Intranasal Dexmedetomidine Sedation for Ophthalmic Examinations in Children
DEX-EYE
A Randomised Comparison of Two Intranasal Dexmedetomidine Doses for Ophthalmic Examination Following Failed Chloral Hydrate Sedation in Children
1 other identifier
interventional
60
1 country
1
Brief Summary
2 ug/kg of intranasal dexmedetomidine could produce satisfactory sedation in more children for ophthalmic examinations than the sedative effect of 1ug/kg.
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 Feb 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 27, 2014
CompletedFirst Posted
Study publicly available on registry
March 4, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedMay 3, 2016
April 1, 2016
3.3 years
February 27, 2014
April 29, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Numbers of participants with successful rescue sedation
1 day
Secondary Outcomes (1)
Numbers of participants with completement of ophthalmic examinations
1 day
Study Arms (2)
Dexmedetomidine 1 ug/kg
ACTIVE COMPARATOR1 ug/kg of intranasal dexmedetomidine
Dexmedetomidine 2 ug/kg
ACTIVE COMPARATOR2 ug/kg of intranasal dexmedetomidine
Interventions
1 or 2 ug/kg of intranasal dexmedetomidine
Eligibility Criteria
You may qualify if:
- Need sedation for ophthalmic examinations
- Children who had failed chloral hydrate sedation, i.e.there was no evidence of sedation 30 min following administration.
- With informed consent from parents
You may not qualify if:
- Children with gastroesophageal reflux
- Children with nausea and vomiting
- Children with apnea in the past three months
- Children with recent pneumonia, exacerbation of asthma, bronchitis and upper respiratory tract infection
- Children with severe arrhythmias, heart failure and cardiac structural abnormalities
- Children with facial abnormalities, who is expected to be difficult with effective mask ventilation
- Children with severe neurological disease
- Children with moyamoya disease
- Children who is allergy to For dexmedetomidine or chloral hydrate
- Preterm children, weight \<2 kg
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sun Yat-sen Universitylead
- Ministry of Health, Chinacollaborator
Study Sites (1)
Zhongshan Ophthalmic Center
Guangzhou, Guangdong, 510060, China
Related Publications (5)
Ambi US, Joshi C, Ganeshnavar A, Adarsh E. Intranasal dexmedetomidine for paediatric sedation for diagnostic magnetic resonance imaging studies. Indian J Anaesth. 2012 Nov;56(6):587-8. doi: 10.4103/0019-5049.104588. No abstract available.
PMID: 23325950BACKGROUNDRay T, Tobias JD. Dexmedetomidine for sedation during electroencephalographic analysis in children with autism, pervasive developmental disorders, and seizure disorders. J Clin Anesth. 2008 Aug;20(5):364-368. doi: 10.1016/j.jclinane.2008.03.004.
PMID: 18761245BACKGROUNDLi BL, Yuen VM, Song XR, Ye J, Ni J, Huang JX, Irwin MG. Intranasal dexmedetomidine following failed chloral hydrate sedation in children. Anaesthesia. 2014 Mar;69(3):240-4. doi: 10.1111/anae.12533. Epub 2014 Jan 21.
PMID: 24447296RESULTFong CY, Lim WK, Li L, Lai NM. Chloral hydrate as a sedating agent for neurodiagnostic procedures in children. Cochrane Database Syst Rev. 2021 Aug 16;8(8):CD011786. doi: 10.1002/14651858.CD011786.pub3.
PMID: 34397100DERIVEDGan X, Lin H, Chen J, Lin Z, Lin Y, Chen W. Rescue Sedation With Intranasal Dexmedetomidine for Pediatric Ophthalmic Examination After Chloral Hydrate Failure: A Randomized, Controlled Trial. Clin Ther. 2016 Jun;38(6):1522-1529. doi: 10.1016/j.clinthera.2016.04.036. Epub 2016 May 24.
PMID: 27229908DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Haotian Lin, Ph.D.
Zhongshan Ophthalmic Center, Sun Yat-sen University
- PRINCIPAL INVESTIGATOR
Xiaoliang Gan, Ph.D.
Zhongshan Ophthalmic Center, Sun Yat-sen University
- STUDY DIRECTOR
Weirong Chen
Zhongshan Ophthalmic Center, Sun Yat-sen University
- STUDY CHAIR
Yizhi Liu, Ph.D.
Zhongshan Ophthalmic Center, Sun Yat-sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Ophthalmologist
Study Record Dates
First Submitted
February 27, 2014
First Posted
March 4, 2014
Study Start
February 1, 2014
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
May 3, 2016
Record last verified: 2016-04