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Remifentanil Minimum Effective Dose for Children Intubation Without Neuromuscular Blockade

Information source: Brasilia University Hospital
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Underdosing of Unspecified General Anesthetics

Intervention: Remifentanil (Drug)

Phase: Phase 4

Status: Not yet recruiting

Sponsored by: Brasilia University Hospital

Official(s) and/or principal investigator(s):
Catia S Goveia, MSc, Principal Investigator, Affiliation: University of Brasilia

Overall contact:
Gabriel MN Guimaraes, MSc, Phone: +556196455997, Email: gabriel@gabriel.med.br

Summary

Introduction: remifentanil's optimal dose for children intubation without neuromuscular blockade is unknown. Method: phase IV adaptative trial using Dixon's up-and-down method for modeling remifentanil's dose-response curve for adequate intubation conditions as defined by previous studies.

Clinical Details

Official title: Remifentanil Minimum Effective Dose for Children Intubation Without Neuromuscular Blockade

Study design: Endpoint Classification: Pharmacokinetics/Dynamics Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Supportive Care

Primary outcome: Incidence of Adequate intubation condition (dichotomic) as an assessment of success rate

Detailed description: Introduction: remifentanil's optimal dose for children intubation without neuromuscular blockade is unknown. Method: phase IV adaptative trial using Dixon's up-and-down method for modeling remifentanil's dose-response curve for adequate intubation conditions as defined by previous studies. Remifentanil doses starting from 2mg/kg will be infused before intubation. When a success occurs next patient's dose will be decreased by 0. 25mg/kg/h. When a success does not occur the next patient's dose will be increased by 0. 25mg/kg/h. Intubation will be considered adequate if patient does not cough, does not move, if vocal cords are open, if larigocsocpic Cormack grade I or II.

Eligibility

Minimum age: 2 Years. Maximum age: 9 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- ASA I or II

- Scheduled for surgery under general anesthesia.

Exclusion Criteria:

- Predicted difficult airway

- Severe neurologic or cardiologic conditions

- Recent upper airway infectious diseases

Locations and Contacts

Gabriel MN Guimaraes, MSc, Phone: +556196455997, Email: gabriel@gabriel.med.br

Additional Information

Starting date: May 2015
Last updated: May 26, 2015

Page last updated: August 23, 2015

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