Premedication by Midazolam for Emergency Surgery

NCT ID: NCT02213302

Last Updated: 2016-02-11

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

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2016-01-31

Brief Summary

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Preoperative anxiety is a subjective and painful experience and may have adverse psychological consequences and complicate anesthetic management. The aim of the study is to show the effect of premedication by midazolam on preoperative anxiety assessed by a visual analog scale and by measuring salivary cortisol levels. This study was a monocentric, prospective, blind randomized placebo controlled clinical study. Sixty patients, aged 18 to 79 years, to undergo elective surgery under general anesthesia with tracheal intubation must be enrolled and randomized to receive midazolam (0.02mg/kg) or placebo. The primary outcome is the reduction in anxiety assessed by a visual analog scale. The secondary outcomes are the reduction in salivary cortisol levels, the overall level of anxiety and the evaluation of respiratory and hemodynamic adverse effects of midazolam.

Detailed Description

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Conditions

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Anxiety

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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Isotonic serum

placebo administration

Group Type PLACEBO_COMPARATOR

placebo administration

Intervention Type DRUG

midazolam intravenous administration

Intervention Type DRUG

Midazolam

midazolam intravenous administration 0.02mg/kg

Group Type ACTIVE_COMPARATOR

placebo administration

Intervention Type DRUG

midazolam intravenous administration

Intervention Type DRUG

Interventions

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placebo administration

Intervention Type DRUG

midazolam intravenous administration

Intervention Type DRUG

Other Intervention Names

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isotonic saline serum intravenous administration hypnovel

Eligibility Criteria

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Inclusion Criteria

* major patient undergoing elective surgery under general anesthesia with tracheal intubation
* Anesthesia state 1 and 2
* preoperative fasting for 6 hours
* information and signed consent
* social security
* non pregnant women

Exclusion Criteria

* anesthesia state above 3
* midazolam sensibility
* pregnant or breastfeeding women
* ICU patients
* no consent
* pediatric surgery
* no social security
* no tracheal intubation
* required premedication in placebo group or midazolam sensibility in premedication group
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elise Blondé-Zoonekynd, Physician

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Lille

Locations

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Emergency, University Hopital

Lille, , France

Site Status

Countries

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France

References

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Sun GC, Hsu MC, Chia YY, Chen PY, Shaw FZ. Effects of age and gender on intravenous midazolam premedication: a randomized double-blind study. Br J Anaesth. 2008 Nov;101(5):632-9. doi: 10.1093/bja/aen251. Epub 2008 Sep 4.

Reference Type RESULT
PMID: 18772216 (View on PubMed)

Vogelsang J. The Visual Analog Scale: an accurate and sensitive method for self-reporting preoperative anxiety. J Post Anesth Nurs. 1988 Aug;3(4):235-9. No abstract available.

Reference Type RESULT
PMID: 2457102 (View on PubMed)

Bauer KP, Dom PM, Ramirez AM, O'Flaherty JE. Preoperative intravenous midazolam: benefits beyond anxiolysis. J Clin Anesth. 2004 May;16(3):177-83. doi: 10.1016/j.jclinane.2003.07.003.

Reference Type RESULT
PMID: 15217656 (View on PubMed)

Jerjes W, Jerjes WK, Swinson B, Kumar S, Leeson R, Wood PJ, Kattan M, Hopper C. Midazolam in the reduction of surgical stress: a randomized clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Nov;100(5):564-70. doi: 10.1016/j.tripleo.2005.02.087.

Reference Type RESULT
PMID: 16243241 (View on PubMed)

Wattier JM, Barreau O, Devos P, Prevost S, Vallet B, Lebuffe G. [Measure of preoperative anxiety and need for information with six issues]. Ann Fr Anesth Reanim. 2011 Jul-Aug;30(7-8):533-7. doi: 10.1016/j.annfar.2011.03.010. Epub 2011 May 23. French.

Reference Type RESULT
PMID: 21602018 (View on PubMed)

Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg. 1996 Mar;82(3):445-51. doi: 10.1097/00000539-199603000-00002.

Reference Type RESULT
PMID: 8623940 (View on PubMed)

Reves JG, Fragen RJ, Vinik HR, Greenblatt DJ. Midazolam: pharmacology and uses. Anesthesiology. 1985 Mar;62(3):310-24.

Reference Type RESULT
PMID: 3156545 (View on PubMed)

Zalunardo MP, Ivleva-Sauerborn A, Seifert B, Spahn DR. [Quality of premedication and patient satisfaction after premedication with midazolam, clonidine or placebo : Randomized double-blind study with age-adjusted dosage]. Anaesthesist. 2010 May;59(5):410-8. doi: 10.1007/s00101-010-1695-9. German.

Reference Type RESULT
PMID: 20224951 (View on PubMed)

Other Identifiers

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PROM 2012_30

Identifier Type: OTHER

Identifier Source: secondary_id

2014-000873-38

Identifier Type: -

Identifier Source: org_study_id

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