S-ketamin Premedication in Pediatric EENT Surgery

NCT ID: NCT04757675

Last Updated: 2022-04-27

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

EARLY_PHASE1

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2022-01-01

Brief Summary

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We aim to investigate the effects of premedication (intranasal or intravenous administration) of s-ketamin, dexmedetomidine, and combination for premedication in children undergoing ENT surgery.

Detailed Description

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Three hundred children aged between 2 and 12 years were randomly allocated to one of five groups: 0.3 μg/kg intravenous injection s-ketamin; 0.5 μg/kg intravenous injection s-ketamin; 2 μg/kg intranasal s-ketamin group; 1 μg/kg intranasal s-ketamin + 1 μg/kg intranasal dexmedetomidine group; 0.5 μg/kg intranasal s-ketamin + 2 μg/kg intranasal dexmedetomidine group.

The modified Yale Preoperative Anxiety Scale (m-YPAS) was used to assess preoperative anxiety at 1, 5, 10, 20, and 30min after premedication. 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 Anesthesia Emergence Delirium \[PAED\] scale) and POV was 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.

Conditions

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Emotions Separation Anxiety Pain, Procedural

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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0.3 SK iv

0.3 μg/kg intravenous injection s-ketamin

Group Type EXPERIMENTAL

S-ketamine 0.3

Intervention Type DRUG

0.3 μg/kg intravenous injection s-ketamin

0.5 SK iv

0.5 μg/kg intravenous injection s-ketamin

Group Type EXPERIMENTAL

S-ketamine 0.5

Intervention Type DRUG

0.5 μg/kg intravenous injection s-ketamin

2 SK in

2 μg/kg intranasal s-ketamin

Group Type EXPERIMENTAL

S-ketamine 2

Intervention Type DRUG

2 μg/kg intranasal s-ketamin

1 SK in + 1 DEX in

1 μg/kg intranasal s-ketamin + 1 μg/kg intranasal dexmedetomidine

Group Type EXPERIMENTAL

S-ketamine 1+Dexmedetomidine 1

Intervention Type DRUG

1 μg/kg intranasal s-ketamin + 1 μg/kg intranasal dexmedetomidine

0.5 SK in + 2 DEX in

0.5 μg/kg intranasal s-ketamin + 2 μg/kg intranasal dexmedetomidine

Group Type EXPERIMENTAL

S-ketamine 0.5 +Dexmedetomidine 2

Intervention Type DRUG

0.5 μg/kg intranasal s-ketamin + 2 μg/kg intranasal dexmedetomidine

Interventions

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S-ketamine 0.3

0.3 μg/kg intravenous injection s-ketamin

Intervention Type DRUG

S-ketamine 0.5

0.5 μg/kg intravenous injection s-ketamin

Intervention Type DRUG

S-ketamine 2

2 μg/kg intranasal s-ketamin

Intervention Type DRUG

S-ketamine 1+Dexmedetomidine 1

1 μg/kg intranasal s-ketamin + 1 μg/kg intranasal dexmedetomidine

Intervention Type DRUG

S-ketamine 0.5 +Dexmedetomidine 2

0.5 μg/kg intranasal s-ketamin + 2 μg/kg intranasal dexmedetomidine

Intervention Type DRUG

Other Intervention Names

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Jiangsu Hengrui Medicine Co.,Ltd. Jiangsu Hengrui Medicine Co.,Ltd. Jiangsu Hengrui Medicine Co.,Ltd. Jiangsu Hengrui Medicine Co.,Ltd. Jiangsu Hengrui Medicine Co.,Ltd.

Eligibility Criteria

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Inclusion Criteria

* After obtaining the informed consent from their parents or proxies, the children aged 2 to 12 years, scheduled for elective ENT surgery, of American Society of Anesthesiologists (ASA) I or II were enrolled in this study.

Exclusion Criteria

* Congenital heart diseases, congenital dysplasia, obstructive sleep apnea syndrome, upper respiratory tract infection, body mass index (BMI) ≥25, allergy to S-ketamin or dexmedetomidine, and severe liver or kidney disease.
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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Hui Qiao

Clinical Anesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hui Qiao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Eye and ENT Hospital of Fudan University

Locations

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Eye and ENT Hospital of Fudan University

Shanghai, , China

Site Status

Countries

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China

References

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Qiao H, Zhuang Y, Lv P, Ye Z, Lu Y, Jia J. Intranasal esketamine versus esketamine-dexmedetomidine combination for premedication in pediatric patients undergoing strabismus surgery: a randomized controlled trial. Transl Pediatr. 2024 Aug 31;13(8):1327-1335. doi: 10.21037/tp-24-45. Epub 2024 Aug 28.

Reference Type DERIVED
PMID: 39263280 (View on PubMed)

Other Identifiers

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Premedication s-ketamin

Identifier Type: -

Identifier Source: org_study_id

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