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Ketamine Sedation As Neuroprotective Agent Following Out-of-hospital Cardiac Arrest
Sponsor: Christian Hassager
Summary
OHCA is a critical medical emergency with significant mortality and morbidity primarily due to hypoxic-ischemic brain injury (HIBI). Despite advances in resuscitation techniques, the neurological outcomes for survivors remain poor. Current post-resuscitation practices lack specific neuroprotective strategies. Ketamine, an N-Methyl-D-Aspartate (NMDA) receptor antagonist, has shown potential neuroprotective properties in preclinical and clinical studies due to its ability to inhibit excitotoxicity and reduce neuronal apoptosis. This trial hypothesizes that ketamine, when used for sedation in OHCA patients, may offer superior neuroprotective benefits compared to the commonly used sedative propofol. By comparing the effects of ketamine and propofol on neuronal damage markers and long-term neurological outcomes, this study aims to identify a potentially effective intervention to improve the prognosis of OHCA patients.
Official title: KETamine Sedation As Neuroprotective Agent Following Out-of-hospital Cardiac Arrest (OHCA) - the KETOHCA Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
282
Start Date
2024-12-12
Completion Date
2027-09-01
Last Updated
2024-12-20
Healthy Volunteers
No
Conditions
Interventions
esketamine hydrochloride
Prehospital intravenous or intraosseous bolus administration at a minimum of 0.5 mg/kg of esketamine
propofol
Prehospital intravenous or intraosseous bolus administration at a minimum dose of 0.25 mg/kg propofol
Locations (2)
Department of Cardiology, Rigshospitalet
Copenhagen, Denmark
Odense University Hospital
Odense C, Denmark