Could a Ketamine-Like drug make emergency ICU intubations safer?
NCT ID NCT05464979
First seen Jul 21, 2026 · Last updated Jul 22, 2026 · Updated 1 time
Summary
This trial tests whether esketamine, a drug related to ketamine, provides safer sedation than standard medications (midazolam and fentanyl) when critically ill patients need emergency breathing tubes in the ICU. Researchers will monitor blood pressure, heart rate, and oxygen levels before, during, and after the procedure. The goal is to see if esketamine leads to more stable vital signs and fewer complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- esketamine (a form of ketamine) given intravenously for sedation during emergency intubation
- What this could lead to
- If esketamine proves safer, it could become a preferred sedative for emergency intubations in the ICU, reducing complications.
- What could go wrong
- This is a small, early-phase trial with only 80 patients, so results may not apply broadly. Esketamine can cause side effects like increased heart rate or blood pressure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
-
80 people
The number who actually took part.
- Started
-
Aug 2022
- Finished
-
Jun 2023
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged ≥ 18 years old without restriction of gender, race, religion, creed or nationality; * No use of sedatives within the half-life of their elimination before inclusion; * Patients and/or their family members know and agree to participate in the trial. Exclusion Criteria: * Age \<18 years,Allergy to esketamine or midazolam; * Endotracheal tract required intubation without notsedative drugs, such as cardiac arrest、neurologic dysfunction or the need for awake intubation * Patients with suspected elevated intracranial pressure; * Bradycardia (heartrate (HR) less than 50 beats / min) or atrioventricular block; * Untreated or undertreated hyperthyroid patients; * Chronic kidney disease; * Severe chronic liver disease (child-Pugh: Grade C); * Alcohol or opioid dependence, mental illness, or severe cognitive impairment; * Pregnancy or lactation; * Lack of informed consent.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022, China
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