NCT05551910: Comparison of Analgesic and Sedative Effects of Esmketamine and Remifentanil…

Summary

Septic shock patients with invasive mechanical ventilation who were randomly enrolled in ICU were divided into esketamine group (test group) and remifentanil group (control group) according to the ratio of 1:1. The dose of vasopressor, the time of mechanical ventilation, the incidence of intestinal dysfunction and the dose of propofol were compared between the two groups. Through statistical analysis, it was determined whether esketamine combined with propofol could improve the prognosis of septic shock patients with invasive mechanical ventilation and reduce the adverse reactions of analgesic and sedative drugs compared with remifentanil combined with propofol.

Timeline

Start: 2023-01-01
Primary completion: 2025-01-01
Completion: 2025-03-01

Outcome

Met primary endpoint

paper The dosage of norepinephrine of esketamine group was less than that of remifentanil group(P=0.007). PMID 40416798 ↗

Publications

Li Y, Li H, Zhang F, Chen Y, Zhang D. Effects of Esketamine Versus Remifentanil on Hemodynamics and Prognosis in Patients with Septic Shock Receiving Invasive Mechanical Ventilation: A Randomized Controlled Trial. Drug Des Devel Ther. 2025 May 21;19:4139-4149. doi: 10.2147/DDDT.S520252. eCollection 2025.

Drugs

Evaluation	Drug	Modality	Dose	Route
Subject	Esketamine	Other / unclassified	—	—
Subject	Remifentanil	Small molecule	—	—
Background	Propofol	Small molecule	—	—

Indications