Evidence map›Paper›PMID 25551398›Full record

ArticlePharmaceuticals (Basel, Switzerland)2014

Etomidate and Ketamine: Residual Motor and Adrenal Dysfunction that Persist beyond Recovery from Loss of Righting Reflex in Rats.

Daniel Diaz-Gil, Noomi Mueller, Ingrid Moreno-Duarte, Hsin Lin, Cenk Ayata, Cristina Cusin, Joseph F Cotten, Matthias Eikermann

Abstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniel Diaz-GilDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. diazgil.daniel@gmail.com.
Noomi MuellerDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. nmueller1@partners.org.
Ingrid Moreno-DuarteDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. ingrid.md.8@gmail.com.
Hsin LinDepartment of Anesthesia, Critical Care and Pain Medicine and Department of Pharmacy, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. hlin13@mgh.harvard.edu.
Cenk AyataDepartment of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. cayata@mgh.harvard.edu.
Cristina CusinDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. ccusin@mgh.harvard.edu.
Joseph F CottenDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114, USA. jcotten@mgh.harvard.edu.
Matthias EikermannDepartment of Anesthesia Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA-02114 and Klinik fuer Anaesthesie und Intensivmedizin, Universitaetsklinikum Essen, 45147 Essen, Germany. meikermann@partners.org.

Funding

TASK Potassium Channel Antagonists to Treat Opioid Depression of BreathingR01HL117871 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI COTTEN, JOSEPH F · 2013 to 2017
$2.1M
NHLBI NIH HHS R01 HL117871
6 · The paper itself

Abstract

We tested the hypothesis that etomidate and ketamine produce residual effects that modify functional mobility (measured by the balance beam test) and adrenal function (adrenocorticotropic hormone (ACTH) stimulation) immediately following recovery from loss of righting reflex in rats. Intravenous etomidate or ketamine was administered in a randomized, crossover fashion (2 or 4 mg/kg and 20 or 40 mg/kg, respectively) on eight consecutive days. Following recovery of righting reflex, animals were assessed for residual effects on functional mobility on the balance beam, motor behavior in the open field and adrenal function through ACTH stimulation. We evaluated the consequences of the effects of the anesthetic agent-induced motor behavior on functional mobility. On the balance beam, etomidate-treated rats maintained their grip longer than ketamine-treated rats, indicating greater balance abilities (mean ± SD, 21.5 ± 25.1 s vs. 3.0 ± 4.3 s respectively, p < 0.021). In the open field test, both dosages of etomidate and ketamine had opposite effects on travel behavior, showing ketamine-induced hyperlocomotion and etomidate-induced hypolocomotion. There was a significant interaction between anesthetic agent and motor behavior effects for functional mobility effects (p < 0.001). Corticosterone levels were lower after both 40 mg/kg ketamine and 4 mg/kg etomidate anesthesia compared to placebo, an effect stronger with etomidate than ketamine (p < 0.001). Following recovery from anesthesia, etomidate and ketamine have substantial side effects. Ketamine-induced hyperlocomotion with 20 and 40 mg/kg has stronger effects on functional mobility than etomidate-induced hypolocomotion with 2 and 4 mg/kg. Etomidate (4 mg/kg) has stronger adrenal suppression effects than ketamine (40 mg/kg).

Identifiers

PMID25551398
PMCPMC4381199

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.