Unique ID issued by UMIN | UMIN000005547 |
---|---|
Receipt number | R000006576 |
Scientific Title | Intravenous conscious sedation by use of midazolam during the examination of bronchoscopy |
Date of disclosure of the study information | 2011/05/06 |
Last modified on | 2018/05/09 16:17:26 |
Intravenous conscious sedation by use of midazolam during the examination of bronchoscopy
Bronchoscopy under the conscious sedation by midazolam
Intravenous conscious sedation by use of midazolam during the examination of bronchoscopy
Bronchoscopy under the conscious sedation by midazolam
Japan |
Patients for indication of bronchoscopic observation or procedure on central bronchial lesion.
Pneumology |
Others
YES
To know the appropriate administration of midazolam for intravenous conscious sedation under examination of bronchoscopy
Others
To find the factors affecting the dose and usage of midazolam
Exploratory
Explanatory
Not applicable
1)Pharmacokinetics (a total of 9 points)
2)Ramsay sedative score (before and after bronchoscopy)
3)Visual analog scale(VAS)on Bronchoscopy
4)Adverse effect and safety
a)Relationship between pharmacokinetics and genetic polymorphism
b) Relationship between pharmacokinetics and tolerance during bronchoscopy
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
After premedication for examination of bronchoscopy(BF), 0.03 mg/kg of midazolam is administered intravenously for 2 min. Blood sample is taken at 9 time points for pharmacokinetics. Ramsay sedative score is evaluated at the start and the end of BF. After examination, each patient answers visual analog scale(VAS)on BF.
20 | years-old | <= |
80 | years-old | > |
Male and Female
1)Patient is suitable for bronchoscopic observation and procedure on central bronchial disease.
2)Age is more than and equal to 20 years.
3)Eastern Cooperative Oncology Group performance status of 0-3
4)Adequate pulmonary and cardiac function
Pulmonary function;
pO2; more than and equal to 70 torr
pCO2; more than and equal to 50 torr
FEV1.0; more than and equal to 1.0 L
BNP;more than and equal to 1.5 mg/d
Ejection Fraction; more than and equal to 50%
5)Adequate renal and hepatic function
Liver; Aspartate aminotransferase and alanine aminotransferase levels; below 2 times of upper limits of normal level
total bilirubin level; less than and equal to 3.0 mg/dl
Kidney;Creatinine; < 2.0 mg/dL
Creatinine clearance; more than and equal to 50 ml/min
BUN ; less than and equal to 25 mg/dl
6)Written informed consent
1)History of severe allergic reaction of midazolam
2)Contraindication of midazolam
3)Contraindication or relative contraindication of bronchoscopy
Respiratory diseases
Chronic respiratory failure type II
Symptomatic vena cava syndrome
Cardiac diseases
Uncontrolled cardiac failure
Myocardial ischemia or unstable angina
within 8 weeks
Uncontrolled arrhythmia
Renal diseases
Renal failure treated by hemodialysis
Central Nervous system
Cerebrovascular diseases within 8 weeks
Hepatic diseases
Liver cirrhosis with Child's C
Fulminant hepatitis
Hepatic failure
4)History of severe allergic reaction of local anesthesia (xylocaine)
5)Pregnant status or lactation
6)Psychic disease or status
7)Evidence of HIV infection
8)Other ineligible status judged by physicians
100
1st name | |
Middle name | |
Last name | Yuichiro Takeda |
National Center for Global health and Medicine
Department of Respiratory Medicine
1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan
03-3202-7181
ytakeda@hosp.ncgm.go.jp
1st name | |
Middle name | |
Last name | Yuichiro Takeda |
National Center for Global health and Medicine
Department of Respiratory Medicine
1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan
03-3202-7181
ytakeda@hosp.ncgm.go.jp
Department of Respiratory Medicine
National Center for Global health and Medicine
The Grantof National Center for Global Health and Medicine(23-113)
Other
Japan
Department of drug metabolism and disposition
Meiji pharmaceutical university
None
NO
国立国際医療研究センター病院(東京都)
2011 | Year | 05 | Month | 06 | Day |
Published
http://www.elsevier.com/locate/resinv
Online publication in May 06 2018
Completed
2008 | Year | 06 | Month | 28 | Day |
2008 | Year | 10 | Month | 01 | Day |
2013 | Year | 06 | Month | 30 | Day |
2013 | Year | 10 | Month | 01 | Day |
2013 | Year | 10 | Month | 01 | Day |
2013 | Year | 12 | Month | 31 | Day |
2011 | Year | 05 | Month | 02 | Day |
2018 | Year | 05 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006576