Other Conditions of Brain
Conditions
Keywords
Sedation, Electroencephalography, Dexmedetomidine, Chloral hydrate
Brief summary
This study evaluates the use of dexmedetomidine or chloral hydrate for sedation during electroencephalography in patients with neurological disorders. The hypothesis is that this drugs provides similar changes in EEG pattern.
Detailed description
Patients with chronic neurological disorders such as cerebral palsy or autism need to be sedated during electroencephalography (EEG). However, various sedatives and hypnotics affect the outcome of the review and is not shown. Chloral hydrate (CH) is widely used in children, but in this patients it is less effective.Recently, dexmedetomidine (DEX) has been tested because preliminary data suggests that this drug does not affect the EEG. The aim of the present work was to compare the electroencephalogram (EEG) pattern during CH or DEX sedation, to test the hypothesis that both drugs exert similar effects in EEG.Seventeen patients were evaluated during sedation with DEX or CH on separate occasions.The EEG was subjected to qualitative and quantitative analysis. Clinical variables were also compared.
Interventions
1 μg kg-1 infused in 10 min, and thereafter maintained from 0.2 to 0.7 μg kg-1 h- 1
Initial dose=50 mg/kg
Sponsors
Study design
Eligibility
Inclusion criteria
* neurological disorder * behavior disorder * epilepsy
Exclusion criteria
* cardiac disease * respiratory disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| electroencephalogram pattern | twenty minutes | Qualitative analysis: identification of the deepest phase of sleep achieved during the examination, evaluation of background activity (normal, fast activity increased or slow activity increased). Quantitative analysis: density, duration, and amplitude of sleep spindles, spectral power and dominant frequence. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effective sedative | twenty minutes | Maintain adequate sedation permitting the completion of the examination |
| Adverse effects | Two hours | Incidence of bradycardia, hypotension, respiratory complications and vomiting |
Countries
Brazil