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A prospective, multi-centre, randomised, double-blind, placebo-controlled comparison of intravenous dexmedetomidine with haloperidol in treatment of hyperactive delirium after heart surgery. - Dex-in-delir

Conditions
Postoperative hyperactive delirium
MedDRA version: 12.0Level: LLTClassification code 10049987Term: Confusion postoperative
MedDRA version: 12.0Level: LLTClassification code 10000702Term: Acute delirium
MedDRA version: 12.0Level: LLTClassification code 10049989Term: Agitation postoperative
MedDRA version: 12.0Level: LLTClassification code 10056436Term: Psychomotor agitation
Registration Number
EUCTR2008-007384-17-SE
Lead Sponsor
Sten Walther
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
75
Inclusion Criteria

- Age more than or equal to 65 years
- Clinical need for treatment of confusion/agitation unresponsive to standard analgesic medication (RASS +2 to +3, RASS = Richmond Agitation-Sedation Scale)
- Heart surgery and extracorporeal circulation (ECC) within 7 days
- Written informed consent obtained before surgery
- Mentally competent at the time of written informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Ongoing neuroleptic, propofol and alpha-2 agonist medication
- Intubated patient
- Uncompensated acute circulatory failure at time of randomisation (severe hypotension with mean arterial pressure [MAP] < 55 mmHg despite volume, pressors and IABP)
- Severe bradycardia without pacemaker backup (heart rate [HR] < 50 beats/min)
- AV-conduction block II-III (without pacemaker backup)
- Severe hepatic impairment (bilirubin > 101 µmol/l)
- Lithium therapy

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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