Timing of a single dexmedetomidine dose before laryngoscopy and intubation and its effect on stress response.
Official title: Do Increasing Preoperative Timing of Single Dexmedetomidine Dose Have an Effect on Stress Response of Laryngoscopy and Intubation? A Randomized Controlled Trial
Run by Tanta University · NCT07165483 · Data updated 2026-11-12
This trial will test whether giving one dose of dexmedetomidine earlier or closer to surgery can reduce the blood pressure and heart rate changes caused by laryngoscopy and intubation in adults aged 18–65 with ASA I–II.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia) |
| Status | Recruiting |
| Started | September 11, 2025 |
| Main results expected | March 1, 2026 |
| Study ends | March 1, 2026 |
| Registry record updated | September 12, 2025 |
| Trial ID | NCT07165483 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 in good to moderate health (ASA I–II) scheduled for elective procedures and not taking interfering medications are ideal candidates.
✕Probably not a fit
Patients with severe cardiovascular or respiratory disease, diabetes, hypertension, obesity, pregnancy, breastfeeding, sleep apnea, or those on certain antihypertensive or heart-rate–altering medications are unlikely to be eligible or to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares a single preoperative dose of dexmedetomidine given at different time points with a saline control to see how timing affects the stress response to laryngoscopy and intubation. Adult patients (18–65 years) with ASA physical status I–II undergoing elective procedures will be assigned to receive dexmedetomidine at one of two preoperative timing windows or saline before induction. Investigators will monitor hemodynamic measures such as heart rate and blood pressure around laryngoscopy and intubation to compare responses between groups. Patients with major cardiovascular or respiratory disease, diabetes, hypertension, obesity, pregnancy, breastfeeding, sleep apnea, use of certain antihypertensive or heart-rate–affecting drugs, or those undergoing emergency procedures are excluded.
Why it matters
Potential benefit: If successful, adjusting the timing of a single dexmedetomidine dose could help reduce the immediate blood pressure and heart rate spikes during laryngoscopy and intubation, improving hemodynamic stability around anesthesia.
How similar studies have gone: Previous studies have shown that dexmedetomidine can blunt the hemodynamic and stress responses to laryngoscopy and intubation, and this study focuses specifically on optimizing the timing of a single dose.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age from 18 to 65 years. * Both sexes. * American Society of Anesthesiology (ASA) physical status I-II. Exclusion Criteria: * Severe cardiovascular problems. * Respiratory disorders. * Diabetes. * Hypertension. * Obesity. * Allergic reaction to study drugs. * Patients on antihypertensive medication (α-methyldopa, clonidine, or other α2-adrenergic agonists) * Medications that affect heart rate (HR) or blood pressure (BP). * Pregnant. * Currently breast-feeding women. * History of sleep apnea. * Those for emergency procedures.
Where it's running
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Tanta University
Tanta, El-Gharbia, Egypt Recruiting
Study contacts
- Study coordinator: Mohammed S Elsharkawy, MD
- Email: mselsharkawy@med.tanta.edu.eg
- Phone: 00201148207870
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.