Evidence map›Paper›PMID 37009385›Full record

ArticleCureus2023

Continuous Ketamine Infusion as a Treatment for Refractory Facial Pain.

Roxana Garcia, QiLiang Chen, Edmund Posadas, Johnathan Tran, Albert Kwon, Xiang Qian

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. 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
0.7field-weighted citation impact, top 31% 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, 4 citations in OpenAlex.

  1. Review
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

6 authors at 3 institutions in 1 country.

Roxana GarciaDepartment of Orthopedic Surgery, Physical Medicine, and Rehabilitation, Stanford Health Care, Palo Alto, USA.
QiLiang ChenDepartment of Anesthesiology, Stanford Health Care, Palo Alto, USA.
Edmund PosadasDepartment of Anesthesiology, University of California San Diego, La Jolla, USA.
Johnathan TranDepartment of Anesthesiology, The Permanente Medical Group, Oakland, USA.
Albert KwonDepartment of Anesthesiology, Stanford Health Care, Palo Alto, USA.
Xiang QianDepartment of Anesthesiology, Stanford Health Care, Palo Alto, USA.
Colorado Permanente Medical Group · USStanford Health Care · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complex orofacial pain disorders, such as trigeminal neuralgia (TN) and atypical facial pain (AFP), can be excruciating and debilitating during attacks. Ketamine, an N-methyl-D-aspartate (NMDA) antagonist, is a powerful analgesic that has been used to treat various chronic pain conditions, but its role in treating complex facial pain has only been recently explored. In this retrospective case series, we reviewed the efficacy of continuous ketamine infusion for 12 patients with facial pain refractory to medical treatment. Patients who presented with a diagnosis of TN were more likely to have significant and sustained pain relief after receiving ketamine infusion. By contrast, those who did not respond to the treatment were more likely to have a diagnosis of AFP. The current report suggests a fundamental difference between these two facial pain disorders in their respective underlying pathophysiology and supports the use of continuous ketamine infusion for refractory TN, but not AFP.

Indexed as

atypical facialchronic pain managementketamine infusionsafety and efficacytrigeminal neuralgia

Identifiers

PMID37009385
PMCPMC10064815
OpenAlexW4322735272

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.