Status:

UNKNOWN

Intranasal Dexmedetomidine Versus Oral Midazolam as Premedication for Propofol Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging

Lead Sponsor:

Brugmann University Hospital

Conditions:

MRI

Pediatric Sedation

Eligibility:

All Genders

6-6 years

Phase:

PHASE3

Brief Summary

A magnetic resonance imaging (MRI) examination usually takes 30 to 45 minutes and requires the patient to remain perfectly still during the entire acquisition process to ensure quality. Children under...

Eligibility Criteria

Inclusion

  • Children of both sexes, aged 6 months to 6 years,
  • ASA score I to IV,
  • Requiring standard magnetic resonance imaging due to clinical condition, regardless of underlying pathology,
  • Sedation performed by an anesthesiologist,
  • Written informed consent in accordance with the ICH-GCP and local legislation prior to trial entry.

Exclusion

  • Contraindications to MRI (cardiac pacemaker, neurostimulator, ferromagnetic implant),
  • Sedation carried out by a non-anesthesiologist,
  • Emergency MRI,
  • Presence of head trauma,
  • Presence of nasal congestion or upper respiratory tract infection on the day of sedation,
  • Multiple procedures during the same sedation (operating room, evoked potentials, etc.),
  • Children with pathologies requiring airway safety,
  • Any known allergic or hypersensitivity reaction to dexmedetomidine,
  • Any known allergic or hypersensitivity reaction to benzodiazepines,
  • Concomitant use of negative chronotropes, as Digoxine,
  • Patient known with chronic respiratory failure or myasthenia,
  • Patient known with anatomical abnormality of the airway, lung disease or sleep apnea syndrome
  • Patient with known cardiac rhythm abnormality or cardio-vascular disease,
  • Patient with known hepatic disorder or chronic kidney disease,
  • Patient with hypotension or bradycardia on the day of the examination,
  • Patient with a BMI \> 97th percentile (which corresponds to overweight, including obesity).

Key Trial Info

Start Date :

March 9 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 31 2023

Estimated Enrollment :

250 Patients enrolled

Trial Details

Trial ID

NCT05192629

Start Date

March 9 2022

End Date

July 31 2023

Last Update

March 24 2022

Active Locations (1)

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Hôpital Universitaire des Enfants Reine Fabiola

Brussels, Belgium, 1020