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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05837936
Registration number
NCT05837936
Ethics application status
Date submitted
3/04/2023
Date registered
1/05/2023
Titles & IDs
Public title
Total Intravenous Anesthesia (TIVA)/Sevoflurane Initiated Intravenous Anesthesia (SIIVA) in Pediatric Patients
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Scientific title
A Prospective Observational Study Evaluating Extubation Criteria in Children Less 10 Years of Age and Younger Undergoing Intravenous Anesthesia
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Secondary ID [1]
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IRB00092312
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Extubation
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Total intravenous anesthesia (TIVA)
Other interventions - Sevoflurane initiated intravenous anesthesia (SIIVA)
Total intravenous anesthesia (TIVA) - TIVA is achieved without inhalational agents and may be performed in cases where patients have an intravenous line in place prior to induction of anesthesia
Sevoflurane initiated intravenous anesthesia (SIIVA) - SIIVA is a modification of TIVA in the setting where a patient does not tolerate the insertion of an intravenous line prior to induction of anesthesia. The patient undergoes induction of anesthesia with sevoflurane and transition to Propofol IV anesthesia for maintenance once the intravenous line is in place and discontinues the inhalational agent, sevoflurane.
Other interventions: Total intravenous anesthesia (TIVA)
TIVA anesthetic -no inhalational gases for surgery
Other interventions: Sevoflurane initiated intravenous anesthesia (SIIVA)
SIIVA - sevoflurane anesthetic gases for surgery
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Extubation success rate
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Assessment method [1]
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quality of extubation will be assess using a standard rubric for all extubation
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Timepoint [1]
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Day 1
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Secondary outcome [1]
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Rate of extubation that requiring intervention
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Assessment method [1]
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desaturation, laryngospasm, airway obstruction or other issues
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Timepoint [1]
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Day 1
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Eligibility
Key inclusion criteria
* Pediatric patients <10 years of age
* Undergoing elective or emergency surgery with planned airway instrumentation with an endotracheal tube (ETT)
* Patients having general anesthesia with a planned SIIVA or TIVA technique
* Patients with an end tidal agent concentration of Sevoflurane<0.1% at the time of emergence and extubation
* following sevoflurane induction to place IV
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Minimum age
No limit
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Maximum age
9
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of home oxygen use or ventilator dependence
* Patients with cyanotic congenital heart disease
* Patients undergoing anesthesia for imaging procedures alone
* Patients intended to be managed with supraglottic airway
* Patients having an anesthesia time < 30 minutes
* Monitored Anesthesia Care (not general anesthesia)
* Patients with contraindication to receiving Propofol (i.e. mitochondrial myopathy)
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/03/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2028
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Actual
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Perth Children's Hospital - Perth
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Recruitment postcode(s) [1]
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- Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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North Carolina
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Funding & Sponsors
Primary sponsor type
Other
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Name
Wake Forest University Health Sciences
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Because Propofol is the primary "anesthetic agent," and inhalational agents remain in trace quantities at the end of the procedure Sevoflurane initiated intravenous anesthesia (SIIVA) or not present at all Total intravenous anesthesia (TIVA) it is likely that different criteria may be predictive of extubation success in these patients compared to inhalational anesthesia.
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Trial website
https://clinicaltrials.gov/study/NCT05837936
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Thomas "Wes" Templeton, MD
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Address
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Wake Forest University Health Sciences
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Wes Templeton, MD
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Address
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Country
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Phone
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336-716-4498
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05837936