Dexmedetomidine Infusion and Surgical Pleth Index In Pediatrics
NCT05727969 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2024-02-22
Summary
This non-invasive dimensionless score index -SPI-reflects the Patients' sympathetic response to surgical stimulation. Its effectiveness in detecting the balance between nociceptor activation and analgesia was not only reported but also, was reported to be superior to the other parameters like blood pressure and heart rate. SPI value is correlated to pain and ranges from 0 to 100, higher values indicate strong surgical stimulus. Its value is obtained from photoplethysmographic amplitude (PPGA) and heart rate (HR) data from pulse oximetry measurement.
Prediction of the severity of postoperative pain using SPI in both adults and children has been reported by several studies. So, the authors hypothesize that dexmedetomidine infusion without giving a bolus dose may affect the SPI in pediatrics undergoing hypospadias repair.
Conditions
- Pain
- Hypospadias
Interventions
- DRUG
-
Dexmedetomidine
Dexmedetomidine at a a rate of 0.5 μg/kg/hour will be infused with induction of anesthesia.
- DRUG
-
Lactated Ringer
Lactated ringer solution at a a rate of 0.5 μg/kg/hour will be infused with induction of anesthesia.
- PROCEDURE
-
Hypospadias
Children who will undergone hypospadias surgery
- DEVICE
-
Surgical pleth index
The SPI value will be measured using Datex-Ohmeda (GE Healthcare,Madison,WI 53707-7550 USA) monitoring system.
Sponsors & Collaborators
-
Fayoum University Hospital
lead OTHER
Principal Investigators
-
Safaa G Megahed, MD · Fayoum University
-
Omar S Mahmoud, MD · Fayoum University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 7 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-01-15
- Primary Completion
- 2023-11-15
- Completion
- 2023-12-15
Countries
- Egypt
Study Locations
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