Remifentanil Only vs. Midazolam and Meperidine During Elective Colonoscopy (remifentanil)

This study has been completed.
Information provided by (Responsible Party):
Tae-Yop Kim, MD PhD, Konkuk University Medical Center Identifier:
First received: September 17, 2012
Last updated: January 20, 2014
Last verified: January 2014

The aim of the present study is to compare patient's recovery times after elective colonoscopy employing remifentanil only vs conventional combination of midazolam and meperidine

Condition Intervention Phase
Diagnostic Colonoscopy Screening
Drug: Remifentanil
Drug: Midazolam
Drug: Meperidine
Drug: placebo (for remifentanil)
Drug: placebo (for midazolam)
Drug: placebo (for meperidine)
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Remifentanil Only vs. Combination Group Midazolam + Meperidine During Elective Colonoscopy

Resource links provided by NLM:

Further study details as provided by Konkuk University Medical Center:

Primary Outcome Measures:
  • The recovery time (from the time of completing the colonoscopy to the time for achieving Aldrete score 10 in the recovery unit). [ Time Frame: just before discharge during the 1st 1 hour after the end of colonoscopy ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • analgesia [ Time Frame: every 5 min during colonoscopy ] [ Designated as safety issue: No ]
  • sedation [ Time Frame: every 5 min during and after colonoscopy ] [ Designated as safety issue: No ]
  • satisfaction of patient [ Time Frame: 5 min after the end of colonoscopy ] [ Designated as safety issue: No ]
  • endoscopist satisfaction [ Time Frame: 5 min after the colonoscopy ] [ Designated as safety issue: No ]

Enrollment: 60
Study Start Date: December 2012
Study Completion Date: August 2013
Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Remifentanil
remifentanil of 0.04 mcg/kg/min with placebo (for midazolam) and placebo (for meperidine)
Drug: Remifentanil
continuous infusion 0.4 mcg/kg/min
Other Name: Ultiva
Drug: placebo (for midazolam)
normal saline mimic to midazolam injection
Other Name: normal saline
Drug: placebo (for meperidine)
normal saline mimic meperidine injection
Other Name: normal saline
Active Comparator: midazolam and meperidine
a bolus midazolam of 0.03 mg/kg a bolus meperidine of 1.0 mg/kg placebo (for remifentanil)
Drug: Midazolam
bolus injection
Other Name: dormicum
Drug: Meperidine
bolus injection for 30 sec 1.0 mg/kg
Other Name: Pethidine Injection
Drug: placebo (for remifentanil)
normal saline mimic diluted remifentanil
Other Name: normal saline

  Show Detailed Description


Ages Eligible for Study:   19 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Aged 19-65 years
  • American Society of Anesthesiologists physical status 1-2
  • Patients scheduled for elective colonoscopy under Monitored Anesthesia Care in a University Hospital
  • Patients who signed on written informed consent.

Exclusion Criteria:

  • The exclusion criteria are refusal or inability to provide written informed consent
  • Age < 18 years
  • Pregnancy
  • Previous large bowel surgery
  • Psychiatric disorders
  • History of addiction to opiates and / or sedatives, and previous adverse reaction to any drug used in the study.
  Contacts and Locations
Please refer to this study by its identifier: NCT01693185

Korea, Republic of
Konkuk University Medical Center
Seoul, Korea, Republic of, 143-729
Sponsors and Collaborators
Konkuk University Medical Center
Principal Investigator: Tae-Yop Kim, MD, PhD Konkuk University
  More Information

No publications provided

Responsible Party: Tae-Yop Kim, MD PhD, Professor of Anesthesiology, Konkuk University Medical Center Identifier: NCT01693185     History of Changes
Other Study ID Numbers: KUH1160048
Study First Received: September 17, 2012
Last Updated: January 20, 2014
Health Authority: Korea: Institutional Review Board

Keywords provided by Konkuk University Medical Center:

Additional relevant MeSH terms:
Analgesics, Opioid
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Central Nervous System Agents
Therapeutic Uses
Central Nervous System Depressants
Adjuvants, Anesthesia
Anti-Anxiety Agents
Tranquilizing Agents
Psychotropic Drugs
Hypnotics and Sedatives
Anesthetics, Intravenous
Anesthetics, General
GABA Modulators
GABA Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action processed this record on April 17, 2014