Status:

COMPLETED

Ketamine Improves Post-Thoracotomy Analgesia

Lead Sponsor:

Tel-Aviv Sourasky Medical Center

Conditions:

Post Operative Pain

Eligibility:

All Genders

Phase:

NA

Brief Summary

Thoracotomy for lung tumor or for minimally invasive direct coronary artery bypass (MIDCAB) surgery, may be associated with debilitating pain. Ketamine was shown to enhance opioid antinociception and ...

Detailed Description

We planned a prospective, randomomized, double blind study of 2 pain management protocols in consecutive patients undergoing thoracotomy for MIDCAB or lung tumor resection over a 6 month period. After...

Eligibility Criteria

Inclusion

  • Consecutive patients scheduled for elective minimally invasive direct coronary artery bypass (MIDCAB) or for lung resection via anterolateral thoracotomy during a 6-month period (Sep 2001-March 2002)

Exclusion

  • Exclusion criteria were:
  • American Society of Anesthesiologists (ASA) physical class ≥3, Emergency operations,
  • Q-wave myocardial infarct occurring during the previous 3 weeks, or poor left ventricular function (e.g., ejection fraction \[EF\] \<30% by echocardiography or angiography).
  • Other exclusion criteria were:
  • A body mass index \>35 kg/m2,
  • Past or current neuropathy or psychological disturbances,
  • The use of centrally active drugs,
  • Chronic liver or renal failure requiring dialysis,
  • A FEV1/FVC \<70%,
  • Allergy to ketamine, morphine or non steroidal anti inflammatory drugs (NSAIDs),
  • Clotting abnormalities,
  • A platelets count \<70000/mm3,
  • A white blood count \<3000\>14000/mm3,
  • Uncontrolled diabetes mellitus or fasting blood glucose \>250 g/dl,
  • Evidence of sepsis or infection up to one week prior to randomization.

Key Trial Info

Start Date :

September 1 2001

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2002

Estimated Enrollment :

44 Patients enrolled

Trial Details

Trial ID

NCT00625911

Start Date

September 1 2001

End Date

March 1 2002

Last Update

February 29 2008

Active Locations (1)

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Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 64238