Effects of Dexmedetomidine Premedication on Emergence Agitation After Strabismus Surgery in Children

NCT ID: NCT01895023

Last Updated: 2015-01-06

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

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-08-31

Brief Summary

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Sevoflurane is frequently used for pediatric anesthesia because it has low pungency and rapid onset and offset of action.The reported incidence of emergence agitation (EA) following sevoflurane anesthesia varies from 10-80%. Despite its spontaneous resolution, EA is still considered as a potentially serious complication because of the risks of self-injury, and because of the stress caused to both caregivers and families.

Dexmedetomidine, an Alpha2-adrenoceptor agonist with sedative, analgesic, and anxiolytic actions, has been used in pediatric populations.Several prospective clinical trials in children have shown that dexmedetomidine significantly reduces the incidence of EA prior to recovery from sevoflurane anesthesia. However, the effect of dexmedetomidine premedication on emergence agitation has not been fully evaluated. The purpose of the present study was to verify the hypothesis that intranasal premedication with dexmedetomidine is effective in reducing emergence agitation after sevoflurane anaesthesia.

Detailed Description

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Emergence agitation was assessed using the Pediatric Anesthesia Emergence Delirium (PAED) scale.The PAED scale contains five items (eye contact, purposefulness of actions,awareness of surroundings, restlessness and consolability), each scored on a 0 to 4 scale, for a maximum of 20 points.

A perfectly calm child scores 0 and extreme agitation corresponds to 20 points. The peak EA score was recorded. Agitation scores \< 10 were interpreted as an absence of agitation, scores\>= 10 were regarded as presence of agitation.

Conditions

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Inhalational Anesthetics Adverse Reaction Delirium on Emergence Strabismus Following Ocular Surgery

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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Dexmedetomidine group

The dexmedetomidine group received intranasal dexmedetomidine 2mcg/kg premedication 45 min and oral saline 30 min before induction of anaesthesia

Group Type EXPERIMENTAL

Dexmedetomidine

Intervention Type DRUG

The dexmedetomidine group received intranasal dexmedetomidine 2mcg/kg premedication 45 min before induction of anaesthesia.

Midazolam group

The midazolam group received intranasal saline 45 min and oral midazolam 0.5 mg/kg 30 min before induction of anaesthesia.

Group Type ACTIVE_COMPARATOR

Midazolam

Intervention Type DRUG

The midazolam group oral midazolam 0.5 mg/kg 30 min before induction of anaesthesia.

Placebo Group

The Placebo group received intranasal saline premedication 45 min and oral saline 30 min before induction of anaesthesia

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

The Placebo group received intranasal saline premedication 45 min and oral saline 30 min before induction of anaesthesia

Interventions

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Dexmedetomidine

The dexmedetomidine group received intranasal dexmedetomidine 2mcg/kg premedication 45 min before induction of anaesthesia.

Intervention Type DRUG

Midazolam

The midazolam group oral midazolam 0.5 mg/kg 30 min before induction of anaesthesia.

Intervention Type DRUG

Saline

The Placebo group received intranasal saline premedication 45 min and oral saline 30 min before induction of anaesthesia

Intervention Type DRUG

Other Intervention Names

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alpha2-adrenoceptor agonist GABA modulators sodium chloride injection (0.9%Nacl)

Eligibility Criteria

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Inclusion Criteria

* aged2-6 yr, with American Society of Anesthesiologists physical status I or II, scheduled to undergo strabismus surgery during general anesthesia

Exclusion Criteria

* mental disease, neurologic disease, treatment with sedatives, full stomach, or indication for rapid sequence induction.
Minimum Eligible Age

2 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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West China Hospital

OTHER

Sponsor Role collaborator

Yao Yusheng

OTHER

Sponsor Role lead

Responsible Party

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Yao Yusheng

Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yusheng Yao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Fujian Provincial Hospital

Locations

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Fujian Provincial Hospital

Fuzhou, Fujian, China

Site Status

Countries

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China

References

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Yao Y, Sun Y, Lin J, Chen W, Lin Y, Zheng X. Intranasal dexmedetomidine versus oral midazolam premedication to prevent emergence delirium in children undergoing strabismus surgery: A randomised controlled trial. Eur J Anaesthesiol. 2020 Dec;37(12):1143-1149. doi: 10.1097/EJA.0000000000001270.

Reference Type DERIVED
PMID: 32976205 (View on PubMed)

Other Identifiers

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FujianPH-TRC-130615

Identifier Type: -

Identifier Source: org_study_id

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