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临床试验/NCT07076628
NCT07076628已完成4 期

Incidence of Respiratory Depression of Remimazolam Compared With Propofol for Monitored Anesthesia Care During Hysteroscopy

DongGuk University1 个研究点 分布在 1 个国家目标入组 76 人开始时间: 2023年8月24日最近更新:
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
入组人数
76
试验地点
1
主要终点
Respiratory insufficiency before surgery

研究概览

简要总结

The comparison of incidence of respiratory depression between remimazolam and propofol under monitored anesthesia care for hysteroscopic surgery

详细描述

  • Non-invasive blood pressure, electrocardiogram, and oxygen saturation sensors are attached.

  • Wear an oxygen mask (5L per minute), and place the sampling line for end-tidal carbon dioxide partial pressure measurement inside the nose.

  • Check the randomization table to determine the drug to be administered, and prepare propofol or remimazolam accordingly.

  • Record the baseline values (0 min).

  • Start administration of Remifentanil.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Double (Participant, Investigator)

盲法说明

Care giver will notice which drug will be given to the patients because of the color (White vs clear) and infusion doses of the drugs.

入排标准

年龄范围
19 Years 至 60 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • ASA PS 1-2
  • Elective hysteroscopic surgery under monitored anesthesia care
  • No drug abuse history

排除标准

  • BMI > 30 kg/m2
  • Hepatic or renal insufficiency
  • Alcohol abuse
  • Respiratory, hemodynamic compromise, or diseases
  • History of general/regional anesthesia during the last month
  • A patient who is taking sedatives or analgesics
  • Under the investigator's judgment

研究组 & 干预措施

Propofol group

Active Comparator

Propofol infusion with remifentanil for hysteroscopic surgery

干预措施: Propofol (Drug)

Remimazolam group

Active Comparator

Remimazolam infusion with remifentanil for hysteroscopic surgery

干预措施: Remimazolam (Drug)

结局指标

主要结局

Respiratory insufficiency before surgery

时间窗: From the beginning of drug infusion until the moment of starting surgery (assessed up to 30 minutes)

Respiratory rate \< 9/min, Apnea \> 29 s, ETCO2 \> 54 mmHg, SpO2 \< 96%

Respiratory insufficiency during surgery

时间窗: From the beginning of the surgery until the end of the drug infusion (assessed up to 60 minutes)

Respiratory rate \< 9/min, Apnea \> 29 s, ETCO2 \> 54 mmHg, SpO2 \< 96%

次要结局

  • Pain on injection(Just after the beginning of drug infusion)
  • Hypertension(Through the Monitored Anesthetic Care (From the beginning of drug infusion until the end of the drug infusion) up to 60 minutes)
  • Hypotension(Through the Monitored Anesthetic Care (From the beginning of drug infusion until the end of the drug infusion) up to 60 minutes)
  • Bradycardia(Through the Monitored Anesthetic Care (From the beginning of drug infusion until the end of the drug infusion) up to 60 minutes)
  • Tachycardia(Through the Monitored Anesthetic Care (From the beginning of drug infusion until the end of the drug infusion) up to 60 minutes)
  • Maximum ETCO2(Through the Monitored Anesthetic Care (From the beginning of drug infusion until the end of the drug infusion) up to 60 minutes)
  • Patient satisfaction with Monitored Anesthetic Care(Just before leaving the recovery room)
  • Postoperative Nausea/Vomiting (PONV)(During staying at the recovery room (up to 60 minutes))

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Junyong In, MD, PhD

Professor

DongGuk University

研究点 (1)

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