Propofol and Dexmedetomidine Versus a Propofol Only Regimen for Sedation During Colonoscopy
NCT03139279 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 122
Last updated 2019-07-29
Summary
An ideal sedative for colonoscopy should have properties that include: rapid onset and offset of action, provide cardiopulmonary stability, have minimal adverse effects, and allow for smooth recovery, and early discharge. Propofol is often used solely because of its rapid onset and short duration of action---a property which is ideal for a fast recovery and early discharge in the ambulatory setting. However, the use of propofol has been associated with undesirable effects such as hypotension, hypoventilation and apnea requiring assisted ventilation.
Balanced anesthesia, using a combination of medications with different mechanisms of action can reduce the total amount of each sedative agent used and minimize their side effects while achieving the desired level of sedation. Dexmedetomidine is one agent that has been used either alone or in combination with propofol for sedation during colonoscopy. While there are many advantages to using dexmedetomidine, there is concern that the use of this agent for sedation during colonoscopy may prolong post-operative recovery time and readiness for discharge home.
No study has definitively assessed whether the use of dexmedetomidine in combination with propofol during ambulatory colonoscopy prolongs post-operative recovery time as determined by the Modified Post Anesthesia Discharge Scoring System (MPADSS).
Conditions
- Colonoscopy
Interventions
- DRUG
-
Dexmedetomidine
Dexmedetomidine 0.3 ug/kg intravenous bolus
- OTHER
-
Saline placebo
Intravenous saline/placebo
- DRUG
-
Propofol
Propofol titrated intravenous boluses
Sponsors & Collaborators
-
State University of New York - Downstate Medical Center
lead OTHER
Principal Investigators
-
Dennis Dimaculangan, MD · SUNY Downstate Medical Center Department of Anesthesiology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-05-05
- Primary Completion
- 2018-05-04
- Completion
- 2018-07-19
- FDA Drug
- Yes
Countries
- United States
Study Locations
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