Pain
Conditions
Keywords
sedation
Brief summary
To achieve safe,consistent, continuous sedation using Dexmedetomidine in advaced bronchoscopy procedures that may reduce the need for rapid pain sedative infusion.
Detailed description
Dexmedetomidine hydrochloride as a single agent produces sedation, pain relief, anxiety redution, stable respiratory rates, and predictable cardiovascular responses. Dexmedetomidine facilitates patient comfort, compliance and comprehension by offering sedation with the ability to awaken patients. This study is being done to determine sedation efficacy and dosing; measure reduction or eliminate the need for rapid sedative infusion during bronchoscopy; improvement of patient comfort and safety during complex bronchoscopy; establish a new paradigm for moderate sedation during flexible bronchoscopy
Interventions
Dose of 0.4ug/kg/hr to 1.5ug/kg/hr to achieve a RASS score of -1 to-3 during the bronchoscopy procedure. Dexmedetomidine will infused a half hour before the proceudure is started and will continue throughout the procedure. Traditional sedatives (midazolam and or fentanyl) will be given prn.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults between the age of 18 and 85 * Adults scheduled for flexible brochoscopy using EUBS (Endobronchial Ultrasound)
Exclusion criteria
* Sever bradycardia (rate \< 50) and / or related bradydysrhymias (e.g. advanced heart block) * Impaired ventricular functions (EF \<30%) * Hypovolemia or hypotension (SBP \<90 or MAP \<a55) * Have GFR less than 15ml/min 1.73m2 or undergoing hemodialysis * Endstage liver disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Achieve safe, consistent, continous moderate sedation using Dexmedetomidine in advanced bronchoscopy procedures, alleviating the need for rapid sedative infusion. | at conclusion of subject enrollemtn |
Countries
United States