Health Condition 1: G936- Cerebral edema
Conditions
Interventions
Intervention1: Ketamine sedation: Ketamine at a dose of 1-5mg/kg/hr infusion to patients of moderate to severe traumatic brain injury requiring mechanical ventilation
Control Intervention1: Propofol s
Sponsors
Postgraduate Institute of Medical Education and Research Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA physical status I-III 2.Marshall CT score more than 2
Exclusion criteria
Exclusion criteria: a) Patients with thrombocytopenia (platelet count less than 1 lac/mm3) or coagulopathy (INR >1.5) b) Polytrauma with Injury severity Score more than 15
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cerebral Perfusion Pressure following initiation of sedation regimen till 48 hours of mechanical ventilation Timepoint: Cerebral Perfusion Pressure following sedation regimen will be assessed hourly for the first 12 hours, 2 hourly for the next 12 hours and 4 hourly till 48 hours of mechanical ventilation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time for resolution of raised ICPTimepoint: 72 hours;2. GOS-E at 3 months follow upTimepoint: 3 months after discharge | — |
Countries
India
Contacts
Public ContactRevathi Nair
Postgraduate Institute of medical Education and Research, Chandigarh
Outcome results
None listed