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Safety and efficacy of using intranasal dexmedetomidine combined with oral midazolam for sedation in pediatric MRI

Safety and efficacy of using intranasal dexmedetomidine combined with oral midazolam for sedation in pediatric MRI

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200058882
Enrollment
Unknown
Registered
2022-04-18
Start date
2022-04-18
Completion date
Unknown
Last updated
2024-01-28

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

Conditions

None listed

Interventions

B:intranasal dexmedetomidine 1.5µg/kg combined with oral midazolam 0.5mg/kg
A:intranasal dexmedetomidine 1.0µg/kg combined with oral midazolam 0.5mg/kg

Sponsors

Chengdu Women and Children Central Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
1 Years to 3 Years

Inclusion criteria

Inclusion criteria: 1. Children aged from 12 months to 36 months who underwent MRI examination; 2. ASA Class I - II; 3. MRI scanning time is expected to be within 1 hour; 4. The legal guardian of the child has signed the informed consent form.

Exclusion criteria

Exclusion criteria: 1. Children aged 37.5 ?); 3. Allergies or contraindications to the test drug or syrup; 4. The child has heart conduction system disease (for example, 2 degree atrioventricular block); 5. The child received digoxin or beta receptor inhibitor treatment within 48 hours of the test; 6. The child has liver or kidney dysfunction; 7. Have a history of epilepsy or nervous system disease; 8. The child had acute rhinitis (runny nose, rhinorrhea) or upper respiratory tract infection symptoms on the day of the experiment (potential risk of interfering with nasal absorption); 9. The child has received other sedatives within 48 hours.

Design outcomes

Primary

MeasureTime frame
The number of patients with UMSS score =2 and successful completion of examination within 30 minutes after the first medication and sedation success rate;

Secondary

MeasureTime frame
The time between medication and until UMSS score =2;The time between after the examination and leaving the sedation center when meet the exit criteria;Vital signs including heart rate (HR), oxygen saturation (SpO2) and non-invasive blood pressure are noted before sedation and every 10 minutes after drug administration until meeting the exit criteria (UMSS=1 point and Aldrete score =9 points);Sedation and behavior scores were recorded at baseline and at intervals of 10min after drug administration until meeting exit criteria (UMSS=1 and Aldrete =9) ;physical activity score of each group;successful cases and sedation success rate after first sedation remediation;incidence of hypotension, bradycardia, hyperactivity, irritability, nausea and vomiting, delay in wake up (not awake for 60 minutes after MRI examination), and respiratory complications (including oxygen supply);the incidence of adverse events during follow-up;

Countries

China

Contacts

Public ContactXu Li

Chengdu Women and Children Central Hospital

414993490@qq.com+86 13547896801

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Aug 14, 2026