Balanced Anesthesia for Intubation of Premature Infants

NCT ID: NCT00216944

Last Updated: 2010-02-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-08-31

Study Completion Date

2009-10-31

Brief Summary

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The study aim is to compare a balanced anesthesia of the medicines used in all other age groups with the routine premedication in use for premature's with regards to the success in the intubation procedure, the need for analgesia during and after intubation and the stress reaction. In addition a pain scale for prolonged stress/pain for premature neonates in NICU-care will be validated, and the individual pharmacogenetic profile in relation to the need of morphine after the intubation will be investigated. The hypothesis is that balanced anesthesia before intubation facilitates the procedure, decreases the amount of stress and pain related to it, and causes a decreased need for analgesia after the intubation.

Detailed Description

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Conditions

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Premature Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

Premedication with atropine and morphine

Group Type ACTIVE_COMPARATOR

Tracheal intubation for respiratory care in preterm infants

Intervention Type PROCEDURE

Premedication with atropine 0.02 mg/kg and morphine 0.03 mg/kg

2

Premedication with glycopyrronium, thiopental, suxamethonium and remifentanil

Group Type ACTIVE_COMPARATOR

Tracheal intubation for respiratory care in preterm infants

Intervention Type PROCEDURE

Premedication with glycopyrronium 0.005 mg/kg, thiopental 2-3 mg/kg (\< 2 kg 2 mg/kg), suxamethonium 2 mg/kg and remifentanil 0.001 mg/kg

Interventions

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Tracheal intubation for respiratory care in preterm infants

Premedication with atropine 0.02 mg/kg and morphine 0.03 mg/kg

Intervention Type PROCEDURE

Tracheal intubation for respiratory care in preterm infants

Premedication with glycopyrronium 0.005 mg/kg, thiopental 2-3 mg/kg (\< 2 kg 2 mg/kg), suxamethonium 2 mg/kg and remifentanil 0.001 mg/kg

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* \<37 gw at birth
* \<72 hours postnatal age, not previously intubated and no analgetics or sedatives the last 12 hours or \>72 hours postnatal age, primary or reintubation
* Informed consent from parents

Exclusion Criteria

* Intubation directly postnatally at the delivery room
* Asphyxia (apgar \<4 at 10 min, Umb-pH \<7,0
* S-Potassium \> 6,5
* Major malformations
* Postsurgery intubation
* Included in an other intervention study first week in life
* Other intervention study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lund University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Department of Peadiatrics, Lund University

Principal Investigators

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Vineta Fellman, Professor

Role: PRINCIPAL_INVESTIGATOR

Lund University and Lund University Hospital

Locations

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Neonatal Departement Lund University Hospital

Lund, , Sweden

Site Status

Countries

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Sweden

References

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Norman E, Wikstrom S, Rosen I, Fellman V, Hellstrom-Westas L. Premedication for intubation with morphine causes prolonged depression of electrocortical background activity in preterm infants. Pediatr Res. 2013 Jan;73(1):87-94. doi: 10.1038/pr.2012.153. Epub 2012 Nov 5.

Reference Type DERIVED
PMID: 23128421 (View on PubMed)

Norman E, Wikstrom S, Hellstrom-Westas L, Turpeinen U, Hamalainen E, Fellman V. Rapid sequence induction is superior to morphine for intubation of preterm infants: a randomized controlled trial. J Pediatr. 2011 Dec;159(6):893-9.e1. doi: 10.1016/j.jpeds.2011.06.003. Epub 2011 Jul 27.

Reference Type DERIVED
PMID: 21798556 (View on PubMed)

Other Identifiers

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EUDRACT EU 2004-001583-52

Identifier Type: -

Identifier Source: org_study_id

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