RecruitingNot ApplicableNCT07520487

Effect of Intravenous Ketamine Combined With Spinal Anesthesia on Sensory Block Duration Compared to Spinal Anesthesia Alone in Lower Limb Surgeries in Geriatrics.

Effect of Intravenous Ketamine Combined With Spinal Anesthesia on Sensory Block Duration Compared to Spinal Anesthesia Alone in Lower Limb Surgeries in Geriatrics: A Randomized Controlled Double-Blinded Trial.


Sponsor

Cairo University

Enrollment

61 participants

Start Date

Apr 25, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Effect of Intravenous Ketamine combined with Spinal Anesthesia on Sensory Block Duration compared to Spinal Anesthesia alone in Lower Limb surgeries in geriatrics:


Eligibility

Min Age: 65 Years

Inclusion Criteria4

  • Patients aged 65 years and older
  • Both sexes
  • American Society of Anesthesiologists (ASA) physical status I, II, III
  • Scheduled for elective lower limb surgeries under spinal anesthesia in supine position

Exclusion Criteria5

  • Patient's refusal.
  • Pre-existing neurological disorders.
  • Coagulopathy (i.e., Platelets ≤ 60,000 and/or INR> 1.5).
  • Localized infection at the site of needle insertion.
  • Known hypersensitivity or allergies to any of the used drugs

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Interventions

DRUGPatients will receive 0.2 mg/kg IV of ketamine diluted to 5 ml followed by infusion 0.1 mg/kg/hr as a 20 ml solution

Patients will receive 0.2 mg/kg IV of ketamine diluted to 5 ml followed by infusion 0.1 mg/kg/hr as a 20 ml solution

DRUGPatients will receive 5 ml of saline followed by infusion 0.1 ml/kg/hr as a 20 ml solution as a control group

Patients will receive 5 ml of saline followed by infusion 0.1 ml/kg/hr as a 20 ml solution as a control group


Locations(1)

Cairo university hospitals

Cairo, Giza Governorate, Egypt

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NCT07520487