patients with IBD, between 18 and 65 years, which are scheduled for a colonoscopy with PSA.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Colonoscopy performed under PSA Age 18-65 years Inflammatory bowel disease: Crohn’s disease or ulcerative colitis Informed consent ASA classification 1 or 2 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 76 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 76
Exclusion criteria
Exclusion criteria: Pregnancy. Emergency colonoscopy. Known allergies for study medication Known rhythm disorders i.e. second or third degree AV block BMI >35 Obstructive sleep apnea syndrome Uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: te evaluate whether continuous infusion of lidocaïne reduces the need for alfentanyl in diagnostic colonoscopy in patients with Crohn disease or ulcerative colitis.;Secondary Objective: To evaluate the differences in side effects like respiratory depression, hypotension, postoperative nausea and vomiting (PONV) and post procedural pain between placebo and intravenous lidocaïne. ;Primary end point(s): The primary objective of this study is to evaluate whether intravenously lidocaine reduces the need for alfentanyl during colonoscopy in patients with IBD;Timepoint(s) of evaluation of this end point: postprocedural | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Incidence of hypotension (a mean arterial pressure (MAP < 60 mmHg), is recorded as an adverse event if an intervention is performed to improve the blood pressure. These interventions include administration of: - IV Fluid challenge - Medications Incidence of oxygen desaturation (<92%), is recorded as an adverse event if an intervention is performed to improve the oxygen saturation. These interventions include the following: - Vigorous tactile stimulation - Airway repositioning - Suctioning - Increased oxygen delivery - Oral or nasal airway placement - Application of positive pressure or ventilation with bag mask Incidence of unpleasant recall of the procedure. Postprocedural NRS Incidence of PONV Incidence of adverse effects of lidocaine: light headedness, tinnitus, dizziness, blurred vision or double vision, metal taste. Total propofol dose Colonoscopy time ;Timepoint(s) of evaluation of this end point: postprocedural | — |
Countries
Netherlands
Contacts
RadboudUMC