Propofol Clinical Trial
Official title:
Safety and Efficacy of Propofol Only Sedation in Oral and Maxillofacial Surgery
The purpose of this study is to determine if the use of propofol only to achieve procedural sedation for the removal of third molars is both safe and effective.
Status | Not yet recruiting |
Enrollment | 169 |
Est. completion date | January 2013 |
Est. primary completion date | January 2013 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 15 Years to 50 Years |
Eligibility |
Inclusion Criteria: - ASA Class I and II patients between the ages of 16 to 50 years scheduled to have their third molars extracted under intravenous sedation. Exclusion Criteria: - history of psychiatric illness, chronic use of central nervous system depressants or antidepressants, or alcohol abuse, had an active infection with systemic symptoms, were morbidly obese, were pregnant, or had a positive history of anesthetic-related complications. |
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Country | Name | City | State |
---|---|---|---|
Canada | Atlantic Centre for Oral and Maxillofacial Surgery 1278 Tower Rd. | Halifax | Nova Scotia |
Lead Sponsor | Collaborator |
---|---|
Atlantic Center for Oral and Maxillofacial Surgery |
Canada,
Miner JR, Gray RO, Stephens D, Biros MH. Randomized clinical trial of propofol with and without alfentanil for deep procedural sedation in the emergency department. Acad Emerg Med. 2009 Sep;16(9):825-34. doi: 10.1111/j.1553-2712.2009.00487.x. — View Citation
Zed PJ, Abu-Laban RB, Chan WW, Harrison DW. Efficacy, safety and patient satisfaction of propofol for procedural sedation and analgesia in the emergency department: a prospective study. CJEM. 2007 Nov;9(6):421-7. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pre-Sedation Behavioral Sate | Patient will complete Corah anxiety scale. | Pre-operative assessment by RN the day of surgery just prior to entering the operating room. | No |
Primary | Efficacy of Sedation | The patient does not have unpleasant recall of the procedure. | Monitored using a post-operative questionnaire administered 30 minutes after arrival to the recovery room. | No |
Primary | Adverse outcome | Patient will be monitored for: apnea, aspiration, vomiting, cardiovascular events, excitatory movements, paradoxical response | Throughout the procedural sedation in a continuous fashion. The start time of the procedural sedation will be defined as the time of the first dose of propofol and the stop time will be the time that the patient is transferred to recovery. | Yes |
Primary | Adverse outcomes | Unpleasant recovery reactions, permanent complications. | The patient will be monitored the recovery room in a continuous fashion for 30 minutes. | Yes |
Primary | Patient Satisfaction | A questionnaire will be given to the patient to complete just prior to discharge. The patient will be contacted 24 to 48 hours after discharge to complete a second questionnaire. | This will be measured 30 minutes after arrival to the recovery room and then once again via phone questionnaire between 24 to 48 hours after discharge. | No |
Primary | Level of sedation | The Ramsay sedation scale will be used to grade the depth of sedation during the procedure. | This will be measured every 5 minutes throughout the duration of the procedural sedation. | No |
Primary | Surgeon satisfaction | The surgeon will complete a 5 point likert scale to determine their level of satisfaction. | Immediately after completing the surgical procedure. | No |
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