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Evaluation of the Effect of Appropriate Sedation for Patients After Abdominal Surgeries : A Prospective Randomised Controlled Study

Not Applicable
Completed
Conditions
Postoperative Sedation, Abdominal Surgery
Interventions
Registration Number
NCT02670954
Lead Sponsor
Chinese Medical Association
Brief Summary

To evaluate the efficacy and safety of appropriate postoperative sedation with dexmedetomidine for patients after abdominal surgeries.Prospective randomised controlled study was conducted among patients after abdominal surgeries began in October 2015.The investigators enroll patients who received abdominal surgeries. One group receive sedative along with analgesic and the other group analgesic only for the other group on the first 24 hours after surgeries and will follow up for 3 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
154
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dexmedetomidine,tramadol and flurbiprofenDexmedetomidine, tramadol and flurbiprofenBoth routine analgesic and sedation(dexmedetomidine,tramadol and flurbiprofen) are applied for this group of patients.
Tramadol and flurbiprofentramadol and flurbiprofenOnly routine analgesic(Tramadol and flurbiprofen) is applied for this group of patients.
Primary Outcome Measures
NameTimeMethod
C-reactive protein(mg/L)1-3d after abdominal surgeries

evaluation of postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after surgeries

recovery of gastrointestinal functionfrom admission to 30 days after abdominal surgeries

assessed by time to first defecation

white blood cell count(10^9 /L)1-3d after abdominal surgeries

evaluation of postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after surgeries

postoperative pain1-3d after abdominal surgeries

assessed by Prince Henry Pain Scale by investigators at 8:00 am after surgeries until discharge from ICU

Secondary Outcome Measures
NameTimeMethod
risk of bradycardia requiring interventions1-3d after abdominal surgeries

heart rate \<40/min is considered bradycardia

use of opioids and use of benzodiazepins1-3d after abdominal surgeries
percentage of time within target sedation range1-3d after abdominal surgeries

assessed by Richmond Agitation-Sedation Scale by investigators at 8:00 am after surgeries until discharge from ICU, target range is -2 to +1

risk of hypotension requiring interventions1-3d after abdominal surgeries

systolic blood pressure \<80 mmHg or/and diastolic blood pressure \<50 mmHg is considered hypotension

Trial Locations

Locations (1)

Institute of General Surgery of Jinling Hospital

🇨🇳

Nanjing, Jiangsu, China

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