- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04691076
Effect of Low-dose Esketamine Combined With Target-controlled Infusion of Propofol for Painless Gastrointestinal Endoscopy
Efficacy and Safety of Low-dose Esketamine Combined With Target-controlled Infusion of Propofol for Painless Gastrointestinal Endoscopy and Polypectomy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Tao Yang, Master
- Phone Number: +86-10 18920802290
- Email: yangtao@nankai.edu.cn
Study Locations
-
-
-
Tianjin, China, 300131
- Recruiting
- Tianjin Union Medical Center
-
Contact:
- Tao Yang, Master
- Phone Number: +86-10 18920802290
- Email: yangtao@nankai.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject's American Society of Anesthesiologists physical status is I-III.
- Subject has no symptoms of allergy to anesthetics.
- Subject has no contraindications for gastrointestinal endoscopy.
- Subject has given written informed consent to participate.
Exclusion Criteria:
- Subject's BMI <18 or >30
- Subject has poorly controlled or untreated hypertension.
- Subject has severe ischemic heart disease.
- Subject is an untreated or undertreated patient with hyperthyroidism.
- Subject has used drugs that affect their central nervous system.
- .Subject has mental illness.
- .Subject has epilepsy.
- .Subject has a history of chronic pain.
- .Subject is pregnant or breast-feeding.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Propofol/Esketamine sedation
Propofol target-controlled infusion is performed first,when the infusion concentration reaches 1.5μg/ml,esketamine 0.15mg/kg is injected intravenously;then the dose is adjusted according to the depth of anesthesia and the modified observer's assessment of alert /sedation scale, and propofol target-controlled infusion for every increase of 5μg/ml in concentration, the corresponding increase of esketamine is 0.05mg/kg; the total dose of esketamine used in surgery shall not exceed 0.5mg/kg.
|
Propofol is administered by target-controlled infusion
Esketamine is intravenously administrated
|
ACTIVE_COMPARATOR: Propofol/Fentanyl sedation
Propofol target-controlled infusion is performed first.When the infusion concentration reaches 1.5μg/ml, fentanyl 0.6μg/kg is injected intravenously; then the dose is adjusted according to the depth of anesthesia and the modified observer's assessment of alert /sedation scale, and propofol target-controlled infusion for every increase of 5μg/ml in concentration,the corresponding increase of fentanyl is 0.2ug/kg; the total dose of fentanyl used in surgery shall not exceed 1.2ug/kg.
|
Propofol is administered by target-controlled infusion
Fentanyl is intravenously administrated
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cumulative propofol Consumption
Time Frame: intraoperative
|
Total amount of propofol administered intraoperatively
|
intraoperative
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The incidence of adverse events in pulmonary and circulatory systems
Time Frame: During the operation
|
Pulmonary incidents include:Decreased blood oxygen saturation (SpO2 drops to 75%~90%, duration <60s);Severe decrease in blood oxygen saturation (SpO2<90%, duration>60s; or SpO2<75%);Obstruction of the airways occurs and requires the use of jaw manipulation or emergency airway equipment. Cardiovascular incidents include: Bradycardia or tachycardia; Arterial blood pressure increased or decreased by more than 20% of the baseline; Other matters requiring urgent attention. |
During the operation
|
Time of recovery, post-anaesthesia care unit and discharge from hospital
Time Frame: procedure ( the end of endoscopy removal)
|
When the patient is successfully resuscitated,record the time in post-anaesthesia care unit and the time when the discharge standards are met.
|
procedure ( the end of endoscopy removal)
|
The incidence of side effects of esketamine
Time Frame: Intraoperative
|
Record the adverse effects of esketamine such as dizziness, nausea, etc.
|
Intraoperative
|
The number of patients'body movement during operation
Time Frame: During the operation
|
Record the patient's body movement during the operation, which reflects the level of sedation.
|
During the operation
|
The satisfaction of the endoscopist and patient
Time Frame: 24 hours after surgery
|
Patients fill out questionnaires before and after surgery to record pain, sedation levels, and side effects (such as nausea and dizziness) to assess their satisfaction,meanwhile,telephone calls can be made one day after the surgery to evaluate their postoperative satisfaction.In addition, the satisfaction of the endoscopist with the sedation level could also recorded on a questionnaire after the operation.
|
24 hours after surgery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tao Yang, Tianjin Union Medical Center
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Analgesics, Opioid
- Narcotics
- Psychotropic Drugs
- Antidepressive Agents
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Fentanyl
- Propofol
- Esketamine
Other Study ID Numbers
- TYang001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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