A Comparision of Midazolam-dexmedetomidine With Dexmedetomidine Alone for Hemodynamic Stability and Quality of Sedation in Elderly Patients Under Spinal Anesthesia
Overview
- Phase
- Not Applicable
- Intervention
- dexmedetomidine alone or dexmedetomidine + midazolam
- Conditions
- Sedation; Aged; Hemodynamics
- Sponsor
- Severance Hospital
- Locations
- 1
- Primary Endpoint
- hemodynamic stability
- Status
- Withdrawn
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to compare midazolam-dexmedetomidine with dexmedetomidine alone for hemodynamic stability and quality of sedation in elderly patients under spinal anesthesia.
Investigators
So Yeon Kim
Assistant professor
Severance Hospital
Eligibility Criteria
Inclusion Criteria
- •aged ≥ 65 years
- •ASA physical status class I-II
- •the patients who want sedation during elective lower limb surgery under spinal anesthesia
Exclusion Criteria
- •contraindication to spinal anesthesia
- •neurologic or cognitive dysfunction
- •severe cardiovascular or pulmonary disease
- •refusal to participation
Arms & Interventions
dexmedetomidine alone
dexmedetomidine 0.5 mcg/kg for 10 min + normal saline (volume-matched) bolus + dexmedetomidine 0.2-0.4 mcg/kg/hr infusion
Intervention: dexmedetomidine alone or dexmedetomidine + midazolam
dexmedetomidine + midazolam
normal saline (volume-matched) for 10 min + midazolam 0.2 mg/kg bolus + dexmedetomidine 0.2-0.4 mcg/kg/hr infusion
Intervention: dexmedetomidine alone or dexmedetomidine + midazolam
Outcomes
Primary Outcomes
hemodynamic stability
Time Frame: 4 hour
comparison of bradycardia incidence
Secondary Outcomes
- Modified Observer Assessment of Alertness/Sedation (MOAAS) scale(4 hour)