ICU sedation, delirium & recovery

Ketamine Analgo-sedation for Mechanically Ventilated Critically Ill Adults: A Rapid Practice Guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine

Anesth AnalgPublished Rapid practice guideline

Methodological detailsGRADE approach, evidence-to-decision framework, multinational multidisciplinary panel
  • GRADE approach
  • Evidence-to-decision framework
  • Multinational multidisciplinary panel

Recommendations

As issued by the authors

  1. conditional

    Suggest against using ketamine as monotherapy analgo-sedation in critically ill adults on invasive mechanical ventilation (iMV) when other analgo-sedatives are available

  2. conditional

    Suggest using ketamine as an adjunct to non-ketamine usual care sedatives (e.g., opioids, propofol, dexmedetomidine) or continuing with non-ketamine usual care sedatives alone

Original publication

Ketamine Analgo-sedation for Mechanically Ventilated Critically Ill Adults: A Rapid Practice Guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine. Anesth Analg. Published 14 July 2025. doi:10.1213/ane.0000000000007173

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