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Controlled Sedation for Cataract Surgery

Primary Purpose

Failed Conscious Sedation During Procedure

Status
Terminated
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
remifentanil
Dexmedetomidine
Sponsored by
Fundación Universitaria de Ciencias de la Salud
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Failed Conscious Sedation During Procedure focused on measuring sedation, dexmedetomidine, remifentanil, cataract surgery, surgeon satisfaction, patient satisfaction

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • subject has cataract,
  • subject older than 18 years,
  • local anesthesia and sedation.

Exclusion Criteria:

  • general anesthesia,
  • history of consumption of sedatives.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Remifentanil

    Dexmedetomidine

    Arm Description

    remifentanil and dexmedetomidine, 0.25 ng/mL, given intravenous, infusion, until surgery finished.

    dexmedetomidine and remifentanil, 0.125 mcg/kg/hour, given intravenous, infusion, until surgery finished

    Outcomes

    Primary Outcome Measures

    Surgeon and patient satisfaction
    It was evaluated with an absolute numerical subjective scale from 1 to 7, where a score of 1 means total dissatisfaction, and 7 complete satisfaction. Scores were evaluated 30 minutes after surgery begun and at the end of the procedure. Results are presented in median and interquartile ranges.

    Secondary Outcome Measures

    Heart rate
    Beats per minute (bpm)
    Mean arterial pressure
    Millimeters of mercury (mmHg)
    Hemoglobin oxygen saturation
    Oxygen saturation (%)
    Surgery duration
    Minutes

    Full Information

    First Posted
    December 14, 2015
    Last Updated
    January 16, 2018
    Sponsor
    Fundación Universitaria de Ciencias de la Salud
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03401606
    Brief Title
    Controlled Sedation for Cataract Surgery
    Official Title
    Dexmedetomidine vs. Remifentanil for Patient and Surgeon Satisfaction in Cataract Surgery Under Controlled Sedation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2018
    Overall Recruitment Status
    Terminated
    Why Stopped
    a respiratory depression in remifentanyl group
    Study Start Date
    November 1, 2014 (Actual)
    Primary Completion Date
    October 30, 2015 (Actual)
    Study Completion Date
    January 30, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Fundación Universitaria de Ciencias de la Salud

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study evaluates the surgeon and patient´s satisfaction who undergoes cataract surgery using either dexmedetomidine or remifentanil as sedation
    Detailed Description
    This is a double blind, randomized study which evaluates surgeon and patient´s satisfaction whom undergoes cataract surgery. The surgery was done under local anesthesia and sedation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Failed Conscious Sedation During Procedure
    Keywords
    sedation, dexmedetomidine, remifentanil, cataract surgery, surgeon satisfaction, patient satisfaction

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    98 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Remifentanil
    Arm Type
    Active Comparator
    Arm Description
    remifentanil and dexmedetomidine, 0.25 ng/mL, given intravenous, infusion, until surgery finished.
    Arm Title
    Dexmedetomidine
    Arm Type
    Active Comparator
    Arm Description
    dexmedetomidine and remifentanil, 0.125 mcg/kg/hour, given intravenous, infusion, until surgery finished
    Intervention Type
    Drug
    Intervention Name(s)
    remifentanil
    Intervention Description
    remifentanil, 0.25 ng/mL, given intravenous, infusion, until surgery finished
    Intervention Type
    Drug
    Intervention Name(s)
    Dexmedetomidine
    Intervention Description
    dexmedetomidine, 0.125 mcg/kg/hour, given intravenous, infusion, until surgery finished
    Primary Outcome Measure Information:
    Title
    Surgeon and patient satisfaction
    Description
    It was evaluated with an absolute numerical subjective scale from 1 to 7, where a score of 1 means total dissatisfaction, and 7 complete satisfaction. Scores were evaluated 30 minutes after surgery begun and at the end of the procedure. Results are presented in median and interquartile ranges.
    Time Frame
    Intraoperative
    Secondary Outcome Measure Information:
    Title
    Heart rate
    Description
    Beats per minute (bpm)
    Time Frame
    Intraoperative
    Title
    Mean arterial pressure
    Description
    Millimeters of mercury (mmHg)
    Time Frame
    Intraoperative
    Title
    Hemoglobin oxygen saturation
    Description
    Oxygen saturation (%)
    Time Frame
    Intraoperative
    Title
    Surgery duration
    Description
    Minutes
    Time Frame
    Intraoperative
    Other Pre-specified Outcome Measures:
    Title
    Hypotension
    Description
    Systolic blood pressure below 90 mmHg
    Time Frame
    Intraoperative
    Title
    Respiratory depression
    Description
    Decreased respiratory rate below 10 rpm and desaturation, situation that required intubation
    Time Frame
    Intraoperative
    Title
    Oxygen desaturation
    Description
    Hemoglobin oxygen saturation below 90%
    Time Frame
    Intraoperative
    Title
    Internation
    Description
    Inpatient treatment
    Time Frame
    Intraoperative

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: subject has cataract, subject older than 18 years, local anesthesia and sedation. Exclusion Criteria: general anesthesia, history of consumption of sedatives.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Luis Muñoz, Md
    Organizational Affiliation
    Fundacion universitaria de ciencias de la salud
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Controlled Sedation for Cataract Surgery

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