Cardiothoracic & vascular anesthesia

Intraoperative ketamine and pain after video-assisted thoracoscopic surgery (VATS): A systematic review and meta-analysis

Anaesth Crit Care Pain MedPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Intraoperative intravenous ketamine effectively reduces acute postoperative pain in VATS patients but does not significantly impact opioid consumption, hemodynamic parameters, and adverse events.

Study context

Population
Patients undergoing VATS
Participants
1,151 patients · 10 randomized controlled trials (RCTs)
Comparison
Intraoperative IV ketamine vs normal saline
Outcome
Postoperative pain scores
Methodological detailsRisk of bias (RoB2) risk of bias assessment
  • RoB2 risk of bias assessment

Pooled result

As reported in the abstract

Postoperative pain

MD

−0.65

P = 0.04

at 12 h

MD

−0.55 points

P < 0.01

at 48 h

Further pooled results

24-h postoperative opioid consumption, urine output, surgery duration, rescue analgesia, MAP, infusion volume, heart rate, extubation time, blood loss

No significant difference

Original publication

Intraoperative ketamine and pain after video-assisted thoracoscopic surgery (VATS): A systematic review and meta-analysis. Anaesth Crit Care Pain Med. Published 16 October 2024. doi:10.1016/j.accpm.2024.101444

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