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Sedation clinical trials

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NCT ID: NCT03285165 Suspended - Sedation Clinical Trials

Cerebral Vascular Effects of Dexmedetomidine Versus Propofol Sedation in Intubated Mechanically Ventilated ICU Patients

DEXSEDATION
Start date: September 14, 2017
Phase: Phase 2/Phase 3
Study type: Interventional

Serial transcranial Doppler (TCD) exams in healthy volunteers and in animal models showed a strong linear relationship between middle cerebral artery (MCA) flow velocity (FV) and dexmedetomidine infusion. The concomitant elevation of pulsatility index (PI) indicates vasoconstriction of the cerebral vasculature as the most profound underlying mechanism.

NCT ID: NCT03285087 Suspended - Sedation Clinical Trials

Risk Prediction of Dexmedetomidine-associated Hemodynamic Instability

DEXSEDATION
Start date: June 2021
Phase: Phase 2/Phase 3
Study type: Interventional

Hypotension and bradycardia have been commonly associated with dexmedetomidine therapy, occurring in 13% to 68% and 1% to 42% of patients, respectively. The variability in reported incidence may be partially attributed to inconsistent definitions and study populations. The significance of this hemodynamic instability is not only highlighted by its high incidence but also the need for corrective interventions. In one study, hemodynamic instability requiring clinical intervention occurred in nearly one third of ICU patients receiving dexmedetomidine. Moreover, patients who experienced dexmedetomidine-associated hypotension had a higher mortality rate than those who did not.