| CTRI Number |
CTRI/2022/04/042132 [Registered on: 25/04/2022] Trial Registered Prospectively |
| Last Modified On: |
20/04/2022 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
study of effect of dexmedetomidine nebulization on anxiety of childern posted for surgery |
|
Scientific Title of Study
|
study of effect of dexmedetomidine nebulization on parental separation and mask acceptance in paediatric patients |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DR Jutooru Shreehari |
| Designation |
Post Graduate |
| Affiliation |
Bangalore Medical College and Research Institute |
| Address |
SHARAVATHY,BMCRI MENS PG HOSTEL, RAYAN CIRCLE ,CHAMRAJPET ,BANGALORE SHARAVATHY MENS PG HOSTEL, ROYAN CIRCLE ,CHAMRAJPET ,BANGALORE Bangalore KARNATAKA 560018 India |
| Phone |
9945420011 |
| Fax |
|
| Email |
srihari.jutoor@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Tulsi |
| Designation |
Assitant Professor |
| Affiliation |
Bangalore Medical College and Research Institute |
| Address |
Assistant Professor, Department of Anaesthesia, Bangalore Medical College, Chamrajpet , Bangalore
Bangalore KARNATAKA 560018 India |
| Phone |
9483188870 |
| Fax |
|
| Email |
drtulsikeshav1@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Jutooru Shreehari |
| Designation |
Post Graduate |
| Affiliation |
Bangalore Medical College and Research Institute |
| Address |
SHARAVATHY,BMCRI MENS PG HOSTEL, RAYAN CIRCLE ,CHAMRAJPET ,BANGALORE SHARAVATHY MENS PG HOSTEL, ROYAN CIRCLE ,CHAMRAJPET ,BANGALORE Bangalore KARNATAKA 560018 India |
| Phone |
9945420011 |
| Fax |
|
| Email |
srihari.jutoor@gmail.com |
|
|
Source of Monetary or Material Support
|
| Bangalore Medical College And Research Institute, Bangalore |
|
|
Primary Sponsor
|
| Name |
Bangalore Medical College and Research Institute |
| Address |
Bangalore medical college
Chamrajpet , Bangalore |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| jutooru shreehari |
Bangalore Medical College and Research Institute |
Department of anaesthesia,BMCRI chamrajpet , Bangalore Bangalore KARNATAKA |
9945420011
srihari.jutoor@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Ethics committee of Bangalore Medical College and Research Institute |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
dexmedetomidine nebulization |
dexmedetomidine nebulization at 2mics/kg diluted to 3 ml wih normal saline for 15mins |
| Comparator Agent |
normal saline |
normal saline nebulisation 3ml for 15 mins |
|
|
Inclusion Criteria
|
| Age From |
1.00 Year(s) |
| Age To |
10.00 Year(s) |
| Gender |
Both |
| Details |
Inclusion Criteria:
1)Patients giving informed written consent.
2)Patients scheduled for elective surgery under general anaesthesia with endotracheal intubation.
3)Patients age between 1 to 10 years
4)Patients belonging to ASA I, II
|
|
| ExclusionCriteria |
| Details |
Exclusion Criteria:
1)Patients who refused to give informed written consent.
2)Patients known to have allergy or hypersensitivity to dexmedetomidine
3)Any patient with nasal ulcers, polyps, nasal septum deviation
4)Patients with previous history of heart diseases
5)Patients with heart rate of <70 beats per minute
6)A second- or third-degree atrioventricular block
7)Patients with Asthma
8)Patients with organ dysfunction
9)Patients with mental illness
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Case Record Numbers |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
parental separation
mask acceptance |
Before shifting to operation theatre |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| mask acceptance |
30mins |
|
|
Target Sample Size
|
Total Sample Size="92" Sample Size from India="92"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
26/04/2022 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
Not yet |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [srihari.jutoor@gmail.com].
- For how long will this data be available start date provided 15-04-2022 and end date provided 01-01-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - na
|
|
Brief Summary
|
Preoperative
anxiety is seen in 50%-70% of the paediatric patients posted for surgery. Fear
of parent separation, fear of strange hospital environment and painful
procedures contribute to preoperative anxiety.1Children with high
preoperative anxiety have high incidence of postoperative pain, emergence
delirium, delayed discharge and maladaptive and behavioural changes that can
last for weeks in the postoperative period.2
Various
pharmacological and non-pharmacological methods are in practice with variable
success rate. Drugs, such as midazolam and ketamine, have been tried for
this via oral, nasal and parenteral
routes, but each one has its limitations.3
Inhalation of nebulised drug is an easy
alternative for preoperative sedation in children as it avoids needle puncture
necessary for intravenous (IV) or intramuscular (IM) route. Dexmedetomidine,
which is a selective alpha-2 agonist with central sedative and anxiolytic
properties,4 has been tried for preoperative anxiolysis in children
via nasal and inhalational routes.5 Previous study has suggested
that nebulised dexmedetomidine can provide a clinically relevant, non-invasive
alternative to the invasive IV or IM route of administration.6Those
studies have used dexmedetomidine in the doses of 2 μg kg−1 and found that it
was effective in achieving calm parental separation in approximately 60%-70% of
children.7,8Dexmedetomidine in a dose of 3 µg kg−1 via parenteral
route has produced satisfactory procedural sedation without any haemodynamic
adverse events.9,10 |