Evidence map›Paper›PMID 40364927›Full record

ArticleIndian journal of anaesthesia2025

Effect of perioperative intravenous ketamine on postoperative sleep disturbance in patients undergoing non-cardiac surgery: A systematic review and meta-analysis.

Na Yang, Lihua Peng, Ruixing Kuang, Rui Xu, Ling Zhou, Yinglong Wang

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Automated tools in systematic reviews: Current trends.Indian journal of anaesthesia · 2025
    Article
  3. 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

6 authors.

Na YangDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0009-0006-8084-7253
Lihua PengDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0000-0002-4432-5750
Ruixing KuangDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0009-0007-3555-7908
Rui XuDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0009-0006-1223-2185
Ling ZhouDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0009-0000-4317-6039
Yinglong WangDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Daping Street, Yuzhong District, Chongqing, China.ORCID https://orcid.org/0009-0002-8325-9618

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Postoperative sleep disturbance (PSD) is a common condition that may lead to pain, cognitive impairment, depression, and delayed recovery. This review evaluates the efficacy of perioperative intravenous ketamine in alleviating PSD and offers evidence-based recommendations for clinical practice. Methods: A systematic search was performed in PubMed, Embase, Cochrane Library, Wanfang Data, VIP Information Resource System, China National Knowledge Infrastructure and China Biology Medicine disc (SinoMed) up to 6 Results: A total of 2355 patients from 21 RCTs were analysed. The pooled results indicated that ketamine improved sleep quality compared to placebo on the first postoperative day, as evidenced by a reduction in Pittsburgh Sleep Quality Index scores [mean difference (MD): -2.69; 95% confidence interval (CI): -3.95, -1.42; Conclusion: This meta-analysis indicates that administering ketamine during the perioperative period can enhance postoperative sleep quality. However, the optimal dose, timing and method of administration remain undetermined, emphasising the need for further research to establish standardised guidelines.

Indexed as

AnaesthesiaGRADEketaminelevel of evidencemeta-analysisPittsburgh Sleep Quality Indexpostoperative painpostoperative sleep disturbancesurgery

Identifiers

PMID40364927
PMCPMC12068437

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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.