Inhaling Penehyclidine to Prevent Perioperative Respiratory Adverse Events in Children at Risk Undergoing Sevoflurane Anesthesia
Inhaling Penehyclidine to Prevent Perioperative Respiratory Adverse Events in Children at Risk Undergoing Sevoflurane Anesthesia: a Double-blind, Randomized, Placebo-controlled Trial
Sun Yat-sen University
204 participants
Nov 12, 2024
INTERVENTIONAL
Conditions
Summary
This randomized controlled study is to evaluate the effectiveness of inhaling penehyclidine hydrochloride in reducing perioperative respiratory adverse events in children at risk undergoing minor elective surgery.
Eligibility
Inclusion Criteria3
- Pediatric patients aged 3 to 7 years.
- Scheduled to undergo ophthalmic surgery.
- Judged to be at risk of PRAEs (with at least one parentally reported risk factor for the PRAEs, including history of a recent cold, wheezing during exercise, wheezing more than three times in the past 12 months, nocturnal dry cough, eczema, or a family history of asthma, rhinitis, eczema, or exposure to passive smoke).
Exclusion Criteria14
- American Society of Anesthesiologists (ASA) physical classification ≥ IV.
- Known cardiopulmonary diseases (eg. uncorrected congenital heart disease, primary or secondary pulmonary hypertension, tumors, or structural lung diseases).
- Severe renal dysfunction (requirement of renal replacement therapy) or severe hepatic dysfunction (Child-Pugh grade C);
- Neurological disorders.
- Neuromuscular diseases.
- Contraindication for PHC.
- Inhalation of β2-receptor activator, M-receptor blockers and/or glucocorticoids within 1 month before surgery.
- Allergy to anticholinergic drugs.
- Use of endotracheal tube (ETT) for ventilation.
- Known difficult airway.
- Severe upper respiratory tract infections (URTIs) and the anesthesiologist recommended delaying surgery.
- Participation in other clinical trial during the last month or within the six half-life periods of the study drug used in the last trial.
- Parents refusing to allow their children to participate.
- Obesity, with a body mass index (BMI) over 95th percentile according to the WHO guideline.
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Interventions
The penehyclidine hydrochloride will be diluted to a total volume of 5 mL with normal saline, added to the nebulizer cup for inhalation. Patients will be asked to inhale the entire volume of nebulized drugs within 30 min prior to surgery. The trial drugs will be administered using a jet nebulizer with compressed air flow. Each child will be intructed to begin the nebulization by using a face mask that covers the nose and mouth while the child is seated upright. Children will be encouraged to take deep and slow breaths, inhaling through the mouth and exhaling through the nose, to ensure the drugs effectively reaches the airway.
The normal saline with a total volume of 5 mL will be added to the nebulizer cup for inhalation. Patients will be asked to inhale the entire volume of nebulized drugs within 30 min prior to surgery. The trial drugs will be administered using a jet nebulizer with compressed air flow. Each child will be intructed to begin the nebulization by using a face mask that covers the nose and mouth while the child is seated upright. Children will be encouraged to take deep and slow breaths, inhaling through the mouth and exhaling through the nose, to ensure the drugs effectively reaches the airway.
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT06624696