Evidence map›Paper›PMID 40110278›Full record

ReviewAnnals of medicine and surgery (2012)2025

Status asthmaticus and the use of ketamine nebulization and magnesium sulfate: current strategies and outcomes.

Mfonido Ekong, Alexander T Morris, Sripriya Eladasari, Keerthi Talluri, Ali Adel Zayadna, Ramkhalawon Sudha Vidishta, Tejaswini Kohir, Amikul Sidhu, Naji Moussa, Mohamed Abdelsalam Ibrahim Hag Saeed and 1 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Mfonido EkongDepartment of Internal Medicine, St. George's School of Medicine, Grenada, West Indies.
Alexander T MorrisBurrell College of Osteopathic Medicine, Las Cruces, New Mexico.
Sripriya EladasariDepartment of Internal Medicine, Avalon University School of Medicine, Curaçao.
Keerthi TalluriDepartment of Internal Medicine, GSL Medical College, Rajahmundry, India.
Ali Adel ZayadnaDepartment of Emergency Medicine, Pediatric Surgery, Nazareth Hospital EMMS, Bnai Zion Medical Center, Haifa, Israel.
Ramkhalawon Sudha VidishtaDepartment of Anesthesiology, Bruno Cheong Hospital, Mauritius.
Tejaswini KohirDepartment of Internal Medicine, GSL Medical College, Rajahmundry, India.
Amikul SidhuDepartment of Medicine, Dr. D.Y. Patil Medical College, Pune, India.
Naji MoussaRichmond Gabriel University, St. Vincent and the Grenadines.
Mohamed Abdelsalam Ibrahim Hag SaeedDepartment of Emergency, Suleiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Kiran AbbasAga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-7320-1968

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review aims to systematically explore and synthesize the current literature on the efficacy and safety of ketamine nebulization and magnesium sulfate as therapeutic interventions in the management of status asthmaticus. The review evaluates clinical outcomes, administration protocols, and potential adverse effects associated with these treatments. Ketamine has proven effective in managing asthma due to its bronchodilator properties, primarily by stimulating nitric oxide and catecholamine release. Magnesium sulfate has shown benefits by interfering with calcium influx, which alleviates bronchospasm and enhances bronchodilation. Both treatments have been associated with improvements in FEV1 and peak expiratory flow rates, which improve blood oxygenation and reduce bronchospasm. Despite the promising results, more research is needed to determine the optimal dosages and administration routes for these interventions. Furthermore, current studies often do not use these treatments as first-line options, which may introduce confounding variables. Future research should focus on establishing clear protocols for the use of ketamine and magnesium sulfate in refractory acute-severe asthma and status asthmaticus. This review highlights the potential for these treatments to improve clinical outcomes when standard corticosteroid therapies are insufficient, suggesting that with appropriate dosing and consideration, they could be valuable additions to the management strategies for severe asthma exacerbations.

Indexed as

critical careemergency medicinepulmonology

Identifiers

PMID40110278
PMCPMC11918793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.