Postoperative agitation MedDRA version: 21.1 Level: LLT Classification code 10001499 Term: Agitation mental System Organ Class: 100000004873 MedDRA version: 21.1 Level: LLT Classification code 10056436 Term: Psychomotor agitation System Organ Class: 100000004852 MedDRA version: 20.1 Level: LLT Classification code 10079742 Term: Agitation on recovery from sedation System Organ Class: 100000004863
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children allocated for general anaesthesia in abdominal and urology setup. ASA 1-2. Consent from both parents/legal representatives Are the trial subjects under 18? yes Number of subjects for this age range: 250 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: ASA > 2, age >1 and < 6 years. Missing consent from parents/legal surrogates. Expected short-term procedures. Daily use of analgesics. Known allergies or intolerances to dexmedetomidine or remifentanil. Intubation. Furthermore, patients with parents that do not speak and write Danish fluently will be excluded too.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine if postoperative agitation can be reduced when giving optimal analgesics and dexmedetomidine while the patient is under general anaesthesia. The primary outcome measure is a Richmond agitation and sedation score. ;Secondary Objective: Not applicable;Primary end point(s): RASS score;Timepoint(s) of evaluation of this end point: Postoperative observation unit from just after awakening from anaesthesia and until leaving the hospital | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Time, PONV, FLACC scale score, PAED score, nurse-NRS, parent-NRS, consumption of pain medications 24 hours postoperatively, total fentanyl dosage, total remifentanil dosage, propofol dosage. Events such as surgical stimuli, incision, cough, movement, and skin suture, in relation to ANI values. ;Timepoint(s) of evaluation of this end point: In the postoperative awakening phase and as a questionnaire/phone interview 24 hours after anaesthesia | — |
Countries
Denmark
Contacts
Odense University Hospital