The Role of Ketamine in Preventing Cognitive Dysfunctions in Postoperative Period of Cardiac Surgery

NCT ID: NCT02782429

Last Updated: 2016-05-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Brief Summary

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The purpose of this study is to analyze the Ketamine with its anti-inflammatory profile would be able to prevent cognitive disorders in the postoperative period of cardiac surgery, since these disorders contribute to an impact on morbidity / mortality in this population.

Detailed Description

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Conditions

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Delirium Inflammation Cognitive Disorders Amnestic Dementia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ketamine

This group received ketamine in a dose 0.5 mg / in anesthesia, in addition to other drugs used for induction, which will be standardized.

Group Type EXPERIMENTAL

Ketamine

Intervention Type DRUG

Placebo

This group received the equivalent volume of saline, in addition to other drugs used for induction, which will be standardized.

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type OTHER

Interventions

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Ketamine

Intervention Type DRUG

Saline

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged over 50 years.
* Be submitted to cardiac surgery by sternotomy and with the use of cardiopulmonary bypass (CPB).
* American Society of Anesthesiologists classification 1, 2,3 and 4.

Exclusion Criteria

* Patients undergoing reoperation.
* Patients undergoing heart transplantation.
* Patients using vasopressor agents and / or ionotropic continuous preoperatively.
* Patients with prior endotracheal intubation and consequently Ventilatory Assistance Mechanics.
* Patients with documented psychiatric disorders.
* Patients with previous cognitive disorders.
* Patients with a history of alcohol or drug abuse.
* Patients with a history of cerebrovascular accident (CVA) with less than 3 months.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rebeca Gonelli Albanez da Cunha Andrade

UNKNOWN

Sponsor Role collaborator

Flavia orange

OTHER

Sponsor Role lead

Responsible Party

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Flavia orange

Prof, Dr

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Rebeca GA Andrade, master

Role: PRINCIPAL_INVESTIGATOR

Instituto de Medicina Integral Prof Fernando Figueira

Locations

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Instituto de Medicina Integral Prof Fernando Figueira

Recife, Pernambuco, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Rebeca GA Andrade, master

Role: CONTACT

+55 81 988043844

Facility Contacts

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Flávia A de Orange, PhD

Role: primary

+ 55 81 994197979

Rebeca GA Andrade, master

Role: backup

+55 81 988043844

References

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Hudetz JA, Iqbal Z, Gandhi SD, Patterson KM, Byrne AJ, Hudetz AG, Pagel PS, Warltier DC. Ketamine attenuates post-operative cognitive dysfunction after cardiac surgery. Acta Anaesthesiol Scand. 2009 Aug;53(7):864-72. doi: 10.1111/j.1399-6576.2009.01978.x. Epub 2009 Apr 28.

Reference Type RESULT
PMID: 19422355 (View on PubMed)

Cata JP, Abdelmalak B, Farag E. Neurological biomarkers in the perioperative period. Br J Anaesth. 2011 Dec;107(6):844-58. doi: 10.1093/bja/aer338. Epub 2011 Nov 6.

Reference Type RESULT
PMID: 22065690 (View on PubMed)

Dale O, Somogyi AA, Li Y, Sullivan T, Shavit Y. Does intraoperative ketamine attenuate inflammatory reactivity following surgery? A systematic review and meta-analysis. Anesth Analg. 2012 Oct;115(4):934-43. doi: 10.1213/ANE.0b013e3182662e30. Epub 2012 Jul 23.

Reference Type RESULT
PMID: 22826531 (View on PubMed)

Other Identifiers

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IMIP

Identifier Type: -

Identifier Source: org_study_id

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