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The Effect of Dexmedetomidine on Emergence Agitation in Children Undergoing a Surgery Under Desflurane Anesthesia

Phase 4
Conditions
Psychomotor Agitation
Interventions
Drug: 0.9% Normal Saline
Registration Number
NCT01578161
Lead Sponsor
Seoul National University Hospital
Brief Summary

After genernal anesthesia using sevoflurane or desflurane, the investigators can observe many cases of agiation (over 80%) and despite of no report of long-term complication, agitation is a big issue in PACU for doctors and nurses. The investigators use dexmedetomidine for prevention of agiation of preschool aged children. The investigators expect single injection of dexmedetomidine lead to decrease postoperative agitation and pain without any complication like oculocardiac reflex requiring atopine for treatment.

Detailed Description

There are four groups accoding to dosage of dexmedetomidine. Dexmedetomidine 0.25 microg.kg(-1),(group D0.25), dexmedetomidine 0.5 microg.kg(-1),(Group D0.5), dexmedetomidine 1 microg.kg(-1) (Group D 1) and normal saline(group P) is administered ivs. for 10mins when we are inducing each patient.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
116
Inclusion Criteria
  • Physical status classification of American Society of Anesthesiologist 1-2,
  • Healthy, normal
  • 2-6 years old
  • Elective operation
Exclusion Criteria
  • Lack of consent
  • Known adverse effects to dexmedetomidine, mental retardation
  • Developmental delay, or neurological or psychiatric illness that may associate with agitation (cerebral palsy, seizure, etc)
  • No cardiac disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dexmedetomidine0.25Dexmedetomidinedexmedetomidine 0.25 microg.kg(-1),(Group D0.25) ivs. for 10min.
Dexmedetomidine0.5Dexmedetomidinedexmedetomidine 0.5 microg.kg(-1),(group D0.5) ivs. for 10min.
Dexmedetomidine1.0Dexmedetomidinedexmedetomidine 1 microg.kg(-1) ivs. for 10min.
NormalSaline0.9% Normal SalineNormal saline 10ml ivs. for 10min.
Primary Outcome Measures
NameTimeMethod
Agitation score30 mins after operation
Secondary Outcome Measures
NameTimeMethod
Oculomotor reflexIntraoperative

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, SEOUL NATIONAL UNIVERSITY BUNDANG HOSPITAL

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SungNam-si, Kyonggi do, Korea, Republic of

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