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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT02225210
Other study ID # Shu 2014
Secondary ID
Status Not yet recruiting
Phase Phase 4
First received August 22, 2014
Last updated August 24, 2014
Start date September 2014
Est. completion date July 2015

Study information

Verified date August 2014
Source Fuling Central Hospital of Chongqing City
Contact n/a
Is FDA regulated No
Health authority China: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

This study was designed to observe the effects of dexmedetomidine on delirium and haemodynamic in mechanical ventilated elderly patients,and to evaluate the safety of dexmedetomidine.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 80
Est. completion date July 2015
Est. primary completion date June 2015
Accepts healthy volunteers No
Gender Both
Age group 60 Years to 80 Years
Eligibility Inclusion Criteria:

- Written informed consent

- Intensive care unit patients who need mechanical ventilation

- Anticipate duration of mechanical ventilation longer than 24 hours,and shorter than 96 hours prior to giving investigational products

- Acute physiology and chronic health evaluation II score more than 10

- Aged between 60 to 80 years old

- Weight between plus or minus 20% of the standard weight. Male: (height cm - 80) × 70% = standard weight Female: (height cm - 70) × 60% = standard weight

Exclusion Criteria:

- Trauma and burn patients

- Any kind of dialysis

- Suspected or confirmed difficult airway

- Use of neuromuscular blocking drugs(Except using for intubation )

- Neuromuscular disease

- Epidural or subarachnoid anesthesia

- Plan to give general anesthesia before 24 hours drugs intervention or after giving investigational drugs

- Serious central nervous system disease

- Mental disability or mental disease

- Acute hepatitis and serious liver disease(Child-Pugh C)

- Unstable angina and acute myocardium infarction

- Left ventricular ejection volume less than 30%,heart rate less than 50 beats per minute

- II and III degree atrioventricular block

- Systolic pressure less than 90 mmHg after giving vasopressors twice before beginning of this study

- Consciousness disturbance patients whose blood pressure less than 70mmHg and blood lactate more than 4.0mmol/L

- Suspected or confirmed long term use of narcotic analgesics

- Subjects who are breastfeeding or pregnant

- Allergic to investigational products or with other contraindication

- Participated in other study within 30 days

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms

  • Safety of Dexmedetomidine Sedation

Intervention

Drug:
Dexmedetomidine
Loading dose:0.4µg.kg-1 Maintenance dose :0.2~0.7µg.kg-1 Sedation-Agitation Scale: maintain between 3 and 4.
Midazolam
Loading dose of midazolam:0.1mg.kg-1 . Maintenance dose of midazolam :0.05~0.1mg.kg-1.h-1 . Sedation-Agitation Scale: maintain between 3 and 4
Fentanyl
Loading dose of fentanyl:1 µg.kg-1 . Maintenance dose of fentanyl: 0.5~1µg.kg-1.h-1 . Sedation-Agitation Scale: maintain between 3 and 4

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Fuling Central Hospital of Chongqing City

Outcome

Type Measure Description Time frame Safety issue
Primary Changes in blood pressure within 48 hours after drug intervention Within 48 hours after drug intervention Yes
Primary Number of Participants with blood pressure decrease more than 20% of the baseline value or systolic pressure less than 100 mmHg within 48 hours afer drug intervention Yes
Primary The number of cases who develop delirium Within 48 hours after drug intervention Yes
Secondary Changes in heart rate Within 48 hours after drug intervention Yes
Secondary Changes in respiratory rate Within 48 hours after drug intervention Yes
Secondary Changes in central venous pressure Within 48 hours after drug intervention Yes