Anesthetic drugs & techniques

Characterization of the temporal profile of the antinociceptive effects of an intravenous bolus of ketamine using the analgesia nociception index in no-anesthetized adult patients

J Clin Monit ComputPublished Pharmacokinetic-pharmacodynamic modelling study

Authors' conclusion

The developed PKPD model, using Domino's PK parameters and the ANI response data, adequately characterized the temporal profile of ketamine's antinociceptive effect.

Study context

Population
Awake adult patients before GA, without other drugs affecting the analgesia nociception index (ANI) response
Participants
20 patients
Outcome
PKPD model of ketamine antinociceptive effect (Domino PK parameter set and ANI response)
Methodological detailsprospective, single-group
  • Prospective
  • Single-group

Main finding

As reported in the abstract

PKPD model parameters and ANI response
GroupValueBasal ANIMaximum ANIObserved time-to-peak effectEstimated Ke0
Ketaminemean 38.5 (SD 4.95)38.5 ± 4.9553.5 ± 4.951.83 ± 0.74 min0.238 (CI95% 0.20-0.28) min-1

Ketamine

Valuemean 38.5 (SD 4.95)
Basal ANI38.5 ± 4.95
Maximum ANI53.5 ± 4.95
Observed time-to-peak effect1.83 ± 0.74 min
Estimated Ke00.238 (CI95% 0.20-0.28) min-1

Observational data: associations, not effects.

Original publication

Characterization of the temporal profile of the antinociceptive effects of an intravenous bolus of ketamine using the analgesia nociception index in no-anesthetized adult patients. J Clin Monit Comput. Published 15 November 2024. doi:10.1007/s10877-024-01240-4

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