Effect of Esketamine on Reducing Postoperative Anxiety and Depression in Adolescent Patients
Study Details
Study Description
Brief Summary
This study intends to conduct a prospective, double-blind, randomized, controlled trial. Adolescents aged 8-17 years old are selected as subjects. Esketamine is used as intervention before surgery, vital signs data, serum IL-6, CRP and other inflammatory indicators are collected during surgery, and the incidence and degree of anxiety and depression are evaluated after surgery. To determine the effect of esketamine on reducing anxiety and depression in adolescents after surgery, and to provide an effective clinical basis for accelerating the rehabilitation of adolescents after surgery.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
| Early Phase 1 |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Experimental group Esketamine (0.25mg/kg) |
Drug: Esketamine
Group S received a subanesthetic dose of esketamine 0.2mg/kg (2ml/50 mg) 5 minutes before the procedure began.
|
| No Intervention: Control group the same volume of normal saline |
Outcome Measures
Primary Outcome Measures
- Anxiety and depression scale scores 1 month after surgery [1 month]
Anxiety and depression scale scores 1 month after surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
-
8 years ≤ age ≤17 years;
-
Patients who plan to undergo elective surgery under general anesthesia, and the operation time is ≥2h;
-
ASA grade I-II
Exclusion Criteria:
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Patients expected to be admitted to ICU after surgery;
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Patients who need to return to the ward with tracheal intubation after surgery;
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Allergic to the active ingredients or excipients of isketamine hydrochloride injection;
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Patients with severe consciousness disorder or mental system disease (schizophrenia, mania, bipolar disorder, psychosis, etc.) or cognitive dysfunction;
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Patients with congenital heart disease and severe developmental delay;
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Patients with one of the following contraindications to esketamine :(a) patients at risk of a significant increase in blood pressure or intracranial pressure; (b) Patients with ocular hypertension (glaucoma) or penetrating ocular trauma; (c) Patients with poorly controlled or untreated hypertension (resting systolic blood pressure greater than 180 mmHg or resting diastolic blood pressure greater than 100 mmHg); (d) Untreated or undertreated hyperthyroidism;
-
Previous history of ketamine abuse or dependence, drug or alcohol dependence for more than 6 months, previous ketamine ineffective tests or adverse reactions.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Henan Provincial People's Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- henanLYH