Remifentanil and Propofol Versus Fentanyl and Midazolam for Sedation During Therapeutic Hypothermia. A Randomised, Controlled Trial

NCT ID: NCT00667043

Last Updated: 2023-12-29

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2010-06-30

Brief Summary

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The aim of this study is to increase knowledge about drug properties and effects during therapeutic hypothermia. The primary end point of this study is the time from termination of sedation to extubation in patients treated with therapeutic hypothermia, after treatment with the combination remifentanil and propofol versus that of fentanyl and midazolam.

Detailed Description

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Conditions

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Hypothermia

Keywords

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therapeutic hypothermia cardiac arrest sedation remifentanil propofol fentanyl midazolam

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Study group 1

Midazolam and fentanyl; continuous intravenous infusions

Group Type ACTIVE_COMPARATOR

fentanyl and midazolam

Intervention Type DRUG

Patients will receive: midazolam; continuous intravenous infusion, concentration 5 mg/ml, 2-10 mg/hour and fentanyl; continuous intravenous infusion, concentration 0,050 mg/ml, 0.025-0.5 mg/hour. Drugs are administered to sedate the patients as part of normal treatment for as long as sedation is needed. Doses are titrated to achieve the desired level of sedation.

Study group 2

Propofol and remifentanil; continuous intravenous infusion

Group Type ACTIVE_COMPARATOR

remifentanil and propofol

Intervention Type DRUG

Patients will receive: propofol, continuous intravenous infusion, concentration 10 mg/ml, 1-4 mg/kg/hour and remifentanil; continuous intravenous infusion 0,050 mg/ml, 0.1-0.3 microgram/kg/min. Drugs are administered to sedate the patients as part of normal treatment for as long as sedation is needed. Doses are titrated to achieve the desired level of sedation.

Interventions

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remifentanil and propofol

Patients will receive: propofol, continuous intravenous infusion, concentration 10 mg/ml, 1-4 mg/kg/hour and remifentanil; continuous intravenous infusion 0,050 mg/ml, 0.1-0.3 microgram/kg/min. Drugs are administered to sedate the patients as part of normal treatment for as long as sedation is needed. Doses are titrated to achieve the desired level of sedation.

Intervention Type DRUG

fentanyl and midazolam

Patients will receive: midazolam; continuous intravenous infusion, concentration 5 mg/ml, 2-10 mg/hour and fentanyl; continuous intravenous infusion, concentration 0,050 mg/ml, 0.025-0.5 mg/hour. Drugs are administered to sedate the patients as part of normal treatment for as long as sedation is needed. Doses are titrated to achieve the desired level of sedation.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Treatment with therapeutic hypothermia following cardiac arrest (33-34°C) and analgesia/sedation required
* Patients must be 18 years or older
* Inclusion must be approved by the attending physician

Exclusion Criteria

* Pregnant women
* Cardiovascular unstable patients in a deteriorating circulatory status which require multiple other therapeutic measures that makes participation practically impossible
* Liver or renal failure defined as sequential organ failure assessment (SOFA)-score 3 or 4
* History of drug allergies, or contraindications for the study drugs
* Patients using a scheduled dose of any of the study drugs.
* Patients with a known substance abuse of opioids or benzodiazepines
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Olavs Hospital

OTHER

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pål Klepstad, MD, PhD

Role: STUDY_DIRECTOR

National Taiwan Normal University

Locations

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Stavanger University Hospital

Stavanger, Rogaland, Norway

Site Status

St. Olavs Hospital

Trondheim, Sør-Trøndelag, Norway

Site Status

Countries

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Norway

References

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Bjelland TW, Dale O, Kaisen K, Haugen BO, Lydersen S, Strand K, Klepstad P. Propofol and remifentanil versus midazolam and fentanyl for sedation during therapeutic hypothermia after cardiac arrest: a randomised trial. Intensive Care Med. 2012 Jun;38(6):959-67. doi: 10.1007/s00134-012-2540-1. Epub 2012 Apr 12.

Reference Type RESULT
PMID: 22527063 (View on PubMed)

Other Identifiers

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OPI 07 001

Identifier Type: -

Identifier Source: org_study_id