An Update on the Basic and Clinical Science of Ketamine Analgesia.

Clin J Pain

Departments of Anesthesiology, Perioperative Care and Pain Medicine.

Published: November 2018

AI Article Synopsis

  • In light of the opioid crisis, there's increasing interest in ketamine as a pain relief option.
  • Ketamine works on various receptors in the brain, affecting pain relief and mood through its interactions with NMDA, opioid receptors, and others.
  • This review looks at the basic workings of ketamine and its current and potential future roles in managing both acute and chronic pain.

Article Abstract

Objective: In the context of the current opioid epidemic, there has been a renewed interest in the use of ketamine as an analgesic agent.

Methods: We reviewed ketamine analgesia.

Results: Ketamine is well-known as an antagonist for N-methyl-D-aspartate receptors. In addition, it can regulate the function of opioid receptors and sodium channels. Ketamine also increases signaling through α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors. These myriad of molecular and cellular mechanisms are responsible for a number of pharmacological functions including pain relief and mood regulation. Clinically, a number of studies have investigated the role of ketamine in the setting of acute and chronic pain, and there is evidence that ketamine can provide analgesia in a variety of pain syndromes.

Discussion: In this review, we examined basic mechanisms of ketamine and its current clinical use and potential novel use in pain management.

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Source
http://dx.doi.org/10.1097/AJP.0000000000000635DOI Listing

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