Evidence map›Paper›PMID 38766546›Full record

ArticleCritical care research and practice2024

Continuous Infusion of Ketamine in Mechanically Ventilated Patients with SARS-CoV-2.

Brian Phan, Afua Agyemang, Walter Klein, Suman B Thapamagar

Abstract read
In one paragraph

Article in Critical care research and practice, 2024. 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
–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

1 citing paper in PubMed.

  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.

Brian PhanDepartment of Pharmacy, Riverside University Health System, Moreno Valley, California, USA.ORCID https://orcid.org/0000-0003-2098-7503
Afua AgyemangDepartment of Pharmacy, Allegheny General Hospital, Pittsburg, Pennsylvania, USA.
Walter KleinDepartment of Internal Medicine, University of California, Riverside School of Medicine, Riverside, California, USA.ORCID https://orcid.org/0009-0006-3000-9833
Suman B ThapamagarDepartment of Medicine, Riverside University Health System, Moreno Valley, California, USA.ORCID https://orcid.org/0000-0003-4158-8085

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Widespread drug shortages led to higher utilization of ketamine in our intensive care unit, especially among patients with SARS-CoV-2. Objectives: To evaluate the impact of continuous infusion of ketamine on vasopressor requirements in patients with SARS-CoV-2. Method: This was a single-center, retrospective, cohort study comparing mechanically ventilated (MV), adult patients with SARS-CoV-2 receiving either propofol or ketamine for at least 72 hours. Results: 84 patients (mean age of 61-year-old, 68% male) were analyzed. 31 patients received ketamine, and 53 patients received propofol. Mean vasopressor doses were not significantly different between ketamine and propofol groups at prespecified timepoints. However, mean arterial pressures (MAP) were higher in the ketamine group at 24 h, 48 h, and 96 h postsedative initiation. The median opioid infusion requirements were 3 vs. 12.5 mg/hr ( Conclusion: In patients with SARS-CoV-2 on MV, there was no difference in the vasopressor requirement in patients receiving ketamine compared to propofol. Nevertheless, the use of ketamine was associated with higher MAP, reductions in CRP in select timepoints, and overall lower opioid requirements.

Identifiers

PMID38766546
PMCPMC11101250

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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.