Amnestic, Cognitive Disorders, Delirium, Dementia, Inflammation
Conditions
Keywords
ketamine, Cardiac Surgery, Neurocognitive Disorders
Brief summary
The purpose of this study is to analyze the Ketamine with its anti-inflammatory profile would be able to prevent cognitive disorders in the postoperative period of cardiac surgery, since these disorders contribute to an impact on morbidity / mortality in this population.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged over 50 years. * Be submitted to cardiac surgery by sternotomy and with the use of cardiopulmonary bypass (CPB). * American Society of Anesthesiologists classification 1, 2,3 and 4.
Exclusion criteria
* Patients undergoing reoperation. * Patients undergoing heart transplantation. * Patients using vasopressor agents and / or ionotropic continuous preoperatively. * Patients with prior endotracheal intubation and consequently Ventilatory Assistance Mechanics. * Patients with documented psychiatric disorders. * Patients with previous cognitive disorders. * Patients with a history of alcohol or drug abuse. * Patients with a history of cerebrovascular accident (CVA) with less than 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in cognitive disorder, defined by a drop of 2 points in the Mini-Mental State Examination | Baseline and 7 days |
| Detectable levels of inflammatory biomarkers in bloodstream, such as: P-selectin (CD62p- ng/ml), CD40L soluble (ng/ml), s100B (ng/ml) | Change from baseline at 6 hours and 24 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Delirium assessed using the Confusion Assessment Method (CAM) | 24 hours after surgery |
| Sternotomy Pain assessed using the Visual Analogue Scale | 24 hours after surgery |
Countries
Brazil