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Advancing Brain Outcomes in Pediatric Critically Ill Patients Sedated With Volatile AnEsthestic Agents

Anesthetics, Inhalation | Intensive Care Units, Pediatric

The goal of a pilot study is to test a study plan to see if it is appropriate for a larger study. This study plan is looking at whether the use of inhaled sedatives (medications that help people be calm and sleep) can reduce delirium (extreme confusion) in children who need a ventilator (breathing machine) compared to IV or oral sedatives.

The main question\[s\] it aims to answer are:

* Will people join the study? (recruitment)
* Will participants finish the study?
* Will healthcare teams accept the study procedures?

Participants will be randomized to receive study treatment (inhaled sedation) or standard of care (IV sedation). They will be monitored daily for up to 28 days. They will complete memory, thinking and behaviour tasks after 1 year.

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Conditions de participation

  • Sexe:

    ALL

  • Âges admissibles:

    1 to 18

Critères de participation

Inclusion Criteria:

1. Pediatric patients age from 1 month to less than 18 years who need sedation to tolerate mechanical ventilation and will remain ventilated for ≥ 24 hours.
2. Receiving IV sedation by infusion or bolus for ≤72h to aid mechanical ventilation (but will be recruited as early as possible).

Exclusion Criteria:

1. Current use of inhaled prostacyclin (high viscosity of prostacyclin impairs vaporizer device)
2. Family history or personal history of malignant hyperthermia (MH)
3. Allergy to isoflurane, sevoflurane or other volatile inhaled anesthetic gas
4. Metabolic, mitochondrial or myopathy disease e.g., Duchenne muscular dystrophy (volatiles may trigger malignant hyperthermia like reaction)
5. Moribund with expected survival \< 24h
6. Pregnancy or lactation
7. Suspected or evidence of high intracranial pressure (ICP)

Lieu de l'étude

Children's Hospital - London Health Sciences Centre
Children's Hospital - London Health Sciences Centre
London, Ontario
Canada

Contactez l'équipe d'étude

Primary Contact

Maysaa Assaf

[email protected]
519-685-8500
Backup Contact

Rishi Ganesan

[email protected]
The Hospital for Sick Children (SickKids)
The Hospital for Sick Children (SickKids)
Toronto, Ontario
Canada

Contactez l'équipe d'étude

Primary Contact

Tiffany Ramanathan

[email protected]
416-813-7654
Backup Contact

Nicole McKinnon

[email protected]
Étude parrainée par
Sunnybrook Health Sciences Centre
Participants recherchés
Plus d'informations
ID de l'étude: NCT05867472