Nebulized Bronchodilators and Cardiac Repolarization
The Development of Procedures to Optimalize the Intensive Care Units Patients Clinical Condition. Evaluation of Influence of Nebulized Bronchodilatory Drugs on Cardiac Repolarization
1 other identifier
interventional
50
1 country
2
Brief Summary
Patients of the ICU's often require bronchodilatory treatment due to bronchospasm caused by conditions like : acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD) or asthma. The β2 adrenergic drugs are one of the most commonly used for this purpose. However it is known that they may cause tachycardia and may have substantial proarrhythmic effect. The investigators' aim is to estimate the influence of nebulized bronchodilatory drugs on selected electrophysiological parameters, whose changes are generally recognized as potentially increasing the risk of ventricular and supraventricular arrhythmias. Two drugs will be compared - salbutamol given in two doses and ipratropium bromide
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2012
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 23, 2012
CompletedFirst Posted
Study publicly available on registry
October 25, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2013
CompletedDecember 14, 2018
December 1, 2018
1.2 years
October 23, 2012
December 12, 2018
Conditions
Outcome Measures
Primary Outcomes (4)
QT interval
changes of QT interval after salbutamol nebulisation
one hour
corrected QT (QTc) interval using Bazett's (QTcB) correction
changes of QTc interval after salbutamol nebulisation
one hour
corrected QT (QTc) interval using Framingham (QTcF) correction
changes of QTc interval after salbutamol nebulisation
one hour
Tpeak-Tend
changes in transmural dispersion of repolarization after salbutamol nebulisation
one hour
Study Arms (2)
Salbutamol 2,5 mg
ACTIVE COMPARATOR25 mechanically ventilated patients to receive 2,5mg of nebulised salbtamol (Ventolin) duration of nebulisation - 20 minutes
Salbutamol 5mg
ACTIVE COMPARATOR25 mechanically ventilated patients 5 mg of nebulised salbutamol (Ventolin) duration of nebulisation - 20 minutes
Interventions
20 min nebulization of 2.5 mg of salbutamol
20 min nebulization of 5 mg of salbutamol
Eligibility Criteria
You may qualify if:
- the necessity of b2 adrenergics an m2 mimetics administration
You may not qualify if:
- patients with past medical history of ventricular arrhythmias ( ventricular tachycardia, ventricular fibril, Torsade de pointes)
- patients with persistent atrial fibrillation
- patients with abnormal plasma sodium, potassium, magnesium, and ionized calcium concentration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Medical University of Gdansk - Departament of Anesthesiolog and Intensive cCre
Gdansk, 80-214, Poland
Medical University of Gdańsk - Departament of Anesthesiology and Intensive Care
Gdansk, 80-214, Poland
Related Publications (1)
Jasinski T, Owczuk R, Wujtewicz M. The effect of nebulized salbutamol on atrial electrical properties in mechanically ventilated critically ill patients - a randomized, double-blind study. Anaesthesiol Intensive Ther. 2018;50(4):270-276. doi: 10.5603/AIT.a2018.0031. Epub 2018 Sep 22.
PMID: 30242825DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tomasz Jasiński, MD
Medical University of Gdansk
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- associate professor
Study Record Dates
First Submitted
October 23, 2012
First Posted
October 25, 2012
Study Start
March 1, 2012
Primary Completion
May 30, 2013
Study Completion
December 31, 2013
Last Updated
December 14, 2018
Record last verified: 2018-12