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Table 2 Reasons for protocol non-adherence

From: Adjunctive ketamine for sedation in critically ill mechanically ventilated patients: an active-controlled, pilot, feasibility clinical trial

Variables

All (N = 83)

CG (N = 43)

Ketamine (N = 40)

None

63 (76)

32 (74.4)

31 (77.5)

Violated inclusion criteria

1 (1.2)

0 (0)

1 (2.5)

Violated exclusion criteria

1 (1.2)

1 (2.3)

0 (0)

Missed or discontinued trial protocol, N (%)

18 (21.7)

10 (23.3)

8 (20)

Reasonsa

 Excessive sedation and patients not in target RASS, N (%)

2 (2.4)

0 (0)

2 (5)

 Death at 48 h post-randomization, N (%)

4 (4.8)

2 (4.7)

2 (5)

 Goal of care changed to comfort care, N (%)

2 (2.4)

1 (2.3)

1 (2.5)

 Physician decline patient participation post-randomization, N (%)

1 (1.2)

0 (0)

1 (2.5)

 Persistent tachycardia within the first 48 h [HR > 150 beats/min], N (%)

4 (4.8)

1 (2.3)

3 (7.5)

 Persistent hypertension within the first 48 h [systolic blood pressure ≥ 180 mmHg], N (%)

1 (1.2)

0 (0)

1 (2.5)

 New structural brain disease, N (%)

4 (4.8)

4 (9.3)

0 (0)

  Unknown reason, N (%)

2 (2.4)

2 (4.7)

0 (0)

  1. CG control group (donates to standard of care), HR heart rate, RASS Richmond Agitation–Sedation Scale
  2. aPatient could have > 1 reasons