Sedation of Mechanically Ventilated Critically Ill Patients: Midazolam Versus Dexmedetomidine
Recruitment status was Recruiting
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Purpose
The aim of this prospective randomized study is to compare the safety and efficacy of two strategies for sedation of critically ill patients submitted to mechanical ventilation: continuous intravenous infusion of dexmedetomidine versus intravenous bolus of midazolam. The two groups will be compared as to the incidence of of delirium, evaluated with the Confusion Assessment Method for ICU (CAM-ICU) and the percentage of time within the target sedation using the Richmond Agitation-Sedation Scale (RAAS).Eligible patients will be 18 years or older intubated and mechanically ventilated for less than 48 hours prior to start of study drug and anticipated ventilation duration of at least 48 hours. Calculated sample size is 146 patients (73 patients in each group)
| Condition | Intervention | Phase |
|---|---|---|
|
Mechanically Ventilated Patients Sedation Dexmedetomidine Midazolam |
Drug: Dexmedetomidine Drug: Midazolam |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Sedation of Mechanically Ventilated Critically Ill Patients: Midazolam Versus Dexmedetomidine |
- Incidence of delirium
- PERCENTAGE OF TIME WITHIN THE TARGET SEDATION
| Estimated Enrollment: | 146 |
| Study Start Date: | November 2010 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: DEXMEDETOMIDINE, SEDATION | Drug: Dexmedetomidine |
| Active Comparator: Midazolam, sedation, | Drug: Midazolam |
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult mechanically ventilated, critically ill patients
Exclusion Criteria:
- pregnancy or lactation, severe liver disease, hearth rate less than 50, hypotension despite volemic repletion and vasoactive drug
Contacts and Locations| Brazil | |
| Hospital Sao Domingos | Recruiting |
| Sao Luis, Maranhao, Brazil, 65060-100 | |
| Contact: Jose R Azevedo, MD 55 98 32168110 jrazevedo@elo.com.br | |
| Principal Investigator: Jose R Azevedo, MD | |
| Sub-Investigator: Carla C Oliveira, RN | |
More Information
No publications provided
| Responsible Party: | Ethics Committee, Hospital Sao Domingos |
| ClinicalTrials.gov Identifier: | NCT01256866 History of Changes |
| Other Study ID Numbers: | hsd130947 |
| Study First Received: | December 8, 2010 |
| Last Updated: | December 8, 2010 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Hospital Sao Domingos:
|
Dexmedetomidine Midazolam Sedation Mechanical ventilation Critically ill patients |
Additional relevant MeSH terms:
|
Critical Illness Disease Attributes Pathologic Processes Midazolam Dexmedetomidine 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, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents |
ClinicalTrials.gov processed this record on June 18, 2013