Status:

COMPLETED

Ketamine for Acute Painful Crisis in Sickle Cell Disease Patients

Lead Sponsor:

Imam Abdulrahman Bin Faisal University

Conditions:

Sickle Cell Crisis

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

Investigators hypothesize that administration of ketamine for pain relief in sickle cell patients with vaso-occlusive crisis early on will lead to a more rapid improvement in pain score and less narco...

Detailed Description

Sickle cell disease is an inherited hematological disorder where the shape of red blood cells (RBC) is altered into a sickle-like cells resulting in red blood cell destruction and therefore anemia and...

Eligibility Criteria

Inclusion

  • Known diagnosis of SCD based on sickle cell tests and hemoglobin electrophoresis.
  • Age 18 to 60 years
  • Acute onset of painful crises, defined as having an onset within 7 days

Exclusion

  • Pregnancy
  • Breast-feeding
  • Altered mental status
  • Body mass index greater than 40 kg/m2
  • Patients with significant neurological disease
  • Seizures
  • Acute head injury
  • Acute eye injury
  • Patients with high intra-cranial tension
  • Patients with known psychiatric disorders
  • Patients with significant cardiac diseases
  • Arrhythmias
  • Patients with significant pulmonary diseases rather than acute chest syndrome
  • Patients with significant renal disease (BUN/creatinine ratio \< 25)
  • Patients with significant hepatic disease (Child Pugh class B or C)
  • Patients with significant endocrine disease
  • Known allergy to phencyclidine derivatives
  • Known allergy to ketamine
  • Known allergy to morphine
  • Sepsis
  • Septic shock
  • Patients required circulatory support
  • Patients required ventilatory supports
  • Alcohol abuse
  • Drug abuse
  • Patients with chronic pain status unrelated to SCD
  • Patients receiving anti-convulsant medications
  • Patients receiving anti-psychiatric medications.
  • Patients with communication barriers.

Key Trial Info

Start Date :

January 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2019

Estimated Enrollment :

278 Patients enrolled

Trial Details

Trial ID

NCT03431285

Start Date

January 1 2018

End Date

February 1 2019

Last Update

May 28 2025

Active Locations (1)

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Imam Abdulrahman Bin Faisal University

Dammam, Eastern Province, Saudi Arabia, 31952