The purpose of the study is to compare dexmedetomidine and ketofol to find a suitable alternative for moderate sedation in out-patient diagnostic trans-esophageal echocardiography.
Sample size was estimated based on previous studies with sedation in equally invasive procedures that in 2 groups difference in time to achieve Ramsay sedation scale was 0.8min.(In group dexmedetomidine 12.4 \& group ketofol 13.2 with S.D of 0.8). The sample size came out to be 22 subjects per group at a power of 90 % \& confidence interval of 95 %. For possible dropouts, it was decided to include 10% extra subjects so finally it was decided to include 25 subjects per group. (Total sample size 50 subjects) Normality of quantitative data will be checked by measures of Kolmogorov Smirnov tests of normality. If data is normally distributed Student t-test will be applied for comparison of 2 groups. Mann-Whitney U-test will be used for statistical analysis of skewed continuous variables or ordered categorical data. Proportions will be compared using Chi square or Fisher's exact test whichever is applicable. Wilcoxon Signed rank test will be used for skewed data or for scores (time related variables). . For comparison (time related variables) of Hemodynamics Repeated Measure ANOVA will be applied. All statistical tests will be two-sided and will be performed at a significance level of α=0.05. Analysis will be conducted using SPSS for Windows
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
50
drug for moderate sedation in trans-esophageal echocardiography
drug for moderate sedation in trans-esophageal echocardiography
Postgraduate Institute of Medical Education and Research
Chandigarh, India
Time taken to achieve adequacy of sedation before probe insertion.
Adequacy of sedation to be measured using Ramsay Sedation Scale (\>=3 considered adequate for probe insertion)
Time frame: maximum of 10 minutes
Recovery time
Time to achieve modified aldrete score \>9
Time frame: Upto 30 minutes
Heart rate during procedure
Heart rate in beats/min, , facial pain score as 0-10
Time frame: every 5 minutes till end of procedure
mean arterial pressure during procedure
mean arterial pressure in mmHg,
Time frame: every 5 minutes till end of procedure
Oxygen saturation during procedure
oxygen saturation in %
Time frame: every 5 minutes till end of procedure
End tidal carbondioxide during procedure
End tidal carbon dioxide in mm Hg
Time frame: every 5 minutes till end of procedure
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