-
Study aim
-
Comparison effect of dexmedetomidine with midazolam in patients undergoing endosonographic procedure on anxiety and pain
-
Design
-
126 Patients were randomly divided into 1st intervention group as test group and 2nd intervention group as control group. according to odd or even patient profile number randomization will be done and till end of analysis, statistician will be blinded. sample size were estimated 57 in each group and 10% Loss percentage 63 patient were allocate in each group. this clinical trial will be done in second phase of clinical trial
-
Settings and conduct
-
Patient undergoing Endosonigraphy of Imam Khomeini Hospital, after filling consent form enter to study. patient randomly divided into two groups of 63 number.In anesthetic procedure Heart rate, MAPM SpO2 was recorded. after anesthetist procedure analgesia with Ambesh score, sedation with RSS and post operative nausea and vomiting with VAS was recoded
-
Participants/Inclusion and exclusion criteria
-
Inclusion criteria: The patients undergoing GI endosonography
Exclusion criteria: allergies to the drugs, age <18 or >65 years old, renal or hepatic failure, chronic pain syndromes, unwillingness to participate in the study, cardiovascular disease, respiratory, metabolic, and neurological disorders, difficulties in the airway, class ASA III or IV contraindication of dexmedetomidine, midazolam, propofol, or fentanyl.
-
Intervention groups
-
1st intervention group: Received dexmedetomidine 1 ug/kg during 10 minutes with propofol 0.5 mg/kg and fentanyl 1 mg/kg
2nd intervention group: midazolam group received midazolam 0.03 mg/kg with propofol 0.5 mg/kg and fentanyl 1 mg/kg
-
Main outcome variables
-
Heart rate (HR), mean arterial pressure (MAP), and oxygen saturation (SpO2), Ramsay Sedation Scale (RSS) Nausea and vomiting were assessed using Visual Analogue Scale (VAS), analgesia with Ambesh score