The Effect of Ketamine on Production of Inflammatory Markers in Post Operative Patients in Mulago Hospital
Recruitment status was Recruiting
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Purpose
. Null Hypothesis: Giving low doze ketamine (0.5mg/kg) given preoperatively to adult patients undergoing elective surgery, in Mulago hospital, will not have a reduction effect on the levels of IL-6 & IL-1β pro inflammatory markers by 48 hours.
. Alternate Hypothesis: Giving low doze ketamine (0.5mg/kg) given preoperatively to adult patients undergoing elective surgery, in Mulago hospital, will have a reduction effect on the levels of IL-6 & IL-1β pro inflammatory markers by 48 hours.
| Condition | Intervention | Phase |
|---|---|---|
|
Post Operative Inflammatory Marker Levels |
Drug: Ketamine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) |
| Official Title: | The Effect of Ketamine on Production of Inflammatory Markers in Post Operative Patients in Mulago Hospital: A Randomized Clinical Trial |
- changes/deviations from baseline levels of IL-6 pro-inflammatory markers of after surgery [ Time Frame: 48 hours ] [ Designated as safety issue: Yes ]changes/deviations from baseline levels of IL-6 pro-inflammatory markers of after surgery at Post Anesthesia Care Unit, 24 and 48 hours
- changes/deviations from baseline levels of IL-1β pro-inflammatory markers of after surgery [ Time Frame: 48 hours ] [ Designated as safety issue: Yes ]changes/deviations from baseline levels of IL-1β pro-inflammatory markers of after surgery at PACU, 24 and 48 hours
| Estimated Enrollment: | 30 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | June 2011 |
| Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Ketamine
will be given low sub-anesthetic doses of Ketamine 0.5mg/kg.
|
Drug: Ketamine
determining the effect of low dose sub anesthetic doze of ketamine and placaebo on post operative patients
|
|
Placebo Comparator: Placebo
will get placebo treatment
|
Drug: Ketamine
determining the effect of low dose sub anesthetic doze of ketamine and placaebo on post operative patients
|
Detailed Description:
RESEARCH QUESTION Can 0.5mg/kg of Ketamine given preoperatively have an effect on the levels of pro-inflammatory markers?
Primary specific Outcome: changes/deviations from baseline levels of IL- 6 pro-inflammatory markers of after surgery at PACU, 24 and 48 hours.
Secondary specific Outcome: changes/deviations from baseline levels of IL-1β pro-inflammatory markers of after surgery at PACU, 24 and 48 hours.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Consented patients due for elective surgery
- Adult patients 18- 70 year old
- ASA I- ASA II scoring patients, who are normal patients or those with mild systemic illness
Exclusion Criteria:
- Emergency cases that will already have high levels of inflammatory markers secreted in their system by incision time e.g. road traffic accidents
- Patients with chronic / severe hypertension
- Febrile Patients (T >38°C)
- Persistently raised blood pressures above 140/90 for 2 consistent readings 15 minutes apart
- Patients with pheochromocytoma
- Spinal and local infiltration anaesthesia cases
- Neuro surgery patients whom Ketamine is contra indicated
- Epilepsy patients
- ASA IIIE and above
- Patients receiving Aspirin prophylaxis
- Chronic inflammatory disease states such as hyperparathyroidism
Contacts and Locations| Uganda | |
| Mulago Hospital National Refferal, surgical wards | Recruiting |
| Kampala, Uganda, +256 | |
| Contact: John M Kasumba, MBChB, MMed Anaesthesia- MUK +25675625678 ext +256701625678 drkasmaya@gmail.com | |
| Principal Investigator: Tonny S Luggya, MBChB- MUK | |
More Information
No publications provided
| Responsible Party: | Dr luggya Tonny Stone, Makerere University, College Of Health Sciences |
| ClinicalTrials.gov Identifier: | NCT01339065 History of Changes |
| Other Study ID Numbers: | MUK CHS |
| Study First Received: | April 19, 2011 |
| Last Updated: | April 19, 2011 |
| Health Authority: | Uganda: Makerere University |
Keywords provided by Makerere University:
|
ketamine inflammatory pro inflammatory pro inflammatory markers IL-6 and IL-1beta |
Additional relevant MeSH terms:
|
Ketamine Anesthetics, Dissociative Anesthetics, Intravenous Anesthetics, General Anesthetics Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents |
Therapeutic Uses Excitatory Amino Acid Antagonists Excitatory Amino Acid Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Analgesics Sensory System Agents Peripheral Nervous System Agents |
ClinicalTrials.gov processed this record on May 23, 2013