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临床试验/NCT02548923
NCT02548923已完成4 期

Dexmedetomidine Versus Propofol for Prolonged Sedation in Critically Ill Trauma and Surgical Patients

University of Tennessee Graduate School of Medicine1 个研究点 分布在 1 个国家目标入组 57 人开始时间: 2014年11月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
57
试验地点
1
主要终点
Duration of Mechanical Ventilation

研究概览

简要总结

The purpose of this study is to assess the efficacy of dexmedetomidine versus propofol for prolonged sedation in trauma and surgical patients.

详细描述

Design: Open-label, single-center prospective study. Setting: Trauma/Surgical Intensive Care Unit (TSICU) at a Level I academic trauma center.

Patients: Patients 18 years of age or older requiring mechanical ventilation and admitted to the TSICU Interventions: Patients were randomly assigned based on unit bed location to receive dexmedetomidine or propofol for sedation.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients were included in the study if they were 18 years of age or older,
  • mechanically ventilated,
  • placed on the institutional sedation protocol,
  • expected to require sedation lasting 24 hours after randomization, and
  • admitted to the TSICU and followed by the Trauma/Surgical Service.

排除标准

  • Patients were excluded for any of the following:
  • 72 hours or greater since sedation protocol initiation,
  • treatment per the institutional traumatic brain injury (TBI) protocol,
  • concomitant continuous infusion of a neuromuscular blocking agent,
  • heart rate less than 50 beats per minute,
  • mean arterial pressure less than 55 mmHg despite fluid resuscitation and vasopressors, and
  • use of other alpha-2 agonists within 24 hours of randomization.

研究组 & 干预措施

dexmedetomidine group

Active Comparator

Patients who received dexmedetomidine for sedation

干预措施: Dexmedetomidine (Drug)

结局指标

主要结局

Duration of Mechanical Ventilation

时间窗: ICU stay

An average of 10 days

次要结局

  • Mortality(Hospital length of stay)
  • proportion of time in target sedation(ICU length of stay)
  • incidence of delirium(ICU length of stay)
  • hypotension(ICU length of stay)
  • bradycardia(ICU length of stay)
  • ICU and hospital length of stay(hospital length of stay)

研究者

发起方
University of Tennessee Graduate School of Medicine
申办方类型
Other
责任方
Principal Investigator
主要研究者

Brian Daley

Professor

University of Tennessee Graduate School of Medicine

研究点 (1)

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