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Ketamine in adult cardiac surgery and the cardiac surgery Intensive Care Unit: An evidence-based clinical review
- Source :
- Annals of Cardiac Anaesthesia, Vol 18, Iss 2, Pp 202-209 (2015)
- Publication Year :
- 2015
- Publisher :
- Wolters Kluwer Medknow Publications, 2015.
-
Abstract
- Ketamine is a unique anesthetic drug that provides analgesia, hypnosis, and amnesia with minimal respiratory and cardiovascular depression. Because of its sympathomimetic properties it would seem to be an excellent choice for patients with depressed ventricular function in cardiac surgery. However, its use has not gained widespread acceptance in adult cardiac surgery patients, perhaps due to its perceived negative psychotropic effects. Despite this limitation, it is receiving renewed interest in the United States as a sedative and analgesic drug for critically ill-patients. In this manuscript, the authors provide an evidence-based clinical review of ketamine use in cardiac surgery patients for intensive care physicians, cardio-thoracic anesthesiologists, and cardio-thoracic surgeons. All MEDLINE indexed clinical trials performed during the last 20 years in adult cardiac surgery patients were included in the review.
- Subjects :
- Cardiac surgery
Coronary artery bypass grafting
European system for cardiac operative risk evaluation
Risk factor
After drop
Extravascular lung water
Fluid balance
Anesthesia
pregnancy
pulmonary hypertension
heart disease
mortality
postoperative complications
risk stratification in cardiac surgery
Cardiac anesthesia
Etomidate
Propofol
CPB
Cardiac computerized tomographic angiography
Congenital heart disease
General anesthesia
Image quality
Induced apnea
Extracorporeal membrane oxygenation
simulation
training
Mitral valve prolapse
NeoChord delivery system
three-dimensional transesophageal echocardiography
Congenital heart defect
Transesophageal echocardiogram
Tei index
dissociative anesthesia
intensive care
ketamine
Anesthesiology
RD78.3-87.3
Diseases of the circulatory (Cardiovascular) system
RC666-701
Subjects
Details
- Language :
- English
- ISSN :
- 09719784
- Volume :
- 18
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Annals of Cardiac Anaesthesia
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.2bae8a889fa4823a88c3708d0bbb801
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/0971-9784.154478