Magnetic Endoscope Imaging in Colonoscopy: Influence on Propofol Dosage

NCT ID: NCT02121704

Last Updated: 2015-11-06

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

NA

Total Enrollment

334 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-11-30

Brief Summary

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Magnetic Endoscope Imaging (MEI) is an optional tool which can be switched on at the beginning of colonoscopy. MEI works by creating an electromagnetic field of very low intensity. By that the position of the endoscope can be displayed virtually on a monitor. The use of MEI has been shown to reduce the formation of loops and to ease the removal of existing loops during the investigation. Furthermore, as loops favour the occurrence of pain when the scope is moved forward, patients who underwent colonoscopy with MEI reported less pain at the end of the procedure.

Sedation is used widely during colonoscopy for it has improved the tolerability of the investigation. Most of the patients demand for sedation. In Germany Propofol is recommended as the first-line sedative when endoscopy it is performed in an outpatient setting. The use of Propofol involves the danger of respiratory complications. One reason for the application of Propofol doses is the occurrence of pain during the investigation. We hypothesized that if MEI is used and if loops can be avoided sufficiently lower Propofol doses would be needed. We therefore planned this prospective controlled trial.

Detailed Description

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Conditions

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Failed Conscious Sedation During Procedure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Controll Group

Patients from the control group will be examined using a CF-HQ 190 EVIS Exera III Advanced Diagnostic Video Colonoscope. The Magnetic Endoscope Imaging (Scope Guide) function WILL NOT BE USED during the investigation.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Patients from the control group will be examined using a CF-HQ 190 EVIS Exera III Advanced Diagnostic Video Colonoscope. The Magnetic Endoscope Imaging (Scope Guide) function WILL BE USED during the investigation.

Group Type ACTIVE_COMPARATOR

Magnetic Endoscope Imaging (Scope Guide)

Intervention Type DEVICE

Interventions

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Magnetic Endoscope Imaging (Scope Guide)

Intervention Type DEVICE

Other Intervention Names

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brand name: Scope guide

Eligibility Criteria

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Inclusion Criteria

* medical indication for colonoscopy
* age \>18 years
* written consent given by patient
* investigation under sedation with propofol

Exclusion Criteria

* application of any other sedative than propofol
* age \< 18 years
* pregnant women
* patients denying written consent
* ASA class IV, V and VI
* indication for colonoscopy: emergency (e.g. severe rectal bleeding)
* allergy to propofol
* pre-existing hypotension, bradycardia or hypoxemia
* history of sedation accidents
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Olympus

INDUSTRY

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Klare, MD

Role: PRINCIPAL_INVESTIGATOR

II. Medizinische Klinik, Klinikum rechts der Isar der Technischen Universität München, Germany

Stefan von Delius, MD

Role: STUDY_DIRECTOR

Klinikum rechts der Isar der Technischen Universität München

Locations

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II Medizinische Klinik am Klinikum rechts der Isar der Technischen Universität München

München, Deutschland, Germany

Site Status

Countries

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Germany

References

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Klare P, Hartrampf B, Haller B, Schlag C, Geisler F, Abdelhafez M, Einwachter H, Bajbouj M, Schmid RM, von Delius S. Magnetic endoscope imaging for routine colonoscopy: impact on propofol dosage and patient safety - a randomized trial. Endoscopy. 2016 Oct;48(10):916-22. doi: 10.1055/s-0042-110933. Epub 2016 Jul 21.

Reference Type DERIVED
PMID: 27441684 (View on PubMed)

Other Identifiers

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MEXICO

Identifier Type: -

Identifier Source: org_study_id

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