KETAMINE: Ketamine Associated With Morphine PCA After Total Hip Arthroplasty
Study Details
Study Description
Brief Summary
Ketamine (an analgesic drug often associated with morphine in the treatment of Opioid Induced Hyperalgesia) is often mixed in Morphine PCA syringe. We make the hypothesis that ketamine administrated separately via a continuous infusion, could induced a better analgesic effect.
We will perform a randomised double blind study to determine the best infusion mode of intravenous ketamine, associated with morphine in PCA syringe or alone in continuous infusion.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Double blind study to determine the best infusion mode of intravenous ketamine, associated with morphine in PCA syringe or alone in continuous infusion
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: A Ketamine pre and per operative, and morphine postoperative |
Drug: Ketamine-Morphine
Ketamine bolus preoperative and syringe pump peroperative, and morphine postoperative (PCA)
Other Names:
|
Active Comparator: B NaCl pre and per operative, and morphine postoperative |
Drug: Morphine
Bolus preoperative of NaCl and syringe pump peroperative of NaCl, and morphine postoperative (PCA)
|
Experimental: C Ketamine and morphine postoperative |
Drug: Postoperative PCA of Ketamine and morphine
Bolus preoperative of NaCl and syringe pump peroperative of Ketamine, and morphine postoperative (PCA)
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Morphine consumption in PACU and in hospitalisation room [at 24 and 48 hours]
Secondary Outcome Measures
- Postoperative Visual Analogic Score of pain [in Recovery Room, at 24 and 48 hours, in the ward]
- Postoperative Measure of mechanical hyperalgesia by Von Frey filament device [24 and 48 hours in the ward]
- Postoperative measure Ketamine and Nor-Ketamine blood levels [at 24 and 48 hours in the ward]
Eligibility Criteria
Criteria
Inclusion Criteria:
- total hip arthroplasty
Exclusion Criteria:
- pre operative opioid administration
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Service d'anesthesie-reanimation - Hôpital Bicêtre | Le Kremlin Bicêtre | France | 94270 |
Sponsors and Collaborators
- Assistance Publique - Hôpitaux de Paris
Investigators
- Principal Investigator: Philippe SITBON, MD, Assistance Publique - Hôpitaux de Paris Hôpital Bicêtre
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- P060402