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Effect of Different Sedation and Analgesia Strategies on Patients With Mechanical Ventilation

Primary Purpose

Respiratory Insufficiency

Status
Not yet recruiting
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Fentanyl, propofol
fentanyl and dexmedetomindine
Butorphanol and propofol
Butorphanol and dexmedetomindine
Sponsored by
The Affiliated Hospital of Qingdao University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Respiratory Insufficiency

Eligibility Criteria

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

Inclusion Criteria:

  • Adults who are treated with sedation and analgesia for invasive mechanical ventilation

Exclusion Criteria:

  • they have baseline severe cognitive impairment; were pregnant or breast-feeding; were blind, deaf ; had second-degree or third-degree heart block or bradycardia requiring intervention; had an allergy to the experimental drugs; had an indication for benzodiazepines; were anticipated to have immediate discontinuation of mechanical ventilation; were expected to have neuromuscular blockade for more than 48 hours; were in a moribund state; or had received mechanical ventilation for more than 96 hours before meeting all inclusion criteria.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    F-P group

    F-D group

    B-P group

    B-D group

    Arm Description

    the combination of fentanyl and propofol

    the combination of fentanyl and dexmedetomidine

    the combination of butorphanol and propofol

    the combination of butorphanol and dexmedetomidine

    Outcomes

    Primary Outcome Measures

    ventilator-free days at 28 days

    Secondary Outcome Measures

    Full Information

    First Posted
    August 23, 2021
    Last Updated
    August 26, 2021
    Sponsor
    The Affiliated Hospital of Qingdao University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05024799
    Brief Title
    Effect of Different Sedation and Analgesia Strategies on Patients With Mechanical Ventilation
    Official Title
    Effect of Different Sedation and Analgesia Strategies on Patients With Mechanical Ventilation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 2022 (Anticipated)
    Primary Completion Date
    December 2024 (Anticipated)
    Study Completion Date
    December 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    The Affiliated Hospital of Qingdao University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Most patients in ICU are treated with a combination of analgesics and sedatives in most cases. Due to the different mechanism of different sedative and analgesic drugs, different antagonistic or synergistic effects may occur when combined with drugs, resulting in different clinical effects, especially significant effects on ventilators for patients with assisted breathing. Therefore, this study hopes to compare the effects of different sedative and analgesic drug combinations on the duration of mechanical ventilation for patients with ventilators, so as to guide the clinical adoption of a more reasonable sedative and analgesic scheme.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Respiratory Insufficiency

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    300 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    F-P group
    Arm Type
    Experimental
    Arm Description
    the combination of fentanyl and propofol
    Arm Title
    F-D group
    Arm Type
    Experimental
    Arm Description
    the combination of fentanyl and dexmedetomidine
    Arm Title
    B-P group
    Arm Type
    Experimental
    Arm Description
    the combination of butorphanol and propofol
    Arm Title
    B-D group
    Arm Type
    Experimental
    Arm Description
    the combination of butorphanol and dexmedetomidine
    Intervention Type
    Drug
    Intervention Name(s)
    Fentanyl, propofol
    Intervention Description
    The patients in this group will be administered with fentanyl and propofol
    Intervention Type
    Drug
    Intervention Name(s)
    fentanyl and dexmedetomindine
    Intervention Description
    The patients in this group will be administered with fentanyl and dexmedetomindine
    Intervention Type
    Drug
    Intervention Name(s)
    Butorphanol and propofol
    Intervention Description
    The patients in this group will be administered with butorphanol and propofol
    Intervention Type
    Drug
    Intervention Name(s)
    Butorphanol and dexmedetomindine
    Intervention Description
    The patients in this group will be administered with butorphanol and dexmedetomindine
    Primary Outcome Measure Information:
    Title
    ventilator-free days at 28 days
    Time Frame
    at 28 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adults who are treated with sedation and analgesia for invasive mechanical ventilation Exclusion Criteria: they have baseline severe cognitive impairment; were pregnant or breast-feeding; were blind, deaf ; had second-degree or third-degree heart block or bradycardia requiring intervention; had an allergy to the experimental drugs; had an indication for benzodiazepines; were anticipated to have immediate discontinuation of mechanical ventilation; were expected to have neuromuscular blockade for more than 48 hours; were in a moribund state; or had received mechanical ventilation for more than 96 hours before meeting all inclusion criteria.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jinyan Xing, Dr
    Phone
    86-0532-82919386
    Ext
    82919386
    Email
    xingjy@qdu.edu.cn

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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