Efficacy of iv Fentanyl Citrate Administered Oral as a Pediatric Premedication

NCT ID: NCT04991298

Last Updated: 2021-08-05

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-01

Study Completion Date

2022-07-25

Brief Summary

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evaluate the efficacy of the intravenous formulation of fentanyl citrate administered orally as a sedative premedication, we will compare it with oral midazolam, as a gold standard premedication, in paediatric congenital cardiac surgeries

Detailed Description

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In this double-blinded randomized controlled study, after approval by the local ethics committee, paediatric patients, aged 1 to 7 years, scheduled for elective surgical procedures for correction of congenital heart disease will be enrolled. Patients with hepatic or renal disorders, gastrointestinal tract disorders or malformation, conduction disorders, coronary artery disease, emergency operations, mental disabilities, and known reactions to the drugs to be used will be excluded. After assessing the patient for anaesthesia, informed consent of patients about study and anaesthesia will be obtained.Children will be kept off solid food for 6 hours and of clear fluids for 2 hours. The premedication will be administered orally mixed with equal volume of 5% dextrose and using a 5-ml syringe, 30 minutes before admission to operating room by a member of the nursing staff unaware of the group allocation, in the preoperative holding area, in the presence of one parent. A randomized block design will be used for allocation of patients into two groups (50 patients each); one group of patients will receive midazolam (Group M) and the other will receive fentanyl (Group F) as a sedative premedication.

1. Group M: patients will be premedicated with the undiluted IV formulation of Midazolam (5 mg/mL), 0.5 mg/kg up to 15 mg per patient. The dose is chosen to be similar to the dose of midazolam used in other previous studies ().
2. Group F: patients will be premedicated with the undiluted IV formulation of fentanyl citrate (50 µg/mL), 10 µg/kg up to 400 µg per patient. The dose is chosen to be similar to the dose of OTFC used in other previous studies

Conditions

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Anesthesia, Local

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group M

patients will be premedicated with the undiluted IV formulation of Midazolam

Group Type ACTIVE_COMPARATOR

Oral premedication

Intervention Type DRUG

Oral anesthesia premedication for congenital Cardiac surgery

Group F

patients will be premedicated with the undiluted IV formulation of fentanyl citrate

Group Type ACTIVE_COMPARATOR

Oral premedication

Intervention Type DRUG

Oral anesthesia premedication for congenital Cardiac surgery

Interventions

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Oral premedication

Oral anesthesia premedication for congenital Cardiac surgery

Intervention Type DRUG

Other Intervention Names

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Midazolam , fentanyl

Eligibility Criteria

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Inclusion Criteria

* paediatric congenital heart disease patients, aged 1 to 7 years, scheduled for elective surgical procedures for correction of congenital heart disease

Exclusion Criteria

* Patients with hepatic or renal disorders, gastrointestinal tract disorders or malformation, conduction disorders, coronary artery disease, emergency operations, mental disabilities, and known reactions to the drugs to be used will be excluded.
Minimum Eligible Age

1 Year

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alexandria

OTHER

Sponsor Role lead

Responsible Party

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Ibrahim Mabrouk Ibrahim

Assistant lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Alexandria university

Alexandria, , Egypt

Site Status RECRUITING

Alexandria university

Alexandria, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Ibrahim Mabrouk, Phd

Role: CONTACT

00201224336786

Islam Elbardan, Phd

Role: CONTACT

+20 111 227 8083

Facility Contacts

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Nagwa Kobea, Phd

Role: primary

+20 122 336 8233

Nagwa Kobea, Phd

Role: primary

+20 122 336 8233

Other Identifiers

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124

Identifier Type: -

Identifier Source: org_study_id

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