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Myoclonus clinical trials

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NCT ID: NCT05754762 Not yet recruiting - Myoclonus Clinical Trials

Median Effective Dose of Remifentanil for the Prevention of Myoclonus Induced by Etomidate Injection

Start date: March 1, 2023
Phase: N/A
Study type: Interventional

Since its introduction in 1973, etomidate has been widely used in clinical anaesthesia, especially in haemodynamically unstable patients, as a new anaesthetic induction drug with the advantage of low circulatory and respiratory depression. When administered via intravenous injection, etomidate can cause adverse effects such as injection pain and myoclonus. The incidence of myoclonus is still reported to be as high as 50-80%. Myoclonus caused by etomidate may cause discomfort during induction of anaesthesia and reduce perioperative satisfaction, and may lead to syringe dislodgement, extravasation of the injected drug, swelling at the injection site, delayed induction of anaesthesia and, in severe cases, cardiovascular adverse events. Therefore, the myoclonus and limb retraction reactions caused by etomidate are a key concern for clinical anaesthesiologists and need to be addressed at a time when comfort anaesthesia is being promoted. The aim of this study was to reduce myoclonus produced by etomidate injection during induction of general anaesthesia in surgical patients and to investigate the half effective dose of remifentanil to reduce etomidate myoclonus.

NCT ID: NCT05671068 Not yet recruiting - Myoclonus-Dystonia Clinical Trials

EMOTION & COGNITION IN MYOCLONUS DYSTONIA (AGENT10-ECODYST)

Start date: January 2023
Phase:
Study type: Observational

Background: Myoclonus dystonia (DYT-SGCE) is characterized by myoclonus and dystonia. Such condition is associated with a high prevalence of psychiatric symptoms which are part of the phenotype. The mechanisms underlying these non-motor symptoms are still poorly understood. Objective: To investigate the neural correlates of cognition and emotion in DYT-SGCE. Design: Participants will have 1 - 2 visits at the clinical center. The total participation time is less than 24 hours. Participants will have a medical interview and a neurological exam. They may give a urine sample before MRI. Participants will have a short neuropsychologic and psychiatric interviews. Participants will have MRI scans. They will do small tasks or be asked to imagine things during the scanning.

NCT ID: NCT02518789 Not yet recruiting - Myoclonus Clinical Trials

Effects and Mechanism of Pretreatment With Dexmedetomidine to Etomidate Induce Myoclonus

Start date: September 2015
Phase: Phase 4
Study type: Interventional

By observing the difference of plasma homovanillic acid concentrations and brain electrical consciousness monitoring Narcotrend index, study the possible mechanism of influencing Etomidate induced myoclonus with Dexmedetomidine pretreatment during general anesthesia induction period.