Bowel function after bowel surgery: morphine with ketamine or placebo; a randomized controlled trial pilot study

McKay, William P.; Donais, Phillip

doi:10.1111/j.1399-6576.2007.01436.x

Cited by 19 publications

(7 citation statements)

References 18 publications

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“…Meanwhile, a perioperative low-dose ketamine infusion can be especially useful in patients with chronic pain [ 189 , 190 ]. However, psychotropic adverse effects, dizziness, and sedation may impair immediate recovery, particularly in elderly patients [ 191 ]. Magnesium either as a bolus or infusion is also associated with a decrease in postoperative opioid consumption and can be a useful adjunct [ 192 ].…”

Section: Perioperative Interventionsmentioning

confidence: 99%

Clinical practice guidelines for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

et al. 2022

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The American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) are dedicated to ensuring high-quality innovative patient care for surgical patients by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus as well as minimally invasive surgery. The ASCRS and SAGES society members involved in the creation of these guidelines were chosen because they have demonstrated expertise in the specialty of colon and rectal surgery and enhanced recovery. This consensus document was created to lead international efforts in defining quality care for conditions related to the colon, rectum, and anus and develop clinical practice guidelines based on the best available evidence. While not proscriptive, these guidelines provide information on which decisions can be made and do not dictate a specific form of treatment. These guidelines are intended for the use of all practitioners, healthcare workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines. These guidelines should not be deemed inclusive of all proper methods of care nor exclusive of methods of care reasonably directed toward obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all the circumstances presented by the individual patient. This clinical practice guideline represents a collaborative effort between the American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and was approved by both societies. Keywords Enhanced recovery • Colorectal surgery • ERAS Statement of the problemColorectal surgery has historically been associated with long postoperative hospital stays, high costs, and surgical site infection rates approaching 20% [1, 2]. In addition, the incidence of in-hospital perioperative nausea and vomiting (PONV) may be as high as 80% [3] and readmission rates are as high as 35% [4]. Enhanced recovery protocols (ERPs) are a set of standardized perioperative processes, the content of which may vary significantly, that are applied to patients undergoing elective surgery. In general, these protocols are not intended for non-elective cases, but components of ERPs could certainly be applied to the emergent/urgent patient [5, 6]. Also known as "fast track" or "enhanced recovery after surgery" (ERAS) protocols, enhanced recovery protocols This publication was approved by both the ASCRS and SAGES executive council and then peer reviewed by the Diseases of the Colon & Rectum and Surgical Endoscopy And Other Interventional Techniques. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citation can be used when citing this article. In order to encourage its wide dissemination this article is freely accessible on Surgical Endoscopy And Other In...

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Section: Perioperative Interventionsmentioning

confidence: 99%

Clinical practice guidelines for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

et al. 2022

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“…Supplementary 18,[20][21][22][25][26][27]29,30,32,34,36,40,41,44,45,50 cardiac or thoracic surgery (six trials), 19,23,35,37,38,53 orthopedic surgery (ten trials), 24,28,31,33,39,43,[47][48][49]51 and other surgery (three trials). 42,46,52 General anesthesia was used in 34 trials; one trial used PCA during and after a uterine artery embolization procedure, 29 and one used either general or regional anesthesia.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials

Wang

Johnston

Kaushal

et al. 2015

Can J Anesth/J Can Anesth

102

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Purpose To determine whether ketamine added to morphine or hydromorphone patient-controlled analgesia (PCA) provides clinically relevant reductions in postoperative pain, opioid requirements, and adverse events when compared with morphine or hydromorphone PCA in adults undergoing surgery.Source We systematically searched six databases up to June 2, 2015 for randomized controlled trials (RCTs) comparing ketamine plus morphine/hydromorphone PCA vs morphine/hydromorphone PCA for postoperative pain in adults. Principal findings Thirty-six RCTs including 2,502 patients proved eligible, and 22 of these were at low risk of bias. The addition of ketamine to morphine/

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“…189,190 However, psychotropic adverse effects, dizziness, and sedation may impair immediate recovery, particularly in elderly patients. 191 Magnesium, either as a bolus or infusion, is also associated with a decrease in postoperative opioid consumption and can be a useful adjunct. 192 Analgesic blocks and wound infiltration have shown benefit in opioid reduction among patients undergoing open and laparoscopic colorectal surgery.…”

Section: Standardized Order Sets Should Be Used In Enhanced Recovery ...mentioning

confidence: 99%

Section: Perioperative Interventionsmentioning

confidence: 99%

Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

Irani

Hedrick

Miller

et al. 2022

Diseases of the Colon &Amp; Rectum

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Funding/Support: None reported.Financial Disclosure: The funding bodies (ASCRS and SAGES) did not influence the content of this work, and no other specific funding was received from other entities. This publication was approved by both the ASCRS and SAGES executive council and then peer-reviewed by the Diseases of the Colon & Rectum and Surgical Endoscopy And Other Interventional Techniques. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citation can be used when citing this article. In order to encourage its wide dissemination, this article is freely accessible on Surgical Endoscopy And Other Interventional Techniques and Diseases of the Colon & Rectum journal web sites.

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Bowel function after bowel surgery: morphine with ketamine or placebo; a randomized controlled trial pilot study

Abstract: Low-dose ketamine was not efficacious for hastening return of bowel function, or for decreasing post-operative pain after surgery for bowel resection. It resulted in hallucinations in some patients. Those reporting hallucinations all wished to remain in the study.

Cited by 19 publications

References 18 publications

Clinical practice guidelines for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

Clinical practice guidelines for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials

Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons

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