Although the between-group difference in PONV incidence did not reach statistical significance, the lower rate observed in the esketamine group suggests a potential protective effect on gastrointestinal function mediated through opioid sparing—a finding that warrants confirmation in larger-scale studies.
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Ultrasound-Guided Femoral Nerve Block with Esketamine Adjuvant for Postoperative Analgesia in Total Knee Arthroplasty-A Randomized, Double-Blind, Controlled Trial.
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