Actively Recruiting

Phase 4
Age: 18Years - 65Years
All Genders
NCT06903819

Ketamine for Pain, Opioid Use, and Mental Health in Orthopedic Trauma Patients

Led by Texas Tech University Health Sciences Center · Updated on 2026-03-24

90

Participants Needed

2

Research Sites

129 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is to learn if ketamine, given during surgery, can help improve recovery for adults with serious orthopedic trauma. The study will test whether ketamine reduces pain, lowers the need for opioids, and improves mental health outcomes like depression and post-traumatic stress disorder (PTSD). The main questions it aims to answer are: Does ketamine reduce pain after surgery compared to standard anesthesia? Does ketamine reduce the amount of opioids patients need for pain control? Does ketamine improve symptoms of depression and PTSD after orthopedic trauma? Researchers will compare patients who receive ketamine during surgery with those who receive standard anesthesia without ketamine to see if ketamine helps improve both physical and psychological recovery. Participants will: Be randomly assigned to receive either a single dose of ketamine or standard anesthesia during surgery. Report their pain using a simple pain scale (Visual Analog Scale, VAS). Complete short surveys about mood and mental health (PHQ-9 for depression and PCL-5 for PTSD) at several time points after surgery. Allow the research team to review their electronic medical records to measure opioid prescriptions during recovery. Attend follow-up visits in clinic or by secure telehealth (e.g., Zoom) at 1-7 days, 2-3 weeks, 6 weeks, 3 months, and 6 months after surgery

CONDITIONS

Official Title

Ketamine for Pain, Opioid Use, and Mental Health in Orthopedic Trauma Patients

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18-65
  • Undergoing acute operative fixation for musculoskeletal trauma
  • Injury Severity Score (ISS) greater than 15
  • Ability to provide informed consent or consent by a legally authorized representative
Not Eligible

You will not qualify if you...

  • Age under 18 or over 65
  • Use of ketamine for preoperative or postoperative sedation
  • Known allergy or contraindication to ketamine
  • Prior unsuccessful ketamine therapy for major depressive disorder or PTSD
  • Severe psychiatric conditions or psychotic features
  • History of dementia or glaucoma
  • Currently engaged in trauma-focused cognitive behavioral therapy or PTSD psychotherapy started within the past 3 months

AI-Screening

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Trial Site Locations

Total: 2 locations

1

Texas Tech University Health Sciences Center Lubbock

Lubbock, Texas, United States, 79415

Actively Recruiting

2

University Medical Center

Lubbock, Texas, United States, 79415

Actively Recruiting

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Research Team

E

Evan J Hernandez, MBA

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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