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Ketamine Combination With Spinal Morphine for Post Thoracic Surgery Pain : A Randomized Control Study

Phase 4
Completed
Conditions
Pain
Postoperative Period
Interventions
Other: NSS
Registration Number
NCT02570230
Lead Sponsor
Mahidol University
Brief Summary

Thoracotomy is one of the most painful operation. Continuous thoracic epidural or paravertebral analgesia are gold standard for postoperative pain. But both techniques require skills. Spinal morphine is alternative simple method with less efficacy. Adding low dose ketamine during intraoperative may be helpful in postoperative pain relief.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • ASA physical status 1-3
  • elective thoracotomy
  • can operate patient-controlled analgesia (PCA) machine
Exclusion Criteria

patient with history of

  • allergy to morphine or ketamine
  • contraindicate to ketamine
  • remain intubated in the postoperative period

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlNSSNSS infusion
KetamineKetamineKetamine 0.2 mg/kg/hr intravenous infusion
Primary Outcome Measures
NameTimeMethod
Time to first trigger of morphine24 hours

Time to first trigger of morphine

Secondary Outcome Measures
NameTimeMethod
24-hr morphine consumption24 hours

24-hr morphine consumption

NRS score at 6, 24 hours24 hours

NRS score (0-10) was assessed at at 6, 24 hours postoperative

Incidence of nausea and vomiting24 hours

Incidence of nausea and vomiting

Trial Locations

Locations (1)

Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University

🇹🇭

Bangkok, Thailand

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