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The aim of this study is to determine whether ketamine is an acceptable alternative to etomidate for anesthesia induction in coronary artery bypass graft surgery in terms of hemodynamic stability and also to compare these agents regarding their effect on adrenal gland steroid synthesis in these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ketamine | Active Comparator |
| |
| Etomidate | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ketamine | Drug | During standard anesthesia induction with fentanyl and midazolam, ketamine 2 mg/kg IV will be administered |
|
| Measure | Description | Time Frame |
|---|---|---|
| A more than 15% change in mean arterial pressure and heart rate after anesthesia induction | For 60 minutes after anesthesia induction |
| Measure | Description | Time Frame |
|---|---|---|
| Adrenal gland steroid synthesis suppression | A less than 9 microgram/dl increase in serum cortisol after stimulation with adrenocorticotropic hormone | 24 hours and 5 days after study drug administration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Özgür Kömürcü | Contact | +90 312 215 99 41 | zgrkom@gmail.com | |
| Arash Pirat | Contact | +90 312 212 68 68 | 1800 | araspirat@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Özgür Kömürcü | Baskent University, Faculty of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baskent University, Faculty of Medicine | Recruiting | Ankara | Çankaya | 06490 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D007649 | Ketamine |
| D005045 | Etomidate |
| ID | Term |
|---|---|
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
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| Etomidate | Drug | During standard anesthesia induction with fentanyl and midazolam, etomidate 3 mg/kg IV will be administered |
|
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |