Efficacy of Single-Shot Dexmedetomidine Versus Placebo in Preventing Pediatric Emergence Delirium in Strabismus Surgery
This trial is active, not recruiting.
|Conditions||strabismus, delirium on emergence, pediatric disorders|
|Sponsor||New York University School of Medicine|
|Start date||March 2012|
|End date||March 2014|
|Trial size||132 participants|
|Trial identifier||NCT01901588, S12-00556|
This study is trying to see if using precedex pre-operatively prevents emergence delirium in pediatric (ages 1-7) patients undergoing strabismus surgery.
|Endpoint classification||efficacy study|
|Intervention model||parallel assignment|
|Masking||double blind (subject, caregiver, outcomes assessor)|
Efficacy of Single-Shot Dexmedetomidine versus Placebo in Preventing Pediatric Emergence Delirium in Strabismus Surgery
time frame: two years
Post operative interventions
time frame: 4 hours after surgery
Male or female participants from 1 year up to 7 years old.
Inclusion Criteria: - ASA physical status of I or II - male or female, aged 1-7 - has no significant lab abnormalities Exclusion Criteria: - ASA physical status of III, IV or V - Presence of medicated behavioral disorder - Subjects for which dexmedetomidine, opiates, benzodiazepines or inhalational anesthetics are contraindicated. - Parental refusal
|Official title||Efficacy of Single-Shot Dexmedetomidine Versus Placebo in Preventing Pediatric Emergence Delirium in Strabismus Surgery|
|Principal investigator||Jason Brown, MD|
|Description||Emergence delirium (ED) is a complex behavioral disturbance characterized by psychomotor agitation, perceptual disturbances, delusions, and disorientation during recovery from general anesthesia. In the population of subjects who undergo strabismus surgery, there are multiple factors that may increase the risk of ED. These include age, typically preschool children aged 1-7 years, rapid surgical times with rapid awakening, use of sevoflurane as the primary anesthetic, and surgically-induced postoperative visual disturbance. The aims of this study are: 1) To examine whether post-induction treatment with an α-2 receptor agonist, precedex (dexmedetomidine), decreases postoperative emergence agitation after strabismus surgery compared to placebo, and 2) to determine whether treatment has any effect on postoperative pain, nausea/vomiting, number of pain-related interventions, and time to PACU discharge. We hypothesize that precedex will attenuate the ED response greater than placebo or a lower dose after strabismus surgery and will reduce PACU pain scores without increasing PACU length of stay. Inclusion: i. Pediatric patients aged 1-7 years of age ii. American Society of Anesthesiologists (ASA) physical status I-II iii. No significant laboratory abnormalities Exclusion: i. Presence of medicated behavioral disorder ii. Subjects for which precedex, opiates, benzodiazepines, or inhalational anesthetics are contraindicated iii. Parental refusal|
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