Analgesia-First Sedation in Trauma Patients
NCT05751863 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 170
Last updated 2025-07-09
Summary
The study's aim is to ascertain the best approach for providing sedation and pain management for patients who have sustained trauma and are requiring respiratory support from a mechanical ventilator. The common approach to patients who need mechanical ventilation is to provide continuous drips of sedatives and pain medicine and awaken the patient once a day to check the brain functions. Another approach is to provide pain medicine and reserve sedatives for only a short duration when needed. The difference between approaches has not been studied in Trauma patients.
Conditions
- Mechanical Ventilation
- Respiratory Failure
Interventions
- OTHER
-
Analgesia First Sedation Strategy for Mechanically Ventilated (MV) Trauma Subjects
The Intervention is using a sedation strategy for MV trauma that initially targets pain by intermittent boluses followed by an IV drip only if required. Sedatives are limited to agitation management and for a limited duration as needed. This "analgo-sedation" approach differs from the approach of using IV drips of analgesics and sedatives simultaneously and discontinuing both once daily to assess subjects.
- OTHER
-
Protocol Directed Sedation and Daily Sedation Interruption
The active comparator in this study is using a sedation strategy for MV trauma that uses IV drips of analgesics and sedatives simultaneously and discontinues both once daily to assess subjects.
Sponsors & Collaborators
-
MemorialCare Health System
lead OTHER
Principal Investigators
-
Maged Tanios, MD, MPH · Long Beach Memorial Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-01
- Primary Completion
- 2026-03-01
- Completion
- 2026-09-01
Countries
- United States
Study Locations
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