The Effect of Dexmedetomidine on Agitation During Weaning From Mechanical Ventilation
1 other identifier
interventional
62
1 country
1
Brief Summary
This study aims to evaluate the effect of dexmedetomidine on the level of agitation during the weaning process from mechanical ventilation in critically ill patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2025
Shorter than P25 for not_applicable
1 active site
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
June 13, 2025
CompletedFirst Submitted
Initial submission to the registry
July 4, 2025
CompletedFirst Posted
Study publicly available on registry
July 15, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2025
CompletedJuly 15, 2025
July 1, 2025
7 months
July 4, 2025
July 4, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Effect of Dexmedetomidine on Agitation During Weaning from Mechanical Ventilation
Richmond Agitation-Sedation Scale
every half an hour for two hours
Study Arms (2)
Group A (Dexmedetomidine Group)
ACTIVE COMPARATORpatients will receive dexmedetomidine infusion starting at 0.2 mcg/kg/hr.
Group B (Control Group)
PLACEBO COMPARATORpatients will receive standard ICU sedation protocol without dexmedetomidine (e.g., fentanyl)
Interventions
patients will receive dexmedetomidine infusion starting at 0.2 mcg/kg/hr.
patients will receive standard ICU sedation protocol without dexmedetomidine (e.g., fentanyl)
Eligibility Criteria
You may qualify if:
- Adult ICU patients (≥18 years).
- On mechanical ventilation ≥24 hours.
- Clinically ready for weaning.
- Agitation score RASS ≥ +1 during spontaneous breathing trial.
- Intubation for at least 4 days: 2 weeks.
You may not qualify if:
- Known hypersensitivity to dexmedetomidine.
- Hemodynamic instability (HR \< 50 bpm or MAP \< 60 mmHg).
- Neurological impairment affecting level of consciousness.
- Pregnancy or lactation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sohag Universitylead
Study Sites (1)
Sohag University Hospital
Sohag, Egypt
Related Publications (3)
Riker RR, Shehabi Y, Bokesch PM, Ceraso D, Wisemandle W, Koura F, Whitten P, Margolis BD, Byrne DW, Ely EW, Rocha MG; SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group. Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. JAMA. 2009 Feb 4;301(5):489-99. doi: 10.1001/jama.2009.56. Epub 2009 Feb 2.
PMID: 19188334BACKGROUNDDevlin JW, Skrobik Y, Gelinas C, Needham DM, Slooter AJC, Pandharipande PP, Watson PL, Weinhouse GL, Nunnally ME, Rochwerg B, Balas MC, van den Boogaard M, Bosma KJ, Brummel NE, Chanques G, Denehy L, Drouot X, Fraser GL, Harris JE, Joffe AM, Kho ME, Kress JP, Lanphere JA, McKinley S, Neufeld KJ, Pisani MA, Payen JF, Pun BT, Puntillo KA, Riker RR, Robinson BRH, Shehabi Y, Szumita PM, Winkelman C, Centofanti JE, Price C, Nikayin S, Misak CJ, Flood PD, Kiedrowski K, Alhazzani W. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018 Sep;46(9):e825-e873. doi: 10.1097/CCM.0000000000003299.
PMID: 30113379BACKGROUNDFaul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
PMID: 17695343BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Resident, Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Sohag University
Study Record Dates
First Submitted
July 4, 2025
First Posted
July 15, 2025
Study Start
June 13, 2025
Primary Completion
December 30, 2025
Study Completion
December 30, 2025
Last Updated
July 15, 2025
Record last verified: 2025-07