Unique ID issued by UMIN | UMIN000012777 |
---|---|
Receipt number | R000014926 |
Scientific Title | The effects of midazolam and flumazenil on cerebral circulation |
Date of disclosure of the study information | 2014/01/07 |
Last modified on | 2014/01/08 12:23:03 |
The effects of midazolam and flumazenil on cerebral circulation
Midazolam, flumazenil and cerebral circulation
The effects of midazolam and flumazenil on cerebral circulation
Midazolam, flumazenil and cerebral circulation
Japan |
healthy subjects
Anesthesiology | Adult |
Others
NO
We investigate the effects of flumazenil administered after midazolam on cerebral circulation, to test our hypothesis that flumazenil antagonizes the alterations in cerebral circulation induced by midazolam.
Safety,Efficacy
Cerebral blood flow velocity, arterial blood pressure, sedation depth, and cerebral circulation.
Heart rate, respiratory condition, and autonomic circulatory regulation.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Healthy male subjects receives midazolam followed by flumazenil.
Midazolam is administered at an initial bolus dose of 0.5 mg, and an additional bolus dose of 0.5 mg is administered every 2 min after OAA/S assessment until an OAA/S score of 3 (responds only after name is called loudly and/or repeatedly) is reached. Since an adequate sedative effect is maintained for at least 30 min after midazolam administration, flumazenil is administered at an initial bolus dose of 0.2 mg 30 min after final administration of midazolam, and additional bolus doses of 0.1 mg are administered every 2 min until an OAA/S score of 5 (responds readily to name spoken in a normal tone) is reached.
20 | years-old | <= |
60 | years-old | >= |
Male
Healthy male consented to participate in this study.
1) Not satisfy selection criteria noted above.
2) Volunteers having allergic factors to foods and/or drugs.
20
1st name | |
Middle name | |
Last name | Ken-ichi Iwasaki / Yojiro Ogawa |
Nihon University School of Medicine
Division of Hygiene, Department of Social Medicine
30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo
03-3972-8111
iwasaki.kenichi@nihon-u.ac.jp
1st name | |
Middle name | |
Last name | Yojiro Ogawa |
Nihon University School of Medicine
Division of Hygiene, Department of Social Medicine
30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo
03-3972-8111
ogawa.yojiro@nihon-u.ac.jp
Division of Hygiene, Department of Social Medicine, Nihon University School of Medicine
Japan Society for the Promotion of Science
NO
日本大学医学部(Nihon University School of Medicine)
2014 | Year | 01 | Month | 07 | Day |
Partially published
During midazolam sedation, BIS index, MAP, CBF velocity, and transfer function gain decreased significantly compared with baseline. After administration of flumazenil, BIS index and MAP returned to the same level as baseline. However, CBF velocity showed a further significant decrease compared with midazolam sedation, and the decreased transfer function gain persisted.
The present study suggest that despite complete antagonism of the sedative effects of midazolam, flumazenil dose not reverse the alterations in cerebral circulation induced by midazolam.
Completed
2010 | Year | 10 | Month | 19 | Day |
2011 | Year | 04 | Month | 01 | Day |
2013 | Year | 03 | Month | 31 | Day |
2013 | Year | 06 | Month | 21 | Day |
2013 | Year | 06 | Month | 21 | Day |
2013 | Year | 08 | Month | 30 | Day |
2014 | Year | 01 | Month | 07 | Day |
2014 | Year | 01 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014926