Scientific reports
February 19, 2025
Xue Zhang, Xin Zhao, Jiaxin Xu et al.
8 citations
For emergency intubation in critically ill adults, using esketamine for induction results in higher mean arterial pressure during and after the procedure compared to a midazolam/sufentanil admixture, with no significant difference in heart rate. Patients receiving esketamine required less norepinephrine, had a shorter duration of ventilation support (median 105 vs. 212 hours), and a shorter ICU stay (median 7 vs. 15 days). 28-day mortality did not differ between groups, and no serious adverse events occurred. Esketamine appears to be a hemodynamically stable induction agent for this population.
Asian journal of psychiatry
November 1, 2024
Zifan Zhen, Xueqiang Sun, Shiying Yuan et al.
8 citations
A review of hallucinogens, MDMA, and ketamine for severe mental health disorders describes their mechanisms and clinical outcomes. Hallucinogens like LSD and psilocybin target 5-HT2A receptors, inducing perceptual shifts that aid therapy for depression and anxiety. MDMA influences serotonin, dopamine, and norepinephrine, alleviating PTSD symptoms by enhancing emotional engagement during psychotherapy. Ketamine, a glutamate receptor antagonist, rapidly relieves symptoms in treatment-resistant depression. These substances show promise for patients unresponsive to traditional treatments but require careful dosage, monitoring, and risk management to prevent abuse and adverse effects.
Molecular psychiatry
April 13, 2026
Xin Zhao, Xinyu Zhang, Shiying Yuan et al.
Ketamine, a drug used for anesthesia and rapid antidepressant effects, also modulates systemic immunity and protects organs through interactions with the gut microbiota, microbial metabolites, and immune-cell trafficking. Along the gut-brain axis, ketamine restores microbial balance, normalizes short-chain fatty acid levels, and reduces migration of gut-derived immune cells to the central nervous system, correlating with reduced neuroinflammation and depressive-like behaviors. Through the gut-lung axis, ketamine limits bacterial translocation and reduces pulmonary infiltration of pro-inflammatory cells, suggesting potential relevance in acute lung injury. Arketamine appears to provide more sustained neuroprotection with fewer adverse effects than esketamine. The findings suggest broad therapeutic potential for neuropsychiatric and inflammatory diseases, but causal studies are needed.