Comparison of Remifentanil and Dexmedetomidine for Monitored Anaesthesia Care During Vertebroplasty and Kyphoplasty
NCT02476981 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 75
Last updated 2015-06-24
Summary
This randomised, double-blind study compared remifentanil and dexmedetomidine for monitored anaesthesia care (MAC) during minimally invasive corrections of vertebral compression fracture (vertebroplasty (VP) and kyphoplasty (KP)).
In total, 80 ASA physical status I-III patients scheduled for VP and KP randomly received remifentanil or dexmedetomidine to maintain OAA/S scale ≤ 4 during the procedures. Multiple hemodynamic variables of patients were recorded and the frequency of oxygen desaturation, respiratory depression, intraoperative need for other opioids, recovery time, operator satisfaction score, and patients' overall pain experiences were also compared.
The investigators are expecting that both remifentanil and dexmedetomidine appear to be quite safe for MAC during VP and KP. Thus, dexmedetomidine may be an alternative for MAC during VP and KP in elderly patients.
Conditions
- Fractures, Compression
Interventions
- DRUG
-
Remifentanil
Patients given remifentanil received continuous infusion of the drug at 1-5 µg/kg/h
- DRUG
-
Dexmedetomidine
Patients receiving dexmedetomidine were given that drug at 0.3-0.4 µg/kg over 10 min, followed by continuous infusion of 0.2 1 µg/kg/h
- DRUG
-
midazolam
All patients were premedicated with midazolam 0.02 mg/kg before induction.
- DRUG
-
propofol
All patients in both groups received a bolus dose of propofol 0.3 mg/kg for sedative effect.
- DRUG
-
ephedrine
Ephedrine 5 mg was injected when systolic blood pressure decreased below 90 mmHg
Sponsors & Collaborators
-
Hallym University Medical Center
lead OTHER
Principal Investigators
-
Eun Young Park, MD · Hallym University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-08-31
- Primary Completion
- 2014-07-31
- Completion
- 2014-10-31
Countries
- South Korea
Study Locations
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