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Can we get conscious sedation in optimal safety conditions in an emergency department, by combining dexmedetomidine with alfentanil?

Phase 1
Conditions
Adult over 18 years, of both sexes, for which a procedural sedation is needed in emergency room.
Therapeutic area: Diseases [C] - Symptoms and general pathology [C23]
Registration Number
EUCTR2014-005170-11-BE
Lead Sponsor
Cliniques universitaires Saint Luc
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
240
Inclusion Criteria

Adult over 18 years, of both sexes, for which a procedural sedation is needed in emergency room. The rules for sedation, in accordance with the international guidelines, are:
• Insertion of a chest drain
•Abscess incision and drainage
•Electrical cardio version
•Closed reduction of a dislocated joint

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 140
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 100

Exclusion Criteria

-Patients refusing to participate in the study (refusal to sign the consent form)
-Patients refusing sedation
-Patients unable to participate in the study (consent is impossible to obtain)
-Pregnant women
-Patients with poor respiratory status determined by :
Respiratory rate > 30 / min
Oxygen saturation <90%
- Patients with unfavorable hemodynamic status determined by :
A heart rate > 120 / min
A heart rate < 45 / min
Systolic blood pressure = 180 mmHg or =100mmHg
Diastolic blood pressure = 110mmHg

- Patients with contraindication to the use of dexmedetomidine :
Advanced heart block (level 2 or 3) unless pacemaker
Acute cerebrovascular disease

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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