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Esketamine versus fentanyl as adjuncts to hepatic hilar nerve block for ambulatory percutaneous liver tumor ablation focusing on respiratory safety: protocol for a randomized controlled trial

Xiao Wang, Lijuan Yan, Jiaying Cai, Jianfei Wei, Zuo-Bing Zhang, Bin Yang

Frontiers in Pharmacology September 17, 2025 DOI: 10.3389/fphar.2025.1644029 via OpenAlex

Summary

AI-generated from the abstract

A randomized controlled trial compares the risk of respiratory depression between esketamine-based and fentanyl-based analgesia during liver ablation guided by high-frequency harmonic scalpel. If esketamine shows superior respiratory safety, it could become a viable treatment option.

Study at a glance

Characteristics Randomized controlled trial Peer reviewed
Intervention Fentanyl-based analgesia
Topics Ketamine
Keywords Medicine Fentanyl Anesthesia Randomized controlled trial Ambulatory
Citations 1
Key finding The trial aims to provide Level I evidence comparing respiratory depression risk between esketamine-based and fentanyl-based analgesia during HHNB-guided liver ablation.

Abstract

This trial aims to provide Level I evidence comparing the respiratory depression risk between esketamine-based and fentanyl-based analgesia during HHNB-guided liver ablation. Should esketamine prove to be demonstrably superior in terms of respiratory safety, HHNB-esketamine has the potential to be a viable treatment option.

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