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unfavorable opinion of the ethics committee
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The current sars-cov-2 epidemic is responsible for severe respiratory infections leading to end-of-life situations.
Dexmedetomidine may be indicated in mild to moderate sedation in palliative patients, due to its pharmacological characteristics.
The hypothesis of this study is that Dexmedetomidine would allow effective and safe light sedation in patients with respiratory failure in palliative situations suffering from Covid-19 infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment with Dexmedetomidine | Drug | Administration of Dexmedetomidine in continuous infusion by electric syringe pump at a dose of 0.4 µg / kg / h, with dose adjustment according to the sedation score and tolerance. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of mild to moderate palliative sedation induced by Dexmedetomidine. | Number of days of mild to moderate sedation induced by dexmedetomidine until death or change of molecule. | Day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival of patients on Dexmedetomidine | Overall survival time in days from inclusion. | Day 30 |
| Daily analgesic effect of Dexmedetomidine | The daily effectiveness of Dexmedetomidine on pain assessed by the NCS-R scale (Nociception Coma Scale) : the score is between 0 and 9. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Limoges | 87200 | France |
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| Day 30 |
| Other sedative pharmacological agents | Number of the various sedative molecules used in the subjects of the study in addition to Dexmedetomidine. | Day 30 |
| Average dosage required for Dexmedetomidine to achieve mild to moderate sedation | Daily dosage measurement in ug / kg / h of Dexmedetomidine necessary to obtain light to moderate sedation | Day 30 |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D012131 | Respiratory Insufficiency |
| D007239 | Infections |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D020927 | Dexmedetomidine |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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