Page last updated: 2024-10-28

haloperidol and Shock

haloperidol has been researched along with Shock in 3 studies

Haloperidol: A phenyl-piperidinyl-butyrophenone that is used primarily to treat SCHIZOPHRENIA and other PSYCHOSES. It is also used in schizoaffective disorder, DELUSIONAL DISORDERS, ballism, and TOURETTE SYNDROME (a drug of choice) and occasionally as adjunctive therapy in INTELLECTUAL DISABILITY and the chorea of HUNTINGTON DISEASE. It is a potent antiemetic and is used in the treatment of intractable HICCUPS. (From AMA Drug Evaluations Annual, 1994, p279)
haloperidol : A compound composed of a central piperidine structure with hydroxy and p-chlorophenyl substituents at position 4 and an N-linked p-fluorobutyrophenone moiety.

Shock: A pathological condition manifested by failure to perfuse or oxygenate vital organs.

Research Excerpts

ExcerptRelevanceReference
"In a randomized, double-blind, placebo-controlled trial, we assigned patients with acute respiratory failure or shock and hypoactive or hyperactive delirium to receive intravenous boluses of haloperidol (maximum dose, 20 mg daily), ziprasidone (maximum dose, 40 mg daily), or placebo."9.27Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness. ( Bernard, GR; Boehm, LM; Bowton, DL; Brummel, NE; Carson, SS; Chandrasekhar, R; Dittus, RS; Douglas, IS; Ely, EW; Exline, MC; Feinstein, DJ; Girard, TD; Gong, MN; Hite, RD; Hough, CL; Hughes, CG; Hyzy, RC; Jackson, JC; Khan, B; Malhotra, A; Masica, AL; Owens, RL; Pandharipande, PP; Patel, MB; Pisani, MA; Pun, BT; Rock, P; Schmidt, GA; Schweickert, WD; Stollings, JL; Strength, C; Thompson, JL, 2018)
"In a randomized, double-blind, placebo-controlled trial, we assigned patients with acute respiratory failure or shock and hypoactive or hyperactive delirium to receive intravenous boluses of haloperidol (maximum dose, 20 mg daily), ziprasidone (maximum dose, 40 mg daily), or placebo."5.27Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness. ( Bernard, GR; Boehm, LM; Bowton, DL; Brummel, NE; Carson, SS; Chandrasekhar, R; Dittus, RS; Douglas, IS; Ely, EW; Exline, MC; Feinstein, DJ; Girard, TD; Gong, MN; Hite, RD; Hough, CL; Hughes, CG; Hyzy, RC; Jackson, JC; Khan, B; Malhotra, A; Masica, AL; Owens, RL; Pandharipande, PP; Patel, MB; Pisani, MA; Pun, BT; Rock, P; Schmidt, GA; Schweickert, WD; Stollings, JL; Strength, C; Thompson, JL, 2018)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19902 (66.67)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Girard, TD1
Exline, MC1
Carson, SS1
Hough, CL1
Rock, P1
Gong, MN1
Douglas, IS1
Malhotra, A1
Owens, RL1
Feinstein, DJ1
Khan, B1
Pisani, MA1
Hyzy, RC1
Schmidt, GA1
Schweickert, WD1
Hite, RD1
Bowton, DL1
Masica, AL1
Thompson, JL1
Chandrasekhar, R1
Pun, BT1
Strength, C1
Boehm, LM1
Jackson, JC1
Pandharipande, PP1
Brummel, NE1
Hughes, CG1
Patel, MB1
Stollings, JL1
Bernard, GR1
Dittus, RS1
Ely, EW1
Yasukawa, M1
Hatakeyama, Y1
Yasukawa, K1
Chiba, S1
Suzuki, T1
Takami, T1
Willems, JL1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Flumazenil on Hypoactive Delirium in the ICU: A Double-Blind, Placebo-Controlled Pilot Study[NCT02899156]Phase 422 participants (Actual)Interventional2016-03-31Terminated (stopped due to A planned interim analysis led to the trial being stopped early based on the observed size effect and power analysis.)
Virtual Reality Stimulation to Relax and Reduce the Incidence of Delirium[NCT04498585]920 participants (Anticipated)Interventional2021-04-14Suspended (stopped due to Decreased resources due to COVID-19)
MIND-USA Study: Modifying the Impact of ICU-Associated Neurological Dysfunction[NCT01211522]Phase 3566 participants (Actual)Interventional2011-12-14Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Duration of Study Infusion

average duration of time patient was randomized to each infusion up to 72 hours (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionhours (Mean)
Flumazenil Group54.8
Placebo Group58.2

Average Maximum Rate of Study Infusion

average maximum rate (ml/hr) during the 72 hours after study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionmilliliters per hour (Mean)
Flumazenil Group5
Placebo Group5.2

Intensive Care Unit Length of Stay

length of time that the patient was admitted to an intensive care unit service during the hospital stay (NCT02899156)
Timeframe: duration of admission to the intensive care unit

Interventiondays (Mean)
Flumazenil Group7.8
Placebo Group7

Number of Delirium-free Days

Defined by the number of days in the 14-day period after randomization that the patient was alive and not delirious (i.e. CAM-ICU negative). Zero delirium-free days will be observed for patients that die within the 14-day period. (NCT02899156)
Timeframe: up to 14 days after randomization

Interventiondays (Median)
Flumazenil Group12.7
Placebo Group9.2

Number of Mechanical Ventilator Free Days

number of days within the first 28 days after enrollment that the patient was free from needing mechanical ventilation (NCT02899156)
Timeframe: up to 28 days after randomization

Interventiondays (Mean)
Flumazenil Group23.6
Placebo Group24.9

Number of Participants With Delirium Resolution

defined by the proportion of patients who were delirium free at 14 days after randomization (NCT02899156)
Timeframe: up to 14 days after randomization

InterventionParticipants (Count of Participants)
Flumazenil Group9
Placebo Group7

Occurrence of Agitation Requiring Use of Rescue Sedatives While on Study Infusion

number of times that a RASS score of + 2 to +4 occurred that did not resolve with decreasing study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

InterventionParticipants (Count of Participants)
Flumazenil Group0
Placebo Group0

Delirium Duration

Duration of delirium during the intervention period (NCT01211522)
Timeframe: 14 days

Interventiondays (Median)
Haloperidol4
Ziprasidone4
Placebo4

Delirium/Coma-free Days (DCFDs)

Defined as the number of days during the 14-day intervention period (beginning on the day of randomization) that the patient was alive and experienced neither delirium nor coma. (NCT01211522)
Timeframe: 14 days

Interventiondays (Median)
Haloperidol8
Ziprasidone8
Placebo7

Number of Participants With Extrapyramidal Symptoms

(NCT01211522)
Timeframe: 14 days plus 4-day post-study drug period (if longer than 14 days)

InterventionParticipants (Count of Participants)
Haloperidol1
Ziprasidone1
Placebo1

Number of Participants With Neuroleptic Malignant Syndrome

(NCT01211522)
Timeframe: 14 days plus 4-day post-study drug period (if longer than 14 days)

InterventionParticipants (Count of Participants)
Haloperidol0
Ziprasidone0
Placebo0

Number of Participants With Torsades de Pointes

(NCT01211522)
Timeframe: 14 days plus 4-day post-study drug period (if longer than 14 days)

InterventionParticipants (Count of Participants)
Haloperidol2
Ziprasidone0
Placebo0

Time to Final ICU Discharge

"Days from randomization to final, successful ICU discharge, where successful indicates that discharge was followed by at least 48 hours alive. ICU discharge is represented by readiness for ICU discharge indicated by a physician order for transfer to a lower level of care even if a bed availability problems prevent actual discharge from the ICU." (NCT01211522)
Timeframe: 90 days

Interventiondays (Median)
Haloperidol5
Ziprasidone6
Placebo5

Time to Hospital Discharge

"Days from randomization to successful hospital discharge, where successful indicates that discharge was followed by at least 48 hours alive." (NCT01211522)
Timeframe: 90 days

Interventiondays (Median)
Haloperidol13
Ziprasidone12
Placebo13

Time to ICU Readmission

Days from first ICU discharge to next ICU readmission. (NCT01211522)
Timeframe: 90 days after first ICU discharge

Interventiondays (Median)
Haloperidol5
Ziprasidone5
Placebo4

Time to Liberation From Mechanical Ventilation

"Days from randomization to successful liberation from mechanical ventilation, where successful indicates that liberation was followed by at least 48 hours alive and without reinitiation of invasive or noninvasive ventilation." (NCT01211522)
Timeframe: 30 days

Interventiondays (Median)
Haloperidol2
Ziprasidone3
Placebo3

Mortality

Deaths within the specified timeframe (NCT01211522)
Timeframe: 30-day and 90-day

,,
InterventionParticipants (Count of Participants)
30-day mortality90-day mortality
Haloperidol5073
Placebo5063
Ziprasidone5365

Trials

1 trial available for haloperidol and Shock

ArticleYear
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.
    The New England journal of medicine, 2018, 12-27, Volume: 379, Issue:26

    Topics: Aged; Antipsychotic Agents; Critical Illness; Delirium; Dopamine Antagonists; Double-Blind Method; F

2018

Other Studies

2 other studies available for haloperidol and Shock

ArticleYear
[Neuroleptic malignant syndrome with myoglobinuria].
    Masui. The Japanese journal of anesthesiology, 1983, Volume: 32, Issue:7

    Topics: Basal Ganglia Diseases; Female; Haloperidol; Humans; Middle Aged; Myoglobinuria; Rhabdomyolysis; Sch

1983
[The effect of dopamine on femoral vascular resistance in the anesthetized dog].
    Verhandelingen - Koninklijke Academie voor Geneeskunde van Belgie, 1977, Volume: 39, Issue:4

    Topics: Action Potentials; Animals; Atropine; Blood Flow Velocity; Denervation; Dogs; Dopamine; Female; Femo

1977