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Trial registered on ANZCTR
Registration number
ACTRN12613000679785
Ethics application status
Approved
Date submitted
17/06/2013
Date registered
20/06/2013
Date last updated
17/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The Effect of Intranasal Dexmedetomidine Premedication on the Minimum Alveolar Concentration of Sevoflurane for tracheal intubation in children
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Scientific title
The Effect of Intranasal Dexmedetomidine Premedication on the Minimum Alveolar Concentration of Sevoflurane for tracheal intubation in children
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Secondary ID [1]
282685
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
inhalation induction of anesthesia and tracheal intubation in children
289396
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Condition category
Condition code
Anaesthesiology
289721
289721
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
GroupD1 received 1mcg/Kg intranasal dexmedetomidine premedication 60 min before general anaesthesia; GroupD2 received 2mcg/Kg intranasal dexmedetomidine premedication 60 min before general anaesthesia.Before tracheal intubation was attempted, the end-tidal concentration of sevoflurane was kept constant at the predetermined value at least 15 min, Once the response to tracheal intubation was recorded, further administration of anesthetic and analgesic agents was at the attending anesthesiologist’s discretion.
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Intervention code [1]
287345
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Treatment: Drugs
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Comparator / control treatment
Group S received intranasal saline premedication 60 min before general anaesthesia
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Control group
Placebo
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Outcomes
Primary outcome [1]
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the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI); Patient’s responses to tracheal intubation were classified as ‘no movement’ or ‘movement’. ‘No movement’ was defined as the absence of purposeful movement of the extremities, movement of the vocal cords preventing intubation, and coughing or bucking during or immediately after intubation. The values of MACTI were obtained by calculating the midpoint concentration of all independent response cross-overs in which a positive response was followed by a negative response.
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Assessment method [1]
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Timepoint [1]
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At the time of tracheal intubation
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Secondary outcome [1]
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included induction quality
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Assessment method [1]
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Timepoint [1]
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Induction quality was briefly evaluated according to a four-point scale during the inhalation induction with sevoflurane
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Secondary outcome [2]
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Incidence of adverse events(e.g.hypotention,bradycardia);
Clinically significant hypotention or bradycardia, defined as > 30% decrease in mean arterial pressure or heart rate compared with baseline.
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Assessment method [2]
303292
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Timepoint [2]
303292
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During the study period
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Eligibility
Key inclusion criteria
American Society of Anesthesiologists physical status I-II children scheduled to undergo general anesthesia for elective minor surgery
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Minimum age
3
Years
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Maximum age
7
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with airway malformation, clinical evidence of a difficult airway, any sign of upper respiratory infection, or asthma were excluded. Patients taking medication known to affect anesthetic requirements were also excluded.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation was concealed by sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
The sample size was calculated based on the assumed standard deviation of the sevoflurane dose from a previous study.Twenty-eight patients were required in each group to detect a mean difference of sevoflurane 0.32% (2SD) between the groups at a power of 0.8 and a P-value of 0.05. The sample size was increased to 90 patients to allow for dropouts.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
28/06/2013
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Actual
11/07/2013
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Date of last participant enrolment
Anticipated
20/12/2013
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Actual
5/05/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
90
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Recruitment outside Australia
Country [1]
5146
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China
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State/province [1]
5146
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Fujian Province
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Funding & Sponsors
Funding source category [1]
287457
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Self funded/Unfunded
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Name [1]
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Yusheng Yao
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Address [1]
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No.134 Dongjie Street, Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country [1]
287457
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China
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Primary sponsor type
Individual
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Name
Yusheng Yao
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Address
No.134 Dongjie Street, Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country
China
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Secondary sponsor category [1]
286201
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Individual
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Name [1]
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Yanqing Chen
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Address [1]
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No.134 Dongjie Street,Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country [1]
286201
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Ethics and Committee of Fujian Provincial Hospital
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Ethics committee address [1]
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No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
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Ethics committee country [1]
289432
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China
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Date submitted for ethics approval [1]
289432
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26/04/2013
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Approval date [1]
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01/06/2013
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Ethics approval number [1]
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FJSL-2013-06-01
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Summary
Brief summary
Sevoflurane is generally employed for inhalation induction of anesthesia and tracheal intubation in children without muscle relaxant.Clinical trials have demonstrated that intranasal dexmedetomidine is an effective sedative for premedication in children.The ability of dexmedetomidine to reduce both the inhalation anesthetic and opioid analgesic requirements has been confirmed previously. However, to date, the effects of dexmedetomidine premedication on the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI) in pediatric patients is still undetermined.
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Trial website
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Trial related presentations / publications
Intranasal dexmedetomidine premedication reduces the minimum alveolar concentration of sevoflurane for tracheal intubation in children: a randomized trial. Yao Y, Qian B, Chen Y, Zhou L, Liu J. J Clin Anesth. 2014 Jun;26(4):309-14. doi: 10.1016/j.jclinane.2013.12.012. Epub 2014 May 26. PMID: 24875890
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Public notes
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Contacts
Principal investigator
Name
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Dr Yusheng Yao
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Address
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+86 13559939629
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Yusheng Yao
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Address
40627
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+86 13559939629
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Yusheng Yao
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Address
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+86 13559939629
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Fax
40628
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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