Comparison of the Perioperative Effects of Dexmedetomidine and Ketamine Sedation in Septorhinoplasty Operations

NCT ID: NCT04628559

Last Updated: 2020-11-17

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

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-01

Study Completion Date

2009-12-31

Brief Summary

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This randomized double-blind study aimed to compare the effects of dexmedetomidine and ketamine on hemodynamic parameters, recovery criteria, and opioid consumption and advers effects in septorhinoplasty operations. Totally 63 patients were included.

The groups were compared in terms of hemodynamic values, recovery times, postoperative agitation, sedation, activity, modified Aldrete and pain scores, side-effects and additional analgesia requirements at postoperative 24h.

Detailed Description

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A total of 63 patients 18-55 years undergoing septorhinoplasty, who were graded as American Society of Anesthesiologists physical status were randomly allocated into three groups, receiving dexmedetomidine (n=21, Group D), ketamine (n=21, Group K) and saline solution (n=21, Group S). Anesthesia was induced with propofol, cisatracurium and fentanyl. Maintenance anesthesia was done with 2-2.5% sevoflurane mixture, 50-60% oxygen and N2O. The groups were compared in terms of hemodynamic values, recovery times, postoperative agitation, sedation, activity, modified Aldrete and pain scores, side-effects and additional analgesia requirements at postoperative 24h.

Conditions

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Anesthesia Intravenous Anesthetic Toxicity

Keywords

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Dexmedetomidine Ketamine Perioperative effects

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1. First arm received dexmedetomidine
2. Second arm received ketamine
3. Third arm received saline solution.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
The surgeon and observers were all blinded to the patients until the end of the study.

Study Groups

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Dexmedetomine

Patients recieving Dexmedetomidine.

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

dexmedetomidine was administered as a gradual bolus of 1 µg/kg/10ml 10 min before induction of anesthesia and then as an infusion of 0.4 µg/kg per min (30 ml/h). In Group K, ketamine was administered as a 0.4 mg/kg/10ml IV bolus 10 min before induction of anesthesia and in the form of 10 µg/kg per min infusion after induction (30 ml/h).

Ketamine

Patients recieving Ketamine.

Group Type ACTIVE_COMPARATOR

Ketamine

Intervention Type DRUG

In Group K, ketamine was administered as a 0.4 mg/kg/10ml IV bolus 10 min before induction of anesthesia and in the form of 10 µg/kg per min infusion after induction (30 ml/h).

Placebo

Patients recieving Saline.

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

Group S was given a bolus of saline solution in 10 ml volume 10 min before induction of anesthesia, followed by 30 mL/h serum saline infusion.

Interventions

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Dexmedetomidine

dexmedetomidine was administered as a gradual bolus of 1 µg/kg/10ml 10 min before induction of anesthesia and then as an infusion of 0.4 µg/kg per min (30 ml/h). In Group K, ketamine was administered as a 0.4 mg/kg/10ml IV bolus 10 min before induction of anesthesia and in the form of 10 µg/kg per min infusion after induction (30 ml/h).

Intervention Type DRUG

Ketamine

In Group K, ketamine was administered as a 0.4 mg/kg/10ml IV bolus 10 min before induction of anesthesia and in the form of 10 µg/kg per min infusion after induction (30 ml/h).

Intervention Type DRUG

Saline

Group S was given a bolus of saline solution in 10 ml volume 10 min before induction of anesthesia, followed by 30 mL/h serum saline infusion.

Intervention Type DRUG

Other Intervention Names

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Group D Group K Group S

Eligibility Criteria

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Inclusion Criteria

* Patient graded as American Society of Anesthesiologist (ASA) physical status, I or II
* Patient subjected to septorhineoplasty operation

Exclusion Criteria

* Patient having morbid obesity,
* Patient having yypertension,
* Patient having Asthma,
* Patient having neuropsychiatric disease,
* Patient allergy to the study drugs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Karadeniz Technical University

OTHER

Sponsor Role lead

Responsible Party

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Muge Kosucu

Clinical Associated Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Muge Muge, Assoc Prof

Role: STUDY_CHAIR

Medical School of Karadeniz Technical University, Department of Anesthesiology

Locations

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Medical School of Karadeniz Technical University, Department of Anesthesiology

Trabzon, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2009/137

Identifier Type: -

Identifier Source: org_study_id