First author, year | Mean age | Gender (F/M) | N (K/P) | Doses of ketamine | Time | Type of injection | Start time of injection | Type of arthroplasty |
Wong, 199624 | 63.7 | 8/8 | 6/10 | 10 mg | 12, 24, 48, 72 hours | Epidural | Immediately after surgery | TKA, THA |
Adam, 200513 | 68.5 | 27/13 | 20/20 | 3 µg/kg/min until the patient emerged from anaesthesia, and then 1.5 µg/kg/min maintained for 48 hours | 0, 1, 4, 12, 24, 48 hours, before and after rehabilitative therapy on days 1 and 2 | Intravenous | After the induction of anaesthesia | TKA |
Aveline, 200912 | 71 | 30/19 | 25/24 | 0.2 mg/kg followed by a continuous infusion at 120 µg/kg/hour until the end of surgery, and then 60 µg/kg/hour until the second postoperative day | PACU, 2, 6, 12, 24, 48 hours | Intravenous | After anaesthetic induction and tracheal intubation | TKA |
Perrin, 200925 | 62.5 | 5/7 | 5/7 | 0.5 mg/kg bolus followed by 4 µg/kg/min infusion | Preoperative, 4, 12, 26 weeks | Intravenous | Before surgical incision | TKA |
Remerand, 200914 | 64.5 | 76/78 | 79/75 | 0.5 mg/kg bolus followed by 2 µg/kg/min infusion | PACU, 24, 48, 96, 168 hours | Intravenous | Before skin closure | THA |
Guará Sobrinb, 201217 | 66.8 | 30/9 | 19/20 | 0.25 mg/kg | 2, 6, 12, 24 hours | Intra-articular | Before skin closure | TKA |
Cengiz, 201411 | 58.5 | 44/16 | 30/30 | 6 µg/kg/min | 1, 3, 6, 12, 24 hours | Intravenous | Immediately after orotracheal intubation continuing until wound closure | TKA |
Martinez, 201416 | 62.1 | 36/36 | 34/38 | 0.5 mg/kg bolus followed by 3 µg/kg/min infusion | PACU, 24, 48 hours | Intravenous | At the time of anaesthesia induction immediately | THA |
Zhang, 201818 | 54.9 | 31/13 | 21/23 | 2 mg/kg | 0, 2, 4, 8, 12, 24, 48 hours | Intra-articular | At the end of the surgery | TKA |
Tan, 201915 | 67.9 | 53/38 | 48/43 | 6 µg/kg/min | Preoperative, 0, 24, 48, 72, 96, 120, 144, 168, 336 hours | Intravenous | Once patient was situated on the table | TKA |
F, female;K, ketamine; M, male; N, number of patients per group; P, placebo; PACU, post-anaesthesia care unit; THA, total hip arthroplasty; TKA, total knee arthroplasty.