BIS of Sedation Depth During Flexible Bronchoscopy.

NCT ID: NCT03395093

Last Updated: 2018-01-10

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

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-21

Study Completion Date

2018-12-31

Brief Summary

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Fentanyl is analgesia medication. There has not pain nerve in the lung. Flexible bronchoscopy(FB) is used in the respiratory medicine. So people will not feel pain in the process of FB. The purpose of the study is to know if Fentanyl is useful in the conscious sedation of FB.

Detailed Description

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Fentanyl is opioid receptor agonists. It is a fast-acting, short duration and potent analgesics.

Flexible bronchoscopy (FB) is mostly used in the diagnosis and therapy in the respiratory disease. As we know, there has not pain nerve in the lung. People will not feel pain when they are in FB.

If fentanyl will be effective in FB? Our study will observe the effect of conscious sedation in FB with fentanyl or without fentanyl.

Conditions

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Pulmonary Disease

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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FB with fentanyl

In the Bispectral Index monitoring,our study will use midazolam, propofol and fentanyl in the conscious sedation of FB

Group Type EXPERIMENTAL

Fentanyl

Intervention Type DRUG

Five minutes before the patients is done the flexible bronchoscopy, fentanyl will be intravenous injected.

Midazolam

Intervention Type DRUG

Five minutes before the patients is done the flexible bronchoscopy, midazolam will be intravenous injected.

Propofol

Intervention Type DRUG

Propofol will be intravenous injected as soon as the flexible bronchoscopy begins.

Bispectral Index monitoring

Intervention Type DEVICE

Bispectral Index monitoring will be used in the process of the flexible bronchoscopy.

FB without fentanyl

In the Bispectral Index monitoring, our study will use midazolam, propofol in the conscious sedation of FB

Group Type ACTIVE_COMPARATOR

Midazolam

Intervention Type DRUG

Five minutes before the patients is done the flexible bronchoscopy, midazolam will be intravenous injected.

Propofol

Intervention Type DRUG

Propofol will be intravenous injected as soon as the flexible bronchoscopy begins.

Bispectral Index monitoring

Intervention Type DEVICE

Bispectral Index monitoring will be used in the process of the flexible bronchoscopy.

Interventions

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Fentanyl

Five minutes before the patients is done the flexible bronchoscopy, fentanyl will be intravenous injected.

Intervention Type DRUG

Midazolam

Five minutes before the patients is done the flexible bronchoscopy, midazolam will be intravenous injected.

Intervention Type DRUG

Propofol

Propofol will be intravenous injected as soon as the flexible bronchoscopy begins.

Intervention Type DRUG

Bispectral Index monitoring

Bispectral Index monitoring will be used in the process of the flexible bronchoscopy.

Intervention Type DEVICE

Other Intervention Names

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fentanest fantail sublimaze Ro-21-3981 diprivan disoprofol

Eligibility Criteria

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Inclusion Criteria

Cough reflex is good agree to do bronchoscopy agree to take part in the study no the contraindication of bronchoscopy

Exclusion Criteria

Forced expiratory volume in one second\<1 L severe hemoptysis severe heart, liver,kidney failure psychiatric and nervous disorders allergic to the anesthetic ( fentanyl, midazolam, or propofol)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nanjing First Hospital, Nanjing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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wei gu, master

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital with Nanjing Medical University

References

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Clark G, Licker M, Younossian AB, Soccal PM, Frey JG, Rochat T, Diaper J, Bridevaux PO, Tschopp JM. Titrated sedation with propofol or midazolam for flexible bronchoscopy: a randomised trial. Eur Respir J. 2009 Dec;34(6):1277-83. doi: 10.1183/09031936.00142108. Epub 2009 May 14.

Reference Type RESULT
PMID: 19443532 (View on PubMed)

Wahidi MM, Jain P, Jantz M, Lee P, Mackensen GB, Barbour SY, Lamb C, Silvestri GA. American College of Chest Physicians consensus statement on the use of topical anesthesia, analgesia, and sedation during flexible bronchoscopy in adult patients. Chest. 2011 Nov;140(5):1342-1350. doi: 10.1378/chest.10-3361.

Reference Type RESULT
PMID: 22045879 (View on PubMed)

Related Links

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https://www.ncbi.nlm.nih.gov/pubmed/19443532

Titrated sedation with propofol or midazolam for flexible bronchoscopy: a randomised trial.

https://www.ncbi.nlm.nih.gov/pubmed/?term=American+College+of+Chest+Physicians++Consensus+Statement+on+the+Use+of+Topical++Anesthesia%2C+Analgesia%2C+and+Sedation+During+Flexible+Bronchoscopy+in+Adult+Patients

American College of Chest Physicians consensus statement on the use of topical anesthesia, analgesia, and sedation during flexible bronchoscopy in adult patients.

Other Identifiers

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YL20160713-021

Identifier Type: -

Identifier Source: org_study_id

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