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We are not going to complete this study with healthy volunteers at this time.
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The aim of this study is to test the hypothesis that methylphenidate actively induces emergence from propofol and sevoflurane general anesthesia in healthy volunteers.
Basic science and clinical data suggest that activation of one or more of the brain's arousal pathways is a highly plausible way to induce active emergence from general anesthesia. The investigators have compelling experimental data demonstrating that methylphenidate is highly effective in actively inducing emergence from isoflurane and propofol general anesthesia in rodents. The available literature suggests that IV methylphenidate would be safe to administer to patients recovering from general anesthesia, and that in addition to promoting arousal, it would enhance breathing. Both of these effects would be highly desirable in patients recovering from general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Propofol | Experimental | Subjects in this arm will receive propofol general anesthesia |
|
| Sevoflurane | Experimental | Subjects in this arm will receive sevoflurane general anesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IV methylphenidate | Drug | IV methylphenidate will be administered to induce emergence from general anesthesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Response to methlyphenidate administration | The number of minutes from the administration of methylphenidate until subjects respond to verbal commands | minutes to response, expected average is less than 10 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D008774 | Methylphenidate |
| D000077149 | Sevoflurane |
| D015742 | Propofol |
| ID | Term |
|---|---|
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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| Placebo | Drug | normal saline |
|
| Sevoflurane | Drug | Inhaled anesthetic |
|
| Propofol | Drug | IV anesthetic |
|
| D010880 |
| Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D006845 | Hydrocarbons, Fluorinated |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |