Effects of Remifentanil on Respiratory Function in Mechanically Ventilated Patients

NCT ID: NCT00665119

Last Updated: 2008-12-18

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

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2008-10-31

Brief Summary

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Sedation is widely used in mechanically ventilated patients. Propofol, benzodiazepines and opioids are the most used drugs. The study hypothesis is that sedation with remifentanil (an opioid drug) could improved respiratory pattern and effort in mechanically ventilated patients with rapid shallow breathing or high respiratory rate.

Detailed Description

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Conditions

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Respiratory Insufficiency Respiration, Artificial Conscious Sedation

Keywords

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Respiratory Insufficiency Respiration, Artificial Remifentanil Respiratory Mechanics Work of Breathing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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treatment

Any patient alternatively receive both remifentanil and isotonic saline (placebo)infusion. The order of infusion is randomized. An interval of 30 minutes is planned between the two infusions.

Group Type EXPERIMENTAL

remifentanil

Intervention Type DRUG

0.05 mcg.kg-1.min-1 for 30 minutes by continuous endovenous infusion

placebo

Intervention Type DRUG

NaCl 0.9 %

Interventions

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remifentanil

0.05 mcg.kg-1.min-1 for 30 minutes by continuous endovenous infusion

Intervention Type DRUG

placebo

NaCl 0.9 %

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* pressure support ventilation or CPAP
* respiratory rate \> 35.min-1
* respiratory rate/tidal volume \> 105

Exclusion Criteria

* vasoactive agents (dopamine lower than 5 mcg.kg-1.min-1 is not considered as vasoactive agent)
* body temperature \> 38 °C
* Glasgow Coma Scale \< 9
* FIO2 \> 0.6
* PEEP \> 10 cmH2O
* pH \< 7.30
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Poliambulanza Istituto Ospedaliero

OTHER

Sponsor Role lead

Responsible Party

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FPoliambulanza

Principal Investigators

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Giuseppe Natalini, MD

Role: PRINCIPAL_INVESTIGATOR

Fondazione Poliambulanza Istituto Ospedaliero

Locations

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Intensive Care Unit, Fondazione Poliambulanza Istituto Ospedaliero

Brescia, , Italy

Site Status

Countries

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Italy

References

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Natalini G, Di Maio A, Rosano A, Ferretti P, Bertelli M, Bernardini A. Remifentanil improves breathing pattern and reduces inspiratory workload in tachypneic patients. Respir Care. 2011 Jun;56(6):827-33. doi: 10.4187/respcare.01014. Epub 2011 Feb 11.

Reference Type DERIVED
PMID: 21333087 (View on PubMed)

Other Identifiers

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FP-TIP-01

Identifier Type: -

Identifier Source: org_study_id