Dexmedetomidine in Post Spinal Anesthesia Shivering

NCT ID: NCT02382432

Last Updated: 2015-03-06

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

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2014-12-31

Brief Summary

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This study evaluated the effect of dexmedetomidine iv in three different doses in the treatment of shivering in patients undergoing minor elective abdominal surgery under spinal anesthesia, in comparison with intravenous pethidine.

Detailed Description

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Among the pharmacological agents used in treatment of shivering, pethidine (meperidine) has been shown to be one of the most effective treatments.The α-2 receptor agonists are another important class of anti-shivering drugs that, unlike meperidine, produce little respiratory depression.

Dexmedetomidine is a highly selective α-2 adrenoceptor agonist with potent effects on the central nervous system . Intravenous dexmedetomidine reduces both the vasoconstriction and shivering thresholds . Clinical studies had demonstrated the efficacy of dexmedetomidine in prevention of shivering . Few clinical trials investigated its efficacy in treatment of established shivering. The optimum dose for shivering control with the least hemodynamic derangements is still under research.

Conditions

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Shivering Caused by Spinal Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Pethidine 0.4mg/kg iv

interventional: Pethidine 0.4mg/kg intravenous bolus once to be repeated if shivering incompletely abolished.

Group Type ACTIVE_COMPARATOR

Pethidine 0.4mg/kg

Intervention Type DRUG

2ml intravenous bolus slowly injected in 2minutes.

DEX. I

Interventional:Dexmedetomidine (Precedex) 0.5µg/kg intravenous bolus once to be repeated if shivering incompletely abolished.

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

2ml intravenous bolus slowly injected in 2minutes

DEX. II

Interventional: Dexmedetomidine (PRECEDEX) 0.3µg/kg intravenous bolus given once to be repeated if shivering incompletely abolished.

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

2ml intravenous bolus slowly injected in 2minutes

DEX III

Interventional: Dexmedetomidine (PRECEDEX) 0.2µg/kg intravenous bolus given once to be repeated if shivering incompletely abolished.

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

2ml intravenous bolus slowly injected in 2minutes

Interventions

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Pethidine 0.4mg/kg

2ml intravenous bolus slowly injected in 2minutes.

Intervention Type DRUG

Dexmedetomidine

2ml intravenous bolus slowly injected in 2minutes

Intervention Type DRUG

Other Intervention Names

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Meperidine Precedex

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologist class I or II scheduled for elective minor lower abdominal operations under spinal anesthesia for an anticipated duration of \>60 and \<180 min. (e.g. inguinal herniorRaphy, umbilical hernia repair) who developed shivering during the intra or postoperative period

Exclusion Criteria

* Patients with BMI\>30 kg /m2
* Initial body temperature \>38 C or \<36 C and those with a history of convulsions
* Multiple allergies
* Thyroid disease
* Parkinson's disease
* Dysautonomia
* Raynaud's syndrome
* Hypertension
* Coronary artery disease or other cardio-respiratory or neuromuscular pathology
* Middle ear pathology
* A known history of alcohol use
* Treatment with sedative hypnotic agents or vasodilators
* Having contraindications to spinal anesthesia
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hala Saad Abdel-Ghaffar

Assistant professor in anesthesia department, faculty of medicine, Assiut university

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hala S Abdel-Ghaffar, MD

Role: PRINCIPAL_INVESTIGATOR

assistant professor in anesthesia, faculty of medicine, Assiut university, Assiut, Egypt

Locations

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Assiut university hospital, Assiut, Egypt

Asyut, Assiut Governorate, Egypt

Site Status

Countries

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Egypt

References

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Abdel-Ghaffar HS, Mohamed SA, Fares KM, Osman MA. Safety and Efficacy of Dexmedetomidine in Treating Post Spinal Anesthesia Shivering: A Randomized Clinically Controlled Dose-Finding Trial. Pain Physician. 2016 May;19(4):243-53.

Reference Type DERIVED
PMID: 27228512 (View on PubMed)

Other Identifiers

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IRB00008718

Identifier Type: -

Identifier Source: org_study_id

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