MedPath

Systemic Ketamine for the Improvement of Post-Operative Analgesia at the Alcohol-Dependent Patient

Phase 3
Suspended
Conditions
Alcoholic Patient
Carcinological Surgery ORL
Registration Number
NCT00329394
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The principal objective is to evaluate the analgesic effectiveness of the systemic ketamine on the control of the pain (average consumption of morphine at 48 hours) at the alcool-dependent patient, in carcinological surgery ORL. The effect coanalgesic is found for low dose of ketamine and action anti NMDA seems to have a stabilizing effect on this particular type of patient. This imbalance of the receivers, with a greater number of r-NMDA among these patients would involve it a better analgesic effectiveness and less effects dysphoric, to see an improvement on the syndrome of weaning. The secondary objectives evaluate the pain, the ground (dependence with alcohol), the first request analgesic, the tolerance and the signs psychic (syndrome of weaning...) and the satisfaction of the patient.

Detailed Description

The principal objective is to evaluate the analgesic effectiveness of the systemic ketamine on the control of the pain (average consumption of morphine at 48 hours) at the alcool-dependent patient, in carcinological surgery ORL. The effect coanalgesic is found for low dose of ketamine and action anti NMDA seems to have a stabilizing effect on this particular type of patient. This imbalance of the receivers, with a greater number of r-NMDA among these patients would involve it a better analgesic effectiveness and less effects dysphoric, to see an improvement on the syndrome of weaning. The secondary objectives evaluate the pain, the ground (dependence with alcohol), the first request analgesic, the tolerance and the signs psychic (syndrome of weaning...) and the satisfaction of the patient.

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
56
Inclusion Criteria
  • patient alcohol-dependent having to undergo a carcinological surgery ORL with tracheotomy or tracheostomy, ASA 1-3
Exclusion Criteria
  • refusal of the patient
  • counter-indications with the treatments,
  • urgency
  • the specific clinical context (final neoplasy, reanimation)
  • the treatments for chronic pain containing morphinic

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Morphine consumption at 48 hoursat 48 hours
Secondary Outcome Measures
NameTimeMethod
painpain
the ground (dependence with alcohol)dependence with alcohol
the first request analgesicthe first request analgesic
the tolerance and the signs psychic (syndrome of weaning...)the tolerance and the signs psychic
and the satisfaction of the patientthe satisfaction of the patient

Trial Locations

Locations (1)

Clermont-Ferrand University Hospital

🇫🇷

Clermont-Ferrand, France

© Copyright 2025. All Rights Reserved by MedPath