MedPath

Preemptive Low-dose Epidural Ketamine for Preventing Chronic Post-thoracotomy Pain

Not Applicable
Completed
Conditions
Chronic Post-thoracotomy Pain
Interventions
Registration Number
NCT01017393
Lead Sponsor
Seoul National University Hospital
Brief Summary

Chronic post-thoracotomy pain is the most common long-term complication that occurs after a thoracotomy with a reported incidence of up to 80%. While thoracic epidural analgesia has become the mainstay for managing acute post-thoracotomy pain, its effect on the chronic post-thoracotomy pain seems questionable. The objective of this prospective, double-blinded, randomized, controlled trial was to assess the effect of preemptive low-dose epidural ketamine in addition to preemptive thoracic epidural analgesia on the incidence of chronic post-thoracotomy pain.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
209
Inclusion Criteria
  • Patients undergoing surgery with a thoracotomy incision
Exclusion Criteria
  • history of previous thoracic surgery, chronic pain, psychiatric disease, cardiac or vascular disease, neurologic deficits, or contraindications to epidural catheterization such as coagulopathy, or localized or systemic infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ketamine freeketamine freeepidural ketamine NOT added to the patient controlled epidural analgesia regimen
ketamineKetamineepidural ketamine added to the patient controlled epidural analgesia regimen
Primary Outcome Measures
NameTimeMethod
Incidence of pain 3 months after surgery3 months after surgery
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath