Unique ID issued by UMIN | UMIN000030217 |
---|---|
Receipt number | R000034516 |
Scientific Title | Prospective randomized comparison of effect of dexmedetomidine and remifentanil on intubation, intraoperative hemodynamics and revocery during general anesthesia for laryngeal microsurgery |
Date of disclosure of the study information | 2017/12/01 |
Last modified on | 2021/03/05 22:51:24 |
Prospective randomized comparison of effect of dexmedetomidine and remifentanil on intubation, intraoperative hemodynamics and revocery during general anesthesia for laryngeal microsurgery
Prospective randomized comparison of effect of dexmedetomidine and remifentanil during general anesthesia for laryngeal microsurgery
Prospective randomized comparison of effect of dexmedetomidine and remifentanil on intubation, intraoperative hemodynamics and revocery during general anesthesia for laryngeal microsurgery
Prospective randomized comparison of effect of dexmedetomidine and remifentanil during general anesthesia for laryngeal microsurgery
Asia(except Japan) |
Prospective randomized trial
Anesthesiology |
Others
NO
Layngeal microsurgery involves intense laryngeal stimulation and hemodynamic response. Adverse intubation condition as well as strong emergence response is not desirable, because it may associated with post operative laryngeal morbidity. Dexmedetomidine has sympatholytic and antinociceptive property, so it can be used for subsitute for opioids during general anesthesia. Remifentanil is well known for rapidly acting mu opioid agonist, and widely used during general anesthesia. The aim of this study is to compare effect of dexmedetomidine and remifentanil on intubation, intraoperative hemodynamics and recovery characteristics during desflurane anesthesia for laryngeal microsurgery.
Safety,Efficacy
Exploratory
Explanatory
Not applicable
intubation score, and intra-operative hemodynamic stability
desflurane requirement, emergence time, cough response score, agitation score, sore throat VAS
Interventional
Parallel
Randomized
Cluster
Double blind -all involved are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
Medicine |
Dexmedetomidine diluted with saline 1.0 mcg/kg for 10 minutes loading infusion and saline 5 cc 1 minute bolus before induction of propofol 2 mg/kg and rocuronium 0.5 mg/kg, and then maintenance dose 0.5-1.0 mcg/kg/hr of study drug
Saline (placebo) for 10 minutes and Remifentanil 1.0 mcg/kg diluted with saline 5cc bolus for 1 minutes before induction of propofol 2 mg/kg and rocuronium 0.5 mg/kg, and then maintenance dose 0.05-0.1 mcg/kg/min
20 | years-old | <= |
70 | years-old | >= |
Male and Female
ASA 1,2 presenting for laryngeal microsurgery
Refusal to give consent, Hemodynamic instability, Cardiovascular disease, Myocardial infarct, hear frailure, asthma, recent upper respiratory infection, chronic kidney disease, severe liver disease, mental retardation, pregnancy, lactation , antihypertensive medication with angiotensin converting enzyme inhibitor
64
1st name | Young Ju |
Middle name | |
Last name | Won |
Korea University Guro Hospital
Anesthesiology and Pain Medicine
08308
148 Gurodong-ro, Guro-gu, Seoul 08308
82226261437
moma2@naver.com
1st name | Hae Wone |
Middle name | |
Last name | Chang |
Korea University Guro Hospital
Anesthesiology and Pain Medicine
08308
148 Gurodong-ro, Guro-gu, Seoul 08308
82226261437
chelenh@gmail.com
Korea University Guro Hospital
Korea University Guro Hospital
Self funding
Korea University Guro Hospital
148, Gurodong-ro, Guro-gu, Seoul, Korea
82-2-2626-1632
eirbadmin@kumc.or.kr
NO
Korea University Guro Hospital
2017 | Year | 12 | Month | 01 | Day |
Unpublished
Completed
2017 | Year | 11 | Month | 22 | Day |
2017 | Year | 11 | Month | 22 | Day |
2017 | Year | 12 | Month | 02 | Day |
2019 | Year | 09 | Month | 18 | Day |
2019 | Year | 09 | Month | 18 | Day |
2019 | Year | 09 | Month | 18 | Day |
2019 | Year | 09 | Month | 30 | Day |
2017 | Year | 12 | Month | 01 | Day |
2021 | Year | 03 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034516