A Prospective, Randomized, Blinded Study of BIS Analysis in ICU Patients Requiring Neuromuscular Blocking Agents
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Purpose
This is a prospective, randomized, blinded study in which patients will be enrolled into either treated(BIS group) or untreated (non-BIS) group employing bispectral analysis to measure the level of sedation/analgesia in patients receiving neuromuscular blocking agents.
To collect pertinent data on critically ill patients while they are receiving NMBA's. In particular to correlate sedation/analgesic medication needs between a group whose medication use is determined by the values obtained by bispectral analysis to a group who will have medications delivered by the standard of care presently used in the intensive care unit in which they are being treated.
To document that patients who are monitored with bispectral analysis are able to achieve an appropriate level of consciousness in a shorter time and require less manipulation and amounts of sedative or analgesic medications than those who are not monitored.
| Condition | Intervention |
|---|---|
|
ICU Patients |
Device: BIS |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Prospective, Randomized, Blinded Study of BIS Analysis in ICU Patients Requiring Neuromuscular Blocking Agents |
- Amount of sedation required. [ Time Frame: During period of neuromuscular blockade use in ICU ] [ Designated as safety issue: No ]
- Time requiring neuromuscular blockade and mechanical ventilation. [ Time Frame: Time in ICU ] [ Designated as safety issue: No ]
| Enrollment: | 56 |
| Study Start Date: | February 2000 |
| Study Completion Date: | October 2007 |
| Primary Completion Date: | February 2003 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: 1
Standard of care
|
|
|
Experimental: 2
Sedation based on BIS value, oer treating physician discretion.
|
Device: BIS
Sedation dosing based on BIS value, oer treating physician discretion.
|
Detailed Description:
This is a prospective, randomized and blinded study being done in order to help evaluate the level of consciousness with bispectral analysis (BIS) in ICU patients who are pharmacologically paralyzed with NMBAs (neuromuscular blockade agents) and to assess such things as the amount of time required to achieve the appropriate level of sedation/analgesia. Data will be collected and evaluated via this FDA approved equipment. The intent of this project is to evaluate this technology in those who are requiring "anesthesia" like states (use of NMBAs) for prolonged periods in the critically ill patient population.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Consented ICU patient, receiving neuromuscular blocking agents.
Exclusion Criteria:
- Unable to be consented
Contacts and Locations More Information
No publications provided
| Responsible Party: | Edward J. Kimball MD, University of Utah |
| ClinicalTrials.gov Identifier: | NCT00714974 History of Changes |
| Other Study ID Numbers: | UU7643 |
| Study First Received: | July 8, 2008 |
| Last Updated: | July 8, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Utah:
|
Neuromuscular blocking agents Bispectral analysis |
Additional relevant MeSH terms:
|
Neuromuscular Blocking Agents Neuromuscular Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013