The Effect of Dexmedetomidine on Emergence Agitation in Children Undergoing a Surgery Under Desflurane Anesthesia
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Purpose
After genernal anesthesia using sevoflurane or desflurane, the investigators can observe many cases of agiation (over 80%) and despite of no report of long-term complication, agitation is a big issue in PACU for doctors and nurses. The investigators use dexmedetomidine for prevention of agiation of preschool aged children. The investigators expect single injection of dexmedetomidine lead to decrease postoperative agitation and pain without any complication like oculocardiac reflex requiring atopine for treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Psychomotor Agitation |
Drug: Dexmedetomidine Drug: 0.9% Normal Saline |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Prevention |
| Official Title: | The Effect of Dexmedetomidine on Emergence Agitation in Children Undergoing a Surgery Under Desflurane Anesthesia |
- Agitation score [ Time Frame: 30 mins after operation ] [ Designated as safety issue: No ]
- Oculomotor reflex [ Time Frame: Intraoperative ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 116 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Dexmedetomidine0.25
dexmedetomidine 0.25 microg.kg(-1),(Group D0.25) ivs. for 10min.
|
Drug: Dexmedetomidine
There are four groups accoding to dosage of dexmedetomidine. Dexmedetomidine 0.25 microg.kg(-1),(group D0.25), dexmedetomidine 0.5 microg.kg(-1),(Group D0.5), dexmedetomidine 1 microg.kg(-1) (Group D 1) and normal saline(group P) is administered ivs. for 10mins when we are inducing each patient.
Other Name: Precedex
|
|
Experimental: Dexmedetomidine0.5
dexmedetomidine 0.5 microg.kg(-1),(group D0.5) ivs. for 10min.
|
Drug: Dexmedetomidine
There are four groups accoding to dosage of dexmedetomidine. Dexmedetomidine 0.25 microg.kg(-1),(group D0.25), dexmedetomidine 0.5 microg.kg(-1),(Group D0.5), dexmedetomidine 1 microg.kg(-1) (Group D 1) and normal saline(group P) is administered ivs. for 10mins when we are inducing each patient.
Other Name: Precedex
|
|
Experimental: Dexmedetomidine1.0
dexmedetomidine 1 microg.kg(-1) ivs. for 10min.
|
Drug: Dexmedetomidine
There are four groups accoding to dosage of dexmedetomidine. Dexmedetomidine 0.25 microg.kg(-1),(group D0.25), dexmedetomidine 0.5 microg.kg(-1),(Group D0.5), dexmedetomidine 1 microg.kg(-1) (Group D 1) and normal saline(group P) is administered ivs. for 10mins when we are inducing each patient.
Other Name: Precedex
|
|
Placebo Comparator: NormalSaline
Normal saline 10ml ivs. for 10min.
|
Drug: 0.9% Normal Saline
Placebo,Normal saline 10ml ivs. for 10min.
|
Detailed Description:
There are four groups accoding to dosage of dexmedetomidine. Dexmedetomidine 0.25 microg.kg(-1),(group D0.25), dexmedetomidine 0.5 microg.kg(-1),(Group D0.5), dexmedetomidine 1 microg.kg(-1) (Group D 1) and normal saline(group P) is administered ivs. for 10mins when we are inducing each patient.
Eligibility| Ages Eligible for Study: | 2 Years to 6 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Physical status classification of American Society of Anesthesiologist 1-2,
- Healthy, normal
- 2-6 years old
- Elective operation
Exclusion Criteria:
- Lack of consent
- Known adverse effects to dexmedetomidine, mental retardation
- Developmental delay, or neurological or psychiatric illness that may associate with agitation (cerebral palsy, seizure, etc)
- No cardiac disease
Contacts and Locations| Contact: INAE SONG | 82-10-2609-2401 | nodame1@naver.com |
| Korea, Republic of | |
| Department of Anesthesiology and Pain Medicine, SEOUL NATIONAL UNIVERSITY BUNDANG HOSPITAL | Recruiting |
| SungNam-si, Kyonggi do, Korea, Republic of, 463-707 | |
| Contact: SangHwan Do 82-31-787-7499 shdo@snubh.org | |
| Principal Investigator: AhYoung Oh | |
| Principal Investigator: | AhYoung Oh | Seoul National University Bundang Hospital |
More Information
No publications provided
| Responsible Party: | Ah-Young Oh, Assistant Professor, Seoul National University Hospital |
| ClinicalTrials.gov Identifier: | NCT01578161 History of Changes |
| Other Study ID Numbers: | SNUBH_01 |
| Study First Received: | April 13, 2012 |
| Last Updated: | April 13, 2012 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Psychomotor Agitation Dyskinesias Neurologic Manifestations Nervous System Diseases Psychomotor Disorders Neurobehavioral Manifestations Signs and Symptoms Anesthetics Desflurane Dexmedetomidine Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents |
Therapeutic Uses Anesthetics, Inhalation Anesthetics, General Hypnotics and Sedatives Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 17, 2013