Different Premedication in Pediatric Patients

NCT ID: NCT04266340

Last Updated: 2022-05-11

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

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-13

Study Completion Date

2021-12-01

Brief Summary

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The investigators studied the effects of intranasal dexmedetomidine compared with oral midazolam with different doses for premedication in children. One hundred and twenty children aged between 2 and 12 years were randomly allocated to one of four groups:2.5µg/kg intranasal dexmedetomidine group ; 0.5mg/kg oral midazolam group;0.05 mg/kg intravenous injection midazolam group; no premedication group.

Sedation levels 10, 20, and 30min after premedication were evaluated using a 5-point sedation scale. A 4-point emotional state score was used to evaluate participators when they were separated from their parents and their response to intravenous cannulation or facemask application. Agitation scores (Pediatric Anesthe-sia Emergence Delirium \[PAED\] scale) and POV were assessed in the postanesthetic care unit (PACU).Times to endotracheal tube or laryngeal mask airway removal, discharge from the PACU and patients' satisfaction degree were also assessed.

Detailed Description

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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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placebo

no premedication

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

no premedication

oralmidazolam

0.5 mg/kg oral midazolam group

Group Type EXPERIMENTAL

midazolam

Intervention Type DRUG

0.5mg/kg oral midazolam

intravenous midazolam

0.05 mg/kg intravenous injection midazolam group

Group Type EXPERIMENTAL

midazolam

Intervention Type DRUG

0.05mg/kg intravenous injection midazolam

dexmedetomidine

2.5µg/kg intranasal dexmedetomidine group

Group Type EXPERIMENTAL

dexmedetomidine

Intervention Type DRUG

2.5µg/kg intranasal dexmedetomidine group

Interventions

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dexmedetomidine

2.5µg/kg intranasal dexmedetomidine group

Intervention Type DRUG

midazolam

0.5mg/kg oral midazolam

Intervention Type DRUG

midazolam

0.05mg/kg intravenous injection midazolam

Intervention Type DRUG

Saline

no premedication

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

\-

Exclusion Criteria

* a recent history of upper respiratory tract infection, a known allergy to dexmedetomidine or midazolam, inability to understand the consent process or parental refusal.
Minimum Eligible Age

2 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eye & ENT Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Anesthesiology, The Eye, Ear, Nose and Throat Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Qiao H, Chen J, Lv P, Ye Z, Lu Y, Li W, Jia J. Efficacy of premedication with intravenous midazolam on preoperative anxiety and mask compliance in pediatric patients: a randomized controlled trial. Transl Pediatr. 2022 Nov;11(11):1751-1758. doi: 10.21037/tp-22-161.

Reference Type DERIVED
PMID: 36506775 (View on PubMed)

Other Identifiers

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20180341

Identifier Type: -

Identifier Source: org_study_id

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