Optimal Dose of Intravenous Oxycodone for Endotracheal Intubation
1 other identifier
interventional
95
1 country
1
Brief Summary
Intravenous form of oxycodone is recently used for the adjunct of anesthetic agents to avoid adverse effects of the stimulation of endotracheal intubation. The potency ratio of oxycodone to fentanyl is not absolutely defined. The aim of this study was to assess the optimal dose of intravenous oxycodone for attenuation of hemodynamic responses to laryngoscopy and endotracheal intubation. A prospective, randomized, double-blind study was conducted. Ninety one patients were randomly divided into 5 group based on the dose of oxycodone; 0, 0.05, 0.1, 0.15, 0.2 mg/kg. After giving each assigned dose of intravenous oxycodone, anesthesia was induced with thiopental and rocuronium. Heart rate (HR) and blood pressure (BP) was collected at baseline, before intubation, 1, 2, 3 minutes after intubation. The change of BP was calculated by (highest BP after intubation - baseline BP)/baseline BP.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jul 2015
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
First Submitted
Initial submission to the registry
June 19, 2015
CompletedFirst Posted
Study publicly available on registry
June 29, 2015
CompletedStudy Start
First participant enrolled
July 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 12, 2017
CompletedJuly 21, 2017
July 1, 2017
3 months
June 19, 2015
July 18, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
blood pressure changes before and after endotracheal intubation
highest blood pressure and baseline blood pressure
from entrance to operating room to intubation time; up to 30 minutes
Secondary Outcomes (2)
total dose of vasopressor; dose x frequency
during the induction phase of anesthesia before surgical incision up to 30 minutes
heart rate changes before and after endotracheal intubation
from entrance to operating room to intubation time; up to 30 minutes
Study Arms (5)
0 mg/kg of oxycodone
OTHERIntervention: patients receive 10 ml of normal saline without oxycodone through intravenous route before intubation.
0.05 mg/kg of oxycodone
OTHERIntervention: patients receive 10 ml of fluid with 0.05 mg/kg of oxycodone in normal saline through intravenous route before intubation.
0.1 mg/kg of oxycodone
OTHERIntervention: patients receive 10 ml of fluid with 0.1 mg/kg of oxycodone in normal saline through intravenous route before intubation.
0.15 mg/kg of oxycodone
OTHERIntervention: patients receive 10 ml of fluid with 0.15 mg/kg of oxycodone in normal saline through intravenous route before intubation.
0.2 mg/kg of oxycodone
OTHERIntervention: patients receive 10 ml of fluid with 0.2 mg/kg of oxycodone in normal saline through intravenous route before intubation.
Interventions
different dosage of IV oxycodone was given before intubation
different dosage of IV oxycodone was given before intubation
different dosage of IV oxycodone was given before intubation
different dosage of IV oxycodone was given before intubation
Eligibility Criteria
You may qualify if:
- American Society of Anesthesiologists (ASA) class 1
You may not qualify if:
- ASA class over 2
- expected difficult intubation
- intubation time over 30 seconds
- intubation trial was more than once
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yong-Hee Parklead
- Chung-Ang Universitycollaborator
Study Sites (1)
Department of Anesthesiology and Pain Medicine : Chung-Aung University Hospital
Seoul, South Korea
Related Publications (2)
Sawano Y, Miyazaki M, Shimada H, Kadoi Y. Optimal fentanyl dosage for attenuating systemic hemodynamic changes, hormone release and cardiac output changes during the induction of anesthesia in patients with and without hypertension: a prospective, randomized, double-blinded study. J Anesth. 2013 Aug;27(4):505-11. doi: 10.1007/s00540-012-1552-x. Epub 2013 Jan 12.
PMID: 23314694BACKGROUNDRussell WJ, Morris RG, Frewin DB, Drew SE. Changes in plasma catecholamine concentrations during endotracheal intubation. Br J Anaesth. 1981 Aug;53(8):837-9. doi: 10.1093/bja/53.8.837.
PMID: 7272146BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Young-Cheol Woo, Ph.D.
Chung-Ang University Hosptial, Chung-Ang University College of Medicine
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant professor
Study Record Dates
First Submitted
June 19, 2015
First Posted
June 29, 2015
Study Start
July 1, 2015
Primary Completion
October 1, 2015
Study Completion
February 12, 2017
Last Updated
July 21, 2017
Record last verified: 2017-07