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. 2023 Dec 21;17(1):16. doi: 10.3390/ph17010016

Table 1.

Clinical implications and effects of ketamine.

Effects of Ketamine
Anesthesia In adult patients
  • in adult patients with cardiorespiratory disorders for general anesthesia (induction dose 0.5–2 mg/kg, maintenance dose 1–2 mg/kg/min [32,33]

In pediatric patients
  • in pediatric anesthesia for local and regional procedures (doses ranging from 5 to 25 mg/kg/min) [34,35,36]

Analgesia
  • perioperatively (i.v. 0.5 mg/kg) [37,38,39,40]

  • for postoperative analgesia (i.v. bolus ranging from 0.25 to 0.5 mg/kg, followed by 50–500 μg/kg/h) [41]

  • pain management in emergency departments (i.v. bolus 0.2–0.3 mg/kg over 10 min, followed by i.v. 0.1–0.3 mg/kg/h) [42]

  • for chronic pain (low doses 0.1–0.5 mg/kg) [43,44]

Sedation In adult patients
  • in emergency department and open clinic procedures [45,46]

In pediatric patients
  • intranasally in combination with propofol benzodiazepine and midazolam (0.5–9 mg/kg) [45,47,48]

Depression
Bipolar affective disorder
  • in patients with bipolar depression sublingually [54]

Asthma
  • acute asthma attacks [55]

  • statis asthmaticus (0.1–0.2 mg/kg followed by 0.15–2.5 mg/kg/h) [56]

Epilepsy
  • in status epilepticus in adult and pediatric patients [57,58]

Treatment of alcohol and heroin addiction
  • in heroin and alcohol addicts (high dose of 2.0 mg/kg) [59,60]