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The investigators aimed to investigate the effects of pretreatment with different doses of dexmedetomidine on the cough caused by fentanyl during anesthetic induction.
Patients undergoing elective surgeries under general anesthesia will be randomly allocated to 4 groups (n = 60, each group). Dexmedetomidine 0, 0.03, 0.06, and 0.09 μg/kg/min will be pump-administered in 10 mins to groups I, II, III, and IV, respectively, followed by the induction of general anesthesia with intravenous fentanyl 4 μg/kg. The incidences and severity of cough that occurred within 2 min after the injection of fentanyl will be recorded, and the incidences of cardiovascular adverse events that occurred between the administration of the dexmedetomidine infusion and 2 min after tracheal intubation will be recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexmedetomidine 0 μg/kg/min | Experimental |
| |
| Dexmedetomidine 0.03 μg/kg/min | Experimental |
| |
| Dexmedetomidine 0.06 μg/kg/min | Experimental |
| |
| Dexmedetomidine 0.09 μg/kg/min | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexmedetomidine | Drug | Pretreatment of different doses of dexmedetomidine |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of cough | Yes or No | After the infusion of dexmedetomidine up to 10 minutes |
| The time of cough | After the infusion of dexmedetomidine up to 10 minutes | After the infusion of dexmedetomidine up to 10 minutes |
| The severity of cough | minor, moderate, severe | After the infusion of dexmedetomidine up to 10 minutes |
| The occurence of adverse effects of dexmedetomidine | bradycardia, hypotension, hypertension | After the infusion of dexmedetomidine up to 10 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhuan Zhang, Professor | Contact | +8615062791355 | zhangzhuanjy@163.com | |
| Zhuan Zhang | Contact | +8615062791355 | zhangzhuanjy@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the Affiliated Hospital of Yangzhou University, Yangzhou University | Recruiting | Yangzhou | Jiangsu | 225012 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31153360 | Derived | Zhou W, Zhang D, Tian S, Yang Y, Xing Z, Ma R, Zhou T, Bao T, Sun J, Zhang Z. Optimal dose of pretreated-dexmedetomidine in fentanyl-induced cough suppression: a prospective randomized controlled trial. BMC Anesthesiol. 2019 Jun 1;19(1):89. doi: 10.1186/s12871-019-0765-z. |
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| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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