• A large, multi-center trial (ROCKet) is underway to assess if intravenous ketamine, administered perioperatively, can reduce chronic post-surgical pain (CPSP) at 3 months post-surgery.
• The trial includes over 4800 adult patients undergoing various major surgeries and compares ketamine infusion to placebo, with CPSP incidence as the primary outcome measure.
• Secondary objectives include evaluating ketamine's impact on acute postoperative pain, side effects, quality of recovery, and CPSP incidence at 12 months post-surgery.
• The study incorporates a rigorous, blinded protocol with continuous safety monitoring and pre-planned statistical analyses to determine ketamine's efficacy in preventing CPSP.