Low-dose Neuroleptanalgesia for Postoperative Delirium in Elderly Patients

NCT ID: NCT05068180

Last Updated: 2021-10-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-05

Study Completion Date

2022-04-10

Brief Summary

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Postoperative delirium(POD)is a common complication that can directly affect important clinical outcomes, and exert an enormous burden on patients, their families, hospitals, and public resources. In order to evaluate whether an intraoperative administration of low-dose neuroleptanalgesia reduces postoperative delirium, droperidol 1.25 mg and fentanyl 0.025 mg or normal saline is used by intravenous injection 30 minutes before the end of the operation, in elderly patients with non-cardiac major surgery under general anesthesia. The efficiency and safety of neuroleptanalgesia on the incidence of POD would be evaluated in elderly patients.

Detailed Description

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Conditions

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Stomach Neoplasms Colonic Neoplasms Rectal Neoplasms Sigmoid Neoplasms Liver Neoplasms Kidney Neoplasms Urinary Bladder Neoplasms Prostatic Neoplasms Osteoarthropathy Fractures, Bone Gynecologic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Neuroleptanalgesia group

Droperidol 1.25 mg and fentanyl 0.025 mg (diluted with normal saline up to 5ml) is to be administrated intravenously 30 minutes before the end of the procedure.

Group Type EXPERIMENTAL

low-dose neuroleptanalgesia

Intervention Type DRUG

Droperidol 1.25 mg and fentanyl 0.025 mg (diluted with normal saline up to 5ml) is to be administrated intravenously 30 minutes before the end of the procedure.

Control group

The same volume of normal saline is to be administrated intravenously 30 minutes before the end of the procedure.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

The same volume of normal saline is to be administrated intravenously 30 minutes before the end of the procedure.

Interventions

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low-dose neuroleptanalgesia

Droperidol 1.25 mg and fentanyl 0.025 mg (diluted with normal saline up to 5ml) is to be administrated intravenously 30 minutes before the end of the procedure.

Intervention Type DRUG

Placebo

The same volume of normal saline is to be administrated intravenously 30 minutes before the end of the procedure.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 65 years old and ≤ 85 years old;
2. Selective non-cardiac major surgery;
3. Informed consent and voluntary participation in the trial;
4. ASA class I-II;
5. Anticipated operation duration ≥ 2 hours;
6. No plan to ICU after operation.

Exclusion Criteria

1. Neurosurgery;
2. Patients with neurological and mental diseases: such as basal ganglia disease, Parkinson's syndrome, severe central nervous depression, Alzheimer's disease , etc;
3. Patients with prolonged Q-T interval, cardiac repolarization disorder and other severe arrhythmia;
4. Patients with severe cardiopulmonary disease, liver and kidney dysfunction;
5. Allergic or contraindications to droperidol or fentanyl citrate;
6. Admitted to ICU after operation.
7. Operation duration \< 2 hours;
Minimum Eligible Age

65 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai 8th People's Hospital

OTHER

Sponsor Role collaborator

RenJi Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Diansan Su, Doctor

Role: STUDY_CHAIR

RenJi Hospital

Locations

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Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Eighth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Diansan Su, Doctor

Role: CONTACT

18616514088

Zhenling Huang, Doctor

Role: CONTACT

18964381971

Facility Contacts

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Zhenling Huang, Doctor

Role: primary

18964381971

Xiao Zhang, MS

Role: backup

18317087118

Cuixia Song, BS

Role: primary

13817874048

Other Identifiers

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KY2020-125

Identifier Type: -

Identifier Source: org_study_id

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