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The purpose of this research study is to see if ketamine infusion during surgery can decrease pain after surgery. Ketamine is a medication commonly used as part of anesthesia during surgery and is approved by the US FDA.
Patients will be randomized to either receive standard anesthesia with OR without ketamine. The surgical procedure will be the same regardless of which group patients are randomized to. After surgery, patients will be asked to rate their pain in the post-operative observation unit and at their two-week post-operative visit. No additional visits are required for participation in this study. The investigators estimate the surveys will take approximately 10 minutes to complete.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | standard general anesthesia without ketamine | |
| Ketamine | Experimental | standard general anesthesia with ketamine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ketamine | Drug | Participants will receive general anesthesia with protocoled ketamine infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in pain as measured by visual analog scale | A Visual Analog Scale (VAS) is a tool for patients to rate their pain on a 100mm line, where "no pain" is at one end and "worst pain imaginable" is at the other. | approximately post-operative day 0 and 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative opioid consumption as measured by anesthesia charting | Reported in morphine equivalents | Intraoperatively up to 8 hours |
| change in postoperative pain scores measured by numerical rating scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Adi Cosic, DO | University Hospitals | Principal Investigator |
| Morgan Cheeks, MD | University Hosptials | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospitals Cleveland Medical Center | Cleveland | Ohio | 44106 | United States |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D007649 | Ketamine |
| ID | Term |
|---|---|
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
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NRS is a simple and widely used pain assessment tool that asks patients to rate their pain intensity on a scale from 0 (no pain) to 10 (severe pain).
| approximately postoperative day 0 and 14 |
| incidence of postoperative nausea/vomiting as measured by patient report | postoperative day 0 |
| change in total analgesic consumption post-surgery as measured by chart review and patient report | measured in morphine milliequivalents | approximately postoperative day 0, 1 and 14 |
| incidence of postoperative delirium as measured by chart review | postoperative day 0 |
| change in central sensitization as measured by central sensitization inventory (CSI) score | The CSI consists of 25 questions, each rated on a 0-4 scale (0 = never, 4 = always). The total score ranges from 0 to 100. Higher scores indicate a greater degree of central sensitization. | approximately postoperative day 0 and 14 |
| D000091662 | Genital Diseases |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |