Page last updated: 2024-10-29

ketamine and Consciousness, Loss of

ketamine has been researched along with Consciousness, Loss of in 31 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
"Sevoflurane was initiated in both groups at 8% for anesthesia induction until loss of consciousness was achieved, at which point it was discontinued."6.80Effect of the Addition of Ketamine to Sevoflurane Anesthesia on Seizure Duration in Electroconvulsive Therapy. ( Çolak, C; Cumurcu, B; Durmus, M; Erdil, F; Ozgul, U, 2015)
"Ketamine anesthesia was associated with markedly increased genioglossus activity (1."3.78Ketamine 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)
"Sevoflurane was initiated in both groups at 8% for anesthesia induction until loss of consciousness was achieved, at which point it was discontinued."2.80Effect of the Addition of Ketamine to Sevoflurane Anesthesia on Seizure Duration in Electroconvulsive Therapy. ( Çolak, C; Cumurcu, B; Durmus, M; Erdil, F; Ozgul, U, 2015)
"Ketamine is a noncompetitive N-methyl-D-aspartate antagonist and is known for unique electrophysiologic profiles in electroencephalography."1.56Dynamics of Ketamine-induced Loss and Return of Consciousness across Primate Neocortex. ( Ballesteros, JJ; Eskandar, EN; Huang, P; Ishizawa, Y; Patel, SR, 2020)
"Unconsciousness was induced either by intraperitoneal injection of ketamine or ethanol."1.56The arousal effect of hyperbaric oxygen through orexin/hypocretin an upregulation on ketamine/ethanol-induced unconsciousness in male rats. ( Bian, H; Hu, Q; Huang, L; Li, B; Liang, X; Tang, J; Zhang, JH, 2020)
" Dosage of each anesthetic agent was tailored to yield unresponsiveness (Ramsay score = 6)."1.51The 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)
"During ketamine-induced unconscious state, these distinct excitatory principal cell subtypes in both layer 2&3 and layer 5&6 exhibited distinct dynamics."1.46Distinct retrosplenial cortex cell populations and their spike dynamics during ketamine-induced unconscious state. ( Fox, GE; Li, M; Tsien, JZ; Zhao, F, 2017)
"For the low-frequency (3-6."1.43Changes in effective connectivity of sensorimotor rhythms in thalamocortical circuits during the induction and recovery of anesthesia in mice. ( Choi, JH; Hwang, E; Kang, JH; Kim, SP, 2016)
"Compared with the unconscious state, recovery of righting reflex was marked by a further increase in ACh concentrations (P=0."1.42Electroencephalographic coherence and cortical acetylcholine during ketamine-induced unconsciousness. ( Hambrecht-Wiedbusch, VS; Mashour, GA; Pal, D; Silverstein, BH, 2015)
"The point of loss of consciousness was indicated by a moment of loss of movement that was measured using a head-mounted motion sensor."1.38Changes in the thalamocortical connectivity during anesthesia-induced transitions in consciousness. ( Choi, JH; Hwang, E; Kang, JH; Kim, S; Kim, SP, 2012)
"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."1.36Temporal dynamics of distinct CA1 cell populations during unconscious state induced by ketamine. ( Kuang, H; Lin, L; Tsien, JZ, 2010)
"Ketamine is a safe and effective sedative for diagnostic or therapeutic procedures in the Emergency Department."1.35Prolonged 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)
"Melatonin pre-treatment affected in a dual manner barbiturate narcosis, however, no dose-effect correlation was found."1.31Dual effects of melatonin on barbiturate-induced narcosis in rats. ( Drago, F; Foti, F; Frisina, M; Grech, M; Medico, M; Micale, V; Nicolosi, A; Nicosia, A, 2001)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-19904 (12.90)18.7374
1990's0 (0.00)18.2507
2000's3 (9.68)29.6817
2010's17 (54.84)24.3611
2020's7 (22.58)2.80

Authors

AuthorsStudies
Chen, Y1
Li, S1
Liang, X2
Zhang, J1
Leung, LS1
Ma, J1
Fehrlin, ES1
Hight, D1
Kaiser, HA1
Luedi, MM1
Huber, M1
Zubler, F1
Lersch, F1
Radovanovic, L1
Novakovic, A1
Petrovic, J1
Saponjic, J1
Ballesteros, JJ1
Huang, P1
Patel, SR1
Eskandar, EN1
Ishizawa, Y1
Costa, YRS1
Lavorato, SN1
Baldin, JJCMC1
Wang, J1
Noh, GJ1
Choi, BM1
Ku, SW1
Joo, P1
Jung, WS1
Kim, S4
Lee, H1
Fox, GE1
Li, M1
Zhao, F1
Tsien, JZ2
Kim, H1
Moon, JY1
Mashour, GA2
Lee, U1
Colombo, MA1
Napolitani, M1
Boly, M1
Gosseries, O1
Casarotto, S1
Rosanova, M1
Brichant, JF1
Boveroux, P1
Rex, S1
Laureys, S1
Massimini, M1
Chieregato, A1
Sarasso, S1
Finley, J1
Alonso, LM1
Solovey, G1
Yanagawa, T1
Proekt, A1
Cecchi, GA1
Magnasco, MO1
Bian, H1
Huang, L1
Li, B1
Hu, Q1
Tang, J1
Zhang, JH1
Erdil, F1
Ozgul, U2
Çolak, C1
Cumurcu, B1
Durmus, M1
Pal, D1
Hambrecht-Wiedbusch, VS1
Silverstein, BH1
Kang, JH2
Choi, JH4
Hwang, E4
Kim, SP2
Shin, HS1
Chiou, RJ1
Kuo, CC1
Liang, KC1
Yen, CT1
Kuang, H1
Lin, L1
Canet, J1
Castillo, J1
Eikermann, M1
Grosse-Sundrup, M1
Zaremba, S1
Henry, ME1
Bittner, EA1
Hoffmann, U1
Chamberlin, NL1
Erdogan Kayhan, G1
Yucel, A1
Colak, YZ1
Yologlu, S1
Karlıdag, R1
Ersoy, MO1
Lettieri, C1
Rinaldo, S1
Devigili, G1
Pauletto, G1
Verriello, L1
Budai, R1
Fadiga, L1
Oliynyk, A1
Mondani, M1
D'Auria, S1
Skrap, M1
Eleopra, R1
Han, K1
Capapé, S1
Mora, E1
Mintegui, S1
García, S1
Santiago, M1
Benito, J1
Drago, F1
Frisina, M1
Grech, M1
Nicolosi, A1
Micale, V1
Nicosia, A1
Medico, M1
Foti, F1
Suriani, U1
Di Marco, MG1
Franceschelli, N1
Lamma, A1
Macchiagodena, C1
Monti, B1
Milam, SB1
Amiot, JF2
Bouju, P2
Palacci, JH2
Balliner, E1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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
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 Effects of Sevoflurane, Propofol, and Carbon Dioxide 'Reversal' on Upper Airway Collapsibility in Healthy, Adult Subjects[NCT01557920]Phase 418 participants (Actual)Interventional2013-01-31Completed
Inonu University Faculty of Medicine Department of Anesthesiology and Reanimation[NCT02819375]Phase 445 participants (Actual)Interventional2017-01-31Completed
Arousal Pathways and Emergence From Sedation[NCT02253758]20 participants (Anticipated)Interventional2014-10-31Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duty Cycle

(T(ins)/T(total))*100 (NCT01557920)
Timeframe: Will be measured before and during anesthesia until emergence from anesthesia, an expected average of 6 hours

Interventionpercentage of Ttotal (Mean)
Wakefulness42
Anesthesia With Low Dose Sevoflurane (Baseline CO2)42
Anesthesia With High Dose Sevoflurane (Baseline CO2)43
Anesthesia With Low Dose Propofol (CO2 Baseline)40
Anesthesia With High Dose Propofol (CO2 Baseline)41

Frequency of Spontaneous Swallows During Anesthesia vs Wakefulness

The number of swallows were counted during wakefulness and anesthesia. The frequency of swallowing was calculated per hour (NCT01557920)
Timeframe: swallows were measured during steady state conditions (mean±SEM, 2.6±0.6h)

Interventionnumber of swallows/hr (Mean)
Anesthesia With Propofol and Sevoflurane1.7
Wakefulness28

Genioglossus Muscle Electromyogram

will be measured during steady state anesthesia as well as during carbon dioxide reversal, and during recovery from anesthesia. (NCT01557920)
Timeframe: participants will be followed for the duration of anesthesia until full recovery, an expected average of 9 hours

Interventionpercentage of maximum recorded activity (Mean)
Phasic Genioglossus Activity (Light Anesthesia)32.8
Tonic Genioglossus Activity (Light Anesthesia)24.2
Phasic Genioglossus Activity (Deep Anesthesia)26.0
Tonic Genioglossus Activity (Deep Anesthesia)22.3

Minute Ventilation (Tidal Volume and Respiratory Rate)

Measured by spirometry. Subjects wear a full-face mask. Reported in L/min (NCT01557920)
Timeframe: Will be measured before and during anesthesia until emergence from anesthesia, an expected average of 6 hours

InterventionL/min (Mean)
Wakefulness7.9
Anesthesia With Low Dose Sevoflurane (Baseline CO2)6.7
Anesthesia With High Dose Sevoflurane (Baseline CO2)5.6
Anesthesia With Low Dose Propofol (CO2 Baseline)7.2
Anesthesia With High Dose Propofol (CO2 Baseline)5.7

Proportion of Pathological Swallows

A pathological swallow was defined as a swallow that was followed by inspiratory flow. A physiological swallow was defined as a swallow that was followed by expiratory flow. The number of pathological and physiological swallows were measured during wakefulness and anesthesia. The pathological swallows are presented as percentage of path. swallows calculated as path.sw/[path.sw+phys.sw]*100 (%). (NCT01557920)
Timeframe: swallows were measured during steady state conditions (mean±SEM, 2.6±0.6h)

Interventionpercentage of pathological swallows (Number)
Anesthesia With Propofol and Sevoflurane (All Cases)25.9
Wakefulness (All Cases)4.9
Anesthesia With Propofol and Sevoflurane (Baseline CO2)15.8
Anesthesia With Propofol and Sevoflurane (CO2 Insufflation)34.9
Wakefulness (During Baseline CO2)1.0
Wakefulness (With CO2 Insufflation)13.2

Upper Airway Closing Pressure

Upper airway closing pressure will be measured during steady state anesthesia as well as during carbon dioxide reversal. (NCT01557920)
Timeframe: participants will be followed for the duration of anesthesia, an expected average of 6 hours

Interventioncm H20 (Mean)
Propofol-9.83
Sevoflurane-10.77

Reviews

2 reviews available for ketamine and Consciousness, Loss of

ArticleYear
Medial Septum Modulates Consciousness and Psychosis-Related Behaviors Through Hippocampal Gamma Activity.
    Frontiers in neural circuits, 2022, Volume: 16

    Topics: Animals; Consciousness; Electroencephalography; Gamma Rays; Hippocampus; Humans; Ketamine; Psychotic

2022
Violence against women and drug-facilitated sexual assault (DFSA): A review of the main drugs.
    Journal of forensic and legal medicine, 2020, Volume: 74

    Topics: Adjuvants, Anesthesia; Alcohol Drinking; Anesthetics, Dissociative; Benzodiazepines; Crime Victims;

2020

Trials

2 trials available for ketamine and Consciousness, Loss of

ArticleYear
Effect of the Addition of Ketamine to Sevoflurane Anesthesia on Seizure Duration in Electroconvulsive Therapy.
    The journal of ECT, 2015, Volume: 31, Issue:3

    Topics: Adult; Anesthesia; Anesthesia Recovery Period; Anesthetics, Dissociative; Anesthetics, Inhalation; A

2015
Ketofol (mixture of ketamine and propofol) administration in electroconvulsive therapy.
    Anaesthesia and intensive care, 2012, Volume: 40, Issue:2

    Topics: Adult; Anesthesia; Anesthetics, Dissociative; Anesthetics, Intravenous; Blood Pressure; Double-Blind

2012

Other Studies

27 other studies available for ketamine and Consciousness, Loss of

ArticleYear
Differential Alterations to the Metabolic Connectivity of the Cortical and Subcortical Regions in Rat Brain During Ketamine-Induced Unconsciousness.
    Anesthesia and analgesia, 2022, 11-01, Volume: 135, Issue:5

    Topics: Anesthetics, Intravenous; Animals; Brain; Fluorodeoxyglucose F18; Glucose; Ketamine; Propofol; Rats;

2022
A Pilot Investigation Evaluating Relative Changes in Fronto-Occipital Alpha and Beta Spectral Power as Measurement of Anesthesia Hypnotic Depth.
    Anesthesia and analgesia, 2023, 09-01, Volume: 137, Issue:3

    Topics: Anesthesia, General; Electroencephalography; Humans; Hypnotics and Sedatives; Ketamine; Pilot Projec

2023
Different Alterations of Hippocampal and Reticulo-Thalamic GABAergic Parvalbumin-Expressing Interneurons Underlie Different States of Unconsciousness.
    International journal of molecular sciences, 2023, Apr-05, Volume: 24, Issue:7

    Topics: Animals; Diazepam; Hippocampus; Interneurons; Ketamine; Parvalbumins; Propofol; Rats; Unconsciousnes

2023
Dynamics of Ketamine-induced Loss and Return of Consciousness across Primate Neocortex.
    Anesthesiology, 2020, Volume: 132, Issue:4

    Topics: Anesthetics, Dissociative; Animals; Consciousness; Electroencephalography; Excitatory Amino Acid Ant

2020
Suppressed neural complexity during ketamine- and propofol-induced unconsciousness.
    Neuroscience letters, 2017, Jul-13, Volume: 653

    Topics: Adult; Anesthetics, Intravenous; Cerebral Cortex; Electroencephalography; Female; Humans; Ketamine;

2017
Distinct retrosplenial cortex cell populations and their spike dynamics during ketamine-induced unconscious state.
    PloS one, 2017, Volume: 12, Issue:10

    Topics: Action Potentials; Animals; Excitatory Amino Acid Antagonists; Ketamine; Mice; Neurons; Sleep; Uncon

2017
Mechanisms of hysteresis in human brain networks during transitions of consciousness and unconsciousness: Theoretical principles and empirical evidence.
    PLoS computational biology, 2018, Volume: 14, Issue:8

    Topics: Adult; Anesthetics, General; Brain; Connectome; Consciousness; Cortical Synchronization; Electroence

2018
The spectral exponent of the resting EEG indexes the presence of consciousness during unresponsiveness induced by propofol, xenon, and ketamine.
    NeuroImage, 2019, 04-01, Volume: 189

    Topics: Adolescent; Adult; Anesthetics, General; Brain Waves; Consciousness; Electroencephalography; Female;

2019
Cellular stress and AMPK links metformin and diverse compounds with accelerated emergence from anesthesia and potential recovery from disorders of consciousness.
    Medical hypotheses, 2019, Volume: 124

    Topics: AMP-Activated Protein Kinases; Anesthesia; Anesthesia Recovery Period; Anesthetics; Animals; Brain M

2019
Single-trial classification of awareness state during anesthesia by measuring critical dynamics of global brain activity.
    Scientific reports, 2019, 03-20, Volume: 9, Issue:1

    Topics: Anesthesia; Animals; Awareness; Brain; Consciousness; Cortical Excitability; Electrocorticography; E

2019
The arousal effect of hyperbaric oxygen through orexin/hypocretin an upregulation on ketamine/ethanol-induced unconsciousness in male rats.
    Journal of neuroscience research, 2020, Volume: 98, Issue:1

    Topics: Animals; Arousal; Benzoxazoles; Dioxanes; Ethanol; Hyperbaric Oxygenation; Ketamine; Male; Naphthyri

2020
Electroencephalographic coherence and cortical acetylcholine during ketamine-induced unconsciousness.
    British journal of anaesthesia, 2015, Volume: 114, Issue:6

    Topics: Acetylcholine; Anesthesia Recovery Period; Anesthetics, Dissociative; Animals; Behavior, Animal; Cer

2015
Changes in effective connectivity of sensorimotor rhythms in thalamocortical circuits during the induction and recovery of anesthesia in mice.
    Journal of the neurological sciences, 2016, Oct-15, Volume: 369

    Topics: Analgesics; Anesthesia; Animals; Brain Waves; Electroencephalography; Ketamine; Male; Mice; Mice, In

2016
The forced walking test: a novel test for pinpointing the anesthetic-induced transition in consciousness in mouse.
    Journal of neuroscience methods, 2010, Apr-30, Volume: 188, Issue:1

    Topics: Anesthesia; Anesthesia Recovery Period; Anesthetics; Animals; Behavior, Animal; Brain; Electroenceph

2010
State-dependent amygdala stimulation-induced cardiovascular effects in rats.
    The Chinese journal of physiology, 2009, Dec-31, Volume: 52, Issue:6

    Topics: Amygdala; Anesthetics, General; Animals; Blood Pressure; Cardiovascular Physiological Phenomena; Chl

2009
Temporal dynamics of distinct CA1 cell populations during unconscious state induced by ketamine.
    PloS one, 2010, Dec-08, Volume: 5, Issue:12

    Topics: Analgesics; Anesthesia; Animals; Electrophysiology; Hippocampus; Interneurons; Ketamine; Male; Mice;

2010
Ketamine: a familiar drug we trust.
    Anesthesiology, 2012, Volume: 116, Issue:1

    Topics: Anesthetics, Dissociative; Animals; Ketamine; Male; Respiration; Respiratory Muscles; Unconsciousnes

2012
Ketamine activates breathing and abolishes the coupling between loss of consciousness and upper airway dilator muscle dysfunction.
    Anesthesiology, 2012, Volume: 116, Issue:1

    Topics: Anesthesia; Anesthesia, Intravenous; Anesthetics, Dissociative; Anesthetics, Intravenous; Animals; B

2012
Ketamine activates breathing and abolishes the coupling between loss of consciousness and upper airway dilator muscle dysfunction.
    Anesthesiology, 2012, Volume: 116, Issue:1

    Topics: Anesthesia; Anesthesia, Intravenous; Anesthetics, Dissociative; Anesthetics, Intravenous; Animals; B

2012
Ketamine activates breathing and abolishes the coupling between loss of consciousness and upper airway dilator muscle dysfunction.
    Anesthesiology, 2012, Volume: 116, Issue:1

    Topics: Anesthesia; Anesthesia, Intravenous; Anesthetics, Dissociative; Anesthetics, Intravenous; Animals; B

2012
Ketamine activates breathing and abolishes the coupling between loss of consciousness and upper airway dilator muscle dysfunction.
    Anesthesiology, 2012, Volume: 116, Issue:1

    Topics: Anesthesia; Anesthesia, Intravenous; Anesthetics, Dissociative; Anesthetics, Intravenous; Animals; B

2012
Changes in the thalamocortical connectivity during anesthesia-induced transitions in consciousness.
    Neuroreport, 2012, Mar-28, Volume: 23, Issue:5

    Topics: Anesthetics, Dissociative; Animals; Consciousness; Electroencephalography; Hypnotics and Sedatives;

2012
Deep brain stimulation: Subthalamic nucleus electrophysiological activity in awake and anesthetized patients.
    Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2012, Volume: 123, Issue:12

    Topics: Aged; Anesthesia, General; Anesthesia, Local; Deep Brain Stimulation; Female; Humans; Ketamine; Male

2012
Characterization of phase transition in the thalamocortical system during anesthesia-induced loss of consciousness.
    PloS one, 2012, Volume: 7, Issue:12

    Topics: Anesthesia; Animals; Cerebral Cortex; Consciousness; Electrophysiology; Ketamine; Male; Mice; Thalam

2012
Prolonged sedation and airway complications after administration of an inadvertent ketamine overdose in emergency department.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2008, Volume: 15, Issue:2

    Topics: Airway Obstruction; Anesthetics, Dissociative; Child, Preschool; Drug Overdose; Humans; Injections,

2008
Dual effects of melatonin on barbiturate-induced narcosis in rats.
    Neuroscience letters, 2001, Mar-16, Volume: 300, Issue:3

    Topics: Adjuvants, Anesthesia; Anesthetics, Dissociative; Animals; Antioxidants; Barbiturates; Diazepam; Dos

2001
[Use of ketamine in pediatrics. ORL surgery and minor eye surgery, studies on evoked visual and auditive potentials, skull radiographic studies, hrt catheterization].
    Minerva anestesiologica, 1977, Volume: 43, Issue:1

    Topics: Adolescent; Age Factors; Cardiac Catheterization; Child; Child, Preschool; Ear Diseases; Evoked Pote

1977
Pain control in dentistry: general anesthesia.
    The Compendium of continuing education in dentistry, 1986, Volume: 7, Issue:1

    Topics: Analgesia; Anesthesia, Dental; Anesthesia, General; Anesthesia, Inhalation; Anesthesia, Intravenous;

1986
Effect of naloxone on loss of consciousness induced by i.v. ketamine.
    British journal of anaesthesia, 1985, Volume: 57, Issue:9

    Topics: Female; Humans; Ketamine; Naloxone; Pregnancy; Unconsciousness

1985
Intravenous regional anaesthesia with ketamine.
    Anaesthesia, 1985, Volume: 40, Issue:9

    Topics: Adult; Anesthesia, Conduction; Anesthesia, Intravenous; Humans; Ketamine; Tourniquets; Unconsciousne

1985