Review Article

Effect of Ketamine/Propofol Admixture on Peri-Induction Hemodynamics: A Systematic Review and Meta-Analysis

Table 2

Trial and participant characteristics.

Author, yearIntervention
-other adjuncts
Dose descriptionPatientsFemale, (%)Age, years (mean ± SD)Weight, kg (mean ± SD) or median (range)Care locationASA class (%)

Abdalla, 2015 [27]Ketamine/propofol admixture
-Atracurium
Ketamine: 1 mg/kg
Propofol: 2 mg/kg
3046.638 ± 10.761.8 ± 9.7Procedural suiteII: 80
III: 20
Dexmedetomidine + propofol
-Atracurium
Dexmedetomidine: 1 mcg/kg
Propofol: 2 mg/kg
3033.342.7 ± 8.760.7 ± 8.5Procedural suiteII: 86
III: 14

Aghdaii, 2015 [28]Ketamine/propofol admixture
-Sufentanil
-Cisatracurium
Ketamine: 1 mg/kg
Propofol: 1 mg/kg
503057.36 ± 5.572.06 ± 8.7ORII: 60
III: 40
Etomidate + midazolam
-Sufentanil
-Cisatracurium
Etomidate: 0.2 mg/kg
Midazolam: 0.06 mg/kg
503457.16 ± 5.671.28 ± 11.2ORII: 66
III: 34

Aydogan, 2014 [29]Ketamine/propofol admixtureKetamine: 100 mg
Propofol: 100 mg
205570 ± 65.8367 (50–100)ORI: 45
II: 55
PropofolPropofol: 200 mg205069 ± 65.8368 (50–102)ORI: 50
II: 50

Baradari, 2017 [30]Ketamine/propofol admixture
-Fentanyl
-Midazolam -Atracurium
Ketamine: 1 mg/kg
Propofol: 1.5 mg/kg
4139.0258.71 ± 9.2BMI: 26.85 ± 3.89ORI: 35
II: 65
Etomidate + placebo
-Fentanyl
-Midazolam
-Atracurium
Etomidate: 0.2 mg/kg
Placebo: normal saline
403062.23 ± 6.3BMI: 25.23 ± 4.02ORI: 49
II: 51

Erdogan, 2013 [31]Ketamine/propofol admixture
-Fentanyl
Ketamine: 0.75 mg/kg
Propofol: 0.75 mg/kg
40071.67 ± 7.171.05 ± 9.37ORI: 30
II: 70
Propofol
-Fentanyl
Propofol: 0.15 ml/kg (10 mg/ml)40070.85 ± 5.9571.32 ± 9.58ORI: 35
II: 65

Hosseinzadeh, 2013 [32]Ketamine/propofol admixture
-Fentanyl
-Midazolam
-Atracurium
Ketamine: 0.75 mg/kg
Propofol: 1 mg/kg
3046.765.97 ± 9.3173.48 ± 8.98ORI: 20
II:73.3
III: 6.7
Etomidate + propofol
-Fentanyl
-Midazolam
-Atracurium
Etomidate: 0.2 mg/kg
Propofol: 1 mg/kg
3234.463.91 ± 10.0572.00 ± 10.73ORI: 12.5
II: 68.8
III: 18.7

Iwata, 2009 [33]Propofol + placebo
-Fentanyl
-Atropine
-Vecuronium
Propofol: 2.0 mg/kg
Placebo: normal saline
1546.668 ± 1058 ± 11ORN/R
Ketamine/propofol admixture 0.5
-Fentanyl
-Atropine
-Vecuronium
Ketamine: 0.5 mg/kg
Propofol: 2 mg/kg
1546.669 ± 556 ± 10ORN/R
Ketamine/propofol admixture 1.0
-Fentanyl
-Atropine
-Vecuronium
Ketamine: 1 mg/kg
Propofol: 2 mg/kg
1533.366 ± 1056 ± 10ORN/R

Ozgul, 2013 [34]Ketamine/propofol admixture
-Remifentanil
Ketamine: 0.2 ml/kg (5 mg/ml)
Propofol: 0.2 ml/kg (5 mg/ml)
404537.75 ± 9.670.35 ± 12.42ORN/R
Propofol
-Remifentanil
Propofol: 0.2 ml/kg (10 mg/ml)4057.541.47 ± 12.8673.52 ± 12.61ORN/R

Smischney, 2012 [11]Ketamine/propofol admixture
-Fentanyl
-Midazolam
Ketamine: 0.75 mg/kg
Propofol: 1.5 mg/kg
416542 ± 1268.9 ± 11.2ORI: 35
II: 65
Propofol
-Fentanyl
-Midazolam
Propofol: 2 mg/kg436543 ± 1169.2 ± 11.7ORI: 49
II: 51

Vora, 2005 [35]Ketamine/propofol admixture
-Fentanyl
-Midazolam
Ketamine: 50 mg
Propofol: 100 mg
3033.342 ± 7.0549.4 ± 11.7Procedural suiteI-II: 100
Propofol + thiopentone
-Fentanyl
-Midazolam
Propofol: 100 mg
Thiopentone: 125 mg
3043.340.05 ± 9.2853.6 ± 10.4Procedural suite
Propofol + lignocaine
-Fentanyl
-Midazolam
Propofol: 190 mg
Lignocaine: 20 mg
303039.6 ± 11.951 ± 9.52Procedural suite

ASA: American Society of Anesthesiologists; BMI: body mass index; kg: kilograms; mcg: micrograms; mg: milligrams; ml: milliliters; N/R: not reported; OR: operating room; SD: standard deviation.