- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02181543
Use of Intraoperative Clonidine for Prevention of Postoperative Agitation in Pedriatic Anesthesia With Sevoflurane.
October 3, 2017 updated by: Alex Sandro Rolland de Souza, Professor Fernando Figueira Integral Medicine Institute
The purpose of this study is to determine efficacy of intraoperative clonidine to prevent postoperative agitation in pediatric anesthesia with sevoflurane.
Study Overview
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Pernambuco
-
Recife, Pernambuco, Brazil, 50.070-550
- Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
2 years to 12 years (CHILD)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged 2 - 12 Years.
- Need for tonsillectomy / adenotonsillectomy.
- Physical status of the American Society of Anesthesiologists (ASA) 1, 2 or 3.
- Anestesia geral com sevoflurano.
- Use of Intraoperative dipyrone, 30-50mg/Kg, IV.
Exclusion Criteria:
- Changes in consciousness.
- Neurological Deficit.
- Use of another drug as medication before anesthesia.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Clonidine
Clonidine 1μg/Kg, IV, single dose, anesthesia intraoperative.
|
1μg/Kg, IV (in the vein) intraoperative.
Number of Cycles: single dose.
|
No Intervention: No Clonidine
Usual care of Instituto de Medicina Integral Prof. Fernando Figueira.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative agitation
Time Frame: 6 hours
|
Postoperative agitation will be assessed by the Pediatric Anesthesia Emergence Delirium Scale (PAED).
|
6 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of postoperative agitation
Time Frame: 6 hours
|
Time in minutes.
|
6 hours
|
Need for post-anesthetic drugs for treatment of agitation
Time Frame: 6 hours
|
Use of any drugs, such as sedatives, opioids, anti-inflammatory or anti-emetic for improvement agitation.
|
6 hours
|
Any occurrence of post-anesthesia accidents: falls, bruises or disconnection of catheters
Time Frame: 6 hours
|
If any accident occurs in the recovery room, and postoperative (falls, bruises) disconnection of intravenous catheter or injuries.
|
6 hours
|
Drowsiness
Time Frame: 6 hours
|
Clinical evaluation: patient awake, awake, alert or patient under hypnosis.
|
6 hours
|
Parental satisfaction.
Time Frame: 24 hours
|
As parents answer the question if you are satisfied with the procedure performed, excluding other problems occurred in the hospital.
|
24 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Alex SR Souza, PhD, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
- Study Chair: Fernando A Souza Júnior, MD, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
- Study Chair: Tania CM Couceiro, MD, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
- Study Chair: Ítalo GM Santos, Student, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
- Study Director: Luciana C Lima, PhD, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hudek K. Emergence delirium: a nursing perspective. AORN J. 2009 Mar;89(3):509-16; quiz 517-9. doi: 10.1016/j.aorn.2008.12.026.
- Silva LM, Braz LG, Modolo NS. Emergence agitation in pediatric anesthesia: current features. J Pediatr (Rio J). 2008 Mar-Apr;84(2):107-13. doi: 10.2223/JPED.1763.
- Kulka PJ, Bressem M, Tryba M. Clonidine prevents sevoflurane-induced agitation in children. Anesth Analg. 2001 Aug;93(2):335-8, 2nd contents page.
- Malviya S, Voepel-Lewis T, Ramamurthi RJ, Burke C, Tait AR. Clonidine for the prevention of emergence agitation in young children: efficacy and recovery profile. Paediatr Anaesth. 2006 May;16(5):554-9. doi: 10.1111/j.1460-9592.2006.01818.x.
- Fazi L, Jantzen EC, Rose JB, Kurth CD, Watcha MF. A comparison of oral clonidine and oral midazolam as preanesthetic medications in the pediatric tonsillectomy patient. Anesth Analg. 2001 Jan;92(1):56-61. doi: 10.1097/00000539-200101000-00011.
- Tazeroualti N, De Groote F, De Hert S, De Ville A, Dierick A, Van der Linden P. Oral clonidine vs midazolam in the prevention of sevoflurane-induced agitation in children. a prospective, randomized, controlled trial. Br J Anaesth. 2007 May;98(5):667-71. doi: 10.1093/bja/aem071. Epub 2007 Apr 7.
- Sousa-Junior FA, Souza ASR, Lima LC, Santos IGM, Menezes LAP, Ratis PAPL, Couceiro TCM. Intraoperative clonidine to prevent postoperative emergence delirium following sevoflurane anesthesia in pediatric patients: a randomized clinical trial. Braz J Anesthesiol. 2021 Jan-Feb;71(1):5-10. doi: 10.1016/j.bjane.2020.12.003. Epub 2020 Dec 25.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 1, 2013
Primary Completion (Actual)
December 1, 2014
Study Completion (Actual)
December 1, 2014
Study Registration Dates
First Submitted
July 2, 2014
First Submitted That Met QC Criteria
July 2, 2014
First Posted (Estimate)
July 4, 2014
Study Record Updates
Last Update Posted (Actual)
October 4, 2017
Last Update Submitted That Met QC Criteria
October 3, 2017
Last Verified
October 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Dyskinesias
- Psychomotor Disorders
- Psychomotor Agitation
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Sympatholytics
- Clonidine
Other Study ID Numbers
- U1111-1157-8852
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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