Neuroanesthesia & neurocritical care

Is ketamine safe for traumatic brain injury? A systematic review and meta-analysis

J Crit CarePublished Systematic review and meta-analysis

Pooled result · Hospital mortalityResult — go to the resultRelative risk 1.18 95 % CI 0.90–1.55

Study context

Population
Patients with traumatic brain injury (TBI) receiving ketamine for tracheal intubation or analgosedation15 studies · 4 RCTs
Comparison
Ketamine vs other anesthetic agents or placebo
Outcome
Hospital mortality
Methodological detailsPRISMA methodology
  • PRISMA methodology

Pooled result

As reported in the abstract

Relative risk

1.18

95 % CI 0.90–1.55

P = 0.23

Between groups
RR 1.18 (95 % CI 0.90–1.55); P = 0.23

Further pooled results

OutcomeRR (95 % CI)P value
ICP elevation (baseline ICP < 20 mmHg)I2 = 0.0 %0.67 (0.45–1.01)P = 0.054

Safety

OutcomeRR (95 % CI)P value
Hypotension episodesI2 = 0.0 %1.47 (1.22–1.78)P < 0.01

Original publication

Is ketamine safe for traumatic brain injury? A systematic review and meta-analysis. J Crit Care. Published 5 November 2025. doi:10.1016/j.jcrc.2025.155347

Composed by AI from the published abstract and checked against it. How Briefs are made →

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