Intranasal Dexmedetomidine Versus Intranasal Midazolam for Emergence Delirium Prevention

NCT ID: NCT04263844

Last Updated: 2020-02-12

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

PHASE4

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-10

Study Completion Date

2019-10-10

Brief Summary

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This study is a double-blind clinical trial, in pediatric patients aged 1-12 years with physical status ASA (American Society of Anesthesiology) 1 and 2 who underwent eye surgery under general anesthesia using Sevoflurane inhalation agents, in investigator institution during February-May 2019.. There were 64 children obtained by consecutive sampling, who underwent eye surgery in investigator institution during February-May 2019. The subjects then grouped into dexmedetomidine group and midazolam group. Effectiveness was assessed from Emergence Delirium (ED) events, recovery time, and post-premedication desaturation events. Data analysis using Chi Square test and Mann-Whitney test.

Detailed Description

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There were 64 children obtained by consecutive sampling, The subjects then grouped into dexmedetomidine group and midazolam group. Effectiveness was assessed from ED events, recovery time, and post-premedication desaturation events.

Conditions

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Emergence Delirium

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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Dexmedetomidine

subject will receive premedication with intranasal dexmedetomidine 1 mcg/kgBB thirty minutes before induction

Group Type ACTIVE_COMPARATOR

Intranasal dexmedetomidine

Intervention Type DRUG

subject will receive premedication with intranasal dexmedetomidine thirty minutes before induction

Midazolam

subject will receive premedication with intranasal midazolam 0,1 mg/kgBB thirty minutes before induction

Group Type ACTIVE_COMPARATOR

Intranasal Midazolam

Intervention Type DRUG

subject will receive premedication with intranasal midazolam thirty minutes before induction

Interventions

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Intranasal dexmedetomidine

subject will receive premedication with intranasal dexmedetomidine thirty minutes before induction

Intervention Type DRUG

Intranasal Midazolam

subject will receive premedication with intranasal midazolam thirty minutes before induction

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* children undergoing ophthalmologic surgery with general anesthesia
* children aged 1 - 12 years old
* physical status ASA 1-2
* signing informed consent

Exclusion Criteria

* children undergoing emergency surgery
* children with PICU nursing after surgery
* children with psychological and neurological condition
* children with allergic history to dexmedetomidine and midazolam
* children with history of malignant hyperthermia or family history of malignant hyperthermia
* children with possibility of difficult intubation and ventilation
Minimum Eligible Age

1 Year

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Andi Ade Wijaya Ramlan

Principal Investigator, Pediatric Anesthesia Division

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andi Ade W Ramlan

Role: PRINCIPAL_INVESTIGATOR

Indonesia University

Locations

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Cipto Mangunkusumo Cental National Hospital

Jakarta, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg. 1990 Feb;70(2):160-7. doi: 10.1213/00000539-199002000-00005.

Reference Type RESULT
PMID: 2301747 (View on PubMed)

Mohkamkar M Bs, Farhoudi F Md, Alam-Sahebpour A Md, Mousavi SA Md, Khani S PhD, Shahmohammadi S BSc. Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia. Iran J Pediatr. 2014 Apr;24(2):184-90.

Reference Type RESULT
PMID: 25535538 (View on PubMed)

Kim JH. Mechanism of emergence agitation induced by sevoflurane anesthesia. Korean J Anesthesiol. 2011 Feb;60(2):73-4. doi: 10.4097/kjae.2011.60.2.73. Epub 2011 Feb 25. No abstract available.

Reference Type RESULT
PMID: 21390159 (View on PubMed)

Silva LM, Braz LG, Modolo NS. Emergence agitation in pediatric anesthesia: current features. J Pediatr (Rio J). 2008 Mar-Apr;84(2):107-13. doi: 10.2223/JPED.1763.

Reference Type RESULT
PMID: 18372935 (View on PubMed)

Key KL, Rich C, DeCristofaro C, Collins S. Use of propofol and emergence agitation in children: a literature review. AANA J. 2010 Dec;78(6):468-73.

Reference Type RESULT
PMID: 21309294 (View on PubMed)

Lee CJ, Lee SE, Oh MK, Shin CM, Kim YJ, Choe YK, Cheong SH, Lee KM, Lee JH, Lim SH, Kim YH, Cho KR. The effect of propofol on emergence agitation in children receiving sevoflurane for adenotonsillectomy. Korean J Anesthesiol. 2010 Aug;59(2):75-81. doi: 10.4097/kjae.2010.59.2.75. Epub 2010 Aug 20.

Reference Type RESULT
PMID: 20740210 (View on PubMed)

Other Identifiers

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IndonesiaUAnes 051

Identifier Type: -

Identifier Source: org_study_id

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