Evidence map›Paper›PMID 35801328›Full record

ArticleTurkish journal of anaesthesiology and reanimation2022

Effect of Subanaesthetic Dose of Ketamine on Pneumoperitoneal Response and Clinical Recovery in Patients Undergoing Laparoscopy.

Swaminathan Veerasamy Rajarajan, Arun Kumar Alarasan, Anand Subramaniam, Lailu Mathews

Open access · goldAbstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Swaminathan Veerasamy RajarajanDepartment of Anaesthesiology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai, India.
Arun Kumar AlarasanDepartment of Anaesthesiology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai, India.
Anand SubramaniamDepartment of Anaesthesiology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai, India.
Lailu MathewsDepartment of Anaesthesiology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai, India.
Chettinad Health City · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough suppression of intraperitoneal gas insufflation response is possible with a higher dose of opioids, sedatives, and inha- lational agents, delayed emergence and poor clinical recovery are still a matter of concern. Here our primary aim was to assess the quality of recovery and the secondary aim includes postinsufflation response, postoperative pain intensity, total opioid requirement, and looking for adverse effects, if any.

methodsThis prospective randomized double-blinded controlled study was conducted among 75 American Society of Anesthesiologist physical status I and II patients scheduled for laparoscopic surgeries under general anaesthesia. Group 1 received injection tramadol 1 mg kg-1 iv-1 5 minutes after intubation. Similarly, groups 2 and 3 received 0.25 mg kg-1 and 0.5 mg kg-1 injection of ketamine iv, respectively. Intraperitoneal insufflation response was observed from the beginning of insufflation till 15 minutes. Clinical recovery was measured in terms of vigilance, cognition, orientation, and comfort. Postoperative pain intensity was assessed at varying movement activities using numerical rating scale pain score and with the total opioid requirement. The collected data were analyzed using three-way ANOVA.

resultsGroups 1 and 2 had a fair clinical recovery. Postoperative pain intensity was least in group 2, and the postinsufflation mean arterial pressure was higher in groups 1 and 3. A total of 32% of participants had delirium in group 3.

conclusionsClinical recovery and perioperative analgesia were better in ketamine group (0.25 mg kg-1) without any perturbations in intra- operative pneumoperitoneal response. Hence it can be considered an optimal adjuvant in laparoscopic surgeries.

Identifiers

PMID35801328
PMCPMC9361062
OpenAlexW4284883930

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LicenceCC BY
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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.