Page last updated: 2024-10-29

ketorolac and Anoxemia

ketorolac has been researched along with Anoxemia in 4 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Research Excerpts

ExcerptRelevanceReference

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (25.00)18.2507
2000's1 (25.00)29.6817
2010's1 (25.00)24.3611
2020's1 (25.00)2.80

Authors

AuthorsStudies
Seeger, DR1
Golovko, SA1
Grove, BD1
Golovko, MY1
Markwald, RR1
Kirby, BS1
Crecelius, AR1
Carlson, RE1
Voyles, WF1
Dinenno, FA1
Palayoor, ST1
Tofilon, PJ1
Coleman, CN1
Blackburn, A1
Stevens, JD1
Wheatley, RG1
Madej, TH1
Hunter, D1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prospective Evaluation of the Effects of IV Ketorolac on Platelet Function Post-Cesarean Delivery[NCT03805607]Phase 440 participants (Actual)Interventional2021-01-18Active, not recruiting
A Prospective, Randomized, Control Trial of Ketorolac Versus Placebo on Opioid Analgesic Use, Estimated Blood Loss and Complications Following Cesarean Delivery With Epidural Morphine[NCT02509312]Phase 470 participants (Actual)Interventional2016-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Anti-emetic Doses

Total doses of medications to treat pruritus (opioid side-effect) including ondansetron and promethazine. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Corrected Change in Hct on POD1.

Corrected change in Hct on POD1. Performed by subtracting POD1 Hct from POD0 Hct. Correction for transfusion by further subtracting 3 per unit of pRBC transfused to account for the typical change seen per unit transfused. (NCT02509312)
Timeframe: POD1

Interventionmg/dl (Mean)
Ketorolac-5.1
Placebo-3.5

Estimated Blood Loss (EBL)

Estimation of blood loss during surgery (NCT02509312)
Timeframe: Immediately post-op

Interventionml (Median)
Ketorolac900
Placebo800

Post-Partum Hemorrhage

Rate of Post-Partum Hemorrhage between groups during the first 24 hours pst-partum. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

InterventionParticipants (Count of Participants)
Ketorolac7
Placebo4

Pruritus Doses

Total doses of medications to treat pruritus (opioid side-effect) including diphenhydramine, nalbuphine and naloxone. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Total Hydromorphone Dose

Total hydromorphone doses in mg in the first 24 hours post-partum. (NCT02509312)
Timeframe: 0 - 24 hours post-partum.

Interventionmg (Median)
Ketorolac0
Placebo0.2

Units of Packed Reb Blood Cell Transfused

Total number of Units of Packed Reb Blood Cell Transfused in intra-op until 24 hours post-partum. (NCT02509312)
Timeframe: Intra-op until 24 hours post-partum.

Interventionunits of pRBCs (Median)
Ketorolac0
Placebo0

Uterotonic Doses

Total number of uterotonic doses including methylergonovine, carboprost and misoprostol. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

Interventiondoses (Median)
Ketorolac0
Placebo0

Change in Pain Score Post-Cesarean Delivery

Pain score post-Cesarean Delivery using 11-point numerical rating scale (NRS): 0-10 where 0 is no pain and 10 is the worst pain imaginable (NCT02509312)
Timeframe: Up to 24 hours post-cesarean delivery

,
Interventionunits on NRS (Median)
Baseline15 mins1 hour6 hours12 hours24 hours
Ketorolac000124.5
Placebo00033.55.5

Percentile Change in Diastolic Blood Pressure (DBP) at 6,12, and 24 Hours

Percentile change in diastolic Blood Pressure at 6,12, and 24 hours for each patient's baseline defined by immediate post-op PACU vitals. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

,
InterventionPercent change (Mean)
6 hours12 hours24 hours
Ketorolac12.308.812.0
Placebo7.68.811.1

Percentile Change in Systolic Blood Pressure at 6,12, and 24 Hours

Percentile change in Systolic Blood Pressure at 6,12, and 24 hours for each patient's baseline defined by immediate post-op PACU vitals. (NCT02509312)
Timeframe: 0 - 24 hours post-partum

,
InterventionPercent change (Mean)
6 hours12 hours24 hours
Ketorolac-2.0-9.10-5.9
Placebo-0.6-2.85-3.5

Trials

2 trials available for ketorolac and Anoxemia

ArticleYear
Combined inhibition of nitric oxide and vasodilating prostaglandins abolishes forearm vasodilatation to systemic hypoxia in healthy humans.
    The Journal of physiology, 2011, Apr-15, Volume: 589, Issue:Pt 8

    Topics: Adrenergic beta-Antagonists; Analysis of Variance; Blood Flow Velocity; Blood Gas Analysis; Blood Pr

2011
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Anesthesia; Double

1995

Other Studies

2 other studies available for ketorolac and Anoxemia

ArticleYear
Cyclooxygenase inhibition attenuates brain angiogenesis and independently decreases mouse survival under hypoxia.
    Journal of neurochemistry, 2021, Volume: 158, Issue:2

    Topics: Angiogenesis Inhibitors; Animals; Chronic Disease; Cyclooxygenase Inhibitors; Dose-Response Relation

2021
Ibuprofen-mediated reduction of hypoxia-inducible factors HIF-1alpha and HIF-2alpha in prostate cancer cells.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2003, Aug-01, Volume: 9, Issue:8

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Basic Helix-Loop-Helix Transcription Factors; Cell Line, Tu

2003