Evaluation of Sedation in Newborns

NCT ID: NCT01265186

Last Updated: 2010-12-23

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

UNKNOWN

Total Enrollment

67 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-12-31

Brief Summary

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Neonates treated on Neonatal Intensive Care Units are often critically ill, subject to numerous painful procedures and often dependent on mechanical ventilation. Mechanical ventilation as well as painful conditions require a sufficient analgesia and or an accurately regulated sedation. Newborns incapable of self-report are therefore dependent on the assessment of the infants level of pain and sedation by the treating team.

The aim of this prospective, controlled, observer-blinded clinical trial is to compare the performance of two EEG based methods and a clinical sedation scale to measure the level of sedation in neonates. The Bispectral-Index (BIS) and the amplitude-integrated EEG (aEEG) are compared with the Neonatal Pain and Sedation Scale (N-PASS). We hypothesize a correlation between the clinical sedation score (N-PASS), the bispectral index (BIS) and the amplitude-integrated EEG (aEEG). Fifty-two mechanically ventilated term neonates and fifteen control patients are enrolled and observed for up to 72h.

Detailed Description

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Conditions

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Sedation

Keywords

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Sedation BIS aEEG Neonatal Pain and Sedation Scale neonate newborn

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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Ventilated term newborns

Ventilated newborns with a corrected gestational age ≧ 37 weeks of gestation until the 28th day of life respectively ≦ 44 weeks of gestation

Bispectral Index

Intervention Type DEVICE

The Bispectral-Index is continuously recorded for up to 72 hours in the group of ventilated newborns. Every 15 minutes, a value that was generated by averaging the BIS values of the last 15 minutes will be recorded (automatically calculated by the software of the readout device). The Bispectral-Index is continuously recorded for a minimum of 4 hours in the controls.

Amplitude-integrated EEG

Intervention Type DEVICE

A aEEG is recorded once daily for a minimum of four hours in the group of ventilated newborns. In Controls an aEEG is recorded once for a minimum of four hours.

Control group: healthy term newborns

Control group: healthy newborns with a corrected gestational age ≧ 37 weeks of gestation until the 28th day of life respectively ≦ 44 weeks of gestation

Bispectral Index

Intervention Type DEVICE

The Bispectral-Index is continuously recorded for up to 72 hours in the group of ventilated newborns. Every 15 minutes, a value that was generated by averaging the BIS values of the last 15 minutes will be recorded (automatically calculated by the software of the readout device). The Bispectral-Index is continuously recorded for a minimum of 4 hours in the controls.

Amplitude-integrated EEG

Intervention Type DEVICE

A aEEG is recorded once daily for a minimum of four hours in the group of ventilated newborns. In Controls an aEEG is recorded once for a minimum of four hours.

Interventions

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Bispectral Index

The Bispectral-Index is continuously recorded for up to 72 hours in the group of ventilated newborns. Every 15 minutes, a value that was generated by averaging the BIS values of the last 15 minutes will be recorded (automatically calculated by the software of the readout device). The Bispectral-Index is continuously recorded for a minimum of 4 hours in the controls.

Intervention Type DEVICE

Amplitude-integrated EEG

A aEEG is recorded once daily for a minimum of four hours in the group of ventilated newborns. In Controls an aEEG is recorded once for a minimum of four hours.

Intervention Type DEVICE

Other Intervention Names

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BIS VISTA™ Monitoring System, Covidien The Olympic CFM 6000

Eligibility Criteria

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Inclusion Criteria

* newborns with a corrected gestational age ≧ 37 and ≦ 44 weeks of gestation

Exclusion Criteria

* congenital malformations
* chromosomal aberrations
* brain abnormalities
* severe cerebral hemorrhage (grade III-IV)
* cystic periventricular leukomalacia
* infections of the central nervous system
Minimum Eligible Age

1 Day

Maximum Eligible Age

28 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Medical University of Vienna

Locations

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Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Vienna

Vienna, , Austria

Site Status RECRUITING

Countries

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Austria

Facility Contacts

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P Deindl, MD

Role: primary

Other Identifiers

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704/2010

Identifier Type: -

Identifier Source: org_study_id