Transbucal Dexmedetomidine for Prevention of Sevoflurane Emergence Agitation in Pre-school Children

NCT ID: NCT02720705

Last Updated: 2020-07-14

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/PHASE3

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-31

Study Completion Date

2018-11-30

Brief Summary

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The aim of this study is to evaluate the efficacy of transbucal dexmedetomidine given in preschool children undergoing tonsillectomy operations in the prevention sevoflurane agitation.

Detailed Description

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Agitation during the emergence from general anesthesia is a great post-operative problem that often injures the patients themselves and requires the medical staff to restrain and calm them. The predisposing factors for emergence agitation include anesthesia, operation, and patient. Sevoflurane anesthesia results in higher incidence of emergence agitation than halothane, because of the rapid emergence, and its effects on central nervous system inducing convulsion and post-operative behavioral changes. The otorhinolaryngologic and ophthalmologic surgeries, post-operative pain, young age, pre-operative anxiety, no past surgical history, and adjustment disorder of patients are risk factors.

Dexmedetomidine (DEX), a selective α (2)-adrenoreceptor agonist. Intravenous DEX used after induction of anesthesia reduced sevoflurane-associated EA and postoperative pain in pediatric ambulatory surgery.

The investigators designed this study to prove the efficacy of oral dexmedetomidine a selective α (2)-adrenoreceptor agonist, on emergence agitation (EA), recovery profiles, and parents' satisfaction after sevoflurane anesthesia in tonsillectomy.

Conditions

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Agitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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DEX I

active comparator receive 0.5µg/kg dexmedetomidine orally half an hour before operation

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

oral dexmedetomidine

Saline Control

2ml oral 0.9%saline half an hour before operation

Group Type PLACEBO_COMPARATOR

saline

Intervention Type DRUG

2ml 0.9% saline administered orally half an hour before induction of anesthesia

DEX II

active comparator receive,1µg/kg dexmedetomidine orally half an hour before operation

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

oral dexmedetomidine

Interventions

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Dexmedetomidine

oral dexmedetomidine

Intervention Type DRUG

saline

2ml 0.9% saline administered orally half an hour before induction of anesthesia

Intervention Type DRUG

Other Intervention Names

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precedex 0.9% saline

Eligibility Criteria

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Inclusion Criteria

* ASA physical status I-II patients
* aged 2-6 years
* patient scheduled for elective tonsillectomy due to recurrent
* chronic tonsillitis

Exclusion Criteria

* patients with known hypersensitivity to medication drugs
* coagulation disorders
* thrombocytopenia
* significant cardiac
* renal
* pulmonary
* hepatic disease
Minimum Eligible Age

2 Years

Maximum Eligible Age

6 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

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Halla s Abdel-Ghaffar Abdel-Ghaffar, MD

Role: PRINCIPAL_INVESTIGATOR

assisstant professor in anesthesia and intensive care departement,faculty of medicine,Assiut university,Egypt

Locations

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Assiut university hospitals

Asyut, , Egypt

Site Status

Countries

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Egypt

References

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Abdel-Ghaffar HS, Abdel-Wahab AH, Roushdy MM. [Oral trans-mucosal dexmedetomidine for controlling of emergence agitation in children undergoing tonsillectomy: a randomized controlled trial]. Braz J Anesthesiol. 2019 Sep-Oct;69(5):469-476. doi: 10.1016/j.bjan.2019.06.012. Epub 2019 Oct 28.

Reference Type DERIVED
PMID: 31672419 (View on PubMed)

Other Identifiers

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AssuitU

Identifier Type: -

Identifier Source: org_study_id

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