TY  - JOUR
T1  - The effectiveness of low-dose intravenous ketamine on postoperative pain management in arthroscopic knee surgery under spinal anesthesia
TT  - Spinal anestezi altında artroskopik diz cerrahisinde düşük doz intravenöz ketaminin postoperatif ağrı yönetimindeki etkinliği
AU  - Özkavak, Dilşad
AU  - Yılmaz, Ayfer Nazmiye
AU  - Kılıç, Yeliz
AU  - Özkavak, Sadık
AU  - Göğüş, Nermin
PY  - 2025
DA  - October
Y2  - 2025
DO  - 10.32322/jhsm.1724244
JF  - Journal of Health Sciences and Medicine
JO  - J Health Sci Med /JHSM /jhsm
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2636-8579
SP  - 1060
EP  - 1064
VL  - 8
IS  - 6
LA  - en
AB  - Aims: This study aimed to determine the efficacy of intraoperative low-dose intravenous ketamine on postoperative analgesia in patients who were underwent arthroscopic knee surgery under spinal anesthesia.Methods: Forty patients were equally classified as control and ketamine groups. In the ketamine group, 0.15 mg/kg intravenous ketamine was administered between 35-45. minutes of the surgery, whereas the patients in the control group received no medication. Postoperative pain was assessed using a visual analogue score. An analgesic, intravenous tramadol, was administered if the patients showed a value of at least 5 on the VAS. The need of first analgesic drug, the time to first analgesic drug administration, and additional (second and third) analgesic requirement during the postoperative period were compared between the groups.Results: All patients in the control group and 8 (40%) patients in the ketamine group required first analgesic drug (p
KW  - Arthroscopic knee surgery
KW  - ketamine
KW  - postoperative analgesia
KW  - spinal anesthesia
N2  - Amaçlar: Bu çalışmanın amacı, spinal anestezi altında artroskopik diz ameliyatı geçiren hastalarda intraoperatif düşük doz (subanestetik) intravenöz (IV) ketaminin postoperatif analjezi üzerindeki etkinliğini belirlemektir.Yöntemler: Kırk hasta eşit olarak kontrol ve ketamin grupları olarak sınıflandırıldı. Ketamin grubuna ameliyatın sonuna doğru subanestetik doz ketamin (0,15 mg/kg bolus IV) uygulanırken, kontrol grubundaki hastalara hiçbir ilaç verilmedi. İlk analjezik ilaca duyulan ihtiyaç, ilk analjezik ilacın uygulanmasına kadar geçen süre ve postoperatif dönemde ek (ikinci) analjezik gereksinimi gruplar arasında karşılaştırıldı.Sonuçlar: Kontrol grubundaki tüm hastalar ve ketamin grubundaki 8 hasta (%40) postoperatif olarak ilk analjezik ilaca ihtiyaç duydu (p
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UR  - https://doi.org/10.32322/jhsm.1724244
L1  - https://dergipark.org.tr/en/download/article-file/4978565
ER  -