Ketamine Patient Controlled Analgesia for Acute Pain in Trauma Patients: A Randomized, Active Comparator Controlled, Blinded, Pilot Trial

Abstract

It is unknown whether ketamine administered via patient-controlled analgesia provides adequate analgesia in trauma patients while reducing opioid consumption in the traumatically injured patient. The objective of this study was to compare differences in breakthrough opioid consumption. It was hypothesized that ketamine patient-controlled analgesia leads to decreased opioid use and similar pain scores compared to hydromorphone patient-controlled analgesia. This was an investigator-initiated, single-center, patient- and caregiver-blinded, randomized, pilot trial conducted from 2014-2016 in a surgical intensive care unit at a level 1 trauma center. Participants were native airway trauma patients with an injury severity score of greater than 9 who were receiving patient-controlled analgesia per the primary treating team. Four subjects in the ketamine group and one subject in the hydromorphone group withdrew from the study after initiating therapy.

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Document Details

Document Type
Technical Report
Publication Date
Jan 11, 2017
Accession Number
AD1025012

Entities

People

  • Bryce R. Robinson
  • Christopher A. Droege
  • Eric W. Mueller
  • Jay A. Johanningman
  • Megan Webb
  • Molly Droege
  • Neil Ernst
  • Richard D Branson
  • Sheila Takieddine
  • Travis W. Gerlach

Tags

DTIC Thesaurus Topics

  • Air Force
  • Analgesia
  • Anxiety Disorders
  • Cardiovascular Physiological Phenomena
  • Cardiovascular System
  • Diseases And Disorders
  • Drug Abuse
  • Health Services
  • Ketamine
  • Medical Personnel
  • Neurobehavioral Manifestations
  • Opioids
  • Pain
  • Therapy
  • Traumatic Stress Disorder

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.
  • Trauma or Military Medicine