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Comparison of Remifentanil and Dexmedetomidine for Monitored Anaesthesia Care
This randomised, double-blind study compared remifentanil and dexmedetomidine for monitored anaesthesia care (MAC) during minimally invasive corrections of vertebral compression fracture (vertebroplasty (VP) and kyphoplasty (KP)). In total, 80 ASA physical status I-III patients scheduled for VP and KP randomly received remifentanil or dexmedetomidine to maintain OAA/S scale ≤ 4 during the procedures. Multiple hemodynamic variables of patients were recorded and the frequency of oxygen desaturation, respiratory depression, intraoperative need for other opioids, recovery time, operator satisfaction score, and patients' overall pain experiences were also compared. The investigators are expecting that both remifentanil and dexmedetomidine appear to be quite safe for MAC during VP and KP. Thus, dexmedetomidine may be an alternative for MAC during VP and KP in elderly patients.
Details
| Lead sponsor | Hallym University Medical Center |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 75 |
| Start date | 2012-08 |
| Completion | 2014-10 |
Conditions
- Fractures, Compression
Interventions
- Remifentanil
- Dexmedetomidine
- midazolam
- propofol
- ephedrine
Primary outcomes
- The frequencies of oxygen desaturation during procedures — About 1 hour through the procedures
Countries
South Korea