Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial
Background: Most primary and secondary level hospitals in developing countries provide inadequate labor analgesia due to various medical, technical and economic reasons. This clinical trial was an effort to study the efficacy, safety and feasibility of intravenous (IV) ketamine to provide labor anal...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
|
| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=6;epage=10;aulast=Joel |
| _version_ | 1811283009335197696 |
|---|---|
| author | Sam Joel Anita Joselyn Verghese T Cherian Amar Nandhakumar Nithin Raju Ilamurugu Kaliaperumal |
| author_facet | Sam Joel Anita Joselyn Verghese T Cherian Amar Nandhakumar Nithin Raju Ilamurugu Kaliaperumal |
| author_sort | Sam Joel |
| collection | DOAJ |
| description | Background: Most primary and secondary level hospitals in developing countries provide inadequate labor analgesia due to various medical, technical and economic reasons. This clinical trial was an effort to study the efficacy, safety and feasibility of intravenous (IV) ketamine to provide labor analgesia. Materials and Methods: A total of 70 parturients were consented and randomly assigned to receive either IV ketamine or 0.9% saline. A loading dose of ketamine (0.2 mg/kg) was followed-by an infusion (0.2 mg/kg/h) until the delivery of the neonate. Similar volume of saline was infused in the placebo-group. Intramuscular meperidine was the rescue analgesic in both groups. The pain score, hemodynamic parameters of mother and fetus and the anticipated side-effects of ketamine were observed for. The newborn was assessed by the Neonatologist. Results: The pain score showed a decreasing trend in the ketamine group and after the 1 st h more than 60% of women in the ketamine group had pain relief, which was statistically significant. There was no significant clinical change in the maternal hemodynamics and fetal heart rate. However, 17 (48.5%) of them had transient light headedness in the ketamine group. All the neonates were breast fed and the umbilical cord blood pH was between 7.1 and 7.2. The overall satisfaction was significantly high in the intervention group (P = 0.028). Conclusion: A low-dose ketamine infusion (loading dose of 0.2 mg/kg delivered over 30 min, followed-by an infusion at 0.2 mg/kg/h) could provide acceptable analgesia during labor and delivery. |
| first_indexed | 2024-04-13T02:02:49Z |
| format | Article |
| id | doaj.art-5caf23812ac2495395af592e3579421c |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-13T02:02:49Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-5caf23812ac2495395af592e3579421c2022-12-22T03:07:33ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2014-01-018161010.4103/1658-354X.125897Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trialSam JoelAnita JoselynVerghese T CherianAmar NandhakumarNithin RajuIlamurugu KaliaperumalBackground: Most primary and secondary level hospitals in developing countries provide inadequate labor analgesia due to various medical, technical and economic reasons. This clinical trial was an effort to study the efficacy, safety and feasibility of intravenous (IV) ketamine to provide labor analgesia. Materials and Methods: A total of 70 parturients were consented and randomly assigned to receive either IV ketamine or 0.9% saline. A loading dose of ketamine (0.2 mg/kg) was followed-by an infusion (0.2 mg/kg/h) until the delivery of the neonate. Similar volume of saline was infused in the placebo-group. Intramuscular meperidine was the rescue analgesic in both groups. The pain score, hemodynamic parameters of mother and fetus and the anticipated side-effects of ketamine were observed for. The newborn was assessed by the Neonatologist. Results: The pain score showed a decreasing trend in the ketamine group and after the 1 st h more than 60% of women in the ketamine group had pain relief, which was statistically significant. There was no significant clinical change in the maternal hemodynamics and fetal heart rate. However, 17 (48.5%) of them had transient light headedness in the ketamine group. All the neonates were breast fed and the umbilical cord blood pH was between 7.1 and 7.2. The overall satisfaction was significantly high in the intervention group (P = 0.028). Conclusion: A low-dose ketamine infusion (loading dose of 0.2 mg/kg delivered over 30 min, followed-by an infusion at 0.2 mg/kg/h) could provide acceptable analgesia during labor and delivery.http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=6;epage=10;aulast=JoelKetamine infusionlabor analgesialight headednesslow-dose ketaminemeperidine |
| spellingShingle | Sam Joel Anita Joselyn Verghese T Cherian Amar Nandhakumar Nithin Raju Ilamurugu Kaliaperumal Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial Saudi Journal of Anaesthesia Ketamine infusion labor analgesia light headedness low-dose ketamine meperidine |
| title | Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial |
| title_full | Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial |
| title_fullStr | Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial |
| title_full_unstemmed | Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial |
| title_short | Low-dose ketamine infusion for labor analgesia: A double-blind, randomized, placebo controlled clinical trial |
| title_sort | low dose ketamine infusion for labor analgesia a double blind randomized placebo controlled clinical trial |
| topic | Ketamine infusion labor analgesia light headedness low-dose ketamine meperidine |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=6;epage=10;aulast=Joel |
| work_keys_str_mv | AT samjoel lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial AT anitajoselyn lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial AT verghesetcherian lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial AT amarnandhakumar lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial AT nithinraju lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial AT ilamurugukaliaperumal lowdoseketamineinfusionforlaboranalgesiaadoubleblindrandomizedplacebocontrolledclinicaltrial |