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The effect of low dose intravenous premedication (co-induction) on cardiac output and induction of anaesthesia

To explore the effect during induction of anaesthesia of low dose intravenous premedication (co-induction) with a variety of drugs, on cardiac output and the dose of propofol required for loss of consciousness, in patients requiring insertion of arterial line for surgery

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12610000447055
Acronym
COS Study
Enrollment
50
Registered
2010-06-02
Start date
2009-11-24
Completion date
2015-12-15
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

There is good evidence of a true synergy between midazolam and propofol induction and data suggests that pre-dosing with propofol also reduces induction requirements. However, there has been no measure of the actual cardiac output changes in any human studies apart from that of Adachi et al. We plan to explore the relationship between cardiac output and induction doses of propofol in more detail and, in particular, to explore the effect of co-induction agents on cardiac output and to further evaluate cardiac output changes around induction of anaesthesia.

Interventions

Administration of a small dose of midazolam (0.03mg/kg), propofol (0.4mg/kg), fentanyl (1.5mcg/kg) or placebo by intravenous bolus, 3 minutes prior to induction of anaesthesia by propofol, infused at a rate of 3ml/kg/hr until loss of consciousness as confirmed by syringe drop.

Sponsors

Christchurch Anaesthesia Education Trust
Lead SponsorCharities/Societies/Foundations

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Surgery requiring insertion of arterial line, American Society of Anesthetist (ASA) rating 1,2 or 3

Exclusion criteria

Contra-indication to propofol. Requirement for specific co-induction drug, other than study drug.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026