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Not IRB approved
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The purpose of this research study is to see if pain can be better controlled with fewer side effects. The new drug regimen will study several different medicines that have different ways of treating pain.
The investigators plan to study an analgesic regimen of Ketamine and Lidocaine as infusions with Neurontin and acetaminophen delivered orally for postoperative analgesia and the subsequent effect on ventilator days and ICU stay. The investigators expect that pain scores will be either unchanged or better than historic controls. In addition, the investigators expect that ventilator days and ICU stay will be improved due to reduced incidence of delirium and bowel dysfunction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Intensivists will proceed with analgesia utilizing conventional opioid based pain order sets. | ||
| Study Group | The investigators plan to study an analgesic regimen of Ketamine and lidocaine as infusions with Neurontin and Acetaminophen delivered orally for postoperative analgesia and the subsequent effect on ventilator days and ICU stay. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ketamine | Drug | Receive an analgesic regimen that involves Ketamine infusions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes between the two groups assessed by overall ventilator days | Total ventilator days | Through study completion, an average of one week |
| Measure | Description | Time Frame |
|---|---|---|
| Changes between the two groups assessed by ICU length of stay | ICU length of stay | Through study completion, an average of one week |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing planned surgery for cardiac problems
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| Name | Affiliation | Role |
|---|---|---|
| Sean Kiley, M.D. | University of Florida | Principal Investigator |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D007649 | Ketamine |
| D008012 | Lidocaine |
| D000082 | Acetaminophen |
| D000077206 | Gabapentin |
| ID | Term |
|---|---|
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
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| Lidocaine | Drug | Receive an analgesic regimen that involves Lidocaine infusions |
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| Acetaminophen | Drug | May be administered Acetaminophen rectally, by mouth, or intravenously in patients not suitable for either of the other methods of administration |
|
|
| Neurontin | Drug | May be given Neurontin by mouth as an approved medication for pain control |
|
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| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D003509 | Cyclohexanecarboxylic Acids |
| D000146 | Acids, Carbocyclic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |