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The aim of this study is to compare dexmedetomidine as moderate sedation versus general anathesia on the diagnostic yield of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration
Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (EBUS-TBNA) has emerged as a highly effective, minimally invasive technique for sampling peribronchial, mediastinal, and lung masses for pathologic examination with low rate of complications, and costs.
Dexmedetomidine, is a high-affinity adrenergic agonist of the alpha 2 receptor, is a potential alternative sedative.
The use of dexmedetomidine does not lead to respiratory depression, or to a decline in cognitive skills or patient cooperation. This is because dexmedetomidine acts on the alpha-2 receptors in the locus coeruleus, in contrast to other sedatives (midazolam and propofol) which act on GABA receptors/cerebral cortex.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dexmedetomidine group | Active Comparator |
| |
| general anesthesia group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dexmedetomidine | Procedure | patients will recieve moderate sedation by dexmedetomidine as study group |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic yield of Endobronchial ultrasound -guided transbronchial needle aspiration | The number of subjects in whom Endobronchial ultrasound -guided transbronchial needle aspiration provided a specific diagnosis will be assessed | During procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohamed S Torky | Lecturer of Chest Department , Faculty of Medicine, Tanta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mohammad Fouad Algyar | Tanta | ElGharbiaa | 31511 | Egypt |
The data will be provided under a reasonable request from the corresponding author.
One year after the end of the study
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| general anesthesia | Procedure | general anesthesia with neuromuscular blockade under controlled ventilation as control group. |
|
| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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