Page last updated: 2024-10-29

ketamine and Bradyarrhythmia

ketamine has been researched along with Bradyarrhythmia in 20 studies

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.
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.

Research Excerpts

ExcerptRelevanceReference
" Tracings were analyzed for evidence of apnea, periodic breathing and/or bradycardia by a pulmonologist unaware of the anesthetic technique utilized."9.06Postoperative apnea in former preterm infants: prospective comparison of spinal and general anesthesia. ( Broadman, LM; Fink, R; Hannallah, RS; Rice, LJ; Ruttimann, UE; Welborn, LG, 1990)
" In a controlled study, we evaluated the effects of yohimbine, an antagonist of xylazine, on the anesthesia induced by this anesthetic combination in cats."7.67Effect of yohimbine on xylazine-ketamine anesthesia in cats. ( Hsu, WH; Lu, ZX, 1984)
"Propofol is a widely used anesthetic drug because of its minor complication and also its fast effect."6.77Comparison of effects of ephedrine, lidocaine and ketamine with placebo on injection pain, hypotension and bradycardia due to propofol injection: a randomized placebo controlled clinical trial. ( Ayatollahi, V; Behdad, S; Kargar, S; Yavari, T, 2012)
"Medetomidine-based premedication protocols led to various bradyarrhythmias."5.69Sedative effects and changes in cardiac rhythm with intravenous premedication of medetomidine, butorphanol and ketamine in dogs. ( Eberspächer-Schweda, E; Schöndorfer, B; Vogl, C, 2023)
"  NMDA receptor antagonists versus no treatment, placebo, oral sweet solution, or non-pharmacological intervention One RCT evaluated using oral ketamine (10 mg/kg body weight) versus sugar syrup (66."5.41Non-opioid analgesics for procedural pain in neonates. ( Bruschettini, M; Persad, E; Pizarro, AB, 2023)
"We evaluated the use of continuous infusion of ketamine to reduce intraoperative remifentanil side effects, such as bradycardia and hypotension, and to improve postoperative analgesia from balanced anesthesia with remifentanil."5.13[Balanced anesthesia with continuous ketamine reduces adverse effects of remifentanil]. ( Onaka, M; Yamamoto, H, 2008)
" Tracings were analyzed for evidence of apnea, periodic breathing and/or bradycardia by a pulmonologist unaware of the anesthetic technique utilized."5.06Postoperative apnea in former preterm infants: prospective comparison of spinal and general anesthesia. ( Broadman, LM; Fink, R; Hannallah, RS; Rice, LJ; Ruttimann, UE; Welborn, LG, 1990)
"The objective of this study was to compare the development of clinically significant hypotension or bradycardia (ie, negative hemodynamic event) between critically ill adults receiving sedation with ketamine and either propofol or dexmedetomidine."4.12Hemodynamic 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)
" 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%)."3.73Emergency department procedural sedation and analgesia: A Canadian Community Effectiveness and Safety Study (ACCESS). ( Mensour, M; Michaud, J; Pineau, R; Sahai, V, 2006)
" In a controlled study, we evaluated the effects of yohimbine, an antagonist of xylazine, on the anesthesia induced by this anesthetic combination in cats."3.67Effect of yohimbine on xylazine-ketamine anesthesia in cats. ( Hsu, WH; Lu, ZX, 1984)
" Propofol-based sedation is simple, easy to use, and effective, but is not without cardiovascular and respiratory adverse effects."2.82A 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)
"Propofol is a widely used anesthetic drug because of its minor complication and also its fast effect."2.77Comparison of effects of ephedrine, lidocaine and ketamine with placebo on injection pain, hypotension and bradycardia due to propofol injection: a randomized placebo controlled clinical trial. ( Ayatollahi, V; Behdad, S; Kargar, S; Yavari, T, 2012)
"Cardiac arrhythmias were observed in 21 (53·8%) dogs."1.40Management and complications of anaesthesia during balloon valvuloplasty for pulmonic stenosis in dogs: 39 cases (2000 to 2012). ( Monteiro-Steagall, BP; Ramos, RV; Steagall, PV, 2014)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.00)18.7374
1990's2 (10.00)18.2507
2000's4 (20.00)29.6817
2010's7 (35.00)24.3611
2020's6 (30.00)2.80

Authors

AuthorsStudies
Atchley, E1
Tesoro, E1
Meyer, R1
Bauer, A1
Pulver, M1
Benken, S1
Kamohara, H1
Kamohara, T1
Hikasa, Y1
Schöndorfer, B1
Vogl, C1
Eberspächer-Schweda, E1
Persad, E1
Pizarro, AB1
Bruschettini, M1
Krenz, JR1
Medeiros, K1
Lupez, K1
Emerling, AD1
Fisher, J1
Walrath, B1
Drew, B1
Tsukamoto, A1
Niino, N1
Sakamoto, M1
Ohtani, R1
Inomata, T1
Sullivan, RW1
Ryzewski, M1
Holland, MG1
Marraffa, JM1
Ramos, RV1
Monteiro-Steagall, BP1
Steagall, PV1
Espahbodi, E1
Sanatkar, M1
Sadrossadat, H1
Darabi Vafsi, ME1
Azarshahin, M1
Shoroughi, M1
Goyal, R1
Hasnain, S1
Mittal, S1
Shreevastava, S1
Onaka, M1
Yamamoto, H1
Krimins, RA1
Ko, JC1
Weil, AB1
Payton, ME1
Constable, PD1
Ayatollahi, V1
Behdad, S1
Kargar, S1
Yavari, T1
Sharma, AK1
Kumar, N1
Dimri, U1
Hoque, M1
Maiti, SK1
Gupta, OP1
Shahi, A1
Mensour, M1
Pineau, R1
Sahai, V1
Michaud, J1
Errando, CL1
Murcia, M1
Gimeno, A1
Herrera, R1
Hsu, WH1
Lu, ZX1
Tripathi, M1
Saxena, GC1
Welborn, LG1
Rice, LJ1
Hannallah, RS1
Broadman, LM1
Ruttimann, UE1
Fink, R1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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)
A Randomized, Controlled Trial to Compare the Efficacy and Safety Profile of a Remimazolam-alfentanil Combination With a Propofol-alfentanil Combination for ERCP[NCT04658173]1,000 participants (Anticipated)Interventional2020-12-22Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

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

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

Reviews

1 review available for ketamine and Bradyarrhythmia

ArticleYear
Non-opioid analgesics for procedural pain in neonates.
    The Cochrane database of systematic reviews, 2023, 04-04, Volume: 4

    Topics: Aged; Analgesics; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Apnea; Body Wei

2023

Trials

8 trials available for ketamine and Bradyarrhythmia

ArticleYear
Sedative effects and changes in cardiac rhythm with intravenous premedication of medetomidine, butorphanol and ketamine in dogs.
    Veterinary anaesthesia and analgesia, 2023, Volume: 50, Issue:2

    Topics: Animals; Bradycardia; Butorphanol; Dog Diseases; Dogs; Heart Rate; Hypnotics and Sedatives; Ketamine

2023
Ketamine or atropine: which one better prevents oculocardiac reflex during eye surgery? A prospective randomized clinical trial.
    Acta medica Iranica, 2015, Volume: 53, Issue:3

    Topics: Anesthesia, General; Arrhythmias, Cardiac; Atropine; Bradycardia; Child; Child, Preschool; Humans; K

2015
A randomized, controlled trial to compare the efficacy and safety profile of a dexmedetomidine-ketamine combination with a propofol-fentanyl combination for ERCP.
    Gastrointestinal endoscopy, 2016, Volume: 83, Issue:5

    Topics: Adolescent; Adult; Aged; Analgesia; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia Recover

2016
[Balanced anesthesia with continuous ketamine reduces adverse effects of remifentanil].
    Masui. The Japanese journal of anesthesiology, 2008, Volume: 57, Issue:10

    Topics: Adjuvants, Anesthesia; Adult; Anesthesia, General; Anti-Inflammatory Agents, Non-Steroidal; Bradycar

2008
Hemodynamic effects in dogs after intramuscular administration of a combination of dexmedetomidine-butorphanol-tiletamine-zolazepam or dexmedetomidine-butorphanol-ketamine.
    American journal of veterinary research, 2012, Volume: 73, Issue:9

    Topics: Analgesia; Animals; Blood Pressure; Bradycardia; Butorphanol; Cardiac Output; Cross-Over Studies; De

2012
Comparison of effects of ephedrine, lidocaine and ketamine with placebo on injection pain, hypotension and bradycardia due to propofol injection: a randomized placebo controlled clinical trial.
    Acta medica Iranica, 2012, Volume: 50, Issue:9

    Topics: Adult; Anesthetics, Intravenous; Bradycardia; Double-Blind Method; Ephedrine; Female; Humans; Hypote

2012
Low dose ketamine: an ideal supplementary anaesthesia for spinal block.
    Journal of the Indian Medical Association, 1992, Volume: 90, Issue:3

    Topics: Anesthesia, Intravenous; Bradycardia; Diazepam; Double-Blind Method; Female; Humans; Hypotension; Ke

1992
Postoperative apnea in former preterm infants: prospective comparison of spinal and general anesthesia.
    Anesthesiology, 1990, Volume: 72, Issue:5

    Topics: Anesthesia, General; Anesthesia, Spinal; Apnea; Bradycardia; Hernia, Inguinal; Humans; Infant, Newbo

1990

Other Studies

11 other studies available for ketamine and Bradyarrhythmia

ArticleYear
Hemodynamic Effects of Ketamine Compared With Propofol or Dexmedetomidine as Continuous ICU Sedation.
    The Annals of pharmacotherapy, 2022, Volume: 56, Issue:7

    Topics: Adult; Bradycardia; Dexmedetomidine; Hemodynamics; Humans; Hypnotics and Sedatives; Hypotension; Int

2022
Reversal effects of atipamezole, flumazenil, and 4-aminopyridine on bradycardia and increases in blood pressures induced by medetomidine, midazolam, and ketamine in isoflurane-anesthetized cats.
    Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001), 2022, Volume: 32, Issue:2

    Topics: 4-Aminopyridine; Animals; Blood Pressure; Bradycardia; Cat Diseases; Cats; Flumazenil; Heart Rate; I

2022
Retrospective evaluation of ketamine versus droperidol on time to restraint removal in agitated emergency department patients.
    The American journal of emergency medicine, 2023, Volume: 69

    Topics: Bradycardia; Droperidol; Emergency Service, Hospital; Humans; Ketamine; Psychomotor Agitation; Respi

2023
Rapid Ketamine Infusion at an Analgesic Dose Resulting in Transient Hypotension and Bradycardia in the Emergency Department.
    Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2020,Spring, Volume: 20, Issue:1

    Topics: Analgesics; Bradycardia; Emergency Service, Hospital; Humans; Hypotension; Infusions, Intravenous; K

2020
The validity of anesthetic protocols for the surgical procedure of castration in rats.
    Experimental animals, 2018, Jul-30, Volume: 67, Issue:3

    Topics: Administration, Inhalation; Anesthesia; Anesthetics; Animal Experimentation; Animals; Bradycardia; B

2018
Compounded ointment results in severe toxicity in a pediatric patient.
    Pediatric emergency care, 2013, Volume: 29, Issue:11

    Topics: Administration, Cutaneous; Amines; Analgesics; Body Surface Area; Bradycardia; Clonidine; Combined M

2013
Management and complications of anaesthesia during balloon valvuloplasty for pulmonic stenosis in dogs: 39 cases (2000 to 2012).
    The Journal of small animal practice, 2014, Volume: 55, Issue:4

    Topics: Anesthesia, Intravenous; Anesthetics, Combined; Anesthetics, Intravenous; Animals; Arrhythmias, Card

2014
Romifidine-ketamine anaesthesia in atropine and triflupromazine pre-medicated buffalo calves.
    Journal of veterinary medicine. A, Physiology, pathology, clinical medicine, 2004, Volume: 51, Issue:9-10

    Topics: Adjuvants, Anesthesia; Anesthesia; Anesthetics, Dissociative; Animals; Atropine; Bradycardia; Buffal

2004
Emergency department procedural sedation and analgesia: A Canadian Community Effectiveness and Safety Study (ACCESS).
    CJEM, 2006, Volume: 8, Issue:2

    Topics: Adolescent; Adult; Age Factors; Aged; Apnea; Blood Gas Monitoring, Transcutaneous; Bradycardia; Cana

2006
[Anesthesia in a patient with Angelman syndrome].
    Revista espanola de anestesiologia y reanimacion, 2007, Volume: 54, Issue:9

    Topics: Adolescent; Androstanols; Anesthesia, Inhalation; Anesthesia, Intravenous; Angelman Syndrome; Bradyc

2007
Effect of yohimbine on xylazine-ketamine anesthesia in cats.
    Journal of the American Veterinary Medical Association, 1984, Oct-15, Volume: 185, Issue:8

    Topics: Anesthesia; Animals; Bradycardia; Cat Diseases; Cats; Female; Heart Block; Heart Rate; Ketamine; Mal

1984