Evidence map›Paper›PMID 40520767›Full record

ArticleAnesthesia and critical care (Houston, Tex.)2025

High and Low Dose Ketamine in Post-Traumatic Stress Disorder.

Joey Day, Devendra K Agrawal

Abstract read
In one paragraph

Article in Anesthesia and critical care (Houston, Tex.), 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. Review
  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

2 authors.

Joey DayDepartment of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California 91766 USA.
Devendra K AgrawalDepartment of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California 91766 USA.

Funding

Novel Molecular Target to Prevent Maturation Failure of Arteriovenous FistulaR01HL147662 · NHLBI · WESTERN UNIVERSITY OF HEALTH SCIENCES · PI AGRAWAL, DEVENDRA K. · 2019 to 2022
$2.8M
Research Education Program to Promote Diversity in Immunologic and Allergic DiseasesR25AI179582 · NIAID · WESTERN UNIVERSITY OF HEALTH SCIENCES · PI Devendra K. Agrawal · 2025 to 2026
$756k
NHLBI NIH HHS R01 HL147662NIAID NIH HHS R25 AI179582
6 · The paper itself

Abstract

Ketamine has unique properties making it a desirable drug to induce general anesthesia during surgery. However, it is typically reserved for children and adolescent patients due to its side effects in adults, including vivid dreams, hallucinations, and confusional states that may be pleasant or distressing. These symptoms may affect patients with post-traumatic stress disorder (PTSD). PTSD is a trauma-related psychological disorder that is mainly characterized by intrusive thoughts, hypervigilance, and re-experiencing of the trauma event. Most of current research focuses on the use of sub-anesthetic doses of ketamine as a treatment for PTSD. Limited information is known about high-dose ketamine use during general anesthesia and the impact this has on patients who suffer from PTSD. A literature review investigating the effects of anesthetic doses of ketamine on PTSD was conducted for this article. Findings suggest that ketamine has dose-related effects on the severity of PTSD. Specifically, low-dose ketamine has the potential as a therapeutic agent in the treatment of PTSD, while high-dose ketamine may cause worsening of PTSD symptoms. This could occur through the increase in psychomimetic symptoms, decrease in plasticity and metaplasticity, and modulation of fear memory systems experienced with anesthetic doses of ketamine. Currently, there are no published research articles directly measuring the effects of high-dose ketamine on PTSD. Further investigation is warranted to understand if anesthetic doses of ketamine worsen PTSD symptoms. This is important because it can help guide the management approach of an anesthesiologist to safely providing anesthesia to PTSD patients.

Indexed as

AnesthesiaGlutamateKetamineN-methyl-d-aspartateN-methyl-d-aspartate ReceptorPlasticityPost-traumatic stress disorder

Identifiers

PMID40520767
PMCPMC12165460

What OpenQuestion holds

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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.