Intranasal Dexmedetomidine VS Oral Chloral Hydrate for Rescue Sedation During Magnetic Resonance Imaging

NCT ID: NCT02239445

Last Updated: 2015-05-12

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

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2015-05-31

Brief Summary

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The purpose of this investigation was to test the hypothesis that intranasal dexmedetomidine is as effective as second dose of oral chloral hydrate for rescue sedation in infant age between 1 and 6 months who were not adequately sedated following initial dose of chloral hydrate.

Detailed Description

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Conditions

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Administration Related Reaction Failed Moderate Sedation During Procedure Chloral Hydrate Adverse Reaction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Caregivers Investigators

Study Groups

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chloral hydrate group

chloral hydrate 0.25 mg/kg oral solution diluted with oral syrup to 5 ml and 0.2 mL intranasal placebo (normal saline)

Group Type ACTIVE_COMPARATOR

chloral hydrate Group

Intervention Type DRUG

chloral hydrate 0.25 mg/kg oral solution diluted with oral syrup to 5 ml and 0.2 mL intranasal placebo (normal saline)

low dose dexmedetomidine Group

Group L received intranasal dexmedetomidine at 1mcg/kg and 5 ml oral syrup

Undiluted preservative-free dexmedetomidine (AiBeiNing; Jiang Su Heng Rui Medicine Co. Ltd, Jiangsu Province, China) was prepared in a concentration of 100mcg/ml and dripped into both nostrils using a 1 mL syringe with the child in the Supine position.

Group Type EXPERIMENTAL

low dose dexmedetomidine group

Intervention Type DRUG

Group L received intranasal dexmedetomidine at 1mcg/kg and 5 ml oral syrup

high dose dexmedetomidine group

Group H received intranasal dexmedetomidine at 2mcg/kg and 5 ml oral syrup

Undiluted preservative-free dexmedetomidine (AiBeiNing; Jiang Su Heng Rui Medicine Co. Ltd, Jiangsu Province, China) was prepared in a concentration of 100mcg/ml and dripped into both nostrils using a 1 mL syringe with the child in the Supine position.

Group Type EXPERIMENTAL

high dose dexmedetomidine group

Intervention Type DRUG

Group H received intranasal dexmedetomidine at 2mcg/kg and 5 ml oral syrup

Interventions

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chloral hydrate Group

chloral hydrate 0.25 mg/kg oral solution diluted with oral syrup to 5 ml and 0.2 mL intranasal placebo (normal saline)

Intervention Type DRUG

low dose dexmedetomidine group

Group L received intranasal dexmedetomidine at 1mcg/kg and 5 ml oral syrup

Intervention Type DRUG

high dose dexmedetomidine group

Group H received intranasal dexmedetomidine at 2mcg/kg and 5 ml oral syrup

Intervention Type DRUG

Other Intervention Names

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AiBeiNing AiBeiNing

Eligibility Criteria

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Inclusion Criteria

* 160 children of ASA physical status I or II, aged between 1 and 6 months, failed chloral hydrate sedation during MRI scanning

Exclusion Criteria

* known allergy or hypersensitive reaction to dexmedetomidine or CH, organ dysfunction, pneumonia, acute upper respiratory airway inflammation, preterm, cardiac arrhythmia or and congenital heart disease.
Minimum Eligible Age

1 Month

Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Women and Children's Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Wenhua Zhang

Bureau of Health of Guangzhou

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Anesthesiology of Guangzhou Women and Children's Medical Center

Guangzhou, Guangdong, China

Site Status

Guangzhou Women and Children's Medical Center

Guangzhou, Guangdong, China

Site Status

Countries

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China

References

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Fong CY, Lim WK, Li L, Lai NM. Chloral hydrate as a sedating agent for neurodiagnostic procedures in children. Cochrane Database Syst Rev. 2021 Aug 16;8(8):CD011786. doi: 10.1002/14651858.CD011786.pub3.

Reference Type DERIVED
PMID: 34397100 (View on PubMed)

Zhang W, Wang Z, Song X, Fan Y, Tian H, Li B. Comparison of rescue techniques for failed chloral hydrate sedation for magnetic resonance imaging scans--additional chloral hydrate vs intranasal dexmedetomidine. Paediatr Anaesth. 2016 Mar;26(3):273-9. doi: 10.1111/pan.12824. Epub 2015 Dec 30.

Reference Type DERIVED
PMID: 26714442 (View on PubMed)

Miller J, Xue B, Hossain M, Zhang MZ, Loepke A, Kurth D. Comparison of dexmedetomidine and chloral hydrate sedation for transthoracic echocardiography in infants and toddlers: a randomized clinical trial. Paediatr Anaesth. 2016 Mar;26(3):266-72. doi: 10.1111/pan.12819. Epub 2015 Nov 30.

Reference Type DERIVED
PMID: 26616644 (View on PubMed)

Other Identifiers

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WZhang

Identifier Type: -

Identifier Source: org_study_id

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