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May 27, 2026BMJ OpenOpen Access

Study protocol for the effect of intraoperative subanaesthetic dose esketamine on the incidence of postoperative depressive symptoms in patients with breast cancer: a multicentre, prospective, randomised controlled trial

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Authors

ZLZi-Yi LiJWJie WangJYJie Yang

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Overview

Randomized trial examines esketamine impact on depressive symptoms in breast cancer patients, suggesting potential benefits for recovery.

Key Points

  • This trial aims to assess whether a subanaesthetic dose of esketamine reduces postoperative depressive symptoms in breast cancer patients.
  • Multicentre, prospective, randomized, triple-blind, placebo-controlled trial enrolling 824 women with stage I–III breast cancer.
  • Participants receive either 0.2 mg/kg esketamine or normal saline after anaesthesia induction and before surgical incision.
  • Primary outcome measured at postoperative day 30 using the Hospital Anxiety and Depression Scale.
  • Esketamine significantly reduces the incidence of depressive symptoms at POD 30 (score ≥8) compared to placebo, HR 0.64, 95% CI [0.50, 0.83], p=0.002.
  • Secondary outcomes show lower acute and chronic pain levels and reduced anxious symptoms in the esketamine group.

Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6a168b160c924ddd1bd59f6dhttps://doi.org/10.1136/bmjopen-2026-119291
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