Actively Recruiting

Phase Not Applicable
Age: 1Month - 5Years
All Genders
ID06525584

Ketamine Infusion in the Postoperative Period as a Method of Cerebral Protection in Children During Surgical Correction of Congenital Heart Defects

Led by Kemerovo State Medical University · Updated on 2024-07-29

196

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and neuroprotective effectiveness of subanesthetic doses of ketamine given after surgery in children who have congenital heart defects. The focus is on children undergoing operations to repair atrial or ventricular septal defects using cardiopulmonary bypass. The study aims to understand how ketamine infusion may protect the brain during the postoperative period in this young population. Participants are divided into groups receiving either low-dose ketamine infusion at 0.1 mg/kg/hour, higher dose ketamine at 0.3 mg/kg/hour, or no ketamine (control group). The ketamine is infused continuously for 16 hours after surgery. The study uses a randomized design with single masking to compare these different approaches. During the study, children will be closely monitored with blood tests to measure biomarkers 16 hours after surgery to assess brain injury. The research team will also evaluate safety and any complications during the postoperative period. Participation involves medical assessments and monitoring in the hospital with follow-up as needed. The study includes children aged 1 month to 5 years and lasts throughout the postoperative recovery phase.

CONDITIONS

Brief Title

Ketamine Infusion as a Method of Cerebral Protection in Children

Who Can Participate

Age: 1Month - 5Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age from 1 to 60 months
  • Body weight from 3.5 to 20 kg
  • Planned surgery to correct atrial or ventricular septal defect with cardiopulmonary bypass
  • Informed consent signed by the child's legal representative
Not Eligible

You will not qualify if you...

  • Lack of informed consent from patient and parents
  • Emergency or urgent surgical interventions
  • Clinically significant anemia
  • Hypothermia or desaturation episodes during operation or perioperative period
  • Presence of other congenital heart diseases besides atrial or ventricular septal defect
  • History of central nervous system diseases
  • Installed pacemaker
  • Hemodynamic instability needing preoperative pharmacological or mechanical support
  • Any cerebrovascular accidents in history or perioperative period
  • Severe concomitant diseases worsening mental or physical condition
  • Acute infection or exacerbation of chronic infection in perioperative period
  • Concomitant autoimmune diseases
  • Presence of malignant tumors
  • Surgical complications in postoperative period

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 16 hours

Participants receive a ketamine infusion at a dose of 0.1 mg/kg/hour or 0.3 mg/kg/hour for 16 hours after surgery, or no ketamine for the control group, to evaluate neuroprotection during the postoperative period.

1 postoperative infusion period

Trial Site Locations

Total: 1 location

1

Artem Ivkin

Kemerovo, Please Select, Russia, 650066

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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