Evidence map›Paper›PMID 31269538›Full record

ArticleBritish journal of clinical pharmacology2019

Low-dose ketamine provides poor analgesia for pain in redback spider envenoming.

Nicole M Ryan, Rosemary James, Michael A Downes, Geoffrey K Isbister

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 92% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

4 authors at 2 institutions in 1 country.

Nicole M RyanClinical Toxicology Research Group, University of Newcastle, Newcastle, New South Wales, Australia.ORCID 0000-0003-0334-1938
Rosemary JamesPharmacy Department, Calvary Mater Newcastle, Newcastle, New South Wales, Australia.
Michael A DownesClinical Toxicology Research Group, University of Newcastle, Newcastle, New South Wales, Australia.
Geoffrey K IsbisterClinical Toxicology Research Group, University of Newcastle, Newcastle, New South Wales, Australia.ORCID 0000-0003-1519-7419
Calvary Mater Newcastle Hospital · AUUniversity of Newcastle Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Redback spider envenoming causes severe pain lasting several days. A recent clinical trial found that antivenom is not effective. We investigated ketamine for pain in redback spider envenoming. Ten adult patients with severe pain from redback spider envenoming were administered 15 mg intravenous ketamine after standard analgesia, then up to 4 oral doses of ketamine 25- 50 mg. Three patients had a clinically significant improvement in pain compared to baseline after intravenous ketamine. Five patients had a minimal decrease in pain and 2 had no improvement. Eight patients received oral ketamine: 4 doses in 5 and 2 doses in 3. At 24 h, 3/6 patients assessed had clinically significant improvement in pain and 4/5 patients assessed at 48 h, had clinically significant improvement in pain. Six patients reported side effects, including dissociation (4) and hallucinations (2). Five patients required rescue opioids and 2 were readmitted to hospital. We found that ketamine provided no additional pain relief in redback spider envenoming, compared to standard analgesia, and resulted in unacceptable adverse effects.

Indexed as

AdultAgedAnalgesicsAnalgesics, OpioidFemaleHumansKetamineMaleMiddle AgedPainPilot ProjectsSpider BitesSpider VenomsTreatment OutcomeYoung AdultAnalgesicsAnalgesics, OpioidKetamineSpider Venomsenvenomingketaminepainred-back spiderbitetoxin

Identifiers

PMID31269538
PMCPMC6783601
OpenAlexW2955660306

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.