Study refers to the use of this medicine during anaesthesia given during the investigation of congenital heart disease.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Children 1 to 6 years of age (from first birthday to eve on seventh birthday). • Scheduled for cardiac MR imaging under general anaesthesia at Alder Hey Children’s Hospital. • Parental Consent Are the trial subjects under 18? yes Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range 0 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: • Hypersensitivity to any study drug • Known abnormal response to opiate analgesics or co-morbidity associated with abnormal central control of breathing (such as obstructive sleep apnoea) • Families unable to understand or complete consent • Any other contraindication to proposed anaesthetic technique: at the discretion of the responsible anaesthetist. • Documented significant renal or hepatic dysfunction • Severe neurological disability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: What is the optimal maintenance dose of remifentanil, during breath hold episodes, in children (age 1 to 6 years) having magnetic resonance imaging of the heart under general anaesthesia. The optimal dose is defined as the dose required to inhibit breathing for at least 30 seconds in 80% of children.;Secondary Objective: What is the impact of remifentanil dose on the quality of magnetic resonance scans? What is the impact of remifentanil dose on heart rate (lowest heart rate during study period)? What is the impact of remifentanil dose on blood pressure (lowest blood pressure during study period)? Evidence of toxicity of remifentanil (specifically cardiovascular events requiring specific measures to treat);Primary end point(s): Movement of the diaphragm (detected by the MRI scanner) during a single test apnoea of 30 seconds duration. | — |
Countries
United Kingdom