Effects of Dexmedetomidine on Delirium After Living Donor Renal Transplantation in Adult Patients
Study Details
Study Description
Brief Summary
Delirium, an acute change in mental status, is a serious medical complication among hospitalized patients. Syndrome of delirium involves agitation, sleep disturbance, affective disorders and cognitive disruptions.
One vulnerable period for developing delirium is in the postoperative days. Postoperative delirium often initiates a cascade of adverse consequences including an increase in length of stay and hospital costs, and greater mortality. The investigators have observed that the incidence of postoperative delirium in patients after renal transplantation is about 20-30% in our hospital.
Several studies have revealed that dexmedetomidine, as a widely used sedative during anesthesia, can decrease the incidence of postoperative delirium after cardiac surgery. The investigators aim to examine whether administration of dexmedetomidine can reduce postoperative delirium after living donor renal transplantation in adult patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Dexmedetomidine Dexmedetomidine ivpump 0.2ug/kg/h during living donor renal transplantation. |
Drug: Dexmedetomidine
|
Placebo Comparator: Saline Saline ivpump 0.2ug/kg/h during living donor renal transplantation. |
Drug: Saline
|
Outcome Measures
Primary Outcome Measures
- Postoperative Delirium [Postoperative day 1-7.]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age > 17 and < 60 years;
-
American Society of Anesthesiology (ASA) I-III;
-
admitted for living donor renal transplantation.
Exclusion Criteria:
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Patients with a history of drug abuse;
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preoperative history of schizophrenia, epilepsy, parkinsonism, use of cholinesterase inhibitor, inability to communicate in the preoperative period (coma, profound dementia, or language barrier).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | First Affiliated Hospital, Sun Yat-Sen University | Guangzhou | Guangdong | China | 510080 |
Sponsors and Collaborators
- Tao Zhang
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DDRT