Health Condition 1: C00-D49- Neoplasms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 65 years. 2. Registered in Palliative Medicine Department. 3. Suffering from a histologically diagnosed cancer. 4. Patients having nociceptive or neuropathic pain refractory to opioids,numerical rating score greater than 7/10 5. Patient giving written informed consent for this study. 6. Patient having more than 180 mg morphine in 24 hours with inadequate pain relief.
Exclusion criteria
Exclusion criteria: 1. History of allergy or intolerance to ketamine. 2. History of uncontrolled hypertension, heart disease, liver and renal disease, glaucoma, primary and malignant brain lesions. 3. Patients on psychiatric treatment 4. Subjects scheduled to receive radiotherapy (RT) to a site of pain during the study period, or who have received RT to a site of pain within 2 weeks before study entry. 5. Subjects scheduled to undergo surgical treatment during the study period are likely to affect pain. 6. Subjects on or starting chemotherapy if there is a significant expectation of that therapy affecting pain. 7. Patients are included in other study group
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To assess efficacy( in terms of changing NRS) of low dose intravenous ketamine in opioid refractory cancer pain in patients suffering from advanced cancer. 2. To assess safety (in terms of adverse effects )of low dose intravenous ketamine in opioid refractory cancer pain in patients suffering from advanced cancerTimepoint: 1. The first follow up will be done at 2nd week after discharge pain intensity and dose of opioid. 2. The second follow up will be done at 4th week after discharge regarding pain intensity and dose of opioid | — |
Secondary
| Measure | Time frame |
|---|---|
| adverse events & sustainability of ketamine effect.Timepoint: at time of discharge at second week & fourth week of discharge. | — |
Countries
India
Contacts
SAWAI MAN SINGH MEDICAL COLLEGE AND ATTACHED HOSPITALS JAIPUR