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NCT05603975

Analgesic Effect of Esketamine in DCSB in Adultscontrolled Study

Status unknown NA Last updated 3 November 2022
What this trial tests

NA trial testing Esketamine 0.1mg/kg intravenous injection in Analgesia in 52 participants. Status unknown.

Timeline
1 December 2022
Primary endpoint
30 April 2025
31 May 2025

Quick facts

Lead sponsorShenzhen Second People's Hospital
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment52
Start date1 December 2022
Primary completion30 April 2025
Estimated completion31 May 2025

Drugs / interventions tested

Conditions studied

Sponsor

Shenzhen Second People's Hospital

Who can join

Adults 18 to 60, any sex, with Analgesia or Burns. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Patients with severe and above degree burns are often complicated with inhalation injury and systemic infection. During debridement and dressing change in such patients, doctors will be more cautious in using analgesics. Patients often moan, shiver and limb movement due to insufficient sedation and analgesia, resulting in unpleasant feelings and experiences, which increases the anxiety of patients during hospitalization. Previous studies have shown that the use of ketamine in burn patients during dressing change can produce good analgesia and maintain stable vital signs. Esketamine, the dextral monomer of ketamine, has hypnotic, sedative and analgesic effects and could be safely used in clinical anesthesia. Compared with ketamine, esketamine has stronger analgesic efficacy and less circulatory influence, which is more consistent with the characteristics of ideal analgesic drugs in burn dressing. As an FDA-approved drug for the treatment of refractory depression, esketamine has potential social benefits in burn patients due to its rapid antidepressant pharmacological properties. This study hypothesized that esketamine could reduce the pain of dressing change in patients with severe burns and reduce the occurrence of early depression in such patients. This study adopted a prospective, double-blind, randomized, controlled, single-center design. A total of 52 severe burn patients aged 18-60 years who need debridement and dressing change under sedation and analgesia were included and randomly divided into the experiment group: esketamine would be used in the induction phase; the control group: esketamine would not be used in the induction phase. Both groups were given dexmedetomidine and butofinol before induction, and fentanyl as a remedy during the dressing change phase. The dosage of fentanyl in the dressing change phase, the pain score (SF-MPQ) after recovery, the incidence of sedation-related complication were compared between the two groups. This study explores the advantages of esketamine in reducing the use of opioids and the pain score of patients.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Analgesia

Currently open trials in the same condition.

Other Shenzhen Second People's Hospital trials

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Data sources for this page

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