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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05574257
Other study ID # WonkwangUH12
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date February 1, 2022
Est. completion date September 2, 2022

Study information

Verified date October 2022
Source Wonkwang University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

After dividing the patients into two groups, sedation is performed with propofol and remimazolam, respectively, after spinal anesthesia. Compare the patient's body temperature change after surgery.


Description:

Patients in the study were randomly assigned to the propofol group (Group P) and the remimazolam group (Group R) in a 1:1 ratio. Study drugs are prepared in the same 50 ml syringe, double-blind to group assignment. All patients are not given pre-anesthetic medication, and body temperature, blood pressure, and heart rate are measured in the recovery room after surgery at 10-minute intervals from just before anesthesia induction to surgery. If hypotension or bradycardia occurs during surgery and is not corrected even after rapid fluid infusion, ephedrine is increased by 10 mg or glycopyrrolate 0.2 mg or atropine 0.5 mg is administered. If spinal anesthesia is successfully performed, check the patient's anesthesia height. When the appropriate level of anesthesia is confirmed, Group P receives propofol at 25-100ug/kg/min and maintains the BIS at 70-80. Group R receives remimazolam at 1-20ug/kg/min and maintains BIS between 70-80. Both groups apply a conventionally used air heating device, and the operating room temperature is kept at 20 °C. If shivering occurs during surgery, the elapsed time from induction and the shivering grades are recorded. At the end of the surgery, record total anesthesia time and surgery time, fluid dose, and drug use. After moving to the recovery room, the patient's body temperature, systolic blood pressure, diastolic pressure, heart rate, the incidence of shivering, and the grade of shivering are checked. When shivering occurs, a forced air-warming device is applied first, and if shivering continues, administer meperidine in 5mg increments until the patient is comfortable and record the total dose.


Recruitment information / eligibility

Status Completed
Enrollment 82
Est. completion date September 2, 2022
Est. primary completion date May 30, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 19 Years to 65 Years
Eligibility Inclusion Criteria: - Those aged between 19 and under 65 who are undergoing surgery under spinal anesthesia at Wonkwang University Hospital. - American Society of Anesthesiologists' physical status class (ASA) award class I-III. Exclusion Criteria: - Patients with fever before surgery - Patients taking antipyretics before surgery - Patients who are chronically using anti-inflammatory drugs - High-risk patients with ASA class IV or higher - Patient who refused sedation - Patients with thyroid dysfunction.

Study Design


Intervention

Drug:
Propofol
Propofol is injected at 25-100ug/kg/min (immediately after spinal anesthesia to the end of surgery) to maintain the BIS at 70-80.
Remimazolam
Remimazolam is injected at 1-20ug/kg/min (immediately after spinal anesthesia to the end of surgery) to maintain the BIS at 70-80.

Locations

Country Name City State
Korea, Republic of Wonkwag UH Iksan Jeollabukdo

Sponsors (1)

Lead Sponsor Collaborator
Wonkwang University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary The incidence of perioperartive hypothermia Measure the body temperature on the tympanic membrane three times and enter the highest value. During surgery
Primary The incidence of perioperartive hypothermia measure the body temperature three times on the tympanic membrane and enter the highest value. At PACU (Post Anesthesia Care Unit)
Secondary core body temperature Every 10 minutes, measure the body temperature three times on the tympanic membrane and enter the highest value. Before the induction of anesthesia
Secondary core body temperature Every 10 minutes, measure the body temperature three times on the tympanic membrane and enter the highest value. During surgery
Secondary core body temperature Every 10 minutes, measure the body temperature three times on the tympanic membrane and enter the highest value. At PACU
Secondary shivering grades None (Grade 0): no shivering noted on palpation of the masseter, neck, or chest wall
Mild (Grade 1): shivering localized to the neck and/or thorax only
Moderate (Grade 2): shivering involved the gross movement of the upper extremities (in addition to neck and thorax)
Severe (Grade 3): shivering involved gross trunk and upper and lower extremities movements.
During surgery
Secondary shivering grades None (Grade 0): no shivering noted on palpation of the masseter, neck, or chest wall
Mild (Grade 1): shivering localized to the neck and/or thorax only
Moderate (Grade 2): shivering involved the gross movement of the upper extremities (in addition to neck and thorax)
Severe (Grade 3): shivering involved gross trunk and upper and lower extremities movements.
At PACU
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