Clinical Study of Perioperative Sleep Disorders in Cardiac Surgery

NCT ID: NCT06778811

Last Updated: 2025-02-07

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-11

Study Completion Date

2025-09-30

Brief Summary

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The aim of this clinical trial is to understand the effects of dexmedetomidine and esketamine on postoperative sleep in patients undergoing cardiac surgery. The main questions it aims to answer are:

Does dexmedetomidine or esketamine prevent the development of postoperative sleep disturbances? Which one works better? The researchers compared dexmedetomidine and esketamine with saline (a drug-free solvent) to see if dexmedetomidine and esketamine prevented the development of postoperative sleep disturbances.

Participants will:

1. Intraoperative continuous infusion of dexmedetomidine, esketamine or saline until the end of surgery
2. Postoperative sleep was assessed on the first and third postoperative days using a sleep rating scale

Detailed Description

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Conditions

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Sleep Wake Disorders Esketamine and the Quality of Recovery Dexmedetomidine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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dexmedetomidine group

Intraoperative infusion of 0.3ug/kg/h dexmedetomidine

Group Type EXPERIMENTAL

Intraoperative infusion of dexmedetomidine

Intervention Type DRUG

Intraoperative infusion of 0.3ug/kg/h dexmedetomidine

esketamine group

Intraoperative infusion of 0.3mg/kg/h esketamine

Group Type EXPERIMENTAL

Intraoperative infusion of esketamine

Intervention Type DRUG

Intraoperative infusion of 0.3mg/kg/h esketamine

control group

Intraoperative infusion of equal volumes of saline

Group Type PLACEBO_COMPARATOR

Saline control

Intervention Type DRUG

Intraoperative infusion of equal volumes of saline

Interventions

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Intraoperative infusion of dexmedetomidine

Intraoperative infusion of 0.3ug/kg/h dexmedetomidine

Intervention Type DRUG

Intraoperative infusion of esketamine

Intraoperative infusion of 0.3mg/kg/h esketamine

Intervention Type DRUG

Saline control

Intraoperative infusion of equal volumes of saline

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. ASA class II-III, NYHA class I-III, EF ≥ 50%
2. Intended to perform cardiac surgery under extracorporeal circulation

Exclusion Criteria

1. Patients undergoing second heart surgery
2. Patients with mental retardation, deafness, or other conditions that interfere with normal communication
3. Previous neurological or psychiatric disorders
4. Patients with a history of sleep disorders
5. Alcoholics, drug addicts, or psychotropic substance abusers
6. Significant hepatic or renal dysfunction affecting drug metabolism
7. Contraindication to the use of dexmedetomidine or esketamine.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nanjing First Hospital, Nanjing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Nanjing First Hospital,Nanjing Medical University

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

Nanjing First Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Kuang xueyi

Role: CONTACT

86+18651908072

hongwei shi

Role: CONTACT

86+18951670892

Facility Contacts

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kuang xueyi

Role: primary

86+18651908072

zhang ying, Master degree

Role: primary

86+15380998716

Other Identifiers

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KY20240924-05

Identifier Type: -

Identifier Source: org_study_id

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