Difficult Airway Clinical Trial
Official title:
Comparison of Two Sedation Regimens for Awake Fiberoptic Intubation
The purpose of this study is to examine the effects of different sedation drugs used for the awake fiberoptic intubation procedure. Benzodiazapines and narcotics (such as midazolam and fentanyl) are standard drugs used for sedation during awake fiberoptic intubation. Dexmedetomidine, midazolam, and fentanyl are approved by the Food and Drug Administration (FDA) procedural sedation. These drugs might be given to the patient regardless of their participation in the study. In addition to midazolam and fentanyl study subjects will also receive either dexmedetomidine or a placebo (a salt solution that contains no drug). It is believed that dexmedetomidine will not slow down breathing as much as the combination of the valium-like drug and narcotic. In our study, we are trying to determine if this is the best drug for sedation during an awake fiberoptic procedure.
Status | Not yet recruiting |
Enrollment | 96 |
Est. completion date | March 1, 2034 |
Est. primary completion date | June 15, 2033 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Subjects with potentially difficult airways who require awake fiberoptic intubations will be identified from the OR schedule and the pre-operative clinic workups. Exclusion Criteria: - Anyone who does not meet the inclusion criteria |
Country | Name | City | State |
---|---|---|---|
United States | University of Illinois | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
University of Illinois at Chicago |
United States,
Scher CS, Gitlin MC. Dexmedetomidine and low-dose ketamine provide adequate sedation for awake fibreoptic intubation. Can J Anaesth. 2003 Jun-Jul;50(6):607-10. doi: 10.1007/BF03018650. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Desaturation | Measurement using pulse oximetry (percent saturation) | During intubation | |
Primary | Hemodynamic Lability | mm Hg | During intubation | |
Primary | Dose of Fentanyl Used | mcg | During intubation | |
Secondary | Patient overall experience assessed by VAS satisfaction. | Polling will be taken to measure patients' satisfaction with each sedation regiment on the scale from 1-10 | 24 hours after the surgery |
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