BIS of Sedation Depth During Flexible Bronchoscopy. (BIS)
Bispectral Index Monitoring of Sedation Depth During Flexible Bronchoscopy: With or Without Fentanyl .
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Fentanyl is opioid receptor agonists. It is a fast-acting, short duration and potent analgesics.
Flexible bronchoscopy (FB) is mostly used in the diagnosis and therapy in the respiratory disease. As we know, there has not pain nerve in the lung. People will not feel pain when they are in FB.
If fentanyl will be effective in FB? Our study will observe the effect of conscious sedation in FB with fentanyl or without fentanyl.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Cough reflex is good agree to do bronchoscopy agree to take part in the study no the contraindication of bronchoscopy
Exclusion Criteria:
Forced expiratory volume in one second<1 L severe hemoptysis severe heart, liver,kidney failure psychiatric and nervous disorders allergic to the anesthetic ( fentanyl, midazolam, or propofol)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: FB with fentanyl
In the Bispectral Index monitoring,our study will use midazolam, propofol and fentanyl in the conscious sedation of FB
|
Five minutes before the patients is done the flexible bronchoscopy, fentanyl will be intravenous injected.
Other Names:
Five minutes before the patients is done the flexible bronchoscopy, midazolam will be intravenous injected.
Other Names:
Propofol will be intravenous injected as soon as the flexible bronchoscopy begins.
Other Names:
Bispectral Index monitoring will be used in the process of the flexible bronchoscopy.
|
|
Active Comparator: FB without fentanyl
In the Bispectral Index monitoring, our study will use midazolam, propofol in the conscious sedation of FB
|
Five minutes before the patients is done the flexible bronchoscopy, midazolam will be intravenous injected.
Other Names:
Propofol will be intravenous injected as soon as the flexible bronchoscopy begins.
Other Names:
Bispectral Index monitoring will be used in the process of the flexible bronchoscopy.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
perioperative changes of blood pressure
Time Frame: every 5 minutes from the operation beginning to end
|
For each patient,bispectral index monitoring after anesthesia.
Bp will be measured.
|
every 5 minutes from the operation beginning to end
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
perioperative time
Time Frame: from the operation beginning to end
|
For each patient, record the time bronchoscopy in and out
|
from the operation beginning to end
|
|
Adverse events
Time Frame: in the process of the operation
|
For each patient, Adverse events (overall intraoperative cough,bleeding,low oxygen solution) will be record in the operation
|
in the process of the operation
|
|
Patient satisfaction rate
Time Frame: One day after the operation
|
One day after the patient do the bronchoscopy, ask him/her about the satisfaction to the operation
|
One day after the operation
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Wei Gu, master, The First Affiliated Hospital with Nanjing Medical University
Publications and helpful links
General Publications
- Clark G, Licker M, Younossian AB, Soccal PM, Frey JG, Rochat T, Diaper J, Bridevaux PO, Tschopp JM. Titrated sedation with propofol or midazolam for flexible bronchoscopy: a randomised trial. Eur Respir J. 2009 Dec;34(6):1277-83. doi: 10.1183/09031936.00142108. Epub 2009 May 14.
- Wahidi MM, Jain P, Jantz M, Lee P, Mackensen GB, Barbour SY, Lamb C, Silvestri GA. American College of Chest Physicians consensus statement on the use of topical anesthesia, analgesia, and sedation during flexible bronchoscopy in adult patients. Chest. 2011 Nov;140(5):1342-1350. doi: 10.1378/chest.10-3361.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Lung Diseases
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Analgesics, Opioid
- Narcotics
- Tranquilizing Agents
- Psychotropic Drugs
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Fentanyl
- Midazolam
- Propofol
Other Study ID Numbers
Other Study ID Numbers
- YL20160713-021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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