Intractable pain in cancer patients with bone metastasis Cancer
Conditions
Interventions
Based on the dosage of ketamine, propofol and ketofol for the sedation and/or analgesia in the previous studies, we conducted a preliminary study on 20 cancer patients with intractable pain to determi
the concentration of both ketamine and propofol was 1 mgml per min.
Sponsors
Devrek-Dent Private Health Care Limited Company (Turkey)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Intractable cancer pain caused by bone metastasis 2. Age 18 years or over 3. Recent use of the fentanyl patch 4. Duration of pain being 4 weeks or longer 5. Visual analog scale (VAS) pain intensity score during the previous week = 5 cm (on a scale of 0-10 cm)
Exclusion criteria
Exclusion criteria: We excluded the patients with a confirmed or suspected allergy to intravenous fat emulsion, propofol or ketamine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. VAS scores were recorded at baseline (after first morphine titration), 1 h, 3 h, 6 h, 12 h, 24 h and 48 h 2. Cumulative morphine consumption (CMC) was recorded at 1 h, 3 h, 6 h, 12 h, 24 h and 48 h after the start of the drugs infusion | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Age, gender, weight, height, underlying disease, length of stay in hospital (LOS) measured at baseline 2. Vital status at hospital was evaluated at one month 3. Simplified acute physiology score III (SAPS III) points, and SAPS III predicted mortality (%) were recorded at baseline 4. Heart rate (HR) and mean arterial pressure (MAP) were recorded by an independent investigator at baseline, 5 min, 15 min, 30 min, 1 h, 3 h, 6 h, 12 h, 24 h and 48 h 5. Side effects including nausea, vomiting, hallucination, double vision, dreaming and nightmares were recorded at 48 hours | — |
Countries
Turkey
Outcome results
None listed