PMID- 19702519 OWN - NLM STAT- MEDLINE DCOM- 20091109 LR - 20220408 IS - 1873-5592 (Electronic) IS - 1389-4501 (Linking) VI - 10 IP - 8 DP - 2009 Aug TI - Clinical uses of low-dose ketamine in patients undergoing surgery. PG - 707-15 AB - Ketamine acts mainly as a N-methyl-D-aspartate receptor (NMDAr) antagonist. Originally developed as a general anesthetic, it is now seldom employed as such in richer countries due to the relatively high risk of psychotomimetic adverse effects. Recently, low-dose regimens in the range of 0.25-0.5 mg/kg as an initial bolus followed by 50-500 kappag/kg/h have been proposed as an adjuvant for postoperative analgesia and for the reduction of exogenous opioid-induced hyperalgesia. In this review, we examine the evidence for clinical usefulness of perioperative ketamine infusion and its role in the context of general and/or regional anesthesia. FAU - Berti, M AU - Berti M AD - Department of Anesthesiology, Critical Care and Pain Medicine, University Hospital of Parma, Parma, Italy. mberti@ao.pr.it FAU - Baciarello, M AU - Baciarello M FAU - Troglio, R AU - Troglio R FAU - Fanelli, G AU - Fanelli G LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Drug Targets JT - Current drug targets JID - 100960531 RN - 0 (Anesthetics, Dissociative) RN - 0 (Excitatory Amino Acid Antagonists) RN - 690G0D6V8H (Ketamine) SB - IM MH - Anesthesia, General MH - Anesthesia, Local MH - Anesthetics, Dissociative/administration & dosage/*therapeutic use MH - Dose-Response Relationship, Drug MH - Excitatory Amino Acid Antagonists/administration & dosage/*therapeutic use MH - Humans MH - Ketamine/administration & dosage/*therapeutic use MH - Pain, Postoperative/physiopathology/prevention & control RF - 71 EDAT- 2009/08/26 09:00 MHDA- 2009/11/10 06:00 CRDT- 2009/08/26 09:00 PHST- 2009/08/26 09:00 [entrez] PHST- 2009/08/26 09:00 [pubmed] PHST- 2009/11/10 06:00 [medline] AID - 10.2174/138945009788982496 [doi] PST - ppublish SO - Curr Drug Targets. 2009 Aug;10(8):707-15. doi: 10.2174/138945009788982496.