- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05925283
Clinical Study of Oral Midazolam Combined With Esketamine Administered Intranasally for Pediatric Preoperative Sedation
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Huacheng Liu
- Phone Number: 18957755138
- Email: huachengliu@163.com
Study Contact Backup
- Name: Xulin Zhang
- Phone Number: 18583748800
- Email: 867237394@qq.com
Study Locations
-
-
Zhejiang
-
Wenzhou, Zhejiang, China
- Recruiting
- The Second Affiliated Hospital of Wenzhou Medical University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- with American Society of Anesthesiologists (ASA) physical status I or II;
- aged 2-6 years;
- children with weight for age within the normal range
- were scheduled lower abdominal and perineal surgery with an expected operation time shorter than 30 minutes.
Exclusion Criteria:
- Children who had gastrointestinal,Cardiovascular or endocrine dysfunction;
- contraindication to preoperative sedation or had a known allergy or hypersensitive reaction to either esketamine or midazolam;
- with any nasal pathology,organ dysfunction;
- recently respiratory infection, mental disorder;
- other reasons that researchers hold it is not appropriate to participate in this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: midazolam
Patients were assigned to receive oral midazolam 0.5mg.kg-1
approximately 30-40 minutes before surgery using a computer-generated random number table.
|
oral midazolam 0.5mg.kg-1
approximately 30-40 minutes before surgery using a computer-generated random number table.
Other Names:
|
Experimental: esketamine
Patients were assigned to receive intranasal esketamine 1mg/kg approximately 30-40 minutes before surgery using a computer-generated random number table.
|
intranasal esketamine 1mg/kg approximately 30-40 mins before surgery using a computer-generated random number table.
Other Names:
|
Experimental: midazolam and esketamine
Patients were assigned to receive intranasal esketamine 0.6mg/kg and oral midazolam 0.3mg.kg-1
approximately 30-40 minutes before surgery using a computer-generated random number table.
|
oral midazolam 0.3mg/kg and intranasal esketamine 0.6mg/kg approximately 30-40 mins before surgery using a computer-generated random number table.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The degree of cooperation during inhalation anesthesia induction
Time Frame: During inhalation anesthesia induction
|
Induction Compliance Checklist range from 0 through 10,and lower scores indicate the higher degree of cooperation during inhalation anesthesia induction
|
During inhalation anesthesia induction
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recovery times
Time Frame: Within up to 30 minutes after child's first eye opening in the postoperative period
|
The time from discontinuation of sevoflurane to the first open eye of the children and to achieve aldrete≥9
|
Within up to 30 minutes after child's first eye opening in the postoperative period
|
Parental separation anxiety scale
Time Frame: During the preoperative period
|
A four-point parental separation anxiety scale as follows:
The scores of 1 and 2 signified acceptable separation whereas scores of 3 and 4 were classified as difficult separation. |
During the preoperative period
|
Pediatric anesthesia emergence delirium
Time Frame: Within up to 15-30 minutes after child's first eye opening in the postoperative period
|
The pediatric anesthesia emergence delirium scale consists of four items. Each item is scored 0-4 yielding a total between 0 and 20. The degree of emergence delirium increased directly with the total score.pediatric anesthesia emergence delirium scale ≥12 at any time indicates presence of emergence delirium. |
Within up to 15-30 minutes after child's first eye opening in the postoperative period
|
Number of children with adverse effects
Time Frame: Up to 24 hours including preoperative, intraoperative, and postoperative periods
|
Number of children with adverse effects
|
Up to 24 hours including preoperative, intraoperative, and postoperative periods
|
Anxiety before induction of anesthesia
Time Frame: Each 10 minutes during the forty minutes of preoperative period
|
The Modified Yale Preoperative Anxiety Scale: The 22-item measure has five behavioural categories: activity, emotional expressivity, alertness and arousal, vocalizations, and interaction with parents. Total scores range from 23.33 through 100 with higher scores indicating greater anxiety. |
Each 10 minutes during the forty minutes of preoperative period
|
The level of sedation
Time Frame: Each 10 minutes during the forty minutes of preoperative period
|
University of Michigan Sedation Scale: 0 -Awake/Alert 1 -Minimally Sedated: Tired/sleepy, appropriate response to verbal conversation and/or sounds. 2- Moderately Sedated: Somnolent/sleeping, easily aroused with light tactile stimulation. 3 - Deeply Sedated: Deep sleep, arousable only with significant physical stimulation. 4 - Unarousable. higher scores mean a higher levels of sedation. |
Each 10 minutes during the forty minutes of preoperative period
|
Collaborators and Investigators
Investigators
- Principal Investigator: Huacheng Liu, Second Affiliated Hospital of Wenzhou Medical University
- Principal Investigator: Xulin Zhang, Second Affiliated Hospital of Wenzhou Medical University
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Tranquilizing Agents
- Psychotropic Drugs
- Antidepressive Agents
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Midazolam
- Esketamine
Other Study ID Numbers
- SAHoWMU-CR2023-03-105
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
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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