Comparison of Intravenous Lidocaine vs Ketamine in Colorectal Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorUniversity Tunis El Manar

About this trial

Patients undergoing open colorectal surgery were randomly divided into two groups: Intravenous Lidocaine (IV-Lido) vs Intravenous Ketamine (IV-Keta).

For the IV-Lido group, patients received a loading dose of Lidocaine than a continuous infusion over twenty-four hours.

For the IV-Keta goup, patients received a loading dose of Ketamine than a continuous injection of Ketamine over twenty-four hours.

Plasma concentrations of Interleukin-6(IL-6) were measured preoperatively before anesthetic induction and at twenty-four hour post operatively.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18 or older.

American society of anesthesiologists' (ASA) physical status of I-III.

Elective open colorectal surgery.

Patients with contraindications to lidocaine or ketamine.

Disqualifiers

Severe intraoperative complications.

Duration of surgery longer than 5 hours.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Lidocaine IV

    Drug

    Intravenous Lidocaine Vs intravenous Ketamine in colorectal surgery for cancer

  • Ketamine Injectable Solution

    Drug

    Intravenous Lidocaine Vs intravenous Ketamine in colorectal surgery for cancer

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: IV-LidoExperimental treatment 1 intervention
Group B: IV-KetaActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

The variation of Interleukin-6 levels

The difference of Interleukine-6 (IL-6) plasma concentration between baseline values and 24 hours after surgery.

Time frame
24 hours after surgery

Secondary outcomes

1

Pain assessed by Numerical Rating Scale (NRS)

Postoperative pain was assessed by the Numerical Rating Scale (NRS)

Time frame
Postoperatively, at Hour 2, Hour 12 and Hour 24. the patient asked to circle the number between 0 and 10:"0" usually represents 'no pain at all' whereas "10" represents 'the worst pain ever possible'.
2

Post-operative nausea and vomiting

Incidence of post-operative nausea and vomiting during the first 24 hours.

Time frame
During the first 24 hours postoperatively
3

Bowel function.

Time to return of bowel function.

Time frame
During the first 24 hours postoperatively
4

Hospital length of stay.

Hospital length of stay ( in days)

Time frame
From date of randomization until the date of to discharge from the hospital assessed up to 15 days

Other outcomes

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