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Ketamine-Based Anesthetic Protocols and Evoked Potential Monitoring: A Risk/Benefit Overview

Overview of attention for article published in Frontiers in Neuroscience, February 2016
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  • Good Attention Score compared to outputs of the same age (66th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (57th percentile)

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Article details
Title
Ketamine-Based Anesthetic Protocols and Evoked Potential Monitoring: A Risk/Benefit Overview
Published in
Frontiers in Neuroscience, February 2016
DOI 10.3389/fnins.2016.00037
Pubmed ID
Authors

Nicoleta Stoicea, Gregory Versteeg, Diana Florescu, Nicholas Joseph, Juan Fiorda-Diaz, Víctor Navarrete, Sergio D. Bergese

Abstract

Since its discovery, ketamine, a non-competitive N-methyl D-aspartate (NMDA) receptor antagonist related to phencyclidine, has been linked to multiple adverse reactions sometimes described as "out of body" and "near death experiences," including emergence phenomena, delusions, hallucinations, delirium, and confusion. Due to these effects, ketamine has been withdrawn from mainstream anesthetic use in adult patients. Evoked potentials (EPs) are utilized to monitor neural pathways during surgery, detect intraoperative stress or damage, detect and define the level of neural lesions, and define abnormalities. Unfortunately, many of the volatile anesthetics commonly used during spinal and neurologic procedures suppress EP amplitude and monitoring. Ketamine has been found in several preclinical and clinical studies to actually increase EP amplitude and thus has been used as an analgesic adjunct in procedures where EP monitoring is critical. Once the gap in our knowledge of ketamine's risks has been sufficiently addressed in animal models, informed clinical trials should be conducted in order to properly incorporate ketamine-based anesthetic regimens during EP-monitored neurosurgeries.

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X Demographics

X Demographics

The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley demographics

Mendeley demographics

The data shown below were compiled from readership statistics for 72 Mendeley readers of this research output. Click here to see the associated Mendeley record.
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Geographical breakdown

Geographical breakdown
Country Count As %
United States 1 1%
Unknown 71 99%

Demographic breakdown

Readers by professional status
Readers by professional status Count As %
Researcher 10 14%
Student > Doctoral Student 9 13%
Student > Master 8 11%
Student > Bachelor 6 8%
Student > Postgraduate 5 7%
Other 11 15%
Unknown 23 32%
Readers by discipline
Readers by discipline Count As %
Medicine and Dentistry 33 46%
Agricultural and Biological Sciences 5 7%
Neuroscience 4 6%
Computer Science 2 3%
Arts and Humanities 1 1%
Other 3 4%
Unknown 24 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 September 2023.
All research outputs
#10,439,695
of 32,919,153 outputs
Outputs from Frontiers in Neuroscience
#5,687
of 13,674 outputs
Outputs of similar age
#108,838
of 328,195 outputs
Outputs of similar age from Frontiers in Neuroscience
#73
of 176 outputs
Altmetric has tracked 32,919,153 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 13,674 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.5. This one has gotten more attention than average, scoring higher than 58% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,195 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.
We're also able to compare this research output to 176 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.