To investigate the clinical use of Ketamine for the prevention of postoperative delirium in patients undergoing noncardiac surgery.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • The patient has provided written informed consent. • Age = 65 years. • The patient is planned for hip or knee replacement surgery or major/peripheral vascular surgery under general anesthesia, with a scheduled duration of more than one hour and a minimal hospitalization of three days. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 250
Exclusion criteria
Exclusion criteria: • The patient has severe systemic disease that limits activity and is a constant threat to life (ASA IV). • The patient has an acute psychiatric disorder. • The patient has an active infection and/or fever is present. • The patient has a history of hypersensitivity to one of the study drugs. • The patient has a MMSE score below 24 points. • Prolonged sedation after surgery for more than 24 hours is anticipated. • The patient has a history of poorly/uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Prevention of postoperative delirium.;Secondary Objective: Secondary goals include blood levels of specified biomarkers that are associated with a delirium.;Primary end point(s): The main study endpoint is the incidence of postoperative delirum within the first three postoperative days.;Timepoint(s) of evaluation of this end point: within 3 days of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary endpoints include blood levels of specified biomarkers that are associated with a delirium.;Timepoint(s) of evaluation of this end point: within 3 days of surgery | — |
Countries
Netherlands
Contacts
Erasmus Medical Center