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Prevention of Persistent Postsurgical Pain After Thoracotomy

CompletedPhase 4NCT01243801
View the official record on ClinicalTrials.gov

Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.

This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.

Brief summary (from the registry)

Postthoracotomy acute pain is followed by persistent postsurgical pain in 20-30% of the patients, defined as pain that lasts more than 3-6 months after surgery. Acute pain and hyperalgesia around the surgical wound are some of the risk factors associated to the development of chronic pain. Ketamine, as a NMDA antagonist mainly at spinal level, might reduce periincisional hyperalgesia and persistent postsurgical pain after thoracotomy. Therefore, the investigators hypothesized that continuous ketamine infusion at subanesthetic dose would potentiate epidural ropivacaine and fentanyl-induced analgesia after thoracotomy, reduce periincisional hyperalgesia and long-term postoperative pain. To test these hypothesis, the investigators administered a low dose of intravenous ketamine or epidural ketamine or placebo to patients who received an epidural infusion of ropivacaine and fentanyl for postthoracotomy pain.

Study details

Official title
Phase 4 Study of Prevention of Persistent Postsurgical Pain After Thoracotomy Using Ketamine
Conditions
  • Persistent Pain
  • Postoperative Hyperalgesia
Interventions
Sponsor
Hospital Clinic of Barcelona
Start date
2008-09
Primary completion
2011-10
Sex
All
Age range
from 18 Years
Results posted
No results posted in this snapshot
Countries
Spain
Total sites listed
2

Eligibility criteria

Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Patients over 18 years old submitted to thoracotomy or minithoracotomy expected to be extubated in the operating room Exclusion Criteria: * Allergy or intolerance to ketamine, local anesthetics or opioids * Chronic preoperative pain * Chronic opioid treatment * Drug addiction * Polyneuropathy * Ischemic cardiopathy * Psychiatric disease

Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT01243801