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Effect of Perioperative i.v. Low-Dose S(+) Ketamine
This study is currently recruiting participants.
Verified by Asker & Baerum Hospital, May 2008
Sponsored by: Asker & Baerum Hospital
Information provided by: Asker & Baerum Hospital
ClinicalTrials.gov Identifier: NCT00354029
  Purpose

The purpose of this study is to determine whether the use of perioperative intravenous S (+) ketamine reduces the amount and degree of postoperative pain.

Furthermore the purpose of this study is to determine whether the use of perioperative intravenous S (+) ketamine effects cognitive function in the early postoperative period.


Condition Intervention Phase
Hemorrhoids
Drug: S (+) Ketamine
Phase IV

MedlinePlus related topics: Hemorrhoids
Drug Information available for: Ketamine Ketamine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Single Group Assignment, Efficacy Study
Official Title: Effect of Perioperative i.v. Low-Dose S(+) Ketamine in Patients Undergoing Hemorrhoidectomy

Further study details as provided by Asker & Baerum Hospital:

Primary Outcome Measures:
  • Analgetic effect (VAS) [ Time Frame: 3 month ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Satisfaction [ Time Frame: 3 month ] [ Designated as safety issue: No ]

Estimated Enrollment: 80
Study Start Date: August 2006
Estimated Study Completion Date: September 2008
Estimated Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: S (+) Ketamine
    0,35 mg/kg bolus; 5 ug/kg/min. continuous
Detailed Description:

The mechanism of development of postoperative pain is complex. Central and peripheral sensitization are playing an important role and this can lead to postoperative hypersensitization. Several studies have shown, that S (+) ketamine can be effective to reduce sensitization and postoperative pain. Ketamine (2-O-chlorophenyl-2-methylamino cyclohexanone) is a NMDA receptor antagonist. S (+) ketamine has a four times stronger affinity to the NMDA receptor compared to R (-) ketamine. The duration of action for S (+) ketamine is shorter than R (-) ketamine and it has fever side-effects.

The purpose of this study is to compare the analgetic effect of pregabalin and placebo used in the perioperative period.

The hypothesis is that perioperative intravenous S (+) ketamine gives significant better analgesia than placebo without effecting cognitive function.

The study is including patients undergoing hemorrhoidectomy.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of disc prolapse
  • Age 18+
  • ASA I-II
  • written consent

Exclusion Criteria:

  • Age < 18
  • ASA > II
  • liver failure
  • renal failure
  • heart failure
  • glaucoma
  • pregnancy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00354029

Contacts
Contact: Ulrich J Spreng, Dr. med. 47-6780-9400 ulrich.spreng@sabhf.no
Contact: Vegard Dahl, Dr. med. 47-6780-9400 vegard.dahl@sabhf.no

Locations
Norway
Asker and Baerum Hospital Recruiting
Rud, Norway, N-1309
Contact: Ulrich J Spreng, Dr. med.     47-6780-9400     ulrich.spreng@sabhf.no    
Principal Investigator: Ulrich/ J Spreng, Dr. med.            
Sponsors and Collaborators
Asker & Baerum Hospital
Investigators
Principal Investigator: Ulrich J Spreng, Dr. med, Asker and Baerum Hospital, Norway
Study Director: Vegard Dahl, Dr. med. Asker and Baerum Hospital, Norway
  More Information

Publications:
Responsible Party: Asker and Baerum Hospital ( Ulrich Johannes Spreng )
Study ID Numbers: 2006-001082-41
Study First Received: July 18, 2006
Last Updated: May 6, 2008
ClinicalTrials.gov Identifier: NCT00354029  
Health Authority: Norway: Norwegian Medicines Agency

Keywords provided by Asker & Baerum Hospital:
hemorrhoids
hemorrhoidectomy
S (+) ketamine

Study placed in the following topic categories:
Excitatory Amino Acids
Digestive System Diseases
Gastrointestinal Diseases
Ketamine
Vascular Diseases
Hemorrhoids
Intestinal Diseases
Rectal Diseases

Additional relevant MeSH terms:
Anesthetics, Intravenous
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Anesthetics
Central Nervous System Depressants
Excitatory Amino Acid Agents
Anesthetics, Dissociative
Pharmacologic Actions
Sensory System Agents
Anesthetics, General
Therapeutic Uses
Cardiovascular Diseases
Peripheral Nervous System Agents
Analgesics
Central Nervous System Agents
Excitatory Amino Acid Antagonists

ClinicalTrials.gov processed this record on January 16, 2009