Evidence map›Paper›PMID 33609274›Full record

ReviewPharmacological reports : PR2021

Ketamine-50 years in use: from anesthesia to rapid antidepressant effects and neurobiological mechanisms.

Samuel Kohtala

Registry-linked trialAbstract readReview
In one paragraph

Review in Pharmacological reports : PR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06752759 (Nebulized Ketamine for the Treatment of Major Depressive Disorder in an Inpatient Setting), which is not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
–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.

NCT06752759 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

Nebulized Ketamine for the Treatment of Major Depressive Disorder in an Inpatient Setting: A Midazolam-controlled Randomized Controlled Trial

TypeinterventionalSponsorTheresa Jacob, PhD, MPHRan2024 to 2027Enrolled40ConditionsSevere Depression, Moderate Depression, Ketamine, MidazolamArmsnebulized ketamine, nebulized midazolam
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  9. Ketamine and Evolving Neuroplasticity.Clinical drug investigation · 2026
    Review
  10. Article
  11. Review
  12. Article
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  14. Review
  15. Article
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  17. Review
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  19. Clinical applications of esketamine: Current status and future perspectives.The Journal of international medical research · 2026
    Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

1 author.

Samuel KohtalaLaboratory of Neurotherapeutics, Drug Research Program, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, P. O. Box 56, 00014, Helsinki, Finland. Samuel.kohtala@helsinki.fi.ORCID http://orcid.org/0000-0001-9249-085X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past 50 years, ketamine has solidified its position in both human and veterinary medicine as an important anesthetic with many uses. More recently, ketamine has been studied and used for several new indications, ranging from chronic pain to drug addiction and post-traumatic stress disorder. The discovery of the rapid-acting antidepressant effects of ketamine has resulted in a surge of interest towards understanding the precise mechanisms driving its effects. Indeed, ketamine may have had the largest impact for advancements in the research and treatment of psychiatric disorders in the past few decades. While intense research efforts have been aimed towards uncovering the molecular targets underlying ketamine's effects in treating depression, the underlying neurobiological mechanisms remain elusive. These efforts are made more difficult by ketamine's complex dose-dependent effects on molecular mechanisms, multiple pharmacologically active metabolites, and a mechanism of action associated with the facilitation of synaptic plasticity. This review aims to provide a brief overview of the different uses of ketamine, with an emphasis on examining ketamine's rapid antidepressant effects spanning molecular, cellular, and network levels. Another focus of the review is to offer a perspective on studies related to the different doses of ketamine used in antidepressant research. Finally, the review discusses some of the latest hypotheses concerning ketamine's action.

Indexed as

Anesthetics, DissociativeAnimalsAntidepressive AgentsDose-Response Relationship, DrugHumansKetamineNeuronal PlasticityAnesthetics, DissociativeAntidepressive AgentsKetamineAnesthesiaDepressionDoseKetamineRapid-acting antidepressantSubanesthetic

Identifiers

PMID33609274
PMCPMC7994242

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Registered trials

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.