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Sedation for gastrointestinal endoscopies in childre

Not Applicable
Conditions
Health Condition 1: null- Paediatric patients for gastrointestinal endoscopies
Registration Number
CTRI/2015/12/006450
Lead Sponsor
Vanya Chugh
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

Patients undergoing elective upper or lower GI endoscopic procedures.

American Society of Anaesthesiologists class I & II (I: healthy; II: single, controlled disease state).

Parents and guardians of the patient consenting for the procedure.

Exclusion Criteria

a.American Society of Anaesthesiologists class III and above.

b.Known hypersensitivity to propofol or ketamine or sevoflurane or h/s/o egg allergy.

c.Patients with following conditions:

i.Airway related problems.

ii.Respiratory disorders.

iii.Cardiovascular disorders.

iv.Central nervous system disorders/neurologic impairment.

v.Acute febrile illness.

vi.Bleeding oesophageal varices.

d. History of recent hepatitis

e. Renal insufficiency

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to emergence from procedural sedation <br/ ><br>Timepoint: 1) Emergence time - From end of procedure till achievement of Modified Ramsay Sedation Score â?¤ 3. <br/ ><br>2) Time to respond to light painful stimulus <br/ ><br>3) Time to cough <br/ ><br>4) Time to spontaneous eye opening <br/ ><br>5) Time to achievement of purposeful limb movements <br/ ><br>6) Time to child becoming oriented (older children) <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
1) Effectiveness of sedation in terms of Induction time, success of Induction,success of maintenance <br/ ><br>2) Safety in terms of occurrence of complicationsTimepoint: â?¢Induction time: Administration of study drugs to fixation of eyeballs, adequate jaw relaxation and Modified Ramsay Sedation Score 4 or 5. <br/ ><br>â?¢Success of Induction: Induction doses sufficient to allow easy passage of endoscope. Need of changeover from one group to the other will be considered as failure. <br/ ><br>â?¢Success of maintenance: Maintenance doses sufficient to carry out the procedure. Need of changeover from one group to the other will be considered as failure. <br/ ><br>
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