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TerminatedNCT00778063PED-DEXUpdated Apr 13, 2023

Study Using Dexmedetomidine to Decreases Emergence Delirium in Pediatric Patients

An interventional study of dexmedetomidine and saline in Otitis Media, sponsored by Ochsner Health System. Terminated at 1 site in United States. Open to participants aged 1 Year to 5 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by Ochsner Health System · Not applicable, Interventional, and Prevention

Why this study was terminated
Difficulty enrolling patients
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
1 Year to 5 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the use of intranasal dexmedetomidine to reduce the incidence of emergence delirium during general sevoflurane anesthesia in a pediatric population receiving pressure equalization tubes in one or more ear.

Read the detailed description

Emergence delirium has been described as a dissociated state of consciousness in which the child is irritable, uncompromising, uncooperative, incoherent, inconsolably crying, moaning, kicking or thrashing. The children can run the gambit from restlessness and incoherence to combative and psychotic. The incidence of emergence agitation or delirium is 80% after a procedure with sevoflurane-induced anesthesia.

Dexmedetomidine has been shown to have sedative and analgesic effects. In the pediatric population, it has been shown to provide sedation for radiographic procedures. Intravenously, it is has been shown to decrease emergence delirium following sevoflurane based anesthesia. The ability to administer a medication intranasally might solve the problem of emergence delirium and emergence agitation posed by the young patients undergoing myringotomy and tube placement.

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Conditions studied

  • Otitis Media

Keywords

  • dexmedetomidine
  • pressure equalization tubes in the ear
  • myringotomy
  • sevoflurane
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In context

Otitis Media

284 studies on the registry are indexed under Otitis Media; 33 are open to participants now.

This study's enrollment of 40 is below the median of 126 across 194 interventional studies indexed under Otitis Media.

Browse Otitis Media studies →

Lead sponsor

Ochsner Health System is the lead sponsor of 54 studies on the registry; 7 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
1 Year to 5 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • ASA class 1 or 2 (healthy patient or acute illness)
  • Parental willingness to participate
  • Candidate for pressure-equalization tubes (PET) as determined by the ENT department

Exclusion criteria

Exclusion Criteria:

  • ASA class 3 or 4 (chronic illness or life-threatening illness)
  • Parental refusal to participate
  • Significant liver disease by history
  • Allergy to dexmedetomidine or midazolam
  • Nasal deformity
  • Fever in the three days prior to surgery
  • Nausea or vomiting
  • History of hypertension
  • History of cardiac dysfunction/disorder
  • Diabetes mellitus
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Placebo comparator
    saline

    intranasal saline will be given 30 minutes prior to surgery

    Drug: saline

  • Experimental
    dexmedetomidine

    2 mcg/kg dexmedetomidine will be given intranasally 30 minutes prior to surgery

    Drug: dexmedetomidine

Interventions

  • Drugdexmedetomidine

    2 mcg/kg intranasally 30 minutes prior to surgery

    Also known as: Precedex

  • Drugsaline

    a volume of intranasal saline, calculated based on body weight, will be given 30 minutes prior to surgery

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What researchers measure

Primary outcomes

  1. To evaluate the use of intranasal dexmedetomidine to reduce the incidence of emergence delirium in general sevoflurane anesthesia.

    Time frame: 2 hours post-surgery

Secondary outcomes

  1. Evaluate post-operative pain, emesis, and time to release from recovery.

    Time frame: 2 hours post-surgery

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Study locations

1 site
  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121, United States
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References and documents

Publications

  • Olympio MA. Postanesthetic delirium: historical perspectives. J Clin Anesth. 1991 Jan-Feb;3(1):60-3. doi: 10.1016/0952-8180(91)90209-6. PubMed 2007046 ↗
  • Vlajkovic GP, Sindjelic RP. Emergence delirium in children: many questions, few answers. Anesth Analg. 2007 Jan;104(1):84-91. doi: 10.1213/01.ane.0000250914.91881.a8. PubMed 17179249 ↗
  • Cravero J, Surgenor S, Whalen K. Emergence agitation in paediatric patients after sevoflurane anaesthesia and no surgery: a comparison with halothane. Paediatr Anaesth. 2000;10(4):419-24. doi: 10.1046/j.1460-9592.2000.00560.x. PubMed 10886700 ↗
  • Mason KP, Zgleszewski SE, Dearden JL, Dumont RS, Pirich MA, Stark CD, D'Angelo P, Macpherson S, Fontaine PJ, Connor L, Zurakowski D. Dexmedetomidine for pediatric sedation for computed tomography imaging studies. Anesth Analg. 2006 Jul;103(1):57-62, table of contents. doi: 10.1213/01.ane.0000216293.16613.15. PubMed 16790626 ↗
  • Shukry M, Clyde MC, Kalarickal PL, Ramadhyani U. Does dexmedetomidine prevent emergence delirium in children after sevoflurane-based general anesthesia? Paediatr Anaesth. 2005 Dec;15(12):1098-104. doi: 10.1111/j.1460-9592.2005.01660.x. PubMed 16324031 ↗
  • Yuen VM, Irwin MG, Hui TW, Yuen MK, Lee LH. A double-blind, crossover assessment of the sedative and analgesic effects of intranasal dexmedetomidine. Anesth Analg. 2007 Aug;105(2):374-80. doi: 10.1213/01.ane.0000269488.06546.7c. PubMed 17646493 ↗
  • Yuen VM, Hui TW, Irwin MG, Yuen MK. A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial. Anesth Analg. 2008 Jun;106(6):1715-21. doi: 10.1213/ane.0b013e31816c8929. PubMed 18499600 ↗
  • Weldon BC, Bell M, Craddock T. The effect of caudal analgesia on emergence agitation in children after sevoflurane versus halothane anesthesia. Anesth Analg. 2004 Feb;98(2):321-326. doi: 10.1213/01.ANE.0000096004.96603.08. PubMed 14742362 ↗
  • Alhashemi JA, Daghistani MF. Effects of intraoperative i.v. acetaminophen vs i.m. meperidine on post-tonsillectomy pain in children. Br J Anaesth. 2006 Jun;96(6):790-5. doi: 10.1093/bja/ael084. Epub 2006 Apr 13. PubMed 16613928 ↗
  • Weldon BC, Watcha MF, White PF. Oral midazolam in children: effect of time and adjunctive therapy. Anesth Analg. 1992 Jul;75(1):51-5. doi: 10.1213/00000539-199207000-00010. PubMed 1616162 ↗
  • Guler G, Akin A, Tosun Z, Ors S, Esmaoglu A, Boyaci A. Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy. Paediatr Anaesth. 2005 Sep;15(9):762-6. doi: 10.1111/j.1460-9592.2004.01541.x. PubMed 16101707 ↗
  • Meistelman C, Plaud B, Donati F. Rocuronium (ORG 9426) neuromuscular blockade at the adductor muscles of the larynx and adductor pollicis in humans. Can J Anaesth. 1992 Sep;39(7):665-9. doi: 10.1007/BF03008227. PubMed 1394754 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00778063
Lead sponsor
Ochsner Health System
Responsible party
Sponsor
First posted
Oct 23, 2008
Start date
Sep 2008
Primary completion
Mar 2013
Completion
Mar 2013
Last update
Apr 13, 2023

Study contacts

Usha Ramadhyani, MD
principal investigator · Ochsner Health System
Dominic S Carollo, MD
study director · Ochsner Health System

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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