Intranasal Dexmedetomidine Versus Intranasal Midazolam as a Premedication in Pediatrics Undergoing Upper GI Endoscopy

NCT ID: NCT06181682

Last Updated: 2023-12-26

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-31

Study Completion Date

2024-03-31

Brief Summary

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compare the effectiveness of intranasal dexmedetomidine and midazolam as a premedication in sedation of preschool children in GI endoscopy

Detailed Description

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Conditions

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Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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dexmedetomidine group

patients will receive intranasal dexmedetomidine (1 microgram/kg) -Intranasal dexmedetomidine will be prepared from the 100 mcg/ml parenteral preparation in a 1-ml syringe, and 0.9% saline will be added to make a final volume of 1 ml- (0.5 ml will be administrated in each nostril) before starting the anesthesia with monitoring of sedation level and oxygen saturation.

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

Intranasal Dexmedetomidine

midazolam group

patients will receive intranasal midazolam (0.2 mg/kg) up to 5 mg - Intranasal midazolam will be prepared from a 5 mg/ml parenteral preparation, and 0.9% saline will be added to make a final volume of one ml in a 1-ml syringe- (0.5 ml will be administrated in each nostril) before starting the anesthesia with monitoring of sedation level and oxygen saturation.

Group Type ACTIVE_COMPARATOR

Midazolam

Intervention Type DRUG

Intranasal midazolam

Interventions

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Dexmedetomidine

Intranasal Dexmedetomidine

Intervention Type DRUG

Midazolam

Intranasal midazolam

Intervention Type DRUG

Other Intervention Names

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Precedex Dormicum

Eligibility Criteria

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Inclusion Criteria

* Children of preschool age (2-6 years old).
* American scocity of anaesthesiology (ASA) I - II children.
* Expected duration of the procedure is less than 50 minutes.

Exclusion Criteria

* Cardiac arrhythmia, congenital heart disease, or hemodynamic or respiratory instability; children at risk for airway obstruction.
* Behavioral, mental or developmental abnormality (example: mental retardation, Attention Deficit Hyperactivity Disorder "ADHD", Autism, Down syndrome).
* Regular intake of either brain stimulant or depressive drugs (example: Methylphenidate, amphetamine-dextroamphetamine and diazepam respectively).
* Parent's refusal.
* Emergency case.
* Allergy to any of the used drugs
Minimum Eligible Age

2 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Marwa Mostafa Hasan Salem

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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marwa Salem, MD

Role: CONTACT

Phone: 1003591259

Email: [email protected]

Other Identifiers

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ASU MS

Identifier Type: -

Identifier Source: org_study_id