Ketamine Associated With Morphine PCA After Total Hip Arthroplasty (KETAMINE)
Impact of the Route of Administration of Ketamine Associated With Morphine PCA on Analgesia After Total Hip Arthroplasty
Ketamine (an analgesic drug often associated with morphine in the treatment of Opioid Induced Hyperalgesia) is often mixed in Morphine PCA syringe. We make the hypothesis that ketamine administrated separately via a continuous infusion, could induced a better analgesic effect.
We will perform a randomised double blind study to determine the best infusion mode of intravenous ketamine, associated with morphine in PCA syringe or alone in continuous infusion.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Le Kremlin Bicêtre, France, 94270
- Service d'anesthesie-reanimation - Hôpital Bicêtre
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- total hip arthroplasty
Exclusion Criteria:
- pre operative opioid administration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: A
Ketamine pre and per operative, and morphine postoperative
|
Ketamine bolus preoperative and syringe pump peroperative, and morphine postoperative (PCA)
Other Names:
|
|
Active Comparator: B
NaCl pre and per operative, and morphine postoperative
|
Bolus preoperative of NaCl and syringe pump peroperative of NaCl, and morphine postoperative (PCA)
|
|
Experimental: C
Ketamine and morphine postoperative
|
Bolus preoperative of NaCl and syringe pump peroperative of Ketamine, and morphine postoperative (PCA)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Morphine consumption in PACU and in hospitalisation room
Time Frame: at 24 and 48 hours
|
at 24 and 48 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Postoperative Visual Analogic Score of pain
Time Frame: in Recovery Room, at 24 and 48 hours, in the ward
|
in Recovery Room, at 24 and 48 hours, in the ward
|
|
Postoperative Measure of mechanical hyperalgesia by Von Frey filament device
Time Frame: 24 and 48 hours in the ward
|
24 and 48 hours in the ward
|
|
Postoperative measure Ketamine and Nor-Ketamine blood levels
Time Frame: at 24 and 48 hours in the ward
|
at 24 and 48 hours in the ward
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Philippe SITBON, MD, Assistance Publique - Hôpitaux de Paris Hôpital Bicêtre
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Dissociative
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Excitatory Amino Acid Antagonists
- Excitatory Amino Acid Agents
- Analgesics, Opioid
- Narcotics
- Ketamine
- Morphine
Other Study ID Numbers
Other Study ID Numbers
- P060402
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