Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patients aged 18 to 65 years undergoing modified radical mastectomy. 2.American society of Anesthesiologists (ASA) status 1-3
Exclusion criteria
Exclusion criteria: 1.History of dementia or Montreal cognition assessment score less than 26 2.severe audio-visual impairments and illiterate patients. 3.Allergy to any of the drugs used in the study including ketamine and dexmedetomidine. 4.patients receiving regional blocks for postoperative analgesia for MRM 5. ischemic heart disease and uncontrolled hypertension, severe pulmonary disease, heart failure (New York Heart Association class > II). 6. History of known psychiatric/ neurodegenerative disorder 7. Hepatic or renal impairment. 8. patients taking sedatives, antidepressants and glucocorticoids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the cognition status based on preoperative & postoperative Montreal cognition assessment examination scores between a group receiving intraoperative infusion of sub-anesthetic ketamine & a group receiving intraoperative dexmedetomidine infusion in patients undergoing modified radical mastectomyTimepoint: 12 hours before surgery 6 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. VAS score 2.intraoperative fentanyl consumption 3.Comparison of the total morphine consumption 4.time to extubation 5.recovery characteristics between the groups using Quality of life questionnaireTimepoint: 1. 3,6,12,24 hours after surgery 2.during surgery 3.during the first twenty four hours after surgery 4.time from end of surgery to removal of laryngeal mask airway or endotracheal tube. 5.at the end of three months. | — |
Countries
India
Contacts
Jawaharlal Institute of Postgraduate Medical Education and Research