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A clinical trial to compare effect of two drugs, intranasal dexmedetomidine and intranasal midazolam in pediatric neurosurgical patients undergoing magnetic resonance imaging.

Phase 3
Conditions
Health Condition 1: O- Medical and SurgicalHealth Condition 2: O- Medical and SurgicalHealth Condition 3: G978- Other intraoperative and postprocedural complications and disorders of nervous system
Registration Number
CTRI/2021/12/038353
Lead Sponsor
Govind Ballabh Pant Institute of Postgraduate Medical Education and Research Delhi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. ASA physical status I&II patients

2. Glasgow Coma Scale 15/15

Exclusion Criteria

1. ASA physical status III & IV

2. Active URTI/LRTI

3. Anticipated difficult airway

4. Patients with history of allergy or history of drug sensitivity

5. Patients with renal or hepatic dysfunction

6. Congenital heart disease

7. Nasal crusting/excoriations

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Efficacy of sedation amongst the two groups as evaluated by- <br/ ><br>- Ease of Parental Separation as assessed by Parental Separation Score <br/ ><br> <br/ ><br>- Need for additional rescue drug requirement as assessed by sedation score <br/ ><br>(University of Michigan Sedation Scale (UMSS) Scoring) <br/ ><br>- MRI Quality as assessed by MRI quality score (by radiologist) <br/ ><br>Timepoint: Baseline, 5 minutes, 10 minutes, 15 minutes, 20 minutes, 25 minutes, 30 minutes, 35 minutes, 40 minutes
Secondary Outcome Measures
NameTimeMethod
A) To assess following parameters in between two study groups <br/ ><br>â?¢ Occurrence of respiratory, cardiovascular adverse and other events (bradycardia, <br/ ><br>hypotension, decreased SpO2) <br/ ><br>â?¢ Time of onset and duration of sedation (in minutes) <br/ ><br>â?¢ Recovery duration (in minutes) <br/ ><br>â?¢ Ease of IV cannulation by IV cannulation score <br/ ><br>â?¢ Child response to Intranasal drug administration <br/ ><br>B) Correlation between Bi Spectral Index and UMSS <br/ ><br>C) Correlation between Bi Spectral Index and Modified Aldrete scoreTimepoint: Baseline, then every 10 minutes till 120 minutes <br/ ><br>
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