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Does Ketamine Attenuate Depression of Respiratory and Cardiac Functions

Not Applicable
Completed
Conditions
Congenital Heart Disease
Sedated for Cardiac Catheterization
Interventions
Drug: control
Drug: Ket10
Drug: 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
Inclusion Criteria
  • 7kg-25kg (6mo-10yrs) children who undergo cardiac catheterization
Exclusion Criteria
  • patients who have neurological disease,
  • endocrinological disease,
  • airway anomaly, who require positive pressure ventilation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
controlcontrolpropofol and saline are administered
Ket10Ket10ketamine is co-administered with propofol
Ket20Ket20ketamine is co-administered with porpofol
Primary Outcome Measures
NameTimeMethod
difference of end tidal partial pressure of carbon dioxide between the groups30 and 60 min after anesthetic induction
difference of partial pressure of arterial carbon dioxide between the groups60 min after anesthetic induction on average
heart rate change from baseline value30 and 60 min after anesthetic induction
non-invasive blood pressure change from baseline value30 and 60 min after anesthetic induction
Secondary Outcome Measures
NameTimeMethod
movement at topical anesthetic injection20 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 anesthesiologistFrom 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

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