Obesity Clinical Trial
Official title:
Effect of Single Dose Ketamine and Magnesium on Postoperative Pain in Patients Undergoing Bariatric Surgery
Verified date | May 2020 |
Source | Milton S. Hershey Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Opioid sparing analgesia is extremely important in the post-operative obese population. With more and more obese patients entering the operating room a multi-modal approach to analgesia is crucial. Finding effective alternatives to opioid therapy is the rationale of this proposal. Literature involving ketamine and magnesium in bariatric surgical patients is very sparse.
Status | Completed |
Enrollment | 108 |
Est. completion date | March 13, 2019 |
Est. primary completion date | March 13, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: 1. Subjects undergoing laparoscopic sleeve gastrectomy 2. Consenting adults age 18-80 3. ASA II to ASA III 4. Ability to understand and use a PCA 5. Required to be hospitalized for at least 24 hours post-op Exclusion Criteria: 1. Patient refusal 2. Chronic opiate use (daily opiate use for >3 months) 3. Chronic Kidney disease (Creatinine>2) 4. Known allergy or adverse effect of ketamine, magnesium or hydromorphone 5. Patients with documented psychiatry (Maniac or MDP) history 6. Patient unable to give informed consent 7. Patient with limited or no English fluency |
Country | Name | City | State |
---|---|---|---|
United States | Milton S.Hershey Medical Center | Hershey | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Milton S. Hershey Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Total Hydromorphone Use | Total hydromorphone use in 1st 24 hours post-operatively. | During surgery and 24 hours post-op | |
Secondary | Pain Scores Using Verbal Analogue Scale (VAS) | Pain scores using VAS scale will be recorded pre-operatively, in the PACU, and every 4 hours until 24 hours post-op. The VAS is a 10 point scale, where 0 = no pain and 10 = the worst pain a subject has ever felt. The highest value 10, indicates an extreme self reported level of pain. | Preoperatively and the 1st 24 hours post-op | |
Secondary | Intraoperative Minimum Alveolar Concentration (MAC) of Desflurane | The average MAC concentration of desflurane will be recorded during the intraoperative period. The Minimum Alveolar Concentration (MAC) of an inhaled anesthetic is the alveolar (or end-expiratory) concentration at which 50% of patients will not show a motor response to a standardized surgical incision. | Intraoperative period |
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