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Elderly patients who undergo any major abdominal surgery under general anesthesia will be given Dexmedetomidine in two different doses or plain normal saline,and any changes in memory,recall, language etc will be compared between preoperative and postoperative states

Phase 4
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/08/072290
Lead Sponsor
Rajendra Institute of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

a. Patients belonging to ASA grade I and II.

b. Patients give informed and written consent for surgery.

c. Patients aged 60 years or more.

d.Patients undergoing elective abdominal surgeries lasting for 2 or more hours but not more than 4 hours under General Anesthesia.

Exclusion Criteria

Patients belonging to ASA grade III & IV, Patients who refuse consent, Patients with pre existing diagnosis of Schizophrenia or Dementia or any condition which affects cognition, Patients with visual and hearing impairment, Patients with communication barriers who could not complete the cognition test and patients with pre operative Montreal Cognitive Assessment score less than 26.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine whether the use of intraoperative Dexmedetomidine is associated with a decreased incidence of post-operative cognitive dysfunction in elderly patientsTimepoint: MOCA scale will be used to assess patients cognition status before surgery <br/ ><br>and <br/ ><br>1 hour after surgery <br/ ><br>6 hours after surgery <br/ ><br>24 hours after surgery and preoperative and postoperative cognition scores will be compared
Secondary Outcome Measures
NameTimeMethod
To determine at which dose Dexmedetomidine has a more favourable effect on postoperative cognitive dysfunction and whether Dexmedetomidine plays a role in post operative analgesia.Timepoint: For 1 hour,6 hours, and 24 hours after end of general anesthesia.
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