September 7, 2026 · Critical care medicine · DOI: 10.1097/CCM.0000000000007341

Ketamine for Analgosedation in Mechanically Ventilated Adults: A Double-Blind Randomized Trial

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This study aimed to evaluate the efficacy of low-dose ketamine infusion as an adjunct for analgosedation in mechanically ventilated adults in the ICU. The results indicated that ketamine infusion was associated with a significant reduction in hourly opioid requirements compared to placebo, while showing no differences in secondary outcomes such as delirium or adverse events. The authors suggest that further larger trials are needed to explore its impact on other patient-centered outcomes.

Andrew J Casamento, Angajendra N Ghosh, Simone Said, Glenn Eastwood, Leah Peck, Helen Young, Madeleine Otto, Hannah McKenna, Meg Stevens, Dinesh Pandey, Hossein Jahanabadi, Daryl A Jones, Stephen Warrillow, Sofia Spano, Akinori Maeda, Jian Wen Chan, Rinaldo Bellomo, Ary Serpa Neto

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