Unique ID issued by UMIN | UMIN000009044 |
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Receipt number | R000010620 |
Scientific Title | Evaluation of the efficacy of dexmedetomidine as an anesthetic and effects of spinal cord monitoring |
Date of disclosure of the study information | 2012/10/05 |
Last modified on | 2013/04/02 16:36:45 |
Evaluation of the efficacy of dexmedetomidine as an anesthetic and effects of spinal cord monitoring
Anesthesia with dexmedetomidine and effects on spinal cord monitoring
Evaluation of the efficacy of dexmedetomidine as an anesthetic and effects of spinal cord monitoring
Anesthesia with dexmedetomidine and effects on spinal cord monitoring
Japan |
Spinal cord tumors, spinal disorders
Anesthesiology |
Others
NO
To clarify the efficacy and safety of dexmedetomidine as a general anesthetic. Spinal cord monitoring is monitoring of the spinal cord function to avoid nerve damage by surgical manipulations of the spine and spinal cord. The effects of dexmedetomidine on spinal cord monitoring are evaluated.
Efficacy
Exploratory
Pragmatic
Phase I
To evaluate the depth of anesthesia by BIS monitoring to validate the hypothesis that dexmedetomidine is effective as a general anesthetic.
To measure the amplitude and latency of the waveform obtained by spinal cord monitoring under general anesthesia using dexmedetomidine, and to evaluate its clinical advantages and safety.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
The degree of sedation is evaluated on the basis of the value of the bispectral index calculated by BIS monitoring of brain waves, and the dose of dexmedetomidine is adjusted during surgery while monitoring the degree of surgical stress and hemodynamics. Dexmedetomidine is administered by continuous intravenous infusion. The amplitude and latency of the waveforms obtained by spinal cord monitoring are measured under general anesthesia with dexmedetomidine. Blood (1 ml) is sampled every hour to measure the blood dexmedetomidine concentration. The measurements are performed during the period of anesthetic management.
Not applicable |
75 | years-old | > |
Male and Female
Patients who are scheduled to undergo surgery of the spine or spinal cord at a Niigata university Medical and Dental hospital and need intraoperative spinal cord monitoring, those who are scheduled to be admitted to the ICU after surgery, those with histories of egg and soy bean allergy or convulsive attacks, those in whom the use of ketamine is difficult, those with GABA (A) receptor deletion, and those who consented to participation in the study after a sufficient explanation.
1. Patients who are or may be pregnant.
2. Patients undergoing blood purification therapy.
3. Patients with cardiovascular disorders.
4. Patients with reduced cardiac function.
5. Patients with a reduced circulating blood volume.
6. Patients with liver dysfunction.
7. Patients with kidney dysfunction.
8. Old patients (75 years or above).
9. Patients judged to be inappropriate.
10
1st name | |
Middle name | |
Last name | Hideaki Ishii |
Niigata University
Medical and Dental Hospital, Anesthesiology
1-757 Asahi-machi, Chuo-ku, Niigata
1st name | |
Middle name | |
Last name | Hideaki Ishii |
Niigata University
Medical and Dental Hospital, Anesthesiology
1-757 Asahi-machi, Chuo-ku, Niigata
Niigata University Medical and Dental Hospital, Anesthesiology
Niigata University Medical and Dental Hospital
Japan
NO
新潟大学医歯学総合病院(新潟県)
2012 | Year | 10 | Month | 05 | Day |
Unpublished
Completed
2011 | Year | 01 | Month | 26 | Day |
2011 | Year | 01 | Month | 26 | Day |
2013 | Year | 04 | Month | 01 | Day |
2013 | Year | 04 | Month | 02 | Day |
2013 | Year | 04 | Month | 02 | Day |
2013 | Year | 04 | Month | 02 | Day |
2012 | Year | 10 | Month | 05 | Day |
2013 | Year | 04 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010620
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