Analgesia Clinical Trial
Official title:
A Retrospective Evaluation of Ketamine Effectiveness for the Treatment of Acute Battlefield Related Pain
Using a retrospective review of records, we will conduct a multivariate analysis to examine the relationship between exposure to ketamine, as an analgesic agent in combat related trauma care, the use of additional opioid pain medications, and patient reported pain levels.
This is a retrospective study to determine if there is a relationship between intravenous
infusion of ketamine given for analgesia and the use of additional opioid pain medications
and patient reported pain levels before and during ketamine usage. The investigator
anticipates that records of up to 700 subjects will be reviewed for eligibility. The time
period 24 hours before the initial ketamine therapy is initiated along with 24 & 48 hours
after the start of ketamine therapy will be the time periods examined. The
average/minimum/maximum pain scores during these time periods will be used. Medication usage
will be calculated over the 24 hour time periods.
This protocol is presented as an initial step in exploring the possible relationship between
the administration of ketamine as an analgesic agent, the potential reduction in pain
medications, and the potential reduction of pain levels. With this the goals/objectives are
as follows:
Objectives
1. To compare morphine consumption in battlefield injured patients with acute pain 24 hours
before the initiation of a ketamine infusion to the subsequent 48 hours following the
start of infusion.
2. To compare average/minimum/maximum pain scores in battlefield injured patients with
acute pain 24 hours before the initiation of a ketamine infusion to the subsequent 48
hours following the start of infusion.
3. To describe the pain trajectory in battlefield injured patients with acute pain after
the initiation of ketamine infusions.
4. To measure the absolute and proportional incidence of ketamine associated side effects
in battlefield injured patients with acute pain following the initiation of ketamine
infusions.
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