Evidence map›Paper›PMID 40901189›Full record

ReviewAnnals of medicine and surgery (2012)2025

Optimizing ketamine dosing strategies across diverse clinical applications: a comprehensive review.

Ahmed M Kedwany, Reem Sayad, Nada S Jibril, Eslam A Hawash, Amna M Anis, Nardein John Wadie Danial, Ahmed Saad Elsaeidy, Neveen A Kohaf

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmed M KedwanyFaculty of Medicine, Assiut University, Assiut, Egypt.ORCID https://orcid.org/0000-0002-6248-3920
Reem SayadFaculty of Medicine, Assiut University, Assiut, Egypt.ORCID https://orcid.org/0000-0002-4378-2714
Nada S JibrilFaculty of Medicine, Menoufia University, Menoufia, Egypt.ORCID https://orcid.org/0009-0001-7917-6206
Eslam A HawashFaculty of Medicine, Benha University, Benha, Egypt.ORCID https://orcid.org/0009-0002-5884-4815
Amna M AnisCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0005-1595-1233
Nardein John Wadie DanialFaculty of Medicine, National Ribat University, Khartoum, Sudan.ORCID https://orcid.org/0009-0007-0120-0898
Ahmed Saad ElsaeidyFaculty of Medicine, Benha University, Benha, Egypt.ORCID https://orcid.org/0000-0002-1643-9750
Neveen A KohafDepartment of Clinical Pharmacy, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-0369-6176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ketamine has emerged as a versatile therapeutic agent with applications spanning anesthesia, pain management, and psychiatric disorders. This review examines ketamine's clinical utility across diverse administration routes, including intravenous, intramuscular, intranasal, and oral, emphasizing the need to individualize dosing regimens. We explore factors influencing ketamine dosing, such as patient characteristics (age, weight, comorbidities), concomitant medications, and desired clinical effects, while balancing efficacy and side effects. The impact of dose, infusion rate, and administration frequency on therapeutic outcomes is analyzed to provide a comprehensive understanding of its clinical implications. The review highlights the critical role of individualized dosing regimens tailored to patient-specific factors. The therapeutic effects of ketamine are dose-dependent, with infusion rate and administration frequency significantly influencing both efficacy and safety. Achieving a balance between clinical benefits and potential side effects remains paramount. There are gaps in knowledge, necessitating for further research into long-term effects, alternative administration routes, and personalized approaches informed by pharmacokinetic variability. Developing standardized, evidence-based protocols and exploring alternative strategies will improve ketamine's therapeutic potential while addressing safety, misuse, and availability concerns.

Indexed as

anesthesiadepressionketaminepainsafety

Identifiers

PMID40901189
PMCPMC12401397

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.