Abstract | OBJECTIVES: METHODS: This was a unicentre, double-blind, placebo-controlled, parallel-group, prospective study. Patients were randomly assigned to receive 1 mg/kg ketamine ( ketamine group) or an equivalent dose of normal saline (placebo group) before thoracotomy in 1:1 ratio. All patients received postoperatively intravenous morphine administration as additional analgesic regimen. Primary end-point was the pain relief measured with Visual Analogue Scale at rest. The secondary end-points were the reduction of inflammatory response expressed by plasma C-reactive protein levels, the morphine consumption and the rate of side effects. The measurements were carried out 6, 12, 24, 36 and 48 hours postoperatively. RESULTS: A total of 75 patients were randomized of whom 38 were allocated to ketamine group and 37 to placebo group. Baseline characteristics were comparable. Ketamine compared with placebo group showed a significant reduction of pain scores (P = 0.01), C-reactive protein (P < 0.001) and morphine consumption (P < 0.001). No acute psychological side effects related to the use of ketamine were registered. CONCLUSIONS:
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Authors | Alfonso Fiorelli, Antonio Mazzella, Beatrice Passavanti, Pasquale Sansone, Paolo Chiodini, Mario Iannotti, Caterina Aurilio, Mario Santini, Maria Caterina Pace |
Journal | Interactive cardiovascular and thoracic surgery
(Interact Cardiovasc Thorac Surg)
Vol. 21
Issue 3
Pg. 284-90
(Sep 2015)
ISSN: 1569-9285 [Electronic] England |
PMID | 26071592
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. |
Chemical References |
- Analgesics
- Analgesics, Opioid
- Ketamine
- Morphine
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Topics |
- Analgesics
(administration & dosage)
- Analgesics, Opioid
(administration & dosage)
- Dose-Response Relationship, Drug
- Double-Blind Method
- Female
- Humans
- Infusions, Intravenous
- Ketamine
(administration & dosage)
- Male
- Middle Aged
- Morphine
(administration & dosage)
- Pain Measurement
- Pain, Postoperative
(diagnosis, drug therapy)
- Prospective Studies
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