ACE Report Cover
Longer Lasting Pain Relief With Morphine vs Low-Dose Ketamine for Acute Pain Patients in the ED
Language
Download
Cite
+ Favorites
Language
Download
Cite
+ Favorites
AceReport Image
GENERAL ORTHOPAEDICS
Longer Lasting Pain Relief With Morphine vs Low-Dose Ketamine for Acute Pain Patients in the ED .

Low-dose Ketamine For Acute Pain Control in the Emergency Department: A Systematic Review and Meta-analysis

Acad Emerg Med. 2021 Apr;28(4): 444-454.
Contributing Authors

N Balzer SL McLeod C Walsh K Grewal

Seventeen randomized controlled trials containing a total of 757 patients presenting to the emergency department with acute pain were included in this meta-analysis comparing an administration of intravenous low-dose ketamine (n=380) to intravenous morphine (n=377) for pain management. The primary outcome of interest was pain on a numeric pain reporting scale (NPRS) within 15 mins of analgesic administration, as well as range of time periods including 15-30, 30-45, 45-60, 60-90, and 90-120 minutes after analgesic administration. Secondary outcomes of interest included need for rescue analgesics, and incidence of adverse events (i.e., nausea, hypoxia). Results revealed that pooled NPRS scores were statistically significantly favored in the morphine group vs the low-dose ketamine at time intervals of 60-90 minutes, and 90-120 minutes (p=0.01; p<0.00001, respectively), but not at any other timepoint (p>0.05 for all). All other outcomes were not statistically significantly different between the 2 groups at any timepoints (p>0.05 for all).

Unlock the Full ACE Report

You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now

Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics

Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics

Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions

Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics

Or upgrade today and gain access to all OrthoEvidence
content for as little as $1.99 per week.
0 of 4 monthly FREE articles unlocked
You've reached your limit of 4 free articles views this month

Access to OrthoEvidence for as little as $1.99 per week.

Stay connected with latest evidence. Cancel at any time.
  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Upgrade
Welcome Back!
Forgot Password?
Start your FREE trial today!

Account will be affiliated with


OR
Forgot Password?

OR
Please check your email

If an account exists with the provided email address, a password reset email will be sent to you. If you don't see an email, please check your spam or junk folder.

For further assistance, contact our support team.

Translate ACE Report

OrthoEvidence utilizes a third-party translation service to make content accessible in multiple languages. Please note that while every effort is made to ensure accuracy, translations may not always be perfect.

Cite this ACE Report

OrthoEvidence. Longer Lasting Pain Relief With Morphine vs Low-Dose Ketamine for Acute Pain Patients in the ED. ACE Report. 2021;43(1):1. Available from: https://myorthoevidence.com/AceReport/Show/longer-lasting-pain-relief-with-morphine-vs-low-dose-ketamine-for-acute-pain-patients-in-the-ed

Copy Citation
Please login to enable this feature

To access this feature, you must be logged into an active OrthoEvidence account. Please log in or create a FREE trial account.

Premium Member Feature

To access this feature, you must be logged into a premium OrthoEvidence account.

Share this ACE Report