Systemic Ketamine for the Improvement of Post-Operative Analgesia at the Alcohol-Dependent Patient
- Conditions
- Alcoholic PatientCarcinological 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
- patient alcohol-dependent having to undergo a carcinological surgery ORL with tracheotomy or tracheostomy, ASA 1-3
- 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
Name Time Method Morphine consumption at 48 hours at 48 hours
- Secondary Outcome Measures
Name Time Method pain pain the ground (dependence with alcohol) dependence with alcohol the first request analgesic the first request analgesic the tolerance and the signs psychic (syndrome of weaning...) the tolerance and the signs psychic and the satisfaction of the patient the satisfaction of the patient
Trial Locations
- Locations (1)
Clermont-Ferrand University Hospital
🇫🇷Clermont-Ferrand, France