg IV Ketamine1
0.3 mg/kg IV Ketamine0

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Adverse Effects at 30 Min

Patients were asked if they had any adverse effects at 30 minutes including nausea, dizziness, headache, hallucinations, etc. (NCT03714620)
Timeframe: 30 minutes

,
Interventionparticipants (Number)
FatigueDizzinessHeadacheFeeling of UnrealityHearing ChangesVision ChangesMood AlterationDiscomfortHallucinations
0.15 mg/kg IV Ketamine1821168044152
0.3 mg/kg IV Ketamine2016116266213

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Number of Patients Who Need Rescue Medications at 60 Minutes

Patient request for additional pain medications at 60 minutes (NCT03714620)
Timeframe: 60 minutes

InterventionParticipants (Count of Participants)
0.15 mg/kg IV Ketamine2
0.3 mg/kg IV Ketamine4

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Change in Pain Score From Baseline to 15 Minutes

Change in numerical pain score (NRS) from time 0 to time 15 min. The NRS ranges from 0 to 10 with higher scores indicating more pain. (NCT03714620)
Timeframe: 15 minutes

Interventionscore on a scale (Mean)
0.15 mg/kg IV Ketamine3.6
0.3 mg/kg IV Ketamine4.8

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Change in Pain Score From Baseline to 30 Minutes Post Initiation of Drug Administration

Change in numerical pain score (NRS) from time 0 to time 30 min. The NRS ranges from 0 to 10 with higher scores indicating more pain. (NCT03714620)
Timeframe: 30 minutes

Interventionscore on a scale (Mean)
0.15 mg/kg IV Ketamine3.8
0.3 mg/kg IV Ketamine3.5

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End of Surgery to Hospital Discharge

Length of time before patient is ready to be discharged home. (NCT03714919)
Timeframe: 2-3 hours post-op

Interventionminutes (Median)
Non-opiod Pain Relief122

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Average Pain Score

Visual Analogue Scale (VAS) pain scores (0 being no pain and 10 being worst pain) in post-anesthesia care unit (PACU). (NCT03714919)
Timeframe: 1 hr post-op

Interventionpain score (Mean)
Non-opiod Pain Relief0

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Number of Participants With Sedation, Nausea/Vomiting, or Hallucinations

Presence of sedation, nausea/vomiting, or hallucinations post-operatively. (NCT03714919)
Timeframe: 2 hours post-op

Interventionparticipants (Number)
SedationNausea/VomitingHallucinations
Non-opiod Pain Relief710

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Time in PACU

Total time in PACU before patient met discharge criteria. (NCT03714919)
Timeframe: 1-2 hr post-op

Interventionminutes (Median)
Non-opiod Pain Relief56

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Extubation Time

Amount of time in the PACU before patient is ready to be extubated. (NCT03714919)
Timeframe: 1 hr post-op

Interventionminutes (Median)
Non-opiod Pain Relief23

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PK Properties of MIJ821 in Plasma - AUClast (h*ng/mL)

To assess MIJ821 pharmacokinetics in plasma described by AUClast (h*ng/mL). A single, sparse PK measurement was taken on Day 1. (NCT03756129)
Timeframe: Day 1

Interventionh*ng/mL (Mean)
Pooled MIJ821 0.16 mg/kg496
Pooled MIJ821 0.32 mg/kg738

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PK Properties of MIJ821 in Plasma - Cmax (ng/mL)

To assess MIJ821 pharmacokinetics in plasma described by Cmax. A single, sparse PK measurement was taken on Day 1. (NCT03756129)
Timeframe: Day 1

Interventionng/mL (Mean)
Pooled MIJ821 0.16 mg/kg99.5
Pooled MIJ821 0.32 mg/kg149

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PK Properties of MIJ821 in Plasma - Tmax (ng/mL)

To assess MIJ821 pharmacokinetics in plasma described by Tmax. A single, sparse PK measurement was taken on Day 1. (NCT03756129)
Timeframe: Day 1

Interventionhour (Median)
Pooled MIJ821 0.16 mg/kg0.683
Pooled MIJ821 0.32 mg/kg0.667

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Summary Statistics of Total Hamilton Anxiety Scale - Change From Baseline

The Hamilton Anxiety Rating Scale (HAM-A) measures psychic anxiety and somatic anxiety symptoms based on a clinical assessment and patient interview. The scale has 14 items, with each item rated from 0-4, ranging from not present to very severe. A maximum score of 56 indicates the most severe case. (Hamilton 1959). (NCT03756129)
Timeframe: Change from baseline at week 6 (Day 43)

InterventionScores on a Scale (Mean)
MIJ821 0.16 mg/kg Weekly-2.6
MIJ821 0.16 mg/kg Biweekly-5.4
MIJ821 0.32 mg/kg Weekly-6.8
MIJ821 0.32 mg/kg Biweekly-4.2
Ketamine 0.5 mg/kg Weekly-5.4
Placebo Weekly-5.1

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Bech-Rafaelsen Melancholia Scale

To assess efficacy in the melancholic subtype of depression. Depression scales are used primarily to measure changes, for example, to evaluate the efficacy of treatment with antidepressants. The Bech-Rafaelsen Melancholia Scale (BRMS) is a frequently used clinician rating scale to assess the severity of depression over the past 3 days. Each of the 11 BRMS items is operationally defined on a five-point scale (0-4); hence, the total score ranges from 0 to 44, higher scores indicating greater severity of depression. (NCT03756129)
Timeframe: Baseline, 24 hours, 48 hours and 6 weeks (Day 43)

,,,,,
InterventionScores on a Scale (Mean)
Change at 24 hrs (n=11,10,10,8,9,20)Change at 48 hrs (n=9,10,9,7,4,19)Change at day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly-7.7-12.5-8.9
MIJ821 0.16 mg/kg Biweekly-9.5-8.0-8.6
MIJ821 0.16 mg/kg Weekly-11.9-9.9-8.6
MIJ821 0.32 mg/kg Biweekly-8.1-8.0-6.0
MIJ821 0.32 mg/kg Weekly-7.9-7.6-7.6
Placebo Weekly-6.0-6.7-6.9

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Change From Baseline in the CORE Melancholia Total Scale

"To assess efficacy in melancholic subtype of depression. This scale is an 18 item scale, with a 6 item component capturing cognitive impairment and two motoric scales capturing psychomotor retardation (7 items) and psychomotor agitation (5 items). A cut-off score of 8 or more has been shown to ifferentiate melancholic from non-melancholic depression, with higher scores representing a greater probability of melancholic depression. (Parker and McCraw 2017).~The total clinical score was calculated as the summation of the individual subscale scores. The maximum for the total CORE Melancholia score is 54. The range is 0 to 54 with the higher score indicating more severe symptoms." (NCT03756129)
Timeframe: Baseline, 24 hours, 48 hrs, and 6 weeks (day 43)

,,,,,
InterventionScores on a Scale (Least Squares Mean)
Adjusted arithmetic mean change from baseline at 24 hrs (n=4,3,4,3,9,8)Adjusted arithmetic mean change from baseline at 48 hrs (n=2,3,3,2,4,9)Adjusted arithmetic mean change from baseline at day 43 (n=3,2,3,2,8,8)
Ketamine 0.5 mg/kg Weekly-5.07-6.68-9.01
MIJ821 0.16 mg/kg Biweekly-3.64-2.82-4.82
MIJ821 0.16 mg/kg Weekly-4.76-5.77-5.79
MIJ821 0.32 mg/kg Biweekly1.381.62-6.49
MIJ821 0.32 mg/kg Weekly-3.93-5.92-7.24
Placebo Weekly-3.61-5.06-5.21

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Change From Baseline in the Dissociative Experiences Total Score

The Dissociative Experiences Scale (DES) consists of twenty-eight questions about experiences the subject has experienced in his/her daily life. The subject determines to what degree he/she has been facing the situation by selecting a percentage from 0% (never) to 100% (always), with 10% increments in between. Higher scores mean higher severity. (NCT03756129)
Timeframe: Baseline, 24 hours, 48 hrs, and 6 weeks (day 43)

,,,,,
InterventionScores on a Scale (Least Squares Mean)
Adjusted arithmetic mean change from baseline at 24 hrs (n=11,10,10,9,10,20)Adjusted arithmetic mean change from baseline at 48 hrs (n=9,10,9,7,4,19)Adjusted arithmetic mean change from baseline at day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly2.101.891.86
MIJ821 0.16 mg/kg Biweekly2.002.301.61
MIJ821 0.16 mg/kg Weekly1.821.801.38
MIJ821 0.32 mg/kg Biweekly7.223.460.24
MIJ821 0.32 mg/kg Weekly1.201.891.02
Placebo Weekly2.502.432.63

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Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at 48 Hrs

Efficacy. To assess change from baseline in the total MADRS score. The efficacy of MIJ821 in treatment-resistant depression will be compared to the placebo after single dose administration. MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment: the test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 60. Higher scores represent a more severe condition. (NCT03756129)
Timeframe: Baseline, and at 48 hours

InterventionScores on a Scale (Least Squares Mean)
Pooled MIJ821 0.16 mg/kg-14.94
Pooled MIJ821 0.32 mg/kg-15.25
Ketamine 0.5 mg/kg Weekly-18.89
Placebo Weekly-7.88

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Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at 24 Hrs

Efficacy. To assess change from baseline in the total MADRS score. The efficacy of MIJ821 in treatment-resistant depression will be compared to the placebo after single dose administration. MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment: the test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 60. Higher scores represent a more severe condition. (NCT03756129)
Timeframe: Baseline, and at 24 hours

InterventionScores on a Scale (Least Squares Mean)
Pooled MIJ821 0.16 mg/kg-15.51
Pooled MIJ821 0.32 mg/kg-12.98
Ketamine 0.5 mg/kg Weekly-12.94
Placebo Weekly-7.27

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Change From Baseline in the Total Hamilton Anxiety Scale

The Hamilton Anxiety Rating Scale (HAM-A) measures psychic anxiety and somatic anxiety symptoms based on a clinical assessment and patient interview. The scale has 14 items, with each item rated from 0-4, ranging from not present to very severe. A maximum score of 56 indicates the most severe case. (Hamilton 1959). (NCT03756129)
Timeframe: Baseline, and at 6 weeks (day 43)

InterventionScores on a Scale (Least Squares Mean)
MIJ821 0.16 mg/kg Weekly-1.94
MIJ821 0.16 mg/kg Biweekly-5.69
MIJ821 0.32 mg/kg Weekly-7.17
MIJ821 0.32 mg/kg Biweekly-3.83
Ketamine 0.5 mg/kg Weekly-4.93
Placebo Weekly-4.80

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Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at Week 6

Efficacy. To assess change from baseline in the total MADRS score. The efficacy of MIJ821 in treatment-resistant depression will be compared to the placebo after single dose administration. MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment: the test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 60. Higher scores represent a more severe condition. (NCT03756129)
Timeframe: Baseline, and at Week 6

InterventionScores on a Scale (Least Squares Mean)
MIJ821 0.16 mg/kg Weekly-12.71
MIJ821 0.16 mg/kg Biweekly-14.08
MIJ821 0.32 mg/kg Weekly-13.04
MIJ821 0.32 mg/kg Biweekly-10.68
Ketamine 0.5 mg/kg Weekly-12.86
Placebo Weekly-7.62

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PK Properties of MIJ821 in Plasma - AUC0-24h (h*ng/mL)

To assess MIJ821 pharmacokinetics in plasma described by AUC0-24h (h*ng/mL). A single, sparse PK measurement was taken on Day 1. (NCT03756129)
Timeframe: Day 1

Interventionh*ng/mL (Mean)
Pooled MIJ821 0.16 mg/kg462
Pooled MIJ821 0.32 mg/kg713

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Summary of Adverse Events

Summary of Adverse Events (NCT03756129)
Timeframe: Adverse events were reported from first dose of study treatment until end of study treatment plus 30 post treatment, up to a maximum duration of 66 days.

,,,,,
InterventionParticipants (Count of Participants)
AEs, subjects with AEsStudy drug-related AEsSAEsAEs leading to discontinuation of study treatmentStudy drug-related AEs leading to discontinuation of study treatment
Ketamine 0.5 mg/kg Weekly66000
MIJ821 0.16 mg/kg Biweekly65100
MIJ821 0.16 mg/kg Weekly75010
MIJ821 0.32 mg/kg Biweekly65320
MIJ821 0.32 mg/kg Weekly77000
Placebo Weekly75111

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Sheehan Suicidality Tracking Scale - (SSTS)

Sheehan suicidality tracking scale(S-STS) is a fourteen-item (up to 22) scale. Each item in the S-STS is scored on a 5-point Likert scale (0=not at all, 1= a little, 2=moderately, 3=very, and 4=extremely). Data from the S-STS will be analyzed as individual item scores, suicidal ideation subscale score (sum of scores from items 2, 3 and 4, plus score from item 5 if ≤1), suicidal behavior subscale score (sum of scores from items 6, 7a and 8, plus score from item 5 if >1). Higher scores represent a more severe condition. (NCT03756129)
Timeframe: Change from baseline at 24 hours, 48 hours, and 6 weeks (Day 43)

,,,,,
InterventionScores on a Scale (Mean)
Suicidal behavior subscale score - Change at 24 hrs (n=11,10,10,9,10,20)Suicidal behavior subscale score - Change at 48 hrs (n=9,10,9,7,4,19)Suicidal behavior subscale score - Change at day 43 (n=8,8,8,6,9,17)Suicidal ideation subscale score - Change at 24 hrs (n=11,10,10,9,10,20)Suicidal ideation subscale score - Change at 48 hrs (n=9,10,9,7,4,19)Suicidal ideation subscale score - Change at day 43 (n=8,8,8,6,9,17)SSTS total score - Change at 24 hrs (n=11,10,10,9,10,20)SSTS total score Change at 48 hrs (n=9,10,9,7,4,19)SSTS total score - Change at Day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly-0.100.00-0.11-0.400.00-0.11-0.500.00-0.22
MIJ821 0.16 mg/kg Biweekly0.000.000.00-0.50-0.50-0.13-0.50-0.50-0.13
MIJ821 0.16 mg/kg Weekly0.000.000.00-0.45-0.22-0.38-0.45-0.22-0.38
MIJ821 0.32 mg/kg Biweekly0.110.000.000.11-0.430.000.11-0.57-0.17
MIJ821 0.32 mg/kg Weekly0.000.000.00-0.30-0.33-0.13-0.30-0.33-0.13
Placebo Weekly0.000.000.12-0.20-0.160.12-0.20-0.160.47

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Responders (>50% Improvement in Bech-Rafaelsen Melancholia Scale) and Melancholia and Mixed Depression Checklist Factor.

Percentage of Participants who responded. The first mixed depression checklist, created by Koukopoulos, has 8 criteria, which are marked as present or absent. If 3 or more criteria are marked present, then mixed depression would be diagnosed. The second mixed depression checklist, created by Angst, lists the 7 criteria for mania from DSM-5, which are marked as present or absent. If 3 or more criteria are marked present, excluding any duration criterion, then mixed depression would be diagnosed. The melancholia checklist, created by Ghaemi for this study, has 4 criteria, which are marked as present or absent. If 3 or more criteria are marked present, then melancholia would be diagnosed. (NCT03756129)
Timeframe: 24 hours, 48 hours, and 6 weeks (Day 43)

,,
InterventionPercentage of Participants (Number)
% of participants who responded at 24 hrs - drugs (n=5,5,5)% of participants who responded at 24 hrs - placebo (n=1,1,1)% of participants who responded at 48 hrs - drugs (N=6, 6, 6)% of participants who responded at 48 hrs - placebo (n=2,2,2)% of participants who responded at Day 43 - drugs (n=9,9,9)% of participants who responded at Day 43- placebo (n=3,3,3)
Angst000000
Ghaemi20.010033.350.044.40
Koukopoulos40.0050.0055.633.3

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Percentage of Participants With Treatment Remissions (MADRS<7)

Percentage of Participants with treatment remissions as assessed via (MADRS<7) (NCT03756129)
Timeframe: 24 hours, 48 hours, and 6 weeks (Day 43)

,,,,,
InterventionPercentage of Participants (Number)
% of participants with remission at 24 hrs (n=11,10,10,8,10,20)% of participants with remission at 48 hrs (n=9,10,9,7,4,19)% of participants with remission at Day 43 (n=8,8,8,6, 9,17)
Ketamine 0.5 mg/kg Weekly20.025.022.2
MIJ821 0.16 mg/kg Biweekly20.010.037.5
MIJ821 0.16 mg/kg Weekly9.122.225.0
MIJ821 0.32 mg/kg Biweekly11.128.616.7
MIJ821 0.32 mg/kg Weekly011.10
Placebo Weekly5.010.511.8

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Clinician-Administered Dissociative States Scale

To assess safety and tolerability, especially dissociative side effects. The Clinical-Administered Dissociative States Scale (CADSS) is a questionnaire that assesses dissociative effects. Each item is scored from 0 to 4 and individual scores are to be summed to obtain a total score ranging from a minimum of 0 to a maximum of 80. Higher scores represent a more severe condition. (NCT03756129)
Timeframe: Change from baseline at 24 hours, 48 hours, and 6 weeks (Day 43)

,,,,,
InterventionScores on a Scale (Mean)
Change at 24 hrs (n=11,10,10,8,10,20)Change at 48 hrs (n=9,10,9,7,4,19)Change at day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly-0.500.000.00
MIJ821 0.16 mg/kg Biweekly1.100.500.00
MIJ821 0.16 mg/kg Weekly1.09-0.220.00
MIJ821 0.32 mg/kg Biweekly3.003.141.00
MIJ821 0.32 mg/kg Weekly2.104.440.38
Placebo Weekly-0.25-0.16-0.18

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Change From Baseline in the Young Mania Rating Scale

"To assess risk of mania induction. The Young Mania Rating Scale has 11 items and is based on the patient's subjective report of his/her clinical condition over the previous 48 hours. There are 4 items that are scored from 0 to 8 (irritability, speech, thought content, and disruptive/aggressive behavior) and the remaining items are scored from 0 to 4. Higher scores indicate more severe mania.~The total clinical score was calculated as the summation of the individual subscale scores. The maximum for the total YMRS score is 60. The range is 0 to 60 with the higher score indicating more severe symptoms." (NCT03756129)
Timeframe: Baseline, 24 hours, and 6 weeks (day 43)

,,,,,
InterventionScores on a Scale (Least Squares Mean)
Adjusted arithmetic mean change from baseline at 24 hrs (n=11,10,10,9,10,20)Adjusted arithmetic mean change from baseline at day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly-1.56-1.80
MIJ821 0.16 mg/kg Biweekly-1.07-2.13
MIJ821 0.16 mg/kg Weekly-1.41-1.28
MIJ821 0.32 mg/kg Biweekly-0.81-1.55
MIJ821 0.32 mg/kg Weekly-1.66-0.65
Placebo Weekly-0.72-0.92

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Change From Baseline in the Total Koukopoulos Mixed Depression Rating Scale

The Koukopoulos Mixed Depression Rating Scale (KMDRS) assesses the excitatory or mixed nature in patients suffering from a Major Depressive Episode (MDE) as defined by DSM-5 criteria. This scale is meant to be used in conjunction with another scale that assess typical depression and anxiety symptoms. The scale contains 14 items to be evaluated by clinical assessment and patient interview on symptoms potentially experienced over the past week. Overall score increases with severity of symptoms and has a maximum score of 51. (Sani et al 2018). (NCT03756129)
Timeframe: Baseline, 24 hours, 48 hrs, and 6 weeks (day 43)

,,,,,
InterventionScores on a Scale (Least Squares Mean)
Adjusted arithmetic mean change from baseline at 24 hrs (n=11,10,10,9,10,20)Adjusted arithmetic mean change from baseline at 48 hrs (n=9,10,9,7,4,19)Adjusted arithmetic mean change from baseline at day 43 (n=8,8,8,6,9,17)
Ketamine 0.5 mg/kg Weekly-1.280.01-1.68
MIJ821 0.16 mg/kg Biweekly-2.38-1.03-1.06
MIJ821 0.16 mg/kg Weekly-2.79-2.95-1.18
MIJ821 0.32 mg/kg Biweekly-2.46-3.43-2.04
MIJ821 0.32 mg/kg Weekly-1.50-1.97-1.55
Placebo Weekly-2.33-1.97-1.59

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Percentage of Adequately Sedated Participants Successfully Completing the Procedure Without Requiring Rescue Medications.

Rescue medication is defined as requiring additional doses of Ketamine to maintain adequate sedation. Successful procedure completion will be define as completing the procedure with only the induction dose and without requiring rescue medications. (NCT03781817)
Timeframe: From induction to discharge from sedation by emergency physician, up to 3 hours.

InterventionParticipants (Count of Participants)
Intravenous Ketamine7
Intranasal Ketamine22

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Number of Participants Who Achieved Adequate Sedation.

Determine if IN ketamine provides non-inferior sedation to IV ketamine as defined by a Modified Ramsay Sedation score of ≥ 4. Modified Ramsay Sedation scale is used to evaluate levels of sedation. The scale range is from 0 to 6 with a higher score indicated deeper levels of sedation. At levels of 4 or greater is set to be satisfactory for deep sedation. (NCT03781817)
Timeframe: Induction up to 10 minutes

InterventionParticipants (Count of Participants)
Intravenous Ketamine17
Intranasal Ketamine4

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Duration of Emergency Department Stay.

Measured from time of arrival to emergency department to discharge order. (NCT03781817)
Timeframe: From arrival to emergency department to discharge order entered by emergency physician.

InterventionTime (in minutes) (Mean)
Intravenous Ketamine325.65
Intranasal Ketamine312.4

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Duration of Sedation Using Modified Ramsay Sedation Scale.

Modified Ramsay Sedation scale is used to evaluate levels of sedation. The scale range is from 0 to 6 with a higher score indicated deeper levels of sedation. At levels of 2 or less is set to be satisfactory for discharge from sedation. (NCT03781817)
Timeframe: From induction to discharge from sedation by the emergency physician.

InterventionMinutes (Mean)
Intravenous Ketamine65.71
Intranasal Ketamine101.21

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Change From Baseline in in Peak-to-Peak Amplitude of MEP Obtained With Single-pulse TMS to Assess the Effect of Ketamine at 2.5 Hours and 24 Hours Post Dose of Ketamine

TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Single-pulse TMS was used to determine peak-to-peak amplitude of MEP at a stimulation intensity of 120% of baseline rMT. rMT was defined as the minimum stimulus intensity to evoke an MEP. Change in peak-to peak amplitude of MEP was be assessed by TMS after treatment 0.5 mg/kg Ketamine. (NCT03792672)
Timeframe: Baseline, 2.5 hours post ketamine dose, and 24 hours post ketamine dose

InterventionmcV (Mean)
BaselineChange at 2.5 hours Ketamine Post DoseChange at 24 hours Ketamine Post Dose
Ketamine 0.5 mg/kg1150.618-193.897-295.041

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Change From Baseline in Resting Motor Threshold (rMT) Obtained With Single-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose

The rMT was defined as the minimum stimulus intensity to evoke an MEP. Single-pulse TMS was used to determine rMT. A lower rMT value indicated greater neuronal excitability. TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Change in rMT was be assessed by TMS after treatment with 0.5 mg or 6 mg of TAK-653 vs. matched oral placebo. (NCT03792672)
Timeframe: Baseline, 2.5 hours post TAK-653 dose

,,
Interventionpercentage of maximum stimulator output (Mean)
BaselineChange at 2.5 hours post TAK-653 Dose
Placebo55.3-0.1
TAK-653 0.5 mg55.9-0.5
TAK-653 6 mg55.3-0.3

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Change From Baseline in Peak-to-Peak Amplitude of Motor-evoked Potential (MEP) Obtained With Single-pulse Transcranial Magnetic Stimulation (TMS) for TAK-653 at 2.5 Hours Post TAK-653 Dose

TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Single-pulse TMS was used to determine peak-to-peak amplitude of MEP at a stimulation intensity of 120 percent (%) of baseline resting motor threshold (rMT). rMT was defined as the minimum stimulus intensity to evoke an MEP. Change in peak-to peak amplitude of MEP was be assessed by TMS after treatment with 0.5 mg or 6 mg of TAK-653 versus (vs.) matched oral placebo. (NCT03792672)
Timeframe: Baseline, 2.5 hours post TAK-653 dose

,,
Interventionmicrovolt (mcV) (Mean)
BaselineChange at 2.5 Hours Post TAK-653 Dose
Placebo898.828-139.117
TAK-653 0.5 mg841.06817.265
TAK-653 6 mg1004.127139.932

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Change From Baseline in Magnitude of Short Intracortical Inhibition (SICI) Obtained With Paired-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose

SICI was TMS stimulation paradigm that capture modulation of cortical excitation-inhibition balance with pairs of TMS pulses at stimulation intensity conditioning pulse 80% of baseline rMT and test pulse of 120% of baseline rMT. rMT was defined as the minimum stimulus intensity to evoke an MEP. TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Change in SICI was be assessed by TMS after treatment with 0.5 mg or 6 mg of TAK-653 vs. matched oral placebo. (NCT03792672)
Timeframe: Baseline, 2.5 hours post TAK-653 dose

,,
Interventionpercent inhibition (Mean)
Baseline: SICI 2 msChange at 2.5 Hours Post TAK-653 Dose: SICI 2 msBaseline: SICI 5 msChange at 2.5 Hours Post TAK-653 Dose: SICI 5 ms
Placebo43.0955.05270.64014.303
TAK-653 0.5 mg39.1591.77259.6724.274
TAK-653 6 mg47.951-14.58072.722-7.247

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Change From Baseline in Magnitude of Long Intracortical Inhibition (LICI) Obtained With Paired-pulse TMS for TAK-653 at 2.5 Hours Post TAK-653 Dose

LICI was TMS stimulation paradigm that capture modulation of cortical excitation-inhibition balance with pairs of TMS pulses at stimulation intensity conditioning pulse and test pulse of 120% of baseline rMT. rMT was defined as the minimum stimulus intensity to evoke an MEP. TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Change in LICI was be assessed by TMS after treatment with 0.5 mg or 6 mg of TAK-653 vs. matched oral placebo. (NCT03792672)
Timeframe: Baseline, 2.5 hours post TAK-653 dose

,,
Interventionpercent inhibition (Mean)
Baseline: LICI 50 msChange at 2.5 Hours Post TAK-653 Dose: LICI 50 msBaseline: LICI 100 msChange at 2.5 Hours Post TAK-653 Dose: LICI 100 msBaseline: LICI 200 msChange at 2.5 Hours Post TAK-653 Dose: LICI 200 msBaseline: LICI 300 msChange at 2.5 Hours Post TAK-653 Dose: LICI 300 ms
Placebo75.1130.67516.1670.14748.1492.88259.463-9.996
TAK-653 0.5 mg96.51518.31910.4305.90548.9349.90256.1158.618
TAK-653 6 mg96.56819.39546.808-28.64449.77311.54054.5721.638

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Change From Baseline in rMT Obtained With Single-pulse TMS to Assess the Effect of Ketamine at 2.5 Hours and 24 Hours Post-dose of Ketamine

The rMT was defined as the minimum stimulus intensity to evoke an MEP. Single-pulse TMS was used to determine rMT. A lower rMT value indicated greater neuronal excitability. TMS was a neurophysiologic test for assessing upper motor neuron function. TMS was a noninvasive neuro stimulation method involving the application of brief magnetic pulses to the skull, based on the principles of electromagnetic induction, create an orthogonal electric current that can be sufficient to depolarize neurons and activate neuronal circuits. Change in rMT was be assessed by TMS after treatment with 0.5 mg/kg Ketamine. (NCT03792672)
Timeframe: Baseline, 2.5 hours post ketamine dose, and 24 hours post ketamine dose

Interventionpercentage of maximum stimulator output (Mean)
BaselineChange at 2.5 hours Ketamine Post DoseChange at 24 hours Ketamine Post Dose
Ketamine 0.5 mg/kg54.40.70.8

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Side Effects

drug side effects scale: severity scale from 1 (not at all) to 7 (extremely) for symptoms of nausea, dizziness, sleepiness, strange thoughts, hallucinations, confusion, anxiousness, and headache. The average score across all side effects is reported. (NCT03813121)
Timeframe: about 1 week post infusion

Interventionscore on a scale (Mean)
Placebo Intravenous Infusion1.3
Ketamine Intravenous Infusion1.4

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Total Opioid Consumption in PACU (mg)

Total cumulative opioid use (total IV morphine equivalents) in postoperative anesthesia care unit (PACU) (NCT03831854)
Timeframe: from entry to PACU to leaving PACU, up to 4 hours

Interventionmg (Median)
Lamotrigine5
Placebo10

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Daily Average Opioid Use During Hospital Stay

The average daily opioid use (mg) during the hospital stay. (NCT03831854)
Timeframe: from admission up to discharge

Interventionmg (Median)
Lamotrigine24
Placebo24

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Psychologic Side-effects

The primary outcome of psychologic side-effects was measured in PACU (up to 90 minutes after ketamine infusion). This included four key items of the Brief Psychiatric Rating Scale (BPRS) corresponding to positive symptoms of schizophrenia: conceptual disorganization, hallucinatory behavior, suspiciousness, and unusual thought content. Each symptom is rated 1-7 ( 1 = not present, 2 = very mild, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, 7 = extremely severe ), and, therefore, the total score as the primary outcome based on four key items of BPRS will be between 4 (best score) and 28 (worst score). (NCT03831854)
Timeframe: in PACU (up to 90 minutes after ketamine infusion)

Interventionscore on a scale (Median)
Lamotrigine4
Placebo4

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Number of Patients With Psychologic Disturbances-

The psychologic side-effects were measured in PACU (up to 90 minutes after ketamine infusion). This included four key items of the Brief Psychiatric Rating Scale (BPRS) corresponding to positive symptoms of schizophrenia: conceptual disorganization, hallucinatory behavior, suspiciousness, and unusual thought content. Each symptom is rated 1-7 ( 1 = not present, 2 = very mild, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, 7 = extremely severe ), and, therefore, the total score as the primary outcome based on four key items of BPRS will be between 4 (best score) and 28 (worst score). Patients who had a total score of 4 (all symptoms not present) were determined as not having psychologic disturbance and patients who had a total score of > 4 (having any symptoms present) were determined as having psychologic disturbance. (NCT03831854)
Timeframe: Up to 90 minutes of PACU arrival

InterventionParticipants (Count of Participants)
Lamotrigine0
Placebo3

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Number of Patients Who Had PONV (Postoperative Nausea Vomiting)

PONV was measured through Postoperative Nursing Progress Record, where nausea vomiting severity was recorded as 0 (none), 1 (mild), 2 (moderate), 3 (severe). Patients whose score was 0 were determined as not having PONV and patients whose score was positive were determined as having PONV. (NCT03831854)
Timeframe: after surgery up to discharge

InterventionParticipants (Count of Participants)
Lamotrigine5
Placebo5

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Pain Score in PACU

Pain score was scaled from 0-10 where 0 means no pain and 10 means most pain. The time-weighted average of pain scores was used if the pain score was measured multiple times. (NCT03831854)
Timeframe: from entry to PACU to leaving PACU

Interventionscore on a scale (Mean)
Lamotrigine4.9
Placebo4.4

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PACU Length of Stay, Hours

Hours spent in PACU (Postanesthesia Care Unit). (NCT03831854)
Timeframe: in PACU

Interventionhours (Median)
Lamotrigine1
Placebo2

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Brief Pain Inventory Pain Interference Scale Score

"Pain interference in the past 24 hours, rated on a numerical scale from 0 to 10 (with 0 representing Does not interfere and 10 representing Completely interferes)." (NCT03861988)
Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

,,
Interventionunits on a scale (Mean)
Day 1Day 2Day 3Day 5Day 7Day 14
Double Blind Ketamine8.18.07.57.06.76.2
Double Blind Placebo7.68.17.77.07.25.7
Open Label Ketamine6.06.34.86.67.64.8

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Brief Pain Inventory Pain Intensity Scale Score

"Average pain intensity in the past 24 hours, rated on a numerical scale from 0 to 10 (with 0 representing No pain and 10 representing Pain as bad as you can imagine)." (NCT03861988)
Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

,,
Interventionscore on a scale (Mean)
Day 1Day 2Day 3Day 5Day 7Day 14
Double Blind Ketamine6.05.35.55.55.14.8
Double Blind Placebo5.26.05.24.44.43.7
Open Label Ketamine4.65.53.54.44.84.4

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Number of Participants With Remission

Remission defined as a MADRS score of <=12 on day 14. MADRS score range: 0 to 60, a lower score indicates lower severity of symptoms. (NCT03861988)
Timeframe: Post-intervention day 14

InterventionParticipants (Count of Participants)
Open Label Ketamine3
Double Blind Ketamine8
Double Blind Placebo10

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Hospital Length of Stay

Number of days from admission (day of surgery) through discharge after surgery. (NCT03861988)
Timeframe: Average approximately 3 days post-intervention

Interventiondays (Mean)
Open Label Ketamine3.7
Double Blind Ketamine1.9
Double Blind Placebo4.0

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Montgomery-Asberg Depression Rating Scale (MADRS) Score

The MADRS is a 10-item scale for the evaluation of depressive symptoms (Montgomery et al 1979). Each MADRS item is rated on a 0 to 6 scale. Total score range from 0-60, where lower MADRS scores indicate lower levels of depressive symptoms. The assessment for this outcome will be taken once daily on days 1, 2 and 3 post procedure. A mixed model for repeated measures (MMRM) was used to analyze the difference in postoperative MADRS score between ketamine and placebo groups.. (NCT03861988)
Timeframe: Post-intervention days 1, 2 and 3

,,
Interventionscore on a scale (Mean)
Day 1Day 2Day 3
Double Blind Ketamine12.715.117.0
Double Blind Placebo16.417.517.2
Open Label Ketamine17.025.410.5

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Number of Participants With Clinical Response

Clinical response defined as >=50% reduction in MADRS score from baseline. MADRS score range: 0 to 60, a lower score indicates lower severity of symptoms. (NCT03861988)
Timeframe: Post-intervention days 1, 2 and 3

,,
InterventionParticipants (Count of Participants)
Day 1Day 2Day 3
Double Blind Ketamine12109
Double Blind Placebo101210
Open Label Ketamine213

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Hospital Anxiety and Depression Scale (HADS) Scale Score

This outcome measures self-reported symptoms of anxiety and depression on a scale that ranges from 0 to 42. A lower score indicates lower severity of symptoms. (NCT03861988)
Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

,,
Interventionscore on a scale (Mean)
Day 1Day 2Day 3Day 5Day 7Day 14
Double Blind Ketamine17.818.819.318.318.416.4
Double Blind Placebo19.921.220.818.919.617.2
Open Label Ketamine14.822.613.016.619.214.0

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Cumulative Opioid Use

This outcome measures how many cumulative morphine-equivalents milligrams of opioid pain medication the patient has taken as an inpatient and after discharge from hospital (NCT03861988)
Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

,
Interventionmilligram morphine equivalents (Mean)
Day 1Day 2Day 3Day 5Day 7Day 14
Double Blind Ketamine60.9104.6137.9150.6171.6206.1
Double Blind Placebo56.1107.7144.3156.2163.3186.4

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Cumulative Opioid Use

This outcome measures how many cumulative morphine-equivalents milligrams of opioid pain medication the patient has taken as an inpatient and after discharge from hospital (NCT03861988)
Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

Interventionmilligram morphine equivalents (Mean)
Day 1Day 2Day 3
Open Label Ketamine108.5249.3361.5

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Tolerability of a Multiple-dosing Ketamine Infusion Paradigm (2 Infusions Per Week for 3 Weeks) Compared to Midazolam in Adolescents With Treatment Resistant Depression

Establish if repeated ketamine will be tolerated as measured by drop-out counts. (NCT03889756)
Timeframe: Day 18

InterventionParticipants (Count of Participants)
Ketamine0
Midazolam0

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Efficacy of a Multiple-dosing Ketamine Infusion Paradigm (2 Infusions Per Week for 3 Weeks) Compared to Midazolam in Adolescents With Treatment Resistant Depression Using the Children's Depression Rating Scale (CDRS)

Establish if repeated ketamine will be efficacious medically and psychiatrically, as measured by a significant reduction in CDRS score in those treated with ketamine at the end of the dosing paradigm. The Children's Depression Rating Scale (CDRS) is a clinician-rated instrument with 17 items scored on a 1 to 5 or 1 to 7 scale. A rating of 1 indicates normal, thus the minimum score is 17. The maximum score is 113. Scores of 20-30 suggest borderline depression. Scores of 40-60 indicate moderate depression. (NCT03889756)
Timeframe: Day 18

Interventionscore on a scale (Mean)
Ketamine42
Midazolam62

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Pain Score

"Pain score using Numerical Rating Scale (NRS) post ketamine infusion. The Numerical Rating Scale (NRS) ranges from 0-to-10 with 0 being no pain and lower numbers representing less pain, so in this case lower numbers will represent better outcomes.~Pain scores were reported at baseline and then at 15 min/30 min/60 min/90 min and 120 minutes post-infusion." (NCT03896230)
Timeframe: Within 2 hours post infusion completion

,
Interventionscore on a scale (Mean)
Baseline pain scorePain score at 15 minPain score at 30 minPain score at 60 minPain score at 90 min
Arm 1: 0.3 mg/kg Ketamine7.52652
Arm 1: 0.2 mg/kg Ketamine8.565.7577

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Pain Score

"Pain score using Numerical Rating Scale (NRS) post ketamine infusion. The Numerical Rating Scale (NRS) ranges from 0-to-10 with 0 being no pain and lower numbers representing less pain, so in this case lower numbers will represent better outcomes.~Pain scores were reported at baseline and then at 15 min/30 min/60 min/90 min and 120 minutes post-infusion." (NCT03896230)
Timeframe: Within 2 hours post infusion completion

Interventionscore on a scale (Mean)
Baseline pain scorePain score at 15 minPain score at 30 minPain score at 60 minPain score at 90 minPain score at 120 min
Arm 1: 0.1 mg/kg Ketamine9.45.255.255.254.54

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Adverse Events

"Frequency of adverse events secondary to ketamine including fatigue, dizziness, nausea, headache, feeling of unreality, changes in hearing or vision, mood changes, generalized discomfort, and hallucinations, changes in vital signs.~Adverse events were reported at baseline and then at 15 min/30 min/60 min/90 min and 120 minutes post-infusion." (NCT03896230)
Timeframe: Within 2 hours post infusion completion

,,
Interventionparticipants (Number)
at 15 min post infusionat 30 min post infusionat 60 min post infusionat 90 min post infusionat 120 min post infusion
Arm 1: 0.1 mg/kg Ketamine21111
Arm 1: 0.2 mg/kg Ketamine32220
Arm 1: 0.3 mg/kg Ketamine21000

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Change in Pain Scores From Baseline to 30 Minutes

Patients will be assessed via an 11 point Likert numeric rating scale at time medication is given (baseline) and 30 minutes later. The difference in pain scores will be assessed between the 3 groups. The numeric rating scale range is from 0 to 10 with 0 being no pain and 10 being very severe pain. (NCT03909607)
Timeframe: 30 minutes

Interventionunits on a scale (Mean)
SDK 0.75 mg/kg4.0
SDK 1.0 mg/kg4.2
SDK 1.5 mg/kg4.1

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Change in Severity of Depressive Symptoms

Total score on the Montgomery- Åsberg Depression Rating Scale , a semi- structured 10-item scale. Range 0-60. Higher values represent worse outcomes. The total score is obtained by summing the severity score of each item. (NCT03960658)
Timeframe: 10 weeks

Interventionunits on a scale (Mean)
Ketamine and Prolonged Exposure11.5

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Change in Severity of Post-traumatic Stress Disorder (PTSD) Symptoms

The overall severity of PTSD symptoms would be measured by the mean change in the Past Month (current) total scores on the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (CAPS-5) from baseline to post-treatment (10 weeks). The CAPS-5 is a structured interview with higher values representing worse outcomes. The CAPS-5 total symptom severity score ranges from 0 to 80 and it is calculated by summing severity scores for the 20 DSM-5 PTSD symptoms. (NCT03960658)
Timeframe: 10 weeks

Interventionunits on a scale (Mean)
Ketamine and Prolonged Exposure15.3

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Change in PTSD Symptoms for DSM-5

The PTSD Checklist for DSM-5 (PCL5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. Range from 0-80. Higher values represent worse outcomes. (NCT03960658)
Timeframe: 10 weeks

Interventionscore on a scale (Mean)
Ketamine and Prolonged Exposure30.8

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Number of Treatment-Emergent Adverse Events

(NCT04011592)
Timeframe: 24 hours post-injection

,
Interventionadverse events (Number)
mild headachemoderate nausea
Ketamine 0.2 mg/kg10
Ketamine 0.5 mg/kg11

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Change in Depressed Mood as Indicated by Hamilton Depression Rating Scale (HAM-D) Score

The Hamilton Depression Rating Scale (HAM-D) score ranges from 0-53. A score of 0-7 is generally accepted to be within the normal range (or in clinical remission), while a score of 20 or higher indicates at least moderate severity of depressive symptoms. The value reported is the score at baseline minus the score 24 hours post-injection. (NCT04011592)
Timeframe: baseline, 24 hours post-injection

Interventionscore on a scale (Mean)
Ketamine 0.5 mg/kg9
Ketamine 0.2 mg/kg3

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Change in Anxiety as Indicated by Generalized Anxiety Disorder 7-Item (GAD-7) Scale

The Generalized Anxiety Disorder 7-Item (GAD-7) Scale score ranges from 0 to 21, with higher scores indicating greater anxiety. The value reported is the score at baseline minus the score 24 hours post-injection. (NCT04011592)
Timeframe: baseline, 24 hours post-injection

Interventionscore on a scale (Mean)
Ketamine 0.5 mg/kg5
Ketamine 0.2 mg/kg0

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Change in Postnatal Depression as Indicated by Edinburgh Postnatal Depression Scale (EPDS) Scale

The Edinburgh Postnatal Depression Scale (EPDS) score ranges from 0 to 30. Higher scores indicate worse outcome, with a score of 10 or greater indicating depression. The value reported is the score at baseline minus the score at 24 hours post-injection. (NCT04011592)
Timeframe: baseline, 24 hours post-injection

Interventionscore on a scale (Mean)
Ketamine 0.5 mg/kg8
Ketamine 0.2 mg/kg2

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Ketamine (AUC)

Plasma will be used to calculate area under the plasma concentration-time curve (AUC 0-∞) of ketamine levels during infusion. The area under the plasma drug concentration-time curve (AUC) reflects the actual body exposure to drug after administration of a dose of the drug. (NCT04037085)
Timeframe: 12 hour ketamine infusion

Interventionmcg*min/mL (Mean)
Ketamine28.46

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Nor-ketamine Milk to Plasma Ratio

Milk to plasma ratio of the Ketamine metabolite, Norketamine, calculated as the percentage of the maternal ketamine dose found from breastmilk. Milk to plasma ratio for NKET was calculated by dividing the concentration of the respective components Ketamine and Ketamine metabolites in human milk by plasma concentration at the corresponding times (± 30 min). Ratios higher than 1 indicate breastmilk concentrations of metabolites would be higher in breastmilk than in maternal plasma concentrations. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

InterventionRatio (Mean)
Ketamine1.5

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Relative Infant Dose of Ketamine (RID KET)

Relative infant dose will be calculated as the percentage of the maternal ketamine dose found from breastmilk. The relative infant dose was calculated from the concentrations of ketamine in breast milk at different times following ketamine administration to the women. The concentration of ketamine was converted to amount by multiplying with the volume of breast milk collected at various time intervals. The cumulative dose of ketamine was calculated. An RID ≤10% was considered low. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

Intervention% Maternal ketamine in breastmilk (Mean)
Ketamine0.0152

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Relative Infant Dose of Ketamine Equivalent (Ketamine, Norketamine, Dehydro-norketamine)

Relative infant dose (RID) will be calculated as the percentage of the maternal ketamine dose found from breastmilk. The relative infant dose was calculated from the concentrations of ketamine and its metabolites (ketamine, norketamine & dehydro-norketamine) in breast milk at different times following ketamine administration to the women. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

Intervention% maternal dose in breast milk (Mean)
% RID Ketamine Equivalent (Ketamine, Norketamine, and Dehydronorketamine)0.0217

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Steady State (Css)

Ketamine steady state (Css) is defined as the concentration of drug in plasma at steady state. (NCT04037085)
Timeframe: 12 hours after ketamine infusion start

Interventionng/mL (Number)
Ketamine35.58

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Hydroxynorketamine M:P Ratio

Milk to plasma ratio of the Ketamine metabolite, Hydroxynorketamine, calculated as the percentage of the maternal ketamine dose found from breastmilk. Milk to plasma ratio for hydroxynorketamine was calculated by dividing the concentration of the respective ketamine metabolites in human milk by plasma concentration at the corresponding times (± 30 min). Ratios higher than 1 indicate breastmilk concentrations of the metabolites would be higher in breastmilk than in maternal plasma concentrations. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

InterventionRatio (Mean)
Ketamine0.06

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Elimination Half Life (T1/2) for Ketamine

Postpartum maternal plasma serum will be used to calculate postpartum maternal ketamine half-life (T1/2). b. Elimination half-life (t½) is the time required for drug concentration to decrease by one-half at the end drug dosing. Elimination half-life was obtained from the slope of terminal elimination phase. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

InterventionMinutes (Mean)
Ketamine364

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Volume of Distribution Steady State (Vdss)

Volume Distribution Steady State (Vdss) is the period of dynamic equilibrium of the drug calculated as the amount of drug in the body at time, t divided by the plasma concentration of the drug at time, t. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

InterventionLiters (Mean)
Ketamine1076

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Ketamine Milk to Plasma Ratio (M:P)

Milk to plasma ratio for KET were calculated by dividing the concentration of the respective components Ketamine in human milk by plasma concentration at the corresponding times (± 30 min). Ratios higher than 1 indicate breastmilk concentrations of ketamine and the metabolites would be higher in breastmilk than in maternal plasma concentrations. (NCT04037085)
Timeframe: 27 hours postpartum or 24 hour CTRC appointment for weaning population

InterventionRatio (Mean)
Ketamine3.15

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Synaptic Density

"PET imaging measure of synaptic density ([11C]UCB-J binding potential, BPND) before and after ketamine treatment. This type of brain scan takes pictures to measure the density of synapses, or connections between brain cells (neurons), in the brain. [11C]UCB-J is a radiotracer specific for SV2A, a protein present in presynaptic vesicles. [11C]UCB-J BPND was quantified in a brain region called the medial prefrontal cortex; previous studies have found lower levels of [11C]UCB-J binding in patients with more severe depression. BPND is the ratio at equilibrium of specifically bound radioligand to that of nondisplaceable radioligand in tissue.~Time frame of assessment: Time frame 1 = baseline. This pre-treatment PET scan was acquired as close as possible prior to the first ketamine infusion, up to 7 days prior to first ketamine infusion. Time frame 2 = post-treatment. This post-treatment PET scan was acquired 24-48 hours following the final (4th) ketamine infusion." (NCT04091971)
Timeframe: Measured at two time frames: Time frame 1 = Baseline. Time frame 2 = post-treatment

InterventionRatio (Mean)
Pre-treatment [11C]UCB-J binding potential (BPnd) in medial prefrontal cortexPost-treatment [11C]UCB-J binding potential (BPnd) in medial prefrontal cortex
Depressed Adults With Current MDD2.402.32

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17-item Hamilton Depression Rating Scale

"The 17-item Hamilton Depression Rating Scale (HDRS) is a clinician-administered scale that quantifies depression severity, and includes items assessing mood, suicidal thinking, insomnia, feelings of guilt, work and activities, somatic symptoms, and insight. It is a well-characterized scale with excellent psychometric properties. The version of the scale used in this study has a range from 0 to 51. Interpretation of score values is as follows:~None: 0-7 Mild: 8-13 Moderate: 14-19 Severe: 20-25 Very Severe: 26-51" (NCT04091971)
Timeframe: "Measured at 3 time frames. Time frame one = Baseline: 24 hours prior to infusion one (PRE). Time frame two = 24 hours following ketamine infusion 4 (POST1). Time frame three = one week following ketamine infusion 4 (POST2)."

Interventionscore on a scale (Mean)
"HAM-17 24 hours prior to first ketamine infusion (PRE)""HAM-17 24 hours following ketamine infusion 4 (POST1)""HAM-17 1 week following ketamine infusion 4 (POST2)"
Depressed Adults With Current MDD19.56.57.8

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Number of Patients That Showed Signs of Delirium During In-hospital Stay

Incidence of delirium during in-hospital stay (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care16
Usual Care9

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Number of Patients Who Continue to Use Opioids at 6 Months Post Admission

Number of patients who continue to use opioids (NCT04129086)
Timeframe: 6 months post admission

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care11
Usual Care11

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Number of Patients Who Reported Continued Pain Continued Post-traumatic Pain at 6 Months Post Admission

Number of patients who reported continued pain at 6 months following trauma injury (NCT04129086)
Timeframe: 6 months post admission

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care78
Usual Care71

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Number of Patients Who Required Unplanned Admission to Intensive Care Unit During In-hospital Stay

Incidence of need for unplanned admission to an ICU (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care7
Usual Care7

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Ventilator Free Days

Number of inpatient hospital days patients did not require mechanical ventilation (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

Interventiondays (Median)
Ketamine Plus Usual Care30
Usual Care30

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Anxiety/Depression)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of anxiety/depression by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
I am not anxious or depressedI am slightly anxious or depressedI am moderately anxious or depressedI am severely anxious or depressedI am extremely anxious or depressed
Ketamine Plus Usual Care501511418
Usual Care531913215

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Anxiety/Depression)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of anxiety/depression by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
I am not anxious or depressedI am slightly anxious or depressedI am moderately anxious or depressedI am severely anxious or depressedI am extremely anxious or depressed
Ketamine Plus Usual Care702411613
Usual Care742015713

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Mobility)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of mobility by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
I have no problems walkingI have slight problems walkingI have moderate problems walkingI have severe problems walkingI am unable to walk
Ketamine Plus Usual Care501512914
Usual Care47211789

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Mobility)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of mobility by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
I have no problems walkingI have slight problems walkingI have moderate problems walkingI have severe problems walkingI am unable to walk
Ketamine Plus Usual Care3922151335
Usual Care3120131748

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Pain/Discomfort)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of pain/discomfort by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
I have no pain or discomfortI have slight pain or discomfortI have moderate pain or discomfortI have severe pain or discomfortI have extreme pain or discomfort
Ketamine Plus Usual Care3117211021
Usual Care2521241814

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Pain/Discomfort)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of pain/discomfort by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
I have no pain or discomfortI have slight pain or discomfortI have moderate pain or discomfortI have severe pain or discomfortI have extreme pain or discomfort
Ketamine Plus Usual Care2534302114
Usual Care1632391824

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Self-Care)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of mobility by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
I have no problems washing or dressing myselfI have slight problems washing or dressing myselfI have moderate problems washing or dressing myselfI have severe problems washing or dressing myselfI am unable to wash or dress myself
Ketamine Plus Usual Care291216934
Usual Care3810141128

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Self-Care)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their level of self-care by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
I have no problems washing or dressing myselfI have slight problems washing or dressing myselfI have moderate problems washing or dressing myselfI have severe problems washing or dressing myselfI am unable to wash or dress myself
Ketamine Plus Usual Care422413540
Usual Care371915751

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Previous Experience)

"For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked the question Have you ever experience this kind of event?, and data are reported as the number of participants who responded yes." (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care82
Usual Care77

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Usual Activities)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their ability to carry out usual activities by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
I have no problems doing my usual activitiesI have slight problems doing my usual activitiesI have moderate problems doing my usual activitiesI have severe problems doing my usual activitiesI am unable to do my usual activities
Ketamine Plus Usual Care291216934
Usual Care3810141128

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Usual Activities)

For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked to indicate their ability to carry out usual activities by choosing a predefined category, and the data for this outcome are reported categorically as the number of participants who chose each category. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
I have no problems doing my usual activitiesI have slight problems doing my usual activitiesI have moderate problems doing my usual activitiesI have severe problems doing my usual activitiesI am unable to do my usual activities
Ketamine Plus Usual Care1785292
Usual Care7109499

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Number of Patients Discharged From the Hospital With an Opioid Prescription

Number of patients discharged from the hospital with an opioid prescription (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

,
InterventionParticipants (Count of Participants)
Any Opioid at dischargeTramadolHydrocodoneOxycodoneCodeineMethadoneFentanyl patchHydromorphoneMorphine
Ketamine Plus Usual Care827231010001
Usual Care978121530000

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Post Traumatic Stress Disorder (PTSD) as Assessed by the PC-PTSD-5 Questionnaire

"The PC-PTSD-5 questionnaire asks the below 5 questions, and data are reported categorically as the number of participants who responded yes to each of the 5 questions. An answer of yes is indicative of a PTSD symptom, which is a worse outcome.~In the past month, have you had nightmares about the events or thought about the events when you did not want to?~In the past month, have you tried hard not to think about the events or went out of your way to avoid situations that reminded you of the events?~In the past month, have you been constantly on guard, watchful, or easily startled?~In the past month, have you felt numb or detached from people, activities, or your surroundings?~In the past month, have you felt guilty or unable to stop blaming yourself or others for the events or any problems the events may have caused?" (NCT04129086)
Timeframe: 6 months post admission

,
InterventionParticipants (Count of Participants)
1. had nightmares about the events or thought about the events when you did not want to2. tried hard not to think about the events or went out of your way to avoid situations3. been constantly on guard, watchful, or easily startled4. felt numb or detached from people, activities, or your surrounding5. felt guilty or unable to stop blaming yourself or others
Ketamine Plus Usual Care2441423724
Usual Care1944473623

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Post Traumatic Stress Disorder (PTSD) as Assessed by the PC-PTSD-5 Questionnaire

"The PC-PTSD-5 questionnaire asks the below 5 questions, and data are reported categorically as the number of participants who responded yes to each of the 5 questions. An answer of yes is indicative of a PTSD symptom, which is a worse outcome.~In the past month, have you had nightmares about the events or thought about the events when you did not want to?~In the past month, have you tried hard not to think about the events or went out of your way to avoid situations that reminded you of the events?~In the past month, have you been constantly on guard, watchful, or easily startled?~In the past month, have you felt numb or detached from people, activities, or your surroundings?~In the past month, have you felt guilty or unable to stop blaming yourself or others for the events or any problems the events may have caused?" (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
1. had nightmares about the events or thought about the events when you did not want to2. tried hard not to think about the events or went out of your way to avoid situations3. been constantly on guard, watchful, or easily startled4. felt numb or detached from people, activities, or your surrounding5. felt guilty or unable to stop blaming yourself or others
Ketamine Plus Usual Care3035362419
Usual Care1849433125

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Risk of Future Opioid Abuse as Assessed by the Opioid Risk Tool (ORT)

Total ORT score ranges from 0 to 26. A score of 3 or lower indicates low risk for future opioid abuse, a score of 4 to 7 indicates moderate risk for opioid abuse, and a score of 8 or higher indicates a high risk for opioid abuse. (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

,
InterventionParticipants (Count of Participants)
Low risk of future opioid abuse (score of 0-3)Moderate risk of future opioid abuse (score of 4-7)High risk of future opioid abuse (score of 8 or higher)
Ketamine Plus Usual Care921319
Usual Care942510

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Use of Other Pain Control Adjuncts Including Regional Anesthesia and Lidocaine Patch

Incidence of use of additional pain control adjuncts such as regional anesthesia and lidocaine patch during hospitalization (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

,
InterventionParticipants (Count of Participants)
Regional anesthesiaLidocaine drip
Ketamine Plus Usual Care160
Usual Care200

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Pain as Assessed by Average Score on the Defense and Veterans Pain Rating Scale (DVPRS)

DVPRS scores were collected daily. For each participant, an average of the daily scores on the Defense and Veterans Pain Rating Scale was calculated. DVPRS scores range from 0 (no pain) to 10 (as bad as it could be, nothing else matters), with a higher score indicating a worse outcome. (NCT04129086)
Timeframe: From time of admission to time of discharge from hospital (about 1 to 6 weeks after admission)

Interventionscore on a scale (Median)
Ketamine Plus Usual Care2.9
Usual Care2.5

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Average Daily Opioid Use as Measured by the Morphine Milligram Equivalents (MME) Per Day

(NCT04129086)
Timeframe: In-hospital days (up to 6 weeks post hospital admission)

InterventionMME per day (Mean)
Ketamine Plus Usual Care32
Usual Care39

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Duration of Ketamine Drip

Length of time Ketamine drip was infused (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

Interventionhours (Median)
Ketamine Plus Usual Care60
Usual Care76

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Current Health)

"For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked the question How would you rate your health today?, and they respond with a score from 0 - 100, with a higher score indicating a better outcome." (NCT04129086)
Timeframe: 6 months post admission

Interventionscore on a scale (Median)
Ketamine Plus Usual Care75
Usual Care80

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Current Health)

"For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked the question How would you rate your health today?, and they respond with a score from 0 - 100, with a higher score indicating a better outcome." (NCT04129086)
Timeframe: Hospital discharge (about 1 to 6 weeks after admission)

Interventionscore on a scale (Median)
Ketamine Plus Usual Care70
Usual Care75

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Health Status as Assessed by the Euro-QOL EQ-5D-3L Questionnaire (Previous Experience)

"For this item of the Euro-QOL EQ-5D-3L questionnaire, participants are asked the question Have you ever experience this kind of event?, and data are reported as the number of participants who responded yes." (NCT04129086)
Timeframe: 6 months post admission

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care69
Usual Care78

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Hospital Free Days

Number of days patients were not in the hospital during the first 30 days after admission (NCT04129086)
Timeframe: 30 days post admission

Interventiondays (Median)
Ketamine Plus Usual Care20
Usual Care21

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ICU Free Days

Number of inpatient hospital days patients did not require ICU level of care (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

Interventiondays (Median)
Ketamine Plus Usual Care29
Usual Care28

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Number of Patients Requesting to Discontinue Ketamine

Number of patients requesting to stop Ketamine for any complaint (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care9
Usual Care0

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Number of Patients That Required Unplanned Intubation During In-hospital Stay

incidence of need for unplanned intubation during in-hospital stay (NCT04129086)
Timeframe: Hospital discharge (up to 6 weeks post hospital admission)

InterventionParticipants (Count of Participants)
Ketamine Plus Usual Care2
Usual Care3

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Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +12 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training13.67
Ketamine + Sham Training17.29

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Number of Participants Reporting Suicidal Behaviors Per the Columbia Suicide Severity Rating Scale (CSSRS)

Number of participants with occurrence of any suicidal act (derived from Columbia Suicide Severity Rating Scale interview; each of the following items was scored yes/no for the period since last assessment: re-attempt, re-hospitalization for suicidality, or completed suicide. Analyzed outcome measure is # of participants with 1 or more 'yes' responses. (NCT04154150)
Timeframe: infusion +6 months

InterventionParticipants (Count of Participants)
Ketamine + Cognitive Training1
Ketamine + Sham Training1

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Number of Participants With Occurrence of Suicidal Behaviors Per Medical Chart Review

Number of participants with occurrence of any suicidal act (derived from medical chart) including: re-attempt, re-hospitalization for suicidality, or completed suicide (NCT04154150)
Timeframe: infusion +6 months

InterventionParticipants (Count of Participants)
Ketamine + Cognitive Training3
Ketamine + Sham Training4

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +1 month

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training9.60
Ketamine + Sham Training9.33

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +12 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training8.33
Ketamine + Sham Training9.86

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Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +24 hours

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training18.43
Ketamine + Sham Training15.44

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Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +3 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training13.00
Ketamine + Sham Training14.71

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +24 hours

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training12.83
Ketamine + Sham Training11.22

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +3 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training10.60
Ketamine + Sham Training9.17

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Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +1 month

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training20.67
Ketamine + Sham Training14.00

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Adult Suicide Ideation Questionnaire

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +6 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training29.5
Ketamine + Sham Training45.75

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Adult Suicide Ideation Questionnaire

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +3 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training25.20
Ketamine + Sham Training37.50

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Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +5 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training9.86
Ketamine + Sham Training9.50

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Adult Suicide Ideation Questionnaire

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +1 month

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training23.60
Ketamine + Sham Training41.83

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Adult Suicide Ideation Questionnaire (Past Day Version)

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +24 hours

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training32.67
Ketamine + Sham Training41.89

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Adult Suicide Ideation Questionnaire (Past Day Version)

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +12 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training17.17
Ketamine + Sham Training31.86

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Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +12 days

Interventionscore on a scale (Mean)
Ketamine + Sham Training4.50

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Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +1 month

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training13.00
Ketamine + Sham Training4.67

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Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +24 hours

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training8.50
Ketamine + Sham Training0.80

[back to top]

Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +3 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training4.00
Ketamine + Sham Training5.83

[back to top]

Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +5 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training0.50
Ketamine + Sham Training6.60

[back to top]

Quick Inventory of Depressive Symptoms

Self-reported depression (range: 0-27; higher scores = worse outcome) (NCT04154150)
Timeframe: infusion +6 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training10.00
Ketamine + Sham Training12.25

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Scale for Suicide Ideation

suicidal ideation/thoughts; range 0-38; high score=worse outcome (NCT04154150)
Timeframe: infusion +6 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training5.40
Ketamine + Sham Training6.86

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Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +6 months

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training13.20
Ketamine + Sham Training17.43

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Adult Suicide Ideation Questionnaire (Past Day Version)

suicidal ideation/thoughts; range 0-150; high score=worse outcome (NCT04154150)
Timeframe: infusion +5 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training20.00
Ketamine + Sham Training22.88

[back to top]

Montgomery Asberg Depression Rating Scale

depression severity; range 0-60; high score=worse outcome (NCT04154150)
Timeframe: infusion +5 days

Interventionscore on a scale (Mean)
Ketamine + Cognitive Training19.14
Ketamine + Sham Training16.13

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Change in Visual Analog Scale: Stressed (VAS-Stressed)

"Change from pre- to post-TSST in The Visual Analog Scales are scored in millimeters from the left-hand side of a 100-mm line to a perpendicular mark made by the patient at a point corresponding to the apparent magnitude of the feeling state. Full range: 0 (not at all) to 100 (most ever), with higher score indicating poorer health status. The VAS-Stressed prompts participants to rate their level of stress in that exact moment on the visual analog scale." (NCT04173962)
Timeframe: baseline and 1 week after infusion

Interventionscore on a scale (Mean)
Ketamine Group12.8
Midazolam Group12.1

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Change in Diastolic Blood Pressure

Change from pre- to post-TSST in Cardiovascular response to stressor during assessment visit (NCT04173962)
Timeframe: baseline and 1 week after infusion

InterventionmmHg (Mean)
Ketamine Group4.17
Midazolam Group6.58

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Change in Beck Anxiety Inventory (BAI)

Change from pre- to post-TSST in Beck Anxiety Inventory (BAI). This is a 21-question multiple-choice self-report inventory that is used for measuring the severity of anxiety in adults. The questions used in this measure ask about common symptoms of anxiety (such as numbness and tingling, sweating not due to heat, and fear of the worst happening). It is designed for individuals who are of 17 years of age or older and takes 5 to 10 minutes to complete. Total score range of 0-63, with higher score indicating more severe anxiety symptoms. (NCT04173962)
Timeframe: baseline and 1 week after infusion

Interventionscore on a scale (Mean)
Ketamine Group0.8
Midazolam Group2.6

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Change in Salivary Cortisol

Change from pre- to post-TSST in salivary cortisol level. Salivary cortisol level to assess effect on the hypothalamic-pituitary-adrenal axis (HPA axis). (NCT04173962)
Timeframe: baseline and 1 week after infusion

Interventionug/dL (Mean)
Ketamine Group0.1
Midazolam Group0.0

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Change in Systolic Blood Pressure

Change from pre- to post-TSST in Cardiovascular response to stressor during assessment visit (NCT04173962)
Timeframe: baseline and 1 week after infusion

InterventionmmHg (Mean)
Ketamine Group4.3
Midazolam Group12.9

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Change in Heart Rate

Change from pre- to post-TSST in Cardiovascular response to stressor during assessment visit (NCT04173962)
Timeframe: baseline and 1 week after infusion

Interventionbeats per minute (bpm) (Mean)
Ketamine Group-0.33
Midazolam Group3.83

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Change in Positive and Negative Affect Scale (PANAS)

Change from pre- to post-TSST in The Positive and Negative Affect Scale (PANAS) measures both positive and negative affect and is utilized within clinical and non-clinical populations. The PANAS is a 20-item instrument, each item is scored on a 5-likert scale from 1 (very slightly or not at all) to 5 (extremely). Positive Affect Score - total score from 10-50, with higher score indicating higher levels of positive affect. Negative Affect Score - total score from 10-50, with lower scores representing lower levels of negative affect. (NCT04173962)
Timeframe: baseline and 1 week after infusion

,
Interventionscore on a scale (Mean)
Negative Affect ScorePositive Affect Score
Ketamine Group2.2-2.2
Midazolam Group4.61.2

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Change in The Profile of Mood States - Bipolar Version (POMS - Bi) Composed-Anxious Subscale

"Change from pre- to post-TSST in The Profile of Mood States - Bipolar Version (POMS - Bi) scale measures moods and feelings primarily in clinical rather than nonclinical settings. The POMS-Bi consists of 72 adjectives that form six bipolar sub-scale scores (Composed - Anxious, Clear - Confused, Confident - Unsure, Agreeable - Hostile, Energetic - Tired, Elated - Depressed). Each of the 12 adjectives within each subscale is rated on a 4-point Likert scale with anchors of 0 = much unlike this, 1 = slightly unlike this, 2 = slightly like this, and 3 = much like this. The Composed-Anxious Subscale score is the sum of positive minus the sum of negative responses plus a constant of 18. The subscale score range is from 0 to 36. Higher score indicates higher functioning. Each subscale is separate and there is no overall score." (NCT04173962)
Timeframe: baseline and 1 week after infusion

Interventionscore on a scale (Mean)
Ketamine Group-6.8
Midazolam Group-11.9

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Change in Salivary Alpha-amylase Level

Change from pre- to post-TSST in Salivary alpha-amylase level to assess effect on the adrenaline-noradrenaline axis (ANS axis). (NCT04173962)
Timeframe: baseline and 1 week after infusion

InterventionU/mL (Mean)
Ketamine Group109.0
Midazolam Group141.7

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The Number of Participants Achieving Breastfeeding Success

An indication of whether breastfeeding has been successfully established (Yes or No). (NCT04227704)
Timeframe: Postpartum days 1 and 2

,,
InterventionParticipants (Count of Participants)
Day 1Day 2
Control33
Ketamine IVI55
Ketamine SC66

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Dose of Opiate Analgesics Administered

Intraoperative supplementary analgesia in morphine milligram equivalents (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionMorphine Milligram Equivalents (Mean)
Control88.6
Ketamine SC68.4
Ketamine IVI67.0

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Postpartum Anxiety

Mean Anxiety in the postpartum. General Anxiety Disorder 7-item Scale (GAD-7), ranges from 0 to 21. Higher scores indicate more severe anxiety. (NCT04227704)
Timeframe: On day of surgery, and postpartum days 1, 2, 21 and 42

,,
Interventionunits on a scale (Mean)
Day 1Day 2Day 21Day 42
Control5.1765.85.75
Ketamine IVI3.54.54.572.71
Ketamine SC5.634.752.3333333333.5

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Edinburgh Postpartum Depression Scale (EPDS)

The EPDS is a validated measure of depressive symptoms in the postpartum period. The scale is scored between 0 - 30, a higher score represents greater depressive symptomatology. We report the study mean of each participant's mean EPDS score for their postpartum assessments (NCT04227704)
Timeframe: On postpartum days 1, 2, 21 and 42

,,
Interventionunits on a scale (Mean)
Day 1Day 2Day 21Day 42
Control7.58.436.49.75
Ketamine IVI4.255.385.143.86
Ketamine SC4.755.632.833.33

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Apgar Scores

Apgar score (0-10) comprised of an assessment of neonatal color, tone and crying. A higher score indicates healthier color, tone and crying. (NCT04227704)
Timeframe: At 1 and 5 minutes after delivery

,,
Interventionscore on a scale (Median)
Apgar 1minApgar 5 min
Control89
Ketamine IVI89
Ketamine SC89

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Dose of Ketorolac Administered (mg)

Intraoperative supplementary analgesia (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

Interventionmg (Mean)
Control30
Ketamine SC30
Ketamine IVI30

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Adverse Effects

Incidence and severity (mild, moderate or severe) of nausea, vomiting, pruritus, dizziness, sedation, shivering, anxiety, euphoria, hallucinations, amnesia, blurred vision, diplopia, nystagmus (NCT04227704)
Timeframe: Intraoperative and 2 and 6 hours postoperatively

,,
InterventionParticipants (Count of Participants)
Mild NauseaModerate NauseaSevere NauseaMild vomitingModerate vomitingSevere vomitingMild shiveringModerate shiveringSevere ShiveringMild sedationModerate sedationSevere sedationMild blurred visionModerate blurred visionSevere blurred visionMild diplopiaModerate diplopiaSevere diplopiaMild dizzinessModerate dizzinessSevere dizzinessMild anxietyModerate anxietySevere anxietyMild pruritusModerate pruritusSevere pruritusEuphoriaAmnesiaHallucinationsNystagmus
Control0200106001201001001002101100000
Ketamine IVI1300100002103001003001000200000
Ketamine SC2002101101001000001000004000000

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Total Opiate Consumption in Morphine Equivalents

Morphine equivalents (NCT04227704)
Timeframe: In the first 2 days postpartum

InterventionMorphine Milligram Equivalents (Mean)
Control88.6
Ketamine SC68.4
Ketamine IVI67

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The Prevalence of Postpartum Depression in the Study Population, as Defined as EPDS Greater Than 10 Out of 30

Establish a sufficient burden of disease (>10%) in our population to warrant a full RCT (NCT04227704)
Timeframe: 42 days postpartum

InterventionParticipants (Count of Participants)
Control4
Ketamine SC2
Ketamine IVI5

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Prevalence of Intraoperative Tachycardia

Prevalence of intraoperative tachycardia as defined by the number of participants with a heart rate greater than 110 bpm (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionParticipants (Count of Participants)
Control0
Ketamine SC1
Ketamine IVI1

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Prevalence of Intraoperative Hypotension

Prevalence of participants with intraoperative hypotension of a systolic BP of less than 90 (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionParticipants (Count of Participants)
Control1
Ketamine SC2
Ketamine IVI1

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Prevalence of Intraoperative Hypertension

Prevalence of intraoperative hypertension as defined by number of participants with a systolic blood pressure greater than 140 mmHg (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionParticipants (Count of Participants)
Control1
Ketamine SC0
Ketamine IVI1

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Prevalence of Intraoperative Bradycardia

Prevalence of intraoperative bradycardia, defined as number of participants with a heart rate of less than 40 bpm (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionParticipants (Count of Participants)
Control0
Ketamine SC0
Ketamine IVI2

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Percentage of Patients With a Complete Dataset

Ensure that the design of assessments and data collection make it possible to achieve a complete dataset in >90% of participants (NCT04227704)
Timeframe: Through study completion, approximately 9 months

InterventionParticipants (Count of Participants)
Control3
Ketamine SC4
Ketamine IVI7

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Number of Patients in Study Arms Experiencing One or More Severe Side Effects

Ascertain that neither of the chosen routes of administration of ketamine are intolerable to patients, as defined as the incidence of one or more severe side effects experienced by >10% of participants in that study arm. (NCT04227704)
Timeframe: Through study completion, approximately 9 months

InterventionParticipants (Count of Participants)
Control0
Ketamine SC0
Ketamine IVI0

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Admission to NICU

Incidence of admission (NCT04227704)
Timeframe: Postpartum day 1

InterventionParticipants (Count of Participants)
Control3
Ketamine SC1
Ketamine IVI3

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Maximum Intraoperative Pain (NRS)

Reported maximal level of intraoperative pain on the numerical rating scale 0 - 10, where 0 is no pain and 10 is the worst pain imaginable (NCT04227704)
Timeframe: Intraoperative phase, approximately 2 hours

InterventionRating Score (Mean)
Control3
Ketamine SC5
Ketamine IVI1.5

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Surgical Site Pain: Numerical Rating Scale (NRS 0-10)

Surgical site pain on a numerical rating scale of 0-10, where 0 is no pain and 10 is the worst pain imaginable. (NCT04227704)
Timeframe: At 2, 6, 24 and 48 hours after delivery and on postpartum days 21 and 42

,,
Interventionunits on a scale (Mean)
2 hours postoperatively6 hours postoperatively24 hours postoperatively48 hours postoperatively21 days postoperatively42 days postoperatively
Control2.86333.42857142910.6666666667
Ketamine IVI2.51.87523.1250.8750.285714286
Ketamine SC2.14285714285714.7142857144.5714285714.253.3333333330.333333333

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Percentage of Eligible Patients Consenting to Participation

"Establish a recruitment rate of greater than 50% to confirm the feasibility of conducting an RCT in our population~Twenty-five (20.7%) out of 121 women who were approached consented to participation. 2 were withdrawn with 23 completing participation." (NCT04227704)
Timeframe: Through study completion, approximately 9 months

InterventionParticipants (Count of Participants)
Control7
Ketamine SC8
Ketamine IVI8

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Norketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation92.762.437.332.3

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Norketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation42.628.618.88.7

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Norketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 24 and 30 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 24 and 30 hour collections

Interventionng/mL (Mean)
24 Hours30 Hours
Ketamine During Lactation10.39.9

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Ketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation125.048.221.618.5

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Ketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation51.222.610.64.5

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Ketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 24 and 30 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 24 and 30 hour collections

Interventionng/mL (Mean)
24 Hours30 Hours
Ketamine During Lactation4.96.4

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Hydroxynorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation64.166.954.641.6

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Hydroxynorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation29.928.325.617.5

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Hydroxynorketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 24 and 30 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 24 and 30 hour collections

Interventionng/mL (Mean)
24 Hours30 Hours
Ketamine During Lactation30.513.9

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Dehydronorketamine Concentration in Breast Milk at 24 and 30 Hours After an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 24 and 30 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 24 and 30 hour collections

Interventionng/mL (Mean)
24 Hours30 Hours
Ketamine During Lactation.3.3

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Dehydronorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of 1mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation2.01.91.41.1

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Dehydronorketamine Concentration in Breast Milk, up to 12 Hours at 3 Hour Intervals, Following an IM Administration of .5mg/kg Ketamine

"Quantitative analysis of the concentration of ketamine and its metabolites in breast milk (collected by pumping breast milk into containers at 3, 6, 9, and 12 hours post ketamine IM administration) was performed at the Clinical Medicine and Toxicology Laboratory at UCSF School of Medicine. Sample aliquots were frozen in our conventional freezer at the clinic where the sessions took place, labelled with a HIPAA compliant code which blinded the lab to all patient data.~The limits of sensitivity for the quantification of each substance were:~Ketamine: 0.25 ng Norketamine: 0.25 ng Dehydronorketamine: 0.1 ng Hydroxynorketamine: 0.25 ng" (NCT04285684)
Timeframe: 3, 6, 9, and 12 hour collections

Interventionng/mL (Mean)
3 Hours6 Hours9 Hours12 Hours
Ketamine During Lactation.56.55.45.21

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Impact of Event Scale-Revised (IES-R)

"Severity of PTSD symptoms; items are rated on a 5-point scale ranging from 0 (not at all) to 4 (extremely). The IES-R yields a total score (ranging from 0 to 88); higher scores mean worse symptoms" (NCT04322968)
Timeframe: 24 hrs post-infusion

Interventionunits on a scale (Mean)
Chronic Pain With PTSD+IV Ketamine Infusion36.33333333
Chronic Pain With PTSD+IV Ketorolac Infusion37
Chronic Pain Without PTSD+IV Ketamine Infusion10.44444444
Chronic Pain Without PTSD+IV Ketorolac Infusion15.64705882

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Visual Analogue Scale (VAS)

"Severity of chronic pain symptoms; using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the no pain anchor and the patient's mark, providing a range of scores from 0-100; a higher score indicates greater pain intensity." (NCT04322968)
Timeframe: 1 week post-infusion

Interventionunits on a scale (Mean)
Chronic Pain With PTSD+IV Ketamine Infusion48.22
Chronic Pain With PTSD+IV Ketorolac Infusion52.88
Chronic Pain Without PTSD+IV Ketamine Infusion43.33
Chronic Pain Without PTSD+IV Ketorolac Infusion48.23

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Brief Pain Inventory (Short Form)

"Severity of pain, impact of pain on daily function, location of pain, pain medications and amount of pain relief in the past 24 hours or the past week; No scoring algorithm, but worst pain or the arithmetic mean of the four severity items can be used as measures of pain severity (a range of 0-10, with 10 being worse scores); the arithmetic mean of the seven interference items can be used as a measure of pain interference (a range of 0-10, with 10 being worse scores). The total score is reported for severity items and interference items, which range from 0-40 and 0-70, respectively. Higher values represent worse outcome." (NCT04322968)
Timeframe: 1 week post-infusion

,,,
Interventionunits on a scale (Mean)
Pain interference ScalePain severity Scale
Chronic Pain With PTSD+IV Ketamine Infusion38.6220.75
Chronic Pain With PTSD+IV Ketorolac Infusion25.6614.66
Chronic Pain Without PTSD+IV Ketamine Infusion9.6212.75
Chronic Pain Without PTSD+IV Ketorolac Infusion28.3322.66

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Impact of Event Scale-Revised (IES-R)

"Severity of PTSD symptoms; items are rated on a 5-point scale ranging from 0 (not at all) to 4 (extremely). The IES-R yields a total score (ranging from 0 to 88); higher scores mean worse symptoms" (NCT04322968)
Timeframe: 1 week post-infusion

Interventionunits on a scale (Mean)
Chronic Pain With PTSD+IV Ketamine Infusion28.22
Chronic Pain With PTSD+IV Ketorolac Infusion33.66666667
Chronic Pain Without PTSD+IV Ketamine Infusion11.44
Chronic Pain Without PTSD+IV Ketorolac Infusion13.41

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Visual Analogue Scale (VAS)

"Severity of chronic pain symptoms; using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the no pain anchor and the patient's mark, providing a range of scores from 0-100; a higher score indicates greater pain intensity." (NCT04322968)
Timeframe: 24 hrs post-infusion

Interventionunits on a scale (Mean)
Chronic Pain With PTSD+IV Ketamine Infusion37.22222222
Chronic Pain With PTSD+IV Ketorolac Infusion49.66666667
Chronic Pain Without PTSD+IV Ketamine Infusion29.88888889
Chronic Pain Without PTSD+IV Ketorolac Infusion38.70588235

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Intensive Care Unit (ICU) Admission

Count of patients admitted to the ICU at any time during index hospitalization (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo2
Naltrexone1
Ketamine28

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COVID Mortality

Count of participants who die from COVID-19 (NCT04365985)
Timeframe: up to 1 month post hospital discharge

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine16

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Time Until Recovery

Time measured in days from hospital admission to determination patient is stable for discharge (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Placebo8.67
Naltrexone8.71
Ketamine17.57

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Cytokine Storm

Count of participants who develop cytokine storm as measured by elevated markers of inflammation (elevated D-dimer, hypofibrinogenemia, hyperferritinemia), evidence of acute respiratory distress syndrome (ARDS) measured by imaging findings and mechanical ventilator requirements, and/or continuous fever (≥ 38.1 ° Celsius unremitting) (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine0

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Renal Failure

Count of participants who develop or experience worsened renal failure as defined by RIFLE criteria, a 5-point scale where the categories are labeled: Risk-Injury-Failure-Loss-End stage renal disease, with Risk being the least severe and End stage renal disease being the most severe. The criteria for determination of stage are factors of serum creatinine and urine output. Numbers of participants worsening one or more RIFLE stages will be reported. (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo1
Naltrexone0
Ketamine12

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Progression of Oxygenation Needs

Count of participants initially presenting with mild/moderate disease who progress to requiring advanced oxygenation (high flow nasal canula, non-rebreather, continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), or intubation) (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo1
Naltrexone0
Ketamine21

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Liver Failure

Count of participants who develop or experience worsened liver failure as defined by serum transaminases five times normal limits (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine4

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Length of Hospital Stay

Length of hospital stay in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Ketamine21.37

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Intensive Care Unit (ICU) Duration

Length of ICU stay in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Placebo2.56
Naltrexone0
Ketamine16.68

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Intubation Duration

Length of intubation, measured in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Naltrexone3.32
Ketamine15.53

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Intubation

Count of participants requiring intubation (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone1
Ketamine29

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Childrens Sleep Habits Questionnaire

Change in sleep habits at week 1 compared to baseline. Full scale from 0 to 110, with higher score indicating worse health outcomes. (NCT04388774)
Timeframe: Baseline, Week 1

Interventionunits on a scale (Mean)
Caregiver Rated Assessment at Baseline2.83
Caregiver Rated Assessment at 1 Week2.93

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Number of Participants With an Adverse Event

Number of Participants with an adverse event as defined by the Systematic Longitudinal Assessment of Adverse Events (SLAES) which is a comprehensive form that assesses medical and behavioral conditions that were present at screening and/or baseline. Conditions are considered treatment emergent if their severity increased significantly after the participant had taken at least one dose of the study treatment. Treatment emergent adverse events will be tracked considered in the adverse event safety analysis. Severity of adverse events are categorized as mild, moderate, severe, life-threatening, or resulting in death and the treating physician indicates if the adverse event was related or unrelated to study drug. (NCT04388774)
Timeframe: Week 4

InterventionParticipants (Count of Participants)
Ketamine9

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Aberrant Behavior Checklist

Changes in scale at week 1 compared to baseline. Aberrant Behavior Checklist is a behavior rating scale for the assessment of treatment effects. Each item is scored as 0 (never a problem), 1 (slight problem), 2 (moderately serious problem), or 3 (severe problem). Subscales from 0-45 for Irritability; 0-48 for Social Withdrawal and Hyperactivity; from 0-21 for Stereotypy; and 0-12 for In Speech , with total scale from 0 to 48, with higher score indicating worse health outcomes. (NCT04388774)
Timeframe: Baseline, Week 1

,
Interventionscore on a scale (Mean)
IrritabilitySocial withdrawalMotor stereotypiesHyperactivityInappropriate speech
Caregiver Rated Assessment at 1 Week10.94.24.516.23.3
Caregiver Rated Assessment at Baseline20.59.97.824.53.6

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Anxiety, Depression and Mood Scales (ADAMS)

The ADAMS is a parent/caregiver-completed measure and consists of 28 items, grouped into five subscales (Manic/Hyperactive Behavior, Depressed Mood, Social Avoidance, General Anxiety, Obsessive Behavior), and scored on a four-point Likert scale that combines frequency and severity ratings from 0-3. Subscales range - Hyperactivity 0-15; Depressed 0-21; Social Avoidance 0-21; General anxiety 0-21; OCD 0-9. Scores are not summed. Higher score indicates poorer health outcomes. (NCT04388774)
Timeframe: Baseline and Week 1

,
Interventionscore on a scale (Mean)
HyperactivityDepressedSocial avoidanceGeneral anxietyObsessive/compulsive
Caregiver Rated Assessment at Baseline10.12.66.16.32.5
Caregiver Rated Assessment Week 16.72.13.54.31.6

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Caregiver Strain Questionnaire (CGSQ)

Caregiver Strain Questionnaire (CGSQ) is a 13 question tool, with a 5-point Likert scale ranging from Not at all (0) to Very much (4). Domains (Objective strain, Subjective externalized strain, Subjective internalized strain) are averaged scores, range from 0-4. Total score (Global score) is a sum of the three subdomains. Full scale range 0-12, higher score indicates more severe strain. (NCT04388774)
Timeframe: Baseline and Week 1

,
Interventionscore on a scale (Mean)
Objective strainSubjective externalized strainSubjective internalized strainGlobal score
Caregiver Rated Assessment at 1 Week2.451.622.76.77
Caregiver Rated Assessment at Baseline2.792.183.38.27

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Electrophysiology Recording

"Electroencephalographic recordings to measure Auditory Event Related Potentials at baseline, week 1, week 2, and week 4.~In separate blocks, participants heard a 500-ms click at either a stimulation rate of 40 or 20 Hz. Click trains were presented 150 times each, with an intertrial interval of 50 ms, at approximately 60 db.~Higher number indicates higher amplitude neural response to auditory stimuli." (NCT04388774)
Timeframe: Baseline, Week 1, Week 2, and Week 4

Interventionms (Mean)
20-Hz Baseline20-Hz Week 120-Hz Week 220-Hz Week 440-Hz Baseline40-Hz Week140-Hz Week 240-Hz Week 4
Ketamine0.180.150.180.190.190.260.180.20

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Clinical Global Impressions - Improvement Scale (CGI-I)

Changes in scale at weeks 2, and 4 compared to baseline. Clinical Global impressions - Improvement Scale is anchored to symptoms of ADNP syndrome for the assessment of treatment effects. CGI-I total score from 1 to 7 point scale, with higher score indicating worse health outcomes. (NCT04388774)
Timeframe: Baseline, Week 2, and Week 4

Interventionscore on a scale (Mean)
BaselineWeek 2Week 4
Ketamine01.51.0

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Latency to First Saccade

"Change at week 1, week 2, and week 4 as compared to baseline using computerized eye tracking to record where the subject is looking during an activity in which the subject will see different social and non-social stimuli.~Latency to first saccade to the target" (NCT04388774)
Timeframe: Baseline, Day 1, Week 1

Interventionms (Mean)
BaselineDay 1Week 1
Ketamine2319.382089.961674.18

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Peabody Picture Vocabulary Test and Expressive Vocabulary Test

Expressive and receptive language assessed by Peabody Picture Vocabulary Test and Expressive Vocabulary Test at Day 1, Weeks 1, 2, and 4. Full scale from 40 to 160, with higher score indicating better health outcomes. (NCT04388774)
Timeframe: Baseline, Week 1, Week 2, and Week 4

Interventionscore on a scale (Mean)
Baseline, Day 1Week 1Week 2Week 4
Ketamine50.952.851.550.9

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Proportion of Target-Dwelling

"Change at Day 1 and Week 1 as compared to baseline using computerized eye tracking to record where the subject is looking during an activity in which the subject will see different social and non-social stimuli.~Proportion of time participants spent dwelling on the target versus distractor." (NCT04388774)
Timeframe: Baseline, Day 1, Week 1

Interventionproportion of time (Mean)
BaselineDay 1Week 1
Ketamine0.510.590.66

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Proportion of Target-First Trials Saccades

"Change at Day 1 and Week 1 as compared to baseline using computerized eye tracking to record where the subject is looking during an activity in which the subject will see a video of a person with two objects, turning her head towards one of the objects, the target.~Mean proportion of trials in which participants made saccades to the target before the distractor." (NCT04388774)
Timeframe: Baseline, Day 1, Week 1

Interventionproportion of target-first saccades (Mean)
BaselineDay 1Week 1
Ketamine0.530.750.70

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Repetitive Behavior Scale-Revised (RBS-R)

Change in repetitive behaviors at weeks 1 compared to baseline. RBS-R subscales - Stereo 0-18; Self injury 0-24; Compulsive 0-24; Ritualistic 0-18; Sameness 0-33; Restricted 0-12. Total scale range from 0 to 126 with higher score indicating worse health outcomes. (NCT04388774)
Timeframe: Baseline, Week 1

,
Interventionscore on a scale (Mean)
StereotypedSelf-injuryCompulsiveRitualisticSamenessRestrictedOverall
Caregiver Rated Assessment at 1 Week5.14.22.22.94.33.622.3
Caregiver Rated Assessment at Baseline6.65.93.72.95.63.928.6

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Vineland Adaptive Behavior Scales

"Changes in scale at week 4 compared to baseline. Vineland Adaptive Behavior Scales measures adaptive functioning. Higher score indicating better health outcomes. Domain scores are standard scores - population mean 100 standard deviation 15.~an overall composite score, it consists of three subscales: (a) communication (receptive, expressive, written), (b) socialization (interpersonal relationships, play and leisure, coping skills), and (c) daily living (person, domestic, community)." (NCT04388774)
Timeframe: Baseline and Week 4

,
Interventionscore on a scale (Mean)
AbcCommDaily LivingSocialMotor
Caregiver Rated Assessment at Baseline42.732.648.544.551.5
Caregiver Rated Assessment at Week 444.033.449.246.849.83

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Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Extubation Time in Children

(NCT04467424)
Timeframe: up to 600 seconds

Interventionsecond (Median)
Pediatric Anesthesia With Ketofol240
Pediatric Anesthesia With Ketofol Plus Lidocaine120

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Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Length of Stay in the PACU

(NCT04467424)
Timeframe: up to 40 minutes

Interventionminute (Median)
Pediatric Anesthesia With Ketofol35
Pediatric Anesthesia With Ketofol Plus Lidocaine20

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Effect of TIVA With Ketofol and Ketofol Plus Lidocaine on Total Opioid Consumption

(NCT04467424)
Timeframe: up to 60 minutes

Interventionmicrogram per kg (Median)
Pediatric Anesthesia With Ketofol2.3
Pediatric Anesthesia With Ketofol Plus Lidocaine2.1

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Remission From Depression

Remission defined as Montgomery Asberg Depression Rating Scale score ≤10. Scale ranges from 0-60 with higher scores indicating higher depression severity. (NCT04504175)
Timeframe: 4 weeks for acute phase, 8 weeks for continuation phase

InterventionParticipants (Count of Participants)
Acute phaseContinuation phase
Acute Infusion64

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Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference. (NCT04831736)
Timeframe: Day 1 Post-Op (Day 2)

Interventionscore on a scale (Mean)
Treatment24.7
Control28.1

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Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference. (NCT04831736)
Timeframe: Day 2 Post-Op (Day 3)

Interventionscore on a scale (Mean)
Treatment33.5
Control32.1

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Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionscore on a scale (Mean)
Treatment33.9
Control32.9

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Quality of Recovery (QoR-15) Survey Score

"Part A of QoR-15 consists of 10 conditions. Based on how the patient has been feeling in the last 24 hours, they will respond to each condition using an 11-point Likert scale ranging from 0 to 10, where 0 is none of the time [poor] and 10 is all of the time [excellent]). The total range of score for Part A is 0-100; the higher the score, the better the participant has been feeling.~Part B consists of 5 symptoms. The patient will indicate whether they have experienced each symptom over the last 24 hours using an 11-point Likert scale ranging from 10 to 0, where 10 is none of the time [excellent] and 0 is all of the time [poor]). The total range of score for Part B is 0-50; the higher the score, the better the participant has been feeling.~The total score is the sum of of scores from Parts A and B. Total scores range from 0-150; the higher the score, the better the participant has been feeling." (NCT04831736)
Timeframe: Day 2 Post-Op (Day 3)

Interventionscore on a scale (Mean)
Treatment75.1
Control74.6

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Generalized Anxiety Disorder (GAD-2) Score

GAD-2 consists of 2 items and measures how often one has been bothered by anxiety-related problems. Each is answered with a score of 0 (not at all) to 3 (nearly every day). The total range of score is 0-6; the higher the score, the more frequent one is bothered by anxiety. (NCT04831736)
Timeframe: Baseline (Day 0)

Interventionscore on a scale (Mean)
Treatment2.47
Control1.87

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Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale is a 4-item questionnaire asking participants to rate pain. Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain. (NCT04831736)
Timeframe: Baseline (Day 0)

Interventionscore on a scale (Mean)
Treatment3.5
Control2.2

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Total Dosage of Opioid Use

Use and dosage will be assessed through medical records and subject reports. (NCT04831736)
Timeframe: Day of Surgery (Day 1)

Interventionoral morphine equivalent (mg) (Mean)
Treatment6
Control5

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Total Dosage of Opioid Use

Use and dosage will be assessed through medical records and subject reports. (NCT04831736)
Timeframe: Day 1 Post-Op (Day 2)

Interventionoral morphine equivalent (mg) (Mean)
Treatment21.5
Control37.2

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Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale consists of 4 questions (asking to rate pain). Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain. (NCT04831736)
Timeframe: 48 Hours Post-Op (Day 3)

Interventionscore on a scale (Mean)
Treatment16
Control15.7

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Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale consists of 4 questions (asking to rate pain). Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain. (NCT04831736)
Timeframe: 24 Hours Post-Op (Day 2)

Interventionscore on a scale (Mean)
Treatment16.7
Control18.1

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Total Dosage of Opioid Use

Use and dosage will be assess through medical records and subject reports. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionoral morphine equivalent (mg) (Mean)
Treatment0.833
Control7

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Total Dosage of Opioid Use

Use and dosage will be assess through medical records and subject reports. (NCT04831736)
Timeframe: Day 2 Post-Op (Day 3)

Interventionoral morphine equivalent (mg) (Mean)
Treatment21.2
Control18.5

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Quality of Recovery (QoR-15) Survey Score

"Part A of QoR-15 consists of 10 conditions. Based on how the patient has been feeling in the last 24 hours, they will respond to each condition using an 11-point Likert scale ranging from 0 to 10, where 0 is none of the time [poor] and 10 is all of the time [excellent]). The total range of score for Part A is 0-100; the higher the score, the better the participant has been feeling.~Part B consists of 5 symptoms. The patient will indicate whether they have experienced each symptom over the last 24 hours using an 11-point Likert scale ranging from 10 to 0, where 10 is none of the time [excellent] and 0 is all of the time [poor]). The total range of score for Part B is 0-50; the higher the score, the better the participant has been feeling.~The total score is the sum of of scores from Parts A and B. Scores range from 0-150; the higher the score, the better the participant has been feeling." (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionscore on a scale (Mean)
Treatment81.6
Control80.4

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Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score

The PROMIS Sleep Disturbance Short Form consists of 6 items assessing sleep disturbance. Each question is answered with a score of 1-5 (varies). The raw score is the sum of each item and ranges from 6-30. The raw score is converted to a T-score ranging from 31.7 to 76.1, with a standard deviation of 10. Higher T-scores indicate greater sleep disturbance. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

InterventionT-score (Mean)
Treatment51.7
Control50.7

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Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score

The PROMIS Sleep Disturbance Short Form consists of 6 items assessing sleep disturbance. Each question is answered with a score of 1-5 (varies). The raw score is the sum of each item and ranges from 6-30. The raw score is converted to a T-score ranging from 31.7 to 76.1, with a standard deviation of 10. Higher T-scores indicate greater sleep disturbance. (NCT04831736)
Timeframe: Baseline (Day 0)

InterventionT-score (Mean)
Treatment53.6
Control49.2

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Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

InterventionT-score (Mean)
Treatment49.1
Control50.4

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Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue. (NCT04831736)
Timeframe: Day 2 Post-Op (Day 3)

InterventionT-score (Mean)
Treatment56.6
Control54

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Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue. (NCT04831736)
Timeframe: Day 1 Post-Op (Day 2)

InterventionT-score (Mean)
Treatment52.3
Control53.6

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Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue. (NCT04831736)
Timeframe: Baseline (Day 0)

InterventionT-score (Mean)
Treatment46.7
Control44.5

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Number of Participants Who Experience Side Effects

Side effects are calculated using a 7-item psycho-behavioral questionnaire. Participants indicate whether they have experienced any of the listed side effects. The side effects listed on the questionnaire are not considered to be Adverse Events or Serious Adverse Events. (NCT04831736)
Timeframe: Day 1 Post-Op (Day 2)

InterventionParticipants (Count of Participants)
Treatment8
Control5

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Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference. (NCT04831736)
Timeframe: Baseline (Day 0)

Interventionscore on a scale (Mean)
Treatment35
Control35

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Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale is a 4-item questionnaire asking participants to rate pain. Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionscore on a scale (Mean)
Treatment11.5
Control15

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Breast Cancer Pain Questionnaire (BCPQ) - Pain Score

If the patient reports pain in the area of the breast, armpit, side of the body, or arm on the side of operation, the patient will be asked to report level of pain (0 is no pain and 10 is the worst pain imaginable). For each location, the total score is 0-10; the higher the score, the worse the pain. The total score is the sum of responses from each location. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionscore on a scale (Mean)
Treatment3.53
Control4.6

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Number of Participants Who Experience Side Effects

Side effects are calculated using a 7-item psycho-behavioral questionnaire. Participants indicate whether they have experienced any of the listed side effects of ketamine. The side effects listed on the questionnaire are not considered to be Adverse Events or Serious Adverse Events. (NCT04831736)
Timeframe: Day of Surgery (Day 1)

InterventionParticipants (Count of Participants)
Treatment7
Control7

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Generalized Anxiety Disorder (GAD-2) Score

GAD-2 consists of 2 items and measures how often one has been bothered by anxiety-related problems. Each is answered with a score of 0 (not at all) to 3 (nearly every day). The total range of score is 0-6; the higher the score, the more frequent one is bothered by anxiety. (NCT04831736)
Timeframe: Day 7 Post-Op (Day 8)

Interventionscore on a scale (Mean)
Treatment2.13
Control1.13

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Reduction in Pain Score at 60 Minutes

Reduction of pain scores on numeric rating pain scale (NRS) at 60 minutes mark form the baseline. The NRS is an 11 item Likert Scale ranging from 0 (no pain) to 10 (very severe pain) with 5 indicating moderate pain. (NCT04860804)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
AOK Group2.18
OK Group4.01

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Provider Satisfaction With Anesthesia Assessed by the VAS

After the procedure, research personnel will assess provider's satisfaction with patient's anesthesia on a 100mm visual analog scale. The minimum score is 0mm and the maximum score if 100mm, with higher scores indicating higher satisfaction. (NCT04871425)
Timeframe: Immediately postoperatively

Interventionscore on a scale (Mean)
Ketamine90
Fentanyl86.8

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Satisfaction With Anesthesia Assessed by the ISAS

After the procedure, either at time of discharge (if less than 30 minutes) or at 30 minutes (if not yet discharged), research personnel will assess the participant's satisfaction with anesthesia using the Iowa Satisfaction with Anesthesia Scale. This is a validated perioperative anesthesia satisfaction scale with a minimum score of -3 and a maximum score of +3 with higher scores indicating higher satisfaction. (NCT04871425)
Timeframe: At discharge or 30 minutes after the procedure

Interventionscore on a scale (Mean)
Ketamine2.4
Fentanyl2.2

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Postoperative Pain Assessed by the VAS

Patients will complete 2 followup surveys asking about their postoperative pain after discharge. This will be assessed on a 100mm visual analog scale. The minimum score is 0mm and the maximum score if 100mm, with higher scores indicating higher pain levels. (NCT04871425)
Timeframe: 24 hours postoperatively and 7 days postoperatively

,
Interventionscore on a scale (Mean)
Pain post-op day 1Pain post-op day 7
Fentanyl2219.1
Ketamine24.518.2

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Number of Participants Administered Additional Pain Medications

After the procedure, research personnel will ask anesthetist what medications, if any, they gave outside of the study protocol (NCT04871425)
Timeframe: Immediately postoperatively

InterventionParticipants (Count of Participants)
Ketamine23
Fentanyl30

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Postoperative Pain After Cardiac Surgery

By using a NRS scale postoperative pain (at rest) at 48hours after cardiac surgery In a Numerical Rating Scale (NRS), patients are asked to circle the number between 0 and 10 . Zero usually represents 'no pain at all' whereas 10 represents 'the worst pain ever possible'. (NCT04987372)
Timeframe: At 48 hours after cardiac surgery

Interventionunits on a scale (Mean)
Classical Protocol2.28
Multimodal Protocol2.17

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(ICDSC)Delirium After Stop Sedation by Using Intensive Care Delirium Screening Checklist

delirium in the direct postoperative phase, by using the ICDSC (Intensive Care Delirium Screening Checklist) score. The ICDSC is score-based (range 0-8) where the ICDSC is positive when any four (or more) symptoms of delirium are present (i.e., altered level of consciousness, inattention, disorientation, hallucinations or delusions, psychomotor activity, inappropriate speech or mood, sleep disturbance or fluctuation of symptoms) (NCT04987372)
Timeframe: At 48 h after surgery

Interventionscore on a scale (Median)
Classical Protocol0.0
Multimodal Protocol0.0

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9-item Patient Health Questionnaire (PHQ-9)

Self-reported measure of depression, ranging from 0-27. Higher scores are worse. (NCT05604794)
Timeframe: Change from 3 months compared to baseline

Interventionscore on a scale (Mean)
Clients-3.23

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7-item Generalized Anxiety Disorder Measure (GAD-7)

Self-reported measure of anxiety, ranging from 0-21. Higher scores are worse. (NCT05604794)
Timeframe: Change from 3 months compared to baseline

Interventionscore on a scale (Mean)
Clients-4.80

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6-item PTSD Checklist (PCL-6)

Self-reported measure of post traumatic stress, ranging from 6-30. Higher scores are worse. (NCT05604794)
Timeframe: Change from 3 months compared to baseline

Interventionscore on a scale (Mean)
Clients-4.24

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