Atropine Versus no Atropine for Neonatal Rapid Sequence Intubation

NCT ID: NCT01595399

Last Updated: 2013-09-24

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

Clinical Phase

PHASE4

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2014-06-30

Brief Summary

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The purpose of this study is to compare heart rate in infants who receive atropine as a part of their medication before intubation to those who do not.

To be able to find out , we need to divided babies into 2 groups;

group 1 : receives atropine + sedation + muscle relaxant group 2 : receives water or saline ( placebo group) + sedation + muscle relaxant

Then we need to compare heart rate during intubation and duration of intubation between the 2 groups.

Detailed Description

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We hypothesize that premedication for intubation with fentanyl and succinylcholine alone will maintain equal stability of heart rate and oxygen saturation without a prolongation of time to completion of intubation when compared to a protocol using atropine, fentanyl and succinylcholine.

In order to answer this question we plan to undertake a prospective randomized double blinded control trial of use of atropine as an adjunct for elective intubation of infants less than 46 weeks postmenstrual age.

Conditions

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Bradycardia Hypoxemia

Keywords

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bradycardia hypoxemia intubation premedication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Atropine, fentanyl and succinylcholine

20 mcg/kg atropine IV, 3 mcg/kg fentanyl slowly IV and 2 mg/kg succinylcholine IV.

Group Type ACTIVE_COMPARATOR

atropine

Intervention Type DRUG

Atropine 0.02 mg/kg IV

placebo, fentanyl and succinylcholine

an equivalent volume of normal saline to atropine IV, 3 mcg/kg fentanyl slowly IV and 2 mg/kg succinylcholine IV.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

an equivalent volume of normal saline to atropine IV

Interventions

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atropine

Atropine 0.02 mg/kg IV

Intervention Type DRUG

Placebo

an equivalent volume of normal saline to atropine IV

Intervention Type DRUG

Other Intervention Names

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AtroPen 0.9% sodium chloride

Eligibility Criteria

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Inclusion Criteria

* Any infant (preterm and term) up to 46 weeks corrected age requiring (nonemergent) intubation.
* IV access is obtained
* Informed parental consent

Exclusion Criteria

* Emergent intubation or need for resuscitation
* Congenital cyanotic heart disease
* Obvious airway abnormalities
* History of myopathy or family history of malignant hyperthermia or known history of phosphocholinesterase deficiency
Minimum Eligible Age

1 Day

Maximum Eligible Age

2 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Manitoba

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael R Narvey, MD

Role: PRINCIPAL_INVESTIGATOR

University of Manitoba

Locations

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Health Sciences Centre

Winnipeg, Manitoba, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Michael R Narvey, MD

Role: CONTACT

Phone: 2047872720

Email: [email protected]

Jehier Afifi, MD

Role: CONTACT

Phone: 9024706944

Email: [email protected]

Facility Contacts

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Michael Narvey, MD

Role: primary

References

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Afifi J, El-Naggar W, Hatfield T, Sandila N, Baier J, Narvey M. Atropine Versus Placebo for Neonatal Nonemergent Intubation: A Randomized Clinical Trial. J Pediatr. 2025 Nov;286:114719. doi: 10.1016/j.jpeds.2025.114719. Epub 2025 Jul 9.

Reference Type DERIVED
PMID: 40645282 (View on PubMed)

Other Identifiers

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R500458

Identifier Type: -

Identifier Source: org_study_id