ClinicalTrials.gg
WithdrawnNCT06387953Updated Oct 16, 2024

Mitigation of Emergence Agitation Through Implementation of Masimo Bridge Therapy

An interventional study of Bridge Therapy and Sham Therapy in Emergence Delirium and Agitation, Emergence, sponsored by University of Washington. Withdrawn. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2024-10-16.

Sponsored by University of Washington · Not applicable, Interventional, and Prevention

Why this study was withdrawn
The sponsor of the study and the University of Washington were not able to come to an agreement on the intellectual property provisions. Therefore, this study will not be carried out.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This is a randomized, prospective, double-blinded (patient and outcome-assessor) trial. Our goal is to assess efficacy of Bridge Therapy (versus sham bridge therapy) to prevent emergence agitation following general anesthesia.

Primary Objective: Activation of Bridge Therapy from the time of the pre incision "time out" until 24 hours after admission to the PACU (Post Anesthesia Care Unit) is associated with reduced frequency and intensity of emergence agitation.

Secondary Objective: Bridge Therapy activation will also result in a lower incidence of rescue pharmacologic treatment of agitation.

Tertiary Objective: Activation of Bridge Therapy during a stable anesthetic state is associated with a reduced Patient State Index as measured on Sedline

02

Conditions studied

  • Emergence Delirium
  • Agitation, Emergence

Browse trials for

03

In context

Emergence Delirium

788 studies on the registry are indexed under Emergence Delirium; 250 are open to participants now.

Browse Emergence Delirium studies →

Lead sponsor

University of Washington is the lead sponsor of 1,431 studies on the registry; 226 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 136 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 18-90
  2. English Speaking
  3. ASA Physical Status between I-IV
  4. Undergoing a surgical procedure at HMC
  5. Patient answers "yes" to one of the following below:

    1. Do you drink 7 or more alcoholic beverages per week?
    2. Do you use (smoke or eat) cannabis (or other recreational drugs) on a weekly basis?
    3. Have you felt disoriented, aggressive, angry, or delirious after waking up from a previous surgery?
    4. Have you been told by a care provider or friend/family member that you woke up from surgery in the past disoriented, confused, or aggressive/angry?
    5. Have you been diagnosed with post-traumatic stress disorder (PTSD)?

Exclusion criteria

Exclusion Criteria:

  1. \<18 years old, >90 years old
  2. Intubated patients
  3. Pregnant by HMC lab test
  4. Non-English Speaking
  5. Has a cardiac pacemaker
  6. Hx of bleeding condition
  7. Skin issues where the device would be applied, this includes: Dermatitis, Psoriasis vulgaris, skin breakdown, skin integrity compromised.
  8. Plan to use dexmedetomidine as part of the anesthetic technique
  9. Plan to use sedline for clinical anesthetic management during operating procedure.
  10. Patients with previous history of sensitivity to compound benzoin tincture.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Bridge Therapy

    Subjects receive the Bridge therapy

    Device: Bridge Therapy

  • Placebo comparator
    Placebo

    Subjects receive a placebo or sham therapy

    Device: Sham Therapy

Interventions

  • DeviceBridge Therapy

    After the patient has been intubated in the operating room - the Bridge device intervention will be applied to the subject's ear by a trained study team member. At the time of the pre-incision pause, Initiation of the intervention (Bridge therapy) will begin and will be continued throughout the surgery. The intervention will continue for 24 hours after extubation.

  • DeviceSham Therapy

    After the patient has been intubated in the operating room - the Bridge device intervention will be applied to the subject's ear by a trained study team member. At the time of the pre-incision pause, Initiation of the intervention (Sham therapy) will begin and will be continued throughout the surgery. The intervention will continue for 24 hours after extubation.

06

What researchers measure

Primary outcomes

  1. Emergence agitation

    Frequency of emergence agitation following general anesthesia will be collected every 15 minutes in the PACU. Once discharged from the PACU this will be measured every 12 hours.

    Time frame: From time of the pre incision "time out" until 24 hours after admission to the PACU (Post-Anesthesia Care Unit)

  2. Emergence agitation

    Intensity of emergence agitation following general anesthesia will be measured by the Riker Sedation Agitation Scale (RSAS). The maximum score is 7, the minimum score is 1. A high scores means a worse outcome (higher agitation).

    Time frame: time out" until 24 hours after admission to the PACU (Post-Anesthesia Care Unit)

Secondary outcomes

  1. Rescue pharmacologic treatment of agitation

    Incidence of rescue pharmacologic treatment of agitation following general anesthesia. This will be measured by the number of times rescue pharmacological treatment was given.

    Time frame: From time of the pre incision "time out" until 24 hours after admission to the PACU (Post-Anesthesia Care Unit)

Other outcomes

  1. Patient State Index

    Patient State Index or PSI is a clinically validated measure of the effect of anesthesia and sedation. PSI is measured on a Sedline Sedation Monitor. PSI values range from 0 (total cortical silence) to 100 (awake state), and 25-50 indicates the optimal hypnotic state for surgical anesthesia.

    Time frame: From time of the pre incision "time out" until 24 hours after admission to the PACU (Post-Anesthesia Care Unit)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06387953
Responsible party
Jeffrey Kirsch (Professor: Anesthesiology and Pain Medicine, University of Washington) — Principal investigator
First posted
Apr 29, 2024
Start date
Aug 27, 2024
Primary completion
Aug 27, 2024
Completion
Aug 27, 2024
Last update
Oct 16, 2024

Study contacts

Jeffrey Kirsch, MD
principal investigator · University of Washington

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion