ICU Patients, Sedation
Conditions
Brief summary
The aim of the study is to compare the use of dexmedetomidine + ketamine with dexmedetomidine + placebo for sedation in ICU patients in terms of safety and efficacy
Interventions
Comparing Dexmedetomidine + Ketamine versus Dexmedetomidine + Placebo for sedation in ICU patients
Comparing Dexmedetomidine + Ketamine versus Dexmedetomidine + Placebo for sedation in ICU patients
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18-80 years old * Admitted to Intensive care unit at LAUMCRH * Need for sedation for at least 24 hours * Informed Consent Form signed by patient or surrogate
Exclusion criteria
* Pregnant patients * At risk of increased intracranial pressure * Aortic dissection * Acute coronary syndrome * Hypertension (SBP \> 180 mmHg) * Chronic alcoholism * Acute alcohol intoxication * Alcohol withdrawal * Refractory status epilepticus * History of psychiatric disorder * Known allergy or contraindication to use of dexmedetomidine or ketamine * Baseline hypotension (MAP\<65 mmHg) * Baseline bradycardia (HR\<48 bpm) * Patients receiving neuromuscular blocking agents * Patients requiring deep sedation as determined by the ICU attending
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measuring blood pressure to assess hypotension when using a combination of the two drugs for sedation versus Dexmedetomidine and placebo only | Within 24 hours of drugs administration | Measuring blood pressure to assess hypotension when using a combination of the two drugs for sedation versus Dexmedetomidine and placebo only |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measuring the doses of dexmedetomidine and ketamine when combined and the doses of dexmedetomidine when used alone to achieve desired level of sedation | Within 24 hours of drugs administration | Measuring the doses of dexmedetomidine and ketamine when combined and the dose of dexmedetomidine when used alone to achieve desired level of sedation |
Countries
Lebanon