Dexmedetomidine on Optic Nerve Sheath Diameter
Primary Purpose
Intracranial Hypertension
Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Dexmedetomidine
normal saline
Sponsored by
About this trial
This is an interventional supportive care trial for Intracranial Hypertension
Eligibility Criteria
Inclusion Criteria:
- clinical diagnosis of colorectal cancer
- planed for laparoscopic low anterior resection
Exclusion Criteria:
- morbid obesity (body mass index > 30 kg.m-2)
- history of cerebrovascular disease
- history of respiratory disease
- uncontrolled cardiovascular disease
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Control
Dexmedetomidine
Arm Description
Infusion of normal saline
infusion of dexmedetomidine 0.5ug/kg/h for 10 min and after that, infusion of dexmedetomidine 0.4ug/kg/h until the end of surgery
Outcomes
Primary Outcome Measures
Optic nerve sheath diameter
mm
Secondary Outcome Measures
Respiratory and mean arterial pressure
mmHg
Full Information
NCT ID
NCT02753205
First Posted
April 14, 2016
Last Updated
November 8, 2016
Sponsor
Gachon University Gil Medical Center
1. Study Identification
Unique Protocol Identification Number
NCT02753205
Brief Title
Dexmedetomidine on Optic Nerve Sheath Diameter
Official Title
Effect of Dexmedetomidine on Optic Nerve Sheath Diameter During Laparoscopic Anterior Resection
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Withdrawn
Study Start Date
April 2016 (undefined)
Primary Completion Date
April 2018 (Anticipated)
Study Completion Date
April 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Gachon University Gil Medical Center
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Dexmedetomidine, might attenuate the sympathetic activation and contribute to stable hemodynamics. The investigator hypothesized that continuous infusion of dexmedetomidine during laparoscopic lower abdominal surgery, might help to attenuate the increment of intracranial pressure and the investigator would observe the optic nerve sheath diameter using ultrasonography.
Detailed Description
Laparoscopic lower abdominal surgery requires the Trendelenburg position with pneumoperitoneum for a prolonged time, but this can cause significant increase in intracranial pressure. Dexmedetomidine, a selective alpha2 receptor agonist might attenuate the sympathetic activation and contribute to stable hemodynamics. The investigator hypothesized that continuous infusion of dexmedetomidine during laparoscopic lower abdominal surgery, might help to attenuate the increment of intracranial pressure and the investigator would observe the optic nerve sheath diameter using ultrasonography.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intracranial Hypertension
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control
Arm Type
Experimental
Arm Description
Infusion of normal saline
Arm Title
Dexmedetomidine
Arm Type
Active Comparator
Arm Description
infusion of dexmedetomidine 0.5ug/kg/h for 10 min and after that, infusion of dexmedetomidine 0.4ug/kg/h until the end of surgery
Intervention Type
Drug
Intervention Name(s)
Dexmedetomidine
Other Intervention Name(s)
dex
Intervention Description
infusion of dexmedetomidine 0.5ug/kg/h for 10 min and after that, infusion of dexmedetomidine 0.4ug/kg/h until the end of surgery
Intervention Type
Drug
Intervention Name(s)
normal saline
Other Intervention Name(s)
NS
Intervention Description
infusion of normal saline
Primary Outcome Measure Information:
Title
Optic nerve sheath diameter
Description
mm
Time Frame
Change from Baseline optic nerve sheath diameter at pneumoperitoneum 30 min
Secondary Outcome Measure Information:
Title
Respiratory and mean arterial pressure
Description
mmHg
Time Frame
Change from Baseline Respiratory and mean arterial pressure at pneumoperitoneum 30 min
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
clinical diagnosis of colorectal cancer
planed for laparoscopic low anterior resection
Exclusion Criteria:
morbid obesity (body mass index > 30 kg.m-2)
history of cerebrovascular disease
history of respiratory disease
uncontrolled cardiovascular disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kyung Cheon Lee
Organizational Affiliation
Gachon Universtiy Gil Medical Center
Official's Role
Study Chair
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Dexmedetomidine on Optic Nerve Sheath Diameter
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