Comparison of Sedation/Analgesia: Midazolam/Morphine Vs Propofol/Remifentanil
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Purpose
For reduction of dislocated shoulder, sedation with propofol and remifentanil should give satisfactory operating conditions and pain relief, and significantly reduce the time to full recovery, compared with morphine and midazolam
| Condition | Intervention |
|---|---|
|
Shoulder Dislocation |
Drug: Sedation with propofol and remifentanil |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Comparison of Sedation/Analgesia: Midazolam/Morphine Vs Propofol/Remifentanil |
- Time to full recovery
- Operating conditions
- Pain or discomfort
| Estimated Enrollment: | 40 |
| Study Start Date: | July 2003 |
| Estimated Study Completion Date: | June 2005 |
Propofol is a recognised agent for sedation and remifentanil is a short acting opioid analgesic. We intend to provide sedation with propofol, 0.5 mg/Kg, and analgesia with remifentanil 0.5 microgram/Kg for reduction of dislocated shoulders. This will be a randomised sex-stratified comparison with current therapy which is midazolam incrementally up to a maximum of 0.15 mg/Kg, and morphine incrementally up to 0.15 mg/Kg. The primary outcome measure is time to full recovery. Secondary aspects are pain or discomfort during the procedure and operating conditions.
Eligibility| Ages Eligible for Study: | 16 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Anterior dislocation of the shoulder suitable for manual reduction
Exclusion Criteria:
- significant other illness
- body weight 25% greater than expected
- fear of oxygen masks
- alcohol intoxication
Contacts and Locations| United Kingdom | |
| Royal Infirmary | |
| Edinburgh, Midlothian, United Kingdom, EH16 4HA | |
| Principal Investigator: | Gordon B Drummond, FRCA | University of Edinburgh |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00326352 History of Changes |
| Other Study ID Numbers: | 2003/1/13 |
| Study First Received: | May 15, 2006 |
| Last Updated: | May 15, 2006 |
| Health Authority: | Scotland: Scottish Executive Health Department |
Keywords provided by University of Edinburgh:
|
Sedation Propofol Remifentanil recovery |
Additional relevant MeSH terms:
|
Dislocations Shoulder Dislocation Wounds and Injuries Arm Injuries Midazolam Propofol Remifentanil Morphine Adjuvants, Anesthesia Central Nervous System Agents Therapeutic Uses Pharmacologic Actions Anti-Anxiety Agents Tranquilizing Agents Central Nervous System Depressants |
Physiological Effects of Drugs Psychotropic Drugs Hypnotics and Sedatives Anesthetics, Intravenous Anesthetics, General Anesthetics GABA Modulators GABA Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Analgesics, Opioid Analgesics Sensory System Agents Peripheral Nervous System Agents Narcotics |
ClinicalTrials.gov processed this record on May 23, 2013