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Ketamine-based versus fentanyl-based regimen for rapid-sequence endotracheal intubation in patients with septic shock: A randomised controlled trial Cover

Ketamine-based versus fentanyl-based regimen for rapid-sequence endotracheal intubation in patients with septic shock: A randomised controlled trial

Open Access
|Dec 2022

Figures & Tables

Figure 1

CONSORT’s flow chart.
CONSORT’s flow chart.

Figure 2

Mean arterial pressure. Markers are means and error bars are standard deviations. * denotes statistical significance between both groups, † denotes statistical significance compared to the baseline reading within fentanyl group.
Mean arterial pressure. Markers are means and error bars are standard deviations. * denotes statistical significance between both groups, † denotes statistical significance compared to the baseline reading within fentanyl group.

Figure 3

Heart rate. Markers are means and error bars are standard deviations. † denotes statistical significance compared to the baseline reading within fentanyl group.
Heart rate. Markers are means and error bars are standard deviations. † denotes statistical significance compared to the baseline reading within fentanyl group.

Figure 4

Cardiac output. Markers are means and error bars are standard deviations. † denotes statistical significance compared to the baseline reading within fentanyl group.
Cardiac output. Markers are means and error bars are standard deviations. † denotes statistical significance compared to the baseline reading within fentanyl group.

Demographic data and baseline characteristics_ Data are presented as mean (standard deviation), median (quartiles), and frequency (%)_

Ketamine group (n=23)Fentanyl group (n=19)P-value
Age (years)44 (40-60)56 (46-63)0.356
Male gender (%)11 (47.8%)8 (42.1%)0.763
Source of sepsis
• Abdominal17 (73.9%)18 (94.7%)0.071
• Other6 (26.1%)1 (5.3%)
Mean arterial pressure (mmHg)74 (13)67 (9)0.113
Heart rate (bpm)111 (21)109 (24)0.837
Shock index1.1 (0.3)1.2 (0.3)0.563
Stroke volume (ml)63 (30)78 (28)0.114
Cardiac output (L/min)7.1 (3.4)8.5 (3.5)0.209
Systemic vascular resistance (dynes/seconds/cm5)821 (325)715 (389)0.350
Haemoglobin (g/dL)10.7 (9.5, 11.7)10.8 (8.8, 11.5)0.411
Prothrombin concentration (%)59 (18)58 (12)0.773
Urea (mg/dL)51 (27, 113)49 (29, 98)0.889
Creatinine (mg/dL)1.4 (1.0, 2.1)1.4 (1.2, 3.1)0.447

Intraoperative outcomes_ Data are presented as mean (standard deviation), median (quartiles), and frequency (%)_

Ketamine group (n=15)Fentanyl group (n=16)P-value
Mean blood pressure at 1 min (mmHg)77 (13)63 (6)0.001
Patients with post-induction hypotension11 (47.8%)*16 (84.2%)0.014
Serum lactate (baseline) (mmol/dL)3.2 (2.3, 4.1)2.8 (2.2, 4.3)0.544
Serum (mmol/lactate dL) (after 15 minutes)2.2 (1.8, 3.4)2.6 (2.2, 3.6)0.471
DOI: https://doi.org/10.2478/rjaic-2021-0017 | Journal eISSN: 2502-0307 | Journal ISSN: 2392-7518
Language: English
Page range: 98 - 104
Published on: Dec 29, 2022
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2022 Hassan Ali, Bassant Mohamed Abdelhamid, Ahmed M Hasanin, Aya Abou Amer, Ashraf Rady, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.