Page last updated: 2024-10-30

meperidine and Apoplexy

meperidine has been researched along with Apoplexy in 5 studies

Meperidine: A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
pethidine : A piperidinecarboxylate ester that is piperidine which is substituted by a methyl group at position 1 and by phenyl and ethoxycarbonyl groups at position 4. It is an analgesic which is used for the treatment of moderate to severe pain, including postoperative pain and labour pain.

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (40.00)29.6817
2010's3 (60.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
van der Worp, HB2
Macleod, MR2
Bath, PM1
Demotes, J1
Durand-Zaleski, I1
Gebhardt, B1
Gluud, C1
Kollmar, R2
Krieger, DW1
Lees, KR1
Molina, C1
Montaner, J1
Roine, RO1
Petersson, J1
Staykov, D1
Szabo, I1
Wardlaw, JM1
Schwab, S2
Schellinger, PD1
Steigleder, T1
Köhrmann, M1
Lyden, P1
Ernstrom, K1
Cruz-Flores, S1
Gomes, J1
Grotta, J1
Mullin, A1
Rapp, K1
Raman, R1
Wijman, C1
Hemmen, T1
Sena, ES1
Jeffreys, AL1
Cox, SF1
Sastra, SA1
Churilov, L1
Rewell, S1
Batchelor, PE1
Howells, DW1
Kammersgaard, LP1
Rasmussen, BH1
Jørgensen, HS1
Reith, J1
Weber, U1
Olsen, TS1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
EuroHYP-1: European Multicentre, Randomised, Phase III Clinical Trial of Therapeutic Hypothermia Plus Best Medical Treatment Versus Best Medical Treatment Alone for Acute Ischaemic Stroke[NCT01833312]Phase 398 participants (Actual)Interventional2013-07-31Terminated (stopped due to Slow recruitment, cessation of funding)
Phase 2/3 Study of Intravenous Thrombolysis and Hypothermia for Acute Treatment of Ischemic Stroke[NCT01123161]Phase 2/Phase 3120 participants (Actual)Interventional2010-06-30Terminated (stopped due to The ICTuS 2 portion of the trial has been halted and data will be analyzed.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

90 Day Mortality

Mortality prior to the 90-day evaluation. (NCT01123161)
Timeframe: 90 days

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia5
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment10

Incidence of Any Intracranial Hemorrhage (ICH) Within 48 Hours of Stroke Onset

Incidence (number) of any intracranial hemorrhage (ICH) (whether or not symptomatic) within 48 hours of stroke onset will be presented by treatment group and overall. (NCT01123161)
Timeframe: 48 hours

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia13
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment9

Incidence of Any Symptomatic Intracranial Hemorrhage (sICH) Within 48 Hours of Stroke Onset

Incidence (number) of Symptomatic ICH (sICH) within 48 hours of stroke onset will be presented by treatment group and overall. Patients with neuroworsening (4 or more point increase in NIHSS , or a decline in the NIHSS consciousness item 1A score of more than 1 point, or a motor deterioration lasting more than 8 hours, all not due to iatrogenic cause) and hemorrhage seen on brain images in whom the investigator attributes the clinical change to the hemorrhage. (NCT01123161)
Timeframe: 48 hours

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia2
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment1

Incidence of Pneumonia

Number subjects diagnosed with pneumonia according to CDC criteria will be presented by treatment group and overall, regardless of seriousness (NCT01123161)
Timeframe: 7 days or discharge whichever comes first

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia6
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment12

NIHSS Scores at 90 Days

The National Institutes of Health Stroke Scale (NIHSS) is used to quantify neurological deficit. The scale ranges from 0 (best) to 42 points (worst). Between scores of 0 to 42, higher values reflect progressively greater deficit. (NCT01123161)
Timeframe: 90 days

Interventionunits on a scale (Mean)
Group1: IV t-PA and Normothermia6.1
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment4.8

The Barthel Index Measure of Activities of Daily Living;

The Barthel index measures independence in activities of daily living from 0 (worst) to 100 (best) in 5 point increments. Higher scores between 0 and 100 reflect progressively greater levels of independence. Scores were dichotomized at 90 so that a score of 95 or 100 was considered a successful treatment. (NCT01123161)
Timeframe: 90 days

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia25
Group 2 : IV t-PA and Hypothermia and Anti-shivering Treatment24

The Primary Outcome is the Proportion of Patients Achieving a Favorable Outcome Defined as Modified Rankin Scale Score of 0 or 1, Assessed 90 Days After Treatment.

Modified Rankin describes disability: 0 is free of any disability or symptoms, 6 is death, and higher grades between 0 and 6 reflect progressively greater disability (NCT01123161)
Timeframe: 90 days

Interventionparticipants (Number)
Group1: IV t-PA and Normothermia21
Group 2 : IV t-PA and Hypothermia21

Trials

3 trials available for meperidine and Apoplexy

ArticleYear
EuroHYP-1: European multicenter, randomized, phase III clinical trial of therapeutic hypothermia plus best medical treatment vs. best medical treatment alone for acute ischemic stroke.
    International journal of stroke : official journal of the International Stroke Society, 2014, Volume: 9, Issue:5

    Topics: Analgesics, Opioid; Anti-Anxiety Agents; Brain Ischemia; Buspirone; Clinical Protocols; Europe; Huma

2014
Determinants of effective cooling during endovascular hypothermia.
    Neurocritical care, 2012, Volume: 16, Issue:3

    Topics: Acute Disease; Adolescent; Adult; Aged; Aged, 80 and over; Anti-Anxiety Agents; Area Under Curve; Bu

2012
Feasibility and safety of inducing modest hypothermia in awake patients with acute stroke through surface cooling: A case-control study: the Copenhagen Stroke Study.
    Stroke, 2000, Volume: 31, Issue:9

    Topics: Acute Disease; Aged; Analgesics, Opioid; Blood Cell Count; Blood Chemical Analysis; Blood Pressure;

2000

Other Studies

2 other studies available for meperidine and Apoplexy

ArticleYear
Ice-cold saline for the induction of mild hypothermia in patients with acute ischemic stroke: a pilot study.
    Stroke, 2009, Volume: 40, Issue:5

    Topics: Acute Disease; Aged; Analgesics, Opioid; Blood Cell Count; Blood Chemical Analysis; Brain Ischemia;

2009
The benefit of hypothermia in experimental ischemic stroke is not affected by pethidine.
    International journal of stroke : official journal of the International Stroke Society, 2013, Volume: 8, Issue:3

    Topics: Animals; Behavior, Animal; Brain Infarction; Cerebrovascular Circulation; Hypothermia, Induced; Male

2013