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Sixty patients who refer to the emergency ward and need any painful procedure in the ward are randomized into 2 groups. One group is sedated before the procedure using propofol-fentanyl and the other with midazolam-fentanyl, with the same depth of sedation. The two groups will be compared regarding recovery time and other parameters described below.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Propofol | Experimental | The patients will receive propofol for sedation in addition to fentanyl |
|
| Midazolam | Active Comparator | The patients will receive midazolam for sedation in addition to fentanyl |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Propofol | Drug | Propofol 1 mg/kg bolus then 500 microg/kg every 2 minutes until sedation level equivalent to Ramsey 3 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recovery time | Length of time before complete recovery from sedation is achieved | Within one hour after sedation |
| Measure | Description | Time Frame |
|---|---|---|
| Patients' Pain perception | Pain perception as measured by verbal numeric rating scale | Within one hour after sedation |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Within one hour after sedation | |
| Oxygen saturation | Within one hour after sedation |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohammad Jalili, MD | Contact | +98(912)5483998 | mjalili@tums.ac.ir |
| Name | Affiliation | Role |
|---|---|---|
| Mohammad Jalili, MD | Tehran University of Medical Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Imam Khomeini Hospital | Recruiting | Tehran | Tehran Province | Iran |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015742 | Propofol |
| D008874 | Midazolam |
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Midazolam | Drug | Midazolam 0.03 mg/Kg stat and then the same dose repeated every 2 minutes until a sedation level of Ramsey 3 is achieved. |
|
| Fentanyl | Drug | Fentanyl 2 microg/kg intravenous stat and every 2 minutes until the end of procedure |
|
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |