Adverse drug effects and preoperative medication factors related to perioperative low-dose ketamine infusions

Eric S. Schwenk, Stephen F. Goldberg, Ronak D. Patel, Jon Y Zhou, Douglas R. Adams, Jaime L. Baratta, Eugene R. Viscusi, Richard H. Epstein

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

High-dose opioid administration is associated with significant adverse events. Evidence suggests that low-dose ketamine infusions improve perioperative analgesia over conventional opioid management, but usage is highly variable. Ketamine's adverse drug effects (ADEs) are well known, but their prevalence during low-dose infusions in a clinical setting and howoften they lead to infusion discontinuation are unknown. The purposes of this study were 3-fold: (1) to identify patient factors associated with initiation of ketamine infusions during spine surgery, (2) to identify specific spine procedures in which ketamine has been used most frequently, and (3) to identify ADEs associated with postoperative ketamine infusions and which ADEs most frequently led to discontinuation. Spine surgery was chosen because of its association with moderate to severe pain and a relatively high use of ketamine infusions in this population at our hospital.

Original languageEnglish (US)
Pages (from-to)482-487
Number of pages6
JournalRegional Anesthesia and Pain Medicine
Volume41
Issue number4
DOIs
StatePublished - Jun 21 2016

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Schwenk, E. S., Goldberg, S. F., Patel, R. D., Zhou, J. Y., Adams, D. R., Baratta, J. L., Viscusi, E. R., & Epstein, R. H. (2016). Adverse drug effects and preoperative medication factors related to perioperative low-dose ketamine infusions. Regional Anesthesia and Pain Medicine, 41(4), 482-487. https://doi.org/10.1097/AAP.0000000000000416