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Premedication for ERCP With Midazolam or Tramadol

Primary Purpose

Chronic Disease

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Tramadol
Midazolam
Sponsored by
Karadeniz Technical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Chronic Disease focused on measuring premedication, ERCP, midazolam, tramadol, cognitive

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • This study was conducted in the Endoscopy Department for forty (18-70 years old) outpatients in ASA I-III risk group were randomized and double blind planned for elective ERCP.

Exclusion Criteria:

  • American Society of Anesthesiologist (ASA) class greater than 3,
  • morbid obesity,
  • major organ dysfunction (respiratory, renal and hepatic),
  • history of drug addiction,
  • known hypersensitivity for tramadol, midazolam and remifentanil,
  • mini-mental test (MMT) ≤ 23 or
  • refusal of the patient.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    tramadol

    midazolam

    Arm Description

    1mg/kg of tramadol drop (Contramal® drop, Abdi Ibrahim Ilaç San.,istanbul) was administered orally in 10 mL of cherry juice without particles in preparation room before intervention, Group T who were separated randomly to two premedication groups.

    0.15 mg/kg of midazolam (Dormicum®, ampoule, Roche Products A.Ş., istanbul) was administered orally in 10 mL of cherry juice without particles in preparation room before intervention, to Group M who were separated randomly to two premedication groups.

    Outcomes

    Primary Outcome Measures

    The early cognitive functions after ERCP
    The early cognitive functions after ERCP assessed by mini-mental test (MMT)

    Secondary Outcome Measures

    Number of Participants with Adverse Events
    With any side effects

    Full Information

    First Posted
    April 27, 2015
    Last Updated
    May 12, 2015
    Sponsor
    Karadeniz Technical University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02436980
    Brief Title
    Premedication for ERCP With Midazolam or Tramadol
    Official Title
    Effects of Midazolam or Tramadol Premedication on Early Cognitive Function in ERCP: a Randomized Controlled Double-Blind Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2009 (undefined)
    Primary Completion Date
    September 2009 (Actual)
    Study Completion Date
    December 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Karadeniz Technical University

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    OBJECTIVE:Purpose of this study is to set forth the sedative efficacy and effects on early period cognitive functions of two premedication drugs used for ERCP (Endoscopic retrograde cholangiopancreatography) METHODS:This randomized and double blind study was performed with forty (18-70 of age) ASA I-III risk group patients for who elective ERCP was planned. Cognitive functions of patients were determined by mini-mental test (MMT). 0.5 mg/kg midazolam or 1mg/kg tramadol drop was administered orally before intervention to patients who were randomly divided into two premedication groups. Vital signs,BIS (Bispectral index), mRSS (modified Ramsay Sedation scale), NRS (numeric rating scale ) was evaluated. If MMT (mini-mental test) was ≤ 23 at 60th minute it was considered as cognitive impairment. Recovery period, post-procedure state of cognitive function at 60th minute were recorded.
    Detailed Description
    The Outcome Measures are number of Participants with Adverse Events, and the incidence of Postoperative cognitive dysfunction assessed by MMT (mini-mental test) in first 60 minutes.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Disease
    Keywords
    premedication, ERCP, midazolam, tramadol, cognitive

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    tramadol
    Arm Type
    Active Comparator
    Arm Description
    1mg/kg of tramadol drop (Contramal® drop, Abdi Ibrahim Ilaç San.,istanbul) was administered orally in 10 mL of cherry juice without particles in preparation room before intervention, Group T who were separated randomly to two premedication groups.
    Arm Title
    midazolam
    Arm Type
    Active Comparator
    Arm Description
    0.15 mg/kg of midazolam (Dormicum®, ampoule, Roche Products A.Ş., istanbul) was administered orally in 10 mL of cherry juice without particles in preparation room before intervention, to Group M who were separated randomly to two premedication groups.
    Intervention Type
    Drug
    Intervention Name(s)
    Tramadol
    Other Intervention Name(s)
    CONTRAMAL
    Intervention Description
    GROUP T
    Intervention Type
    Drug
    Intervention Name(s)
    Midazolam
    Other Intervention Name(s)
    DORMICUM
    Intervention Description
    GROUP M
    Primary Outcome Measure Information:
    Title
    The early cognitive functions after ERCP
    Description
    The early cognitive functions after ERCP assessed by mini-mental test (MMT)
    Time Frame
    Postprocedure in the first 60 minutes
    Secondary Outcome Measure Information:
    Title
    Number of Participants with Adverse Events
    Description
    With any side effects
    Time Frame
    Postprocedure in first 60 minutes

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: This study was conducted in the Endoscopy Department for forty (18-70 years old) outpatients in ASA I-III risk group were randomized and double blind planned for elective ERCP. Exclusion Criteria: American Society of Anesthesiologist (ASA) class greater than 3, morbid obesity, major organ dysfunction (respiratory, renal and hepatic), history of drug addiction, known hypersensitivity for tramadol, midazolam and remifentanil, mini-mental test (MMT) ≤ 23 or refusal of the patient.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Mehmet Arslan, Prof.Dr.
    Organizational Affiliation
    Gastroenterology Department
    Official's Role
    Study Chair

    12. IPD Sharing Statement

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    Premedication for ERCP With Midazolam or Tramadol

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