Does Ketamine Attenuate Depression of Respiratory and Cardiac Functions
- Conditions
- Congenital Heart DiseaseSedated for Cardiac Catheterization
- Interventions
- Drug: controlDrug: Ket10Drug: Ket20
- Registration Number
- NCT01501786
- Lead Sponsor
- Ibaraki Children's Hospital
- Brief Summary
Normal cardiac and respiratory functions should be maintained during pediatric cardiac catheterization. Propofol has become a popular choice for sedation in children, however, it depresses cardiac and respiratory functions. Some investigators reported that ketamine attenuates its depressant effect, but it remains unclear whether ketamine reduces cardiac and respiratory depression caused by propofol in pediatric cardiac catheterization.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- 7kg-25kg (6mo-10yrs) children who undergo cardiac catheterization
- patients who have neurological disease,
- endocrinological disease,
- airway anomaly, who require positive pressure ventilation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description control control propofol and saline are administered Ket10 Ket10 ketamine is co-administered with propofol Ket20 Ket20 ketamine is co-administered with porpofol
- Primary Outcome Measures
Name Time Method difference of end tidal partial pressure of carbon dioxide between the groups 30 and 60 min after anesthetic induction difference of partial pressure of arterial carbon dioxide between the groups 60 min after anesthetic induction on average heart rate change from baseline value 30 and 60 min after anesthetic induction non-invasive blood pressure change from baseline value 30 and 60 min after anesthetic induction
- Secondary Outcome Measures
Name Time Method movement at topical anesthetic injection 20 min after anesthetic induction on average 1. none (no movement or slight movement unnecessary to restrain)
2. mild (movement necessary to restrain, limited to lower extremities)
3. moderate (strong movement of lower extremities and movement of upper extremities unvecessary to restrain)
4. severe (movement necessary to restrain upper extremities and body trunk in addition to lower extremities, or some vacalization)the number of times that secreted saliva is aspirated by an attending anesthesiologist From anesthetic induction to termination of anethetics administration, which is not over 2 hours from anesthetic induction
Trial Locations
- Locations (1)
Ibaraki Children's Hospital
🇯🇵Mito, Ibaraki, Japan