LoopKeta: Ketamine and Closed-Loop Anesthesia System
Study Details
Study Description
Brief Summary
The objective is to evaluate the sparing effect of ketamine on the dose of propofol.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Ketamine Patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and Ketamine (bolus dose of Ketamine (0.15 mg.kg-1) followed by an infusion of Ketamine (0.15 mg.kg-1 h-1) until the end of anesthesia) |
Drug: Ketamine
|
Experimental: Placebo patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and a placebo (NaCl 9/00 (same volume as in the Ketamine group) |
Drug: Placebo
|
Outcome Measures
Primary Outcome Measures
- administered dose of propofol during maintenance of anesthesia [day 1]
Secondary Outcome Measures
- bispectral index measurement [1 day]
bispectral index modification due to ketamine infusion before induction of anesthesia
- administered dose of propofol during induction of anesthesia [day 1]
- administered doses of remifentanil during induction and maintenance of anesthesia [day 1]
- delay (measured as minutes) between the end of propofol and remifentanil administration and the recovery from anesthesia [day 1]
- hemodynamic abnormalities requiring treatment [day 1]
- % of time with a bispectral index between 40 and 60 [day 1]
- postoperative morphine requirement [day 1]
- incidence of postoperative nausea and vomiting [day 1]
- White and Song score [day 1]
- % of patients with an explicit memorisation of the intraoperative period [second postoperative day]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
patients with an American Society of Anesthesiology score 1, 2 or 3
-
scheduled for a surgical procedure lasting more than 2 hours under general anesthesia
Exclusion Criteria:
-
pregnancy
-
chronic pain
-
simultaneous general and loco-regional anesthesia
-
contra-indication to to nonsteroidal anti-inflammatory drug
-
contra-indication to Ketamine
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contra-indication to propofol, to remifentanil, to morphine
-
history of central nervous system disease
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patients receiving a psychotropic treatment
-
patients with a pace-maker
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hopital Foch | Suresnes | Hauts de Seine | France | 92151 |
2 | Clinique Fontaine les Dijons | Fontaine les Dijon | France | 21121 |
Sponsors and Collaborators
- Hopital Foch
Investigators
- Study Chair: Marc Fischler, MD, Hôpital Foch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2012/26
- 2012-003001-97