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Effectiveness and Safety Study of Etomidate Versus Midazolam to Help Place a Breathing Tube Outside of the Hospital.
This study has been completed.
Sponsored by: St. Luke's Hospital, Pennsylvania
Information provided by: St. Luke's Hospital, Pennsylvania
ClinicalTrials.gov Identifier: NCT00248729
  Purpose

The objective of this study was to compare the utility of etomidate and midazolam in helping patients to relax when there was a need for the placement of a ventilation tube by medics who were transporting patients to a hospital in an ambulance.


Condition Intervention Phase
Respiratory Failure
Drug: Etomidate (20mg) or Midazolam (7mg)
Phase II

Drug Information available for: Midazolam Midazolam hydrochloride Midazolam maleate Etomidate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Etomidate Versus Midazolam for Pre-Hospital Intubation: A Prospective, Randomized Trial

Further study details as provided by St. Luke's Hospital, Pennsylvania:

Study Start Date: October 2002
Estimated Study Completion Date: November 2005
Detailed Description:

Study Objective: The objective of this study was to compare the utility of etomidate and midazolam for sedative facilitated intubation (SFI), without paralytics, in pre-hospital adult patients.

Methods: This prospective, double-blind, randomized trial was conducted with two ground pre-hospital Advanced Life Support (ALS) units. All patients age 18 or over transported by the two participating systems requiring pre-hospital SFI were eligible for participation. The ambulances were stocked with blinded numbered syringes, each containing either 7mg of midazolam or 20mg of etomidate. Contact with the Medic Command physician was not required and no paralytics were used. If sedation was not achieved with the study drug, medics could request additional sedation from a Medical command physician; only midazolam or diazepam were available outside of the study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Under the study protocol, all patients age 18 or over transported by the two participating ALS systems, requiring pre-hospital Sedation Facilitated Intubation, were eligible for participation.

Exclusion Criteria:

Exclusion criteria were pregnancy and age less than 18.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00248729

Locations
United States, Pennsylvania
St. Luke's Hospital
Bethlehem, Pennsylvania, United States, 18015
Sponsors and Collaborators
St. Luke's Hospital, Pennsylvania
Investigators
Principal Investigator: Jeanne L Jacoby, MD St. Luke's Hospital
  More Information

Study ID Numbers: SLHN 001
Study First Received: November 2, 2005
Last Updated: August 28, 2006
ClinicalTrials.gov Identifier: NCT00248729  
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Respiratory Insufficiency
Respiratory Tract Diseases
Respiration Disorders
Etomidate
Midazolam

Additional relevant MeSH terms:
Anesthetics, Intravenous
Neurotransmitter Agents
Tranquilizing Agents
Molecular Mechanisms of Pharmacological Action
GABA Modulators
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Anesthetics
Pharmacologic Actions
Adjuvants, Anesthesia
Anesthetics, General
Therapeutic Uses
Hypnotics and Sedatives
GABA Agents
Anti-Anxiety Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 14, 2009