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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | D'Alonzo, Richard C. Bennett-Guerrero, Elliott Podgoreanu, Mihai D'Amico, Thomas A. Harpole, David H. Shaw, Andrew D. |
| Description | Country affiliation: United States Author Affiliation: D'Alonzo RC ( Department of Anesthesiology, Pitt Count Memorial Hospital, Greenville, NC 27858, USA.) |
| Abstract | PURPOSE: We hypothesized that patients who received ketamine during thoracic surgery would benefit from suppression of the inflammatory cascade, represented by lower interleukin (IL)-6 and C-reactive protein (CRP) plasma levels. METHODS: This study was a randomized, double blind, placebo controlled clinical trial of ketamine in patients undergoing thoracic surgery. The setting was a single university teaching hospital. Forty patients who presented to the preoperative clinic prior to thoracic surgery (20 control, 20 treatment) were randomized to receive either a 0.5 mg/kg ketamine bolus or an equivalent volume of normal saline intravenously prior to chest wall incision. Plasma samples taken prior to induction of anesthesia and at 24 h following surgery were assayed for IL-6 and CRP levels. Verbal pain scores were reported at 4 and 24 h following surgery and at discharge. RESULTS: IL-6 plasma levels did not differ significantly at 24 h for patients receiving ketamine (245 ± 287 pg/ml, mean ± SD) compared to patients who received placebo (269 ± 210 pg/ml), p = 0.39. Additionally, CRP levels at 24 h were not significantly different (8.8 ± 4.5 mg/dl for ketamine, 9.3 ± 5.6 mg/dl for placebo patients), p = 0.37. Finally, verbal pain scores were not significantly different between patient groups at 4 or 24 h, or at discharge. CONCLUSIONS: These findings suggest that the routine use of a single dose of ketamine prior to chest wall incision is not effective at reducing pain or inflammation in thoracic surgery patients at 24 h postoperatively. |
| File Format | HTM / HTML |
| ISSN | 09138668 |
| Issue Number | 5 |
| Volume Number | 25 |
| e-ISSN | 14388359 |
| Journal | Journal of Anesthesia |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2011-10-01 |
| Publisher Place | Japan |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Anesthesiology Analgesics Administration & Dosage Inflammation Drug Therapy Ketamine Pain, Postoperative Thoracic Surgical Procedures Adverse Effects Aged C-reactive Protein Metabolism Double-blind Method Female Humans Blood Interleukin-6 Male Middle Aged Placebos Preoperative Care Methods Clinical Trial Journal Article Randomized Controlled Trial |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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