The Efficacy and the Safety of Dexmedetomidine Sedation on the Pediatric Intensive Unit(PICU) Patients.

NCT ID: NCT02296073

Last Updated: 2014-11-21

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

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2015-12-31

Brief Summary

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To observe the efficacy and safety of dexmedetomidine sedation on the patients admitted to the pediatric intensive care unit after surgery.

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

TREATMENT

Blinding Strategy

NONE

Study Groups

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Midazolam

midazolam 3~5μg/kg•min for maintenance of sedation.

Group Type EXPERIMENTAL

Midazolam

Intervention Type DRUG

midazolam 3~5μg/kg•min for maintenance of sedation.

Fentanyl

Intervention Type DRUG

Fentanyl 0.5~4 μg/(kg.h) for maintenance of analgesia

assessment

Intervention Type OTHER

Ramsay score for sedation assessment, Facial expression, leg movement, activity, cry, and consolability score (FLACC) for analgesia assessment.

Dexmedetomidine1

Dexmedetomidine 0.5μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Group Type EXPERIMENTAL

Dexmedetomidine

Intervention Type DRUG

Dexmedetomidine 0.5μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Fentanyl

Intervention Type DRUG

Fentanyl 0.5~4 μg/(kg.h) for maintenance of analgesia

assessment

Intervention Type OTHER

Ramsay score for sedation assessment, Facial expression, leg movement, activity, cry, and consolability score (FLACC) for analgesia assessment.

Dexmedetomidine2

Dexmedetomidine 0.25μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Group Type EXPERIMENTAL

Dexmedetomidine

Intervention Type DRUG

Dexmedetomidine 0.25μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Fentanyl

Intervention Type DRUG

Fentanyl 0.5~4 μg/(kg.h) for maintenance of analgesia

assessment

Intervention Type OTHER

Ramsay score for sedation assessment, Facial expression, leg movement, activity, cry, and consolability score (FLACC) for analgesia assessment.

Dexmedetomiding3

Dexmedetomidine 0.2~1.4μg/(kg.h) for maintenance of sedation;

Group Type EXPERIMENTAL

Dexmedetomidine

Intervention Type DRUG

Dexmedetomidine 0.2~1.4μg/(kg.h) for maintenance of sedation;

Fentanyl

Intervention Type DRUG

Fentanyl 0.5~4 μg/(kg.h) for maintenance of analgesia

assessment

Intervention Type OTHER

Ramsay score for sedation assessment, Facial expression, leg movement, activity, cry, and consolability score (FLACC) for analgesia assessment.

Interventions

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Midazolam

midazolam 3~5μg/kg•min for maintenance of sedation.

Intervention Type DRUG

Dexmedetomidine

Dexmedetomidine 0.5μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Intervention Type DRUG

Dexmedetomidine

Dexmedetomidine 0.25μg/kg intravenous bump for 15 min,then 0.2~1.4μg/(kg.h) for maintenance of sedation;

Intervention Type DRUG

Dexmedetomidine

Dexmedetomidine 0.2~1.4μg/(kg.h) for maintenance of sedation;

Intervention Type DRUG

Fentanyl

Fentanyl 0.5~4 μg/(kg.h) for maintenance of analgesia

Intervention Type DRUG

assessment

Ramsay score for sedation assessment, Facial expression, leg movement, activity, cry, and consolability score (FLACC) for analgesia assessment.

Intervention Type OTHER

Other Intervention Names

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Liyuexi Yisi Yisi Yisi Fentai

Eligibility Criteria

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Inclusion Criteria

1. written informed consent;
2. pediatric patients admitted to intensive care unit after general anesthesia;
3. expected mechanical ventilation time \>6 hours; (4)1 months to 16 years old; -

Exclusion Criteria

1. congenital heart disease, arrhythmias and heart failure;
2. Alanine transaminase(ALT) and (or) Aspartate aminotransferase(AST) level is more than twice the upper limit of normal;
3. Creatinine and (or) Blood urea nitrogen(BUN) is more than the upper limit of normal;
4. central nervous system disease;
5. spinal analgesia or muscle relaxants is used during PICU;
6. the drug that affects the nerve conduction is used in one month;
7. allergy to the test drug or having other contraindications;
8. participated in other studies 30 days prior to admission of PICU; -
Minimum Eligible Age

1 Month

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anhui Provincial Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yuanyuan Xu

Anesthesia Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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PICUDEX2014

Identifier Type: -

Identifier Source: org_study_id