Dexmedetomidine and Midazolam Nebulization as Sedation During Cesarean Delivery in Pre-eclampsia

NCT ID: NCT04873596

Last Updated: 2024-03-01

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-15

Study Completion Date

2024-08-01

Brief Summary

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Null hypothesis: There is no difference between the effects of nebulization of dexmedetomidine and midazolam as procedural sedation during cesarean delivery under spinal Anesthesia in pre-eclamptic parturients Alternative hypothesis: There is difference between the effects of nebulization of dexmedetomidine and midazolam as procedural sedation during cesarean delivery under spinal anesthesia in pre-eclamptic parturients

Detailed Description

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Site of study:

This study will be carried out in operating theater of obstetrics at Zagazig University Hospitals.

Withdrawal Criteria: The woman has the right to withdraw from the study at any time without any negative consequence on their medical or surgical treatment plan.

Double -blind randomized clinical trial. All patients will be hospitalized and visited a day before the surgery, full history with physical examination and routine investigation will be done, the nature and complications of the study will be explained in detail to the patient and informed written consent will be obtained from every woman.

Conditions

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Procedural Sedation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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nebulized dexmedetomidine

parturient will receive nebulized 3ug/kg dexmedetomidine diluted in normal saline (0.9%) solution till total volume of nebulized solution will become 5 ml and will be nebulized by a standard hospital jet nebulizer via mouthpiece, with a continuous flow of 100% oxygen at 6 L/min. for 15 minutes, and the treatment will be stopped when the nebulizer will be began to sputter.

Group Type ACTIVE_COMPARATOR

Nebulized dexmedetomidine

Intervention Type DRUG

parturient will receive nebulized 3ug/kg dexmedetomidine.

nebulized midazolam

parturient will receive nebulized 0.2 mg/kg midazolam diluted in normal saline (0.9%) solution till total volume of nebulized solution will become 5 ml and will be nebulized by a standard hospital jet nebulizer via mouthpiece, with a continuous flow of 100% oxygen at 6 L/min. for 15 minutes, and the treatment will be stopped when the nebulizer will be began to sputter.

Group Type ACTIVE_COMPARATOR

Nebulized midazolam

Intervention Type DRUG

parturient will receive nebulized 0.2 mg/kg midazolam.

Interventions

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Nebulized dexmedetomidine

parturient will receive nebulized 3ug/kg dexmedetomidine.

Intervention Type DRUG

Nebulized midazolam

parturient will receive nebulized 0.2 mg/kg midazolam.

Intervention Type DRUG

Other Intervention Names

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precedex Dormicum

Eligibility Criteria

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Inclusion Criteria

* Age: 21-38 years old.
* Mild and moderate preeclampsia parturient.
* American Society of AnesthesiologistPhysical status II.
* Body Mass Index (BMI) (25-35kg/m²).
* Type of operations: elective cesarean section under spinal anesthesia.
* Written informed consent from the parturient.

Exclusion Criteria

* Altered mental state.
* Women with known history of allergy to study drugs.
* Women with uncontrolled diabetes mellitus, bleeding, coagulation disorders, advanced hepatic, renal, cardiovascular, respiratory disease and neuropsychiatric disorders.
* Patients receiving anticonvulsants or antidepressants.
* Sever preeclampsia, intrauterine growth restriction or fetal compromise.
Minimum Eligible Age

21 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Zagazig University

OTHER_GOV

Sponsor Role lead

Responsible Party

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Alshaimaa Abdel Fattah Kamel

principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alshaimaa Kamel, M.D

Role: PRINCIPAL_INVESTIGATOR

Zagazig University, Faculty of human medicine

Locations

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Zagazig University, Faculty of medicine

Zagazig, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Alshaimaa Kamel, M.D

Role: CONTACT

01005593169 ext. 002

Dina Abdelhameed Elsadek salem, M.D

Role: CONTACT

01099333513 ext. 002

Facility Contacts

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Alshaimaa Kamel, M.D

Role: primary

01005593169 ext. 002

Other Identifiers

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6869

Identifier Type: -

Identifier Source: org_study_id

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