Intravenous Ketamine Intervention |
Intraoperative: |
0.5 mg/kg bolus at anesthetic induction followed by intraoperative infusion of 5 mcg/kg/min until fascial closure, up to a maximum of 100 kg |
Postoperative: |
Infusion of 2.5 mcg/kg/min begun in PACU and continued for 48 h postoperatively or until discontinued, up to a maximum of 100 kg |
Placebo Intervention |
Intraoperative: |
Placebo normal saline bolus and infusion of an equivalent volume mirroring the ketamine intervention |
Postoperative: |
Placebo normal saline infusion of an equivalent volume mirroring the ketamine intervention, continued for 48 h postoperatively or until discontinued |