Pediatric anesthesia & critical care

Effect of Low-dose Ketamine Infusion on Opioid Consumption in Children Undergoing Open Cardiac Surgery: A Randomized Controlled Double-Blind Study

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Low-dose ketamine infusion in children undergoing open cardiac surgery reduced intra- and postoperative opioid consumption and postoperative pain scores.

Study context

Population
Children aged 2–12 years undergoing open cardiac surgery, tertiary care children's hospitalrecruited
Participants
80 children
Comparison
Low-dose ketamine infusion vs normal saline
  • Ketaminen = 35
  • Controln = 34reference
Primary endpoint
Total fentanyl dose consumed
Follow-up
First 24 hours postoperatively
Methodological detailsdouble-blinded, single-centre
  • Double-blinded
  • Single-centre

Primary result

As reported in the abstract

Fentanyl consumption
  • Significantly lower in the ketamine than the control group

Secondary outcomes

Intraoperative fentanyl consumption

Significantly lower in the ketamine than the control group

Time to extubation

Similar in both groups

Modified objective pain score

Significantly lower in the ketamine group than the control group

Safety

Events

OutcomeKetamineControl
Diplopia or hallucinations00

Original publication

Effect of Low-dose Ketamine Infusion on Opioid Consumption in Children Undergoing Open Cardiac Surgery: A Randomized Controlled Double-Blind Study. J Cardiothorac Vasc Anesth. Published 25 April 2024. doi:10.1053/j.jvca.2024.04.039

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