Effects of Low Dose Ketamine Given at Induction of Anesthesia on Postoperative Mood in Patients With Depressive Symptoms
Randomised, double-blind, parallel study (n=12) testing a single 0.5 mg/kg IV ketamine dose at induction of anaesthesia versus no ketamine in female surgical patients with depressive symptoms.
Detailed Description
This parallel, randomised trial enrolled female patients undergoing gynaecological surgery who scored ≥5 on the Goldberg Depression Screen to assess whether a single low dose of ketamine at induction (0.5 mg/kg IV) reduces depressive symptoms after surgery.
All participants received routine premedication (midazolam and fentanyl); outcomes included Goldberg Depression Screen at baseline and at one week, and monitoring for adverse events including suicidal ideation, nausea and vomiting.
Study Protocol
Preparation
Dosing
Integration
Study Arms & Interventions
Ketamine
experimentalKetamine 0.5 mg/kg IV at induction of general anesthesia.
Interventions
- Ketamine0.5 mg/kgvia IV• single dose• 1 doses total
Given at induction alongside midazolam and fentanyl per anaesthetic care.
No ketamine
waitlistStandard induction without ketamine.
Participants
Inclusion Criteria
- Inclusion Criteria:
- History of or current depression scoring five or above on Goldberg Depression Screen
- Non-pregnant females aged 18–65 admitted for gynaecological surgery
- Able and willing to consent
Exclusion Criteria
- Exclusion Criteria:
- Uncontrolled hypertension
- Allergy to ketamine
- Pregnancy
Study Details
- StatusTerminated
- PhasePhase NA
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment12 participants
- TimelineStart: 2015-12-01End: 2016-09-01
- Compound
- Topic