Dexmedetomidine and Hypoxic Pulmonary Vasoconstriction in Thoracic Surgical Procedures and One-Lung Ventilation (Dex-One-Lung)
This study has been completed.
Information provided by:
University of Missouri-Columbia
First received: February 5, 2009
Last updated: February 1, 2010
Last verified: February 2010
The purpose of this study is to evaluate the effects of Dexmedetomidine when used during thoracic surgery.
The primary outcome will be changes in oxygenation as measured the PaO2 during one lung ventilation.
Chest Wall Disorders
||Observational Model: Case-Only
Time Perspective: Cross-Sectional
||Dexmedetomidine and Hypoxic Pulmonary Vasoconstriction in Thoracic Surgical Procedure and One-Lung Ventilation(OLV)
Primary Outcome Measures:
- The primary outcome will be changes in oxygenation measured by the PaO2 during one lung ventilation [ Time Frame: During thoracic surgical procedure ] [ Designated as safety issue: Yes ]
| Study Start Date:
| Study Completion Date:
| Primary Completion Date:
||November 2009 (Final data collection date for primary outcome measure)
Those requiring thoracic surgery and receiving dex
loading dose:0.3mcg/kg. Infusion of 0.3mcg/kg/hr
Other Name: Precedex
Group having thoracic surgery and not receiving dex drug
To collect data on the effects of Dexmedetomidine(DEX)(0.3mcg/kg loading dose followed by an infusion of 0.3mcg/kg/hr)on Hypoxic pulmonary vasoconstriction when administered to patients during surgery with one lung ventilated thoracic procedures. Dexmedetomidine has both vasoconstricting and vasodilatatory effect on peripheral vasculature but its effect on pulmonary vessels is not known. If it is predominantly a vasodilator on pulmonary vessels it can inhibit hypoxic pulmonary vasoconstriction and will increase shunting of venous blood to arterial circulation without oxygenation. If our study proves it to be a vasodilator for pulmonary vessels then it will not be wise to use it in thoracic procedure with one lung ventilation. If our study proves that it is a vasoconstrictor for pulmonary vessels, then it will be an excellent adjunct to other anesthetic agents during one lung ventilation.
|Ages Eligible for Study:
||19 Years and older
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Those patients whom will be receiving thoracic surgery
- Subject is > 18 years of age.
- Subject is American Society of Anesthesiologists (ASA) Physical Status I, II, III, or IV.
If female, subject is non-lactating and is either:
- Not of childbearing potential, defined as post-menopausal for at least 1 year or surgically sterile due to bilateral tubal ligation, bilateral oophorectomy or hysterectomy.
- Of childbearing potential but is not pregnant at time of baseline and is practicing one of the following methods of birth control: oral or parenteral contraceptives, double-barrier method, vasectomized partner, or abstinence from sexual intercourse.
- Subject requires thoracic surgical procedure .
- Subject (or subject's legally authorized representative) has voluntarily signed and dated the informed consent document approved by the Institutional Review Board.
- Subject has received general anesthesia within 7 days prior to study entry, has received any experimental drug within 30 days prior to study drug administration, or has been previously enrolled in this study.
- Subject has central nervous system (CNS) disease with an anticipated potential for increased intracranial pressure, an uncontrolled seizure disorder and/or known psychiatric illness that could confound a normal response to sedative treatment.
- Subject has received treatment with an alpha-2 agonist or antagonist within 14 days of the scheduled surgery/procedure.
- Subject for whom opiates, benzodiazepines, DEX or other alpha-2 agonists are contraindicated.
- Subject has received an IV opioid within one hour, or PO/IM opioid within four hours, of the start of study drug administration.
- Subject has acute unstable angina, acute myocardial infarction documented by laboratory findings in the past six weeks, heart rate < 50 bpm, SBP < 90 mmHg, or third-degree heart block unless patient has a pacemaker.
- Subject has known elevated SGPT (ALT) and/or SGOT (AST) values of > 2 times the upper limit of normal (ULN) within the two months prior to screening, and/or a history of liver failure.
- Subject has any other condition or factor which, in the Investigator's opinion, might increase the risk to the subject.
- On vasodilators, i.e.,nitroglycerin, nitroprusside, or ACE inhibitors
- on vasopressors, i.e, norepinephrine,epinephrine, or vasopressin
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00839605
|University of Missouri-Columbia
|Columbia, Missouri, United States, 65212 |
University of Missouri-Columbia
||joseph tobias, md
||University of Missouri-Columbia
No publications provided
||Joseph Tobias, MD, University of Missouri
History of Changes
|Other Study ID Numbers:
|Study First Received:
||February 5, 2009
||February 1, 2010
||United States: Institutional Review Board
Keywords provided by University of Missouri-Columbia:
Thoracic surgery one lung ventilation
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 22, 2014
Digestive System Neoplasms
Neoplasms by Site
Head and Neck Neoplasms
Digestive System Diseases
Hypnotics and Sedatives
Central Nervous System Depressants
Physiological Effects of Drugs
Central Nervous System Agents
Sensory System Agents
Peripheral Nervous System Agents
Adrenergic alpha-2 Receptor Agonists
Molecular Mechanisms of Pharmacological Action