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The Clinical Research of Intranasal Dexmedetomidine Used in Plastic Surgery of Children

19. august 2014 oppdatert av: wangqiang, Xijing Hospital

The Clinical Research of Intranasal Dexmedetomidine Used in Plastic Surgery of Children : A Single Center ,Randomized ,Double-blinded, Controlled Study.

The purpose of this study is to explore the optimal protocol for dexmedetomidine used in children during perioperative period.

Studieoversikt

Status

Ukjent

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Forventet)

60

Fase

  • Fase 4

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

6 måneder til 7 år (Barn)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Written informed consent.
  • Elective cleft lip and cleft palate repair surgery
  • American Society of Anesthesiologists class I
  • Aged between 6 months and 7 years old

Exclusion Criteria:

  • Suspected or confirmed difficult airway
  • History of upper respiratory tract infection with 1 month
  • Combined with congenital heart disease
  • Allergic to investigational products or with other contraindication
  • Growth retardation or dysgnosia
  • Central nervous system disease
  • Serious infection
  • Serious heart,brain,liver,kidney, pulmonary, and endocrine disease

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Placebo komparator: Group 1,Normal saline,1 milliliter
Patients will be assigned to receive intranasal normal saline 1 milliliter
Legemiddel: Normal saline,1 milliliter
Normal saline,1 milliliter, 20 minutes before anaesthetic induction
Legemiddel: Anesthesia induction, 8% sevoflurane
Inhalation induction with 8% sevoflurane
Legemiddel: Anesthesia maintenance, 2%~3% sevoflurane,fentanyl
2%~3% sevoflurane,inhalation. fentanyl,2μg.kg-1.min-1,intravenous infusion
Eksperimentell: Group 2,dexmedetomidine 1μg.kg-1,1 milliliter
Patients will be assigned to receive intranasal dexmedetomidine( 1μg.kg-1) 1 milliliter
Legemiddel: Anesthesia induction, 8% sevoflurane
Inhalation induction with 8% sevoflurane
Legemiddel: Anesthesia maintenance, 2%~3% sevoflurane,fentanyl
2%~3% sevoflurane,inhalation. fentanyl,2μg.kg-1.min-1,intravenous infusion
Legemiddel: Dexmedetomidine 1 μg.kg-1,1 milliliter
Dexmedetomidine 1 μg.kg-1,1 milliliter,20 minutes before anesthesia induction
Eksperimentell: Group 3,dexmedetomidine 2μg.kg-1,1 milliliter
Patients will be assigned to receive intranasal dexmedetomidine( 2μg.kg-1 )1 milliliter
Legemiddel: Anesthesia induction, 8% sevoflurane
Inhalation induction with 8% sevoflurane
Legemiddel: Anesthesia maintenance, 2%~3% sevoflurane,fentanyl
2%~3% sevoflurane,inhalation. fentanyl,2μg.kg-1.min-1,intravenous infusion
Legemiddel: Dexmedetomidine 2μg.kg-1,1 milliliter
Dexmedetomidine 2μg.kg-1,1 milliliter,20 minutes before anesthesia induction

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Sedation-Agitation Scale
Tidsramme: The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
The pediatric anesthesia emergence delirium scale
Tidsramme: The moment of entering operating room,and from discontinuation of inhalational anesthetics to the moment of patient's consciousness recovery,an expected average of 1 hour
The moment of entering operating room,and from discontinuation of inhalational anesthetics to the moment of patient's consciousness recovery,an expected average of 1 hour
Anesthesia induction time
Tidsramme: From beginning of inhalating anesthetics to the moment of intubation
From beginning of inhalating anesthetics to the moment of intubation
Anesthesia maintenance time
Tidsramme: From the moment of intubation to the discontinuation of inhalational anesthestics
From the moment of intubation to the discontinuation of inhalational anesthestics
Recovery time
Tidsramme: From discontinuation of inhalational anesthestics to the moment of patient's consciousness recovery, an expected average of 1 hour
From discontinuation of inhalational anesthestics to the moment of patient's consciousness recovery, an expected average of 1 hour
Change from baseline in blood pressure during anesthesia
Tidsramme: The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
Change from baseline in heart rate during anesthesia
Tidsramme: The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
Change from baseline in respiratory rate during anesthesia
Tidsramme: The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction
The moment of entering operating room,20 minutes before anesthesia induction,10 minutes before anesthesia inducion,the moment of anesthesia induction

Sekundære resultatmål

Resultatmål
Tidsramme
The alveolar concentration of inhalational anesthetics
Tidsramme: the moment of anesthesia induction,the moment of intubation,before cutting skin
the moment of anesthesia induction,the moment of intubation,before cutting skin

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Xijing Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. september 2014

Primær fullføring (Forventet)

1. august 2015

Studiet fullført (Forventet)

1. desember 2015

Datoer for studieregistrering

Først innsendt

14. august 2014

Først innsendt som oppfylte QC-kriteriene

19. august 2014

Først lagt ut (Anslag)

21. august 2014

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

21. august 2014

Siste oppdatering sendt inn som oppfylte QC-kriteriene

19. august 2014

Sist bekreftet

1. august 2014

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • Sedation wei

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