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Sedation to Electroencephalography With Dexmedetomidine or Chloral Hydrate

Phase 3
Completed
Conditions
Other Conditions of Brain
Interventions
Registration Number
NCT01083797
Lead Sponsor
Federal University of Minas Gerais
Brief Summary

This study evaluates the use of dexmedetomidine or chloral hydrate for sedation during electroencephalography in patients with neurological disorders. The hypothesis is that this drugs provides similar changes in EEG pattern.

Detailed Description

Patients with chronic neurological disorders such as cerebral palsy or autism need to be sedated during electroencephalography (EEG). However, various sedatives and hypnotics affect the outcome of the review and is not shown. Chloral hydrate (CH) is widely used in children, but in this patients it is less effective.Recently, dexmedetomidine (DEX) has been tested because preliminary data suggests that this drug does not affect the EEG. The aim of the present work was to compare the electroencephalogram (EEG) pattern during CH or DEX sedation, to test the hypothesis that both drugs exert similar effects in EEG.Seventeen patients were evaluated during sedation with DEX or CH on separate occasions.The EEG was subjected to qualitative and quantitative analysis. Clinical variables were also compared.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • neurological disorder
  • behavior disorder
  • epilepsy
Exclusion Criteria
  • cardiac disease
  • respiratory disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
dexmedetomidine, chloral hydrateChloral Hydratesedation with dexmedetomidine or chloral hydrate on separate occasions in the same patients
dexmedetomidine, chloral hydrateDexmedetomidinesedation with dexmedetomidine or chloral hydrate on separate occasions in the same patients
Primary Outcome Measures
NameTimeMethod
electroencephalogram patterntwenty minutes

Qualitative analysis: identification of the deepest phase of sleep achieved during the examination, evaluation of background activity (normal, fast activity increased or slow activity increased).

Quantitative analysis: density, duration, and amplitude of sleep spindles, spectral power and dominant frequence.

Secondary Outcome Measures
NameTimeMethod
Effective sedativetwenty minutes

Maintain adequate sedation permitting the completion of the examination

Adverse effectsTwo hours

Incidence of bradycardia, hypotension, respiratory complications and vomiting

Trial Locations

Locations (1)

Santa Casa de Belo Horizonte

🇧🇷

Belo Horizonte, Minas Gerais, Brazil

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