Status:

TERMINATED

Comparing Clinical Outcomes Between Ketamine-midazolam and Morphine-midazolam for Continous Sedation in ICU Patients.

Lead Sponsor:

Makerere University

Collaborating Sponsors:

THRiVE

Conditions:

Critical Illness

Eligibility:

All Genders

12+ years

Phase:

PHASE2

PHASE3

Brief Summary

A prospective, double-blinded, multicenter randomized control trial. All critically ill patients above 12 years of age requiring continuous sedation for \>24hrs in the ICU will be screened and those m...

Detailed Description

165 participants shall be consecutively randomized into either sedation with ketamine-midazolam or morphine-midazolam group using a block sequence technique; group concealed in brown envelopes. Blindi...

Eligibility Criteria

Inclusion

  • Age \>12years of age.
  • Anticipated need for sedation for \>24hours.

Exclusion

  • Hypertensive crisis i.e. sustained SBP \>200mmHg/DBP\>110mmHg
  • Status epilepticus
  • Ischemic heart disease and severe LV dysfunction
  • Persistent tachyarrythmias
  • History of mental illness
  • Hypersensitivity to ketamine, morphine or midazolam.
  • Tetanus -due to the muscle rigidity that may be caused by ketamine. Reasons for exclusions 1 to 4; Ketamine stimulates the sympathetic nervous system causing transient increase in myocardial work and blood pressure and has psychoactive effects

Key Trial Info

Start Date :

October 22 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 30 2019

Estimated Enrollment :

124 Patients enrolled

Trial Details

Trial ID

NCT03407404

Start Date

October 22 2017

End Date

July 30 2019

Last Update

August 28 2019

Active Locations (1)

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1

Mulago National Referral Hospital ICU

Kampala, Central Region, Uganda, 256