Effect of Dexmedetomidine on the Prevention of Emergence Agitation in Children Undergoing Day Surgery

NCT ID: NCT03262090

Last Updated: 2019-06-25

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

NA

Total Enrollment

389 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-18

Study Completion Date

2019-05-21

Brief Summary

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Emergence agitation/delirium (EA/ED) is a common complication in pediatric surgery patients, which increases the risk of developing postoperative airway obstruction and respiratory depression. In infants, there is a high incidence of emergence agitation (EA) after desoflurane anesthesia. The aim of the present preliminary study was to determine the safety and efficacy of of intraoperative infusion of dexmedetomidine (DEX) that would prevent postoperative EA and ED in children undergoing day surgery with desoflurane anesthesia

Detailed Description

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subjects who underwent day surgery were stratified into two age groups as follows: low to 3 years group, and 3-12 years group. Then they were randomly assigned to receive one of six doses of intravenous dexmedetomidine: 0, 0.2, 0.4, 0.6, 0.8 ,1.0ug/kg before skin incision.

Conditions

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Ambulatory Surgical Procedures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The aim of the present preliminary study was to determine the safety and efficacy of of intraoperative infusion of dexmedetomidine (DEX) that would prevent postoperative EA and ED in children undergoing day surgery with desoflurane anesthesia. Subjects who underwent day surgery were stratified into two age groups as follows: low to 3 years, and 3-9 years. Then they were randomly assigned to receive one of six doses of intravenous dexmedetomidine: 0,0.2, 0.4, 0.6, 0.8 ,1.0ug/kg before skin incision.
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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control group

Subjects were randomly assigned to receive saline before skin incision

Group Type NO_INTERVENTION

No interventions assigned to this group

0.2ug/kg dexmedetomidine

Subjects were randomly assigned to receive 0.2ug/kg intravenous dexmedetomidine before skin incision

Group Type ACTIVE_COMPARATOR

0.2ug/kg dexmedetomidine

Intervention Type DRUG

subjects were randomly assigned to receive 0.2ug/kg intravenous dexmedetomidine before skin incision

0.4ug/kg dexmedetomidine

Subjects were randomly assigned to receive 0.4ug/kg intravenous dexmedetomidine before skin incision

Group Type ACTIVE_COMPARATOR

0.4ug/kg dexmedetomidine

Intervention Type DRUG

subjects were randomly assigned to receive 0.4ug/kg intravenous dexmedetomidine before skin incision

0.6ug/kg dexmedetomidine

Subjects were randomly assigned to receive 0.6ug/kg intravenous dexmedetomidine before skin incision

Group Type ACTIVE_COMPARATOR

0.6ug/kg dexmedetomidine

Intervention Type DRUG

subjects were randomly assigned to receive 0.6ug/kg intravenous dexmedetomidine before skin incision

0.8ug/kg dexmedetomidine

Subjects were randomly assigned to receive 0.8ug/kg intravenous dexmedetomidine before skin incision

Group Type ACTIVE_COMPARATOR

0.8ug/kg dexmedetomidine

Intervention Type DRUG

subjects were randomly assigned to receive 0.8ug/kg intravenous dexmedetomidine before skin incision

1.0ug/kg dexmedetomidine

Subjects were randomly assigned to receive 1.0ug/kg intravenous dexmedetomidine before skin incision

Group Type ACTIVE_COMPARATOR

1.0ug/kg dexmedetomidine

Intervention Type DRUG

subjects were randomly assigned to receive 1.0ug/kg intravenous dexmedetomidine before skin incision

Interventions

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0.2ug/kg dexmedetomidine

subjects were randomly assigned to receive 0.2ug/kg intravenous dexmedetomidine before skin incision

Intervention Type DRUG

0.4ug/kg dexmedetomidine

subjects were randomly assigned to receive 0.4ug/kg intravenous dexmedetomidine before skin incision

Intervention Type DRUG

0.6ug/kg dexmedetomidine

subjects were randomly assigned to receive 0.6ug/kg intravenous dexmedetomidine before skin incision

Intervention Type DRUG

0.8ug/kg dexmedetomidine

subjects were randomly assigned to receive 0.8ug/kg intravenous dexmedetomidine before skin incision

Intervention Type DRUG

1.0ug/kg dexmedetomidine

subjects were randomly assigned to receive 1.0ug/kg intravenous dexmedetomidine before skin incision

Intervention Type DRUG

Other Intervention Names

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Age Age Age Age Age

Eligibility Criteria

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Inclusion Criteria

1. patients who undergo elective unilateral inguinal hernia or hydrocele testis day surgery
2. Patients who are American Society of Anesthesiologists classification I and II
3. Patients who are 4 months through 15 years of age

Exclusion Criteria

1\. children with history of respiratory tract infection 1 week preoperatively. 2. patients with preoperative liver and/or kidney dysfunction, or with mental abnormalities.

3\. patients with any congenital malformation or acquired disease that could increase the risks of anesthesia and the dose of anesthetics (such as, but not limited to, congenital heart disease, hydronephrosis, nutrition dysplasia). 4. patients with long-term use of sedative or analgesic drugs.
Minimum Eligible Age

4 Months

Maximum Eligible Age

15 Years

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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Ying Jun She, MD

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xia Zheng, Doctor

Role: PRINCIPAL_INVESTIGATOR

Guangzhou Women and Children's Medical Center

Locations

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Guangzhou Women and Children Medical Center

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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YShe

Identifier Type: -

Identifier Source: org_study_id

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