NCT03738137

Brief Summary

This study was aimed to determine whether narcotrend monitoring was better than bispectral index monitoring during sufentanil-midazolam anesthesia for bronchoscopy under conscious sedation. Patients were randomised to receive Narcotrend, Bispectral Index(BIS) monitoring or without monitoring. Midazolam was given by non-anaesthetist physicians to achieve moderate levels of sedation as assessed by the narcotrend index (NI; B and C) or bispectral index (BIS; between 70 and 85) or according to patient's tolerance assessed by physician . The primary end-point was dosage of midazolam. Other end-points included adverse events, patient tolerance and physician satisfaction.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

August 1, 2018

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

November 1, 2018

Completed
12 days until next milestone

First Posted

Study publicly available on registry

November 13, 2018

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 15, 2019

Completed
15 days until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2019

Completed
Last Updated

April 3, 2019

Status Verified

April 1, 2019

Enrollment Period

6 months

First QC Date

November 1, 2018

Last Update Submit

April 2, 2019

Conditions

Keywords

NarcotrendBispectral indexBronchoscopyConscious Sedation

Outcome Measures

Primary Outcomes (1)

  • Dosage of Midazoam

    dosage of midazolam

    during the procedure

Secondary Outcomes (3)

  • patient's subjective tolerance

    30minutes after bronchoscopy

  • patient's global tolerance assessed by operator

    30minutes after bronchoscopy

  • adverse events rate

    every 3 minutes during the procedure and at 5, 15 and 30 minutes thereafter.

Study Arms (4)

Narcotrend

EXPERIMENTAL

After 0.1µg/kg sufentanil is applied, miidazolam is given by non-anaesthetist physicians to achieve moderate levels of sedation as assessed by the Narcotrend index stage C.

Device: NarotrendDrug: SufentanilDrug: LidocaineDrug: Midazolam

BIS

EXPERIMENTAL

After 0.1µg/kg sufentanil is applied, midazolam is given by non-anaesthetist physicians to achieve moderate levels of sedation as assessed by bispectral index (BIS; between 70 and 85).

Device: BISDrug: SufentanilDrug: LidocaineDrug: Midazolam

No monitoring

EXPERIMENTAL

After 0.1µg/kg sufentanil is applied, midazolam iss given by non-anaesthetist physicians according to patient's tolerance .

Drug: SufentanilDrug: LidocaineDrug: Midazolam

Lidocaine

EXPERIMENTAL

Only topical anesthesia was applied.

Drug: Lidocaine

Interventions

NarotrendDEVICE

Narcotrend motoring

Narcotrend
BISDEVICE

Bispectral index monitoring

BIS

sufentanil is applied.

BISNarcotrendNo monitoring

Topical Anesthesia

BISLidocaineNarcotrendNo monitoring

midazolam is applied.

BISNarcotrendNo monitoring

Eligibility Criteria

Age18 Years - 69 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ASA grade I-II

You may not qualify if:

  • psychological disorders
  • SpO2\<90% in ambient air
  • hypersensitivity or allergy to anaesthetic drugs or benzodiazepine
  • severe chronic obstructive pulmonary disease (forced expiratory volume in 1 s ,50% of predicted value, requirement for oxygen therapy)
  • unstable haemodynamic status
  • habitual alcohol consumption

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, 510000, China

Location

MeSH Terms

Interventions

SufentanilLidocaineMidazolam

Intervention Hierarchy (Ancestors)

FentanylPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsAcetanilidesAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesBenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

November 1, 2018

First Posted

November 13, 2018

Study Start

August 1, 2018

Primary Completion

January 15, 2019

Study Completion

January 30, 2019

Last Updated

April 3, 2019

Record last verified: 2019-04

Locations