Effect of perioperative ketamine on postoperative mood and depression: a review of the literature.

Effect of perioperative ketamine on postoperative mood and depression: a review of the literature. Expert Rev Clin Pharmacol. 2020 Nov 22;: Authors: Reinert JP, Parmentier BL Abstract INTRODUCTION: Ketamine is being increasingly utilized in a variety of patient care settings, ranging from high acuity inpatient scenarios to the outpatient management of select mental health diagnoses. Postoperative patients are at an increased risk of developing a depressed state, and though ketamine's ability to improve mood is well documented in the literature, the relationship between perioperative ketamine and postoperative mood has not beed fully elucidated. AREAS COVERED: The purpose of this review was to determine ketamine's ability to improve mood and depression scores in the perioperative setting. A comprehensive literature review was conducted using PubMed, MEDLINE, Scopus, ProQuest, Web of Science, and CINAHL using the following search terminology: "ketamine" AND "perioperative" OR "surgery" AND "mood" OR "depression". Seven clinical trials are evaluated in this review. EXPERT OPINION: As the use of ketamine continues to expand, clinicians must be cognizant of the fact that many of its desired effects are likely to overlap. Patients outside of the perioperative setting may benefit from using ketamine as an analgesic or sedative, as appropriate, to mitigate mood and depression. Ketamine, when administered as an anesthetic in t...
Source: Expert Review of Clinical Pharmacology - Category: Drugs & Pharmacology Tags: Expert Rev Clin Pharmacol Source Type: research