Safety and Efficacy Evaluation of S (+) - Ketamine in Children

Launched by CHINESE PLA GENERAL HOSPITAL · Apr 3, 2021

Keywords

ClinConnect Summary

Children often suffer acute pain,awakening delirium, anxiety and depression after operation which may affect the recovery of children. S (+) - ketamine has been described to decrease acute pain and opioid consumption,but it needs to confirm for chinese children undergoing surgery.

Objective:

To evaluate the analgesic effect of perioperative administration of S (+) - ketamine on postoperative acute pain in children undergoing surgery, and explore the effects of S (+) - ketamine on postoperative awakening delirium, postoperative anxiety and depression mood ,as well find the best usage, incl...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Age ≤17 years;
• • 2. Scheduled for elective digestive tract surgery, orthopedic surgery, urological surgery , ear surgery or other surgeries under general anesthesia;
• • 3. ASA physical status I～Ⅲ;
• • 4. The informed consent form was signed by the patients or the guardians.
• Exclusion Criteria:
• • 1. The expected length of hospital stay of the patient is less than 48h;
• • 2. Patients expected to be admitted to the ICU after surgery;
• • 3. Patients expected to return to the ward with tracheal catheter after surgery;
• • 4. Be allergic to S (+) - ketamine;
• • 5. Patients with severe disorder of consciousness or mental system diseases (schizophrenia, mania, bipolar disorder, psychosis, etc.) or cognitive dysfunction;
• • 6. Patients with congenital heart disease or severely developmental retardation;
• 7. Patients with any of the following contraindications of S (+) - ketamine:
• • 1. Patients with risk of serious rise of blood pressure or intracranial pressure;
• • 2. Patients with high intraocular pressure (glaucoma) or penetrating ocular trauma;
• • 3. Patients with poorly controlled or untreated hypertension (Resting systolic blood pressure greater than 180 mmHg, or resting diastolic blood pressure greater than 100mmHg);
• • 4. Patients with untreated or undertreated hyperthyroidism.