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NCT03918889

Effect of Dexmedetomidine in Preventing Cough and Postoperative Pain After Laryngeal Surgery for Cancer

Status unknown NA Last updated 18 January 2020
What this trial tests

NA trial testing Dexmedetomidine Injectable Product in Laryngectomy; Status in 120 participants. Status unknown.

Timeline
1 May 2019
Primary endpoint
1 December 2020
1 December 2020

Quick facts

Lead sponsorEye & ENT Hospital of Fudan University
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment120
Start date1 May 2019
Primary completion1 December 2020
Estimated completion1 December 2020
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Eye & ENT Hospital of Fudan University

Who can join

Adults 35 to 65, male only, with Laryngectomy; Status. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: During emergence from anesthesia for partial and total laryngectomy, severe airway reflex and systemic hypertension during recovery may lead to pneumoderm, hemorrhage, pneumomediastinum or pneumothorax. Dexmedetomidine is a selective α2-adrenoreceptor agonist that has sedative, analgesic, and sympatholytic properties. It has been reported dexmedetomidine can attenuate coughing reflex and prevent emergence agitation without delaying recovery and respiratory depression from general anesthesia. The purpose of this study was to investigate the effect of dexmedetomidine compared with midazolam on cough suppression and recovery quality during emergence from general anesthesia after partial and total laryngectomy. Methods American Society of Anesthesiologists physical status I-II male adults undergoing elective laryngectomy under sevoflurane anesthesia were recruiting and randomly allocated to receive either dexmedetomidine(Group D, n = 60) infusion at 0.5 µg•kg-1 for 10 min before tracheotomy, then adjusted to 0.3µg•kg-1•h-1 or midazolam (Group M, n = 60) infusion at 0.05 mg•kg-1 ten minutes before tracheotomy, then adjusted to 0.02mg•kg-1•h-1. The primary outcome measure was the incidence and severity of cough. Hemodynamics, pain intensity \[Visual Analogue Scale (VAS)\] and Ramsay sedation scale (RSS) were also evaluated at awake, patients returning to ward from post anesthesia care unit (PACU),2h after surgery. postoperative sufentanil consumption, recovery time and the incidence of concerning adverse effects were recorded.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Dexmedetomidine versus midazolam on cough and recovery quality after partial and total laryngectomy - a randomized controlled trial.
    Xu R, Zhu Y, Lu Y, Li W, et al · · 2020 · cited 5× · PMID 32988369 · DOI 10.1186/s12871-020-01168-7

Verify or expand the search:

Other trials of Dexmedetomidine Injectable Product

Trials testing the same drug.

Other recruiting trials for Laryngectomy; Status

Currently open trials in the same condition.

Other Eye & ENT Hospital of Fudan University trials

Trials by the same sponsor.

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Data sources for this page

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