Analgesia During Pediatric Digestive Endoscopy: a Comparison of Two Protocols for Procedural Sedation

NCT ID: NCT01168492

Last Updated: 2014-12-04

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2013-07-31

Brief Summary

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The purpose of this study is to determine whether ketamine, midazolam, and meperidine are more effective than midazolam and meperidine alone for procedural sedation and analgesia in pediatric digestive endoscopy. Secondary outcomes are the incidence of cardiorespiratory side effects and the necessity of rescue doses.

Detailed Description

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90 patients will be included. The sedation will include 0.1mg/kg, max 5mg iv of midazolam, 1mg/kg, max 50mg iv of meperidine, and placebo (0.9%NaCl) or ketamine 0.5mg/kg iv. Rescue doses will be given as usual, using meperidine and or midazolam 50% of the initial dose.

Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ketamine

group with triple sedation (ketamine, midazolam, meperidine)

Group Type EXPERIMENTAL

ketamine

Intervention Type DRUG

0.5mg/kg ketamine iv

placebo

group with conventional sedation and placebo ( midazolam, meperidine and placebo)

Group Type PLACEBO_COMPARATOR

ketamine

Intervention Type DRUG

0.5mg/kg ketamine iv

Interventions

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ketamine

0.5mg/kg ketamine iv

Intervention Type DRUG

Other Intervention Names

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no other names

Eligibility Criteria

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Inclusion Criteria

* Children =/\> 10 years of age
* Undergoing elective diagnostic colonoscopy
* ASA score class 1-3.

Exclusion Criteria

* Children younger than 10 years of age
* Known epilepsy under treatment
* ASA score class 4 or more
* Interventional colonoscopy (e.g.polypectomy)
Minimum Eligible Age

10 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Université de Montréal

OTHER

Sponsor Role lead

Responsible Party

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Denise Herzog

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Denise Herzog, MD

Role: PRINCIPAL_INVESTIGATOR

Université de Montréal

Locations

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Sainte Justine Hospital

Montreal, Quebec, Canada

Site Status

Countries

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Canada

References

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Gilger MA, Spearman RS, Dietrich CL, Spearman G, Wilsey MJ Jr, Zayat MN. Safety and effectiveness of ketamine as a sedative agent for pediatric GI endoscopy. Gastrointest Endosc. 2004 May;59(6):659-63. doi: 10.1016/s0016-5107(04)00180-4.

Reference Type BACKGROUND
PMID: 15114309 (View on PubMed)

McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc. 2008 May;67(6):910-23. doi: 10.1016/j.gie.2007.12.046.

Reference Type BACKGROUND
PMID: 18440381 (View on PubMed)

Related Links

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http://www.chu-sainte-justine.org/recherche/

research center of Sainte Justine Hospital

Other Identifiers

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cme#2857

Identifier Type: -

Identifier Source: org_study_id