- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05451381
Vasopressor Requirements Depends on Sedation Strategy
Vasopressor Requirements During Dexmedetomidine Sedation vs Propofol vs Their Combination (Dexmedetomidine and Propofol) Sedation in Patients After Cardiac Surgery
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Kyiv, Ukraine, 01000
- Cardiosurgery departments with intensive care block
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Multi vascular lesions of the coronary arteries according to coronary angiography;
- Heart valve damage was confirmed by heart ultrasound, which is subject to surgical correction (aortic stenosis of III degree with a gradient on the aortic valve of more than 42 mmHg, aortic insufficiency III, mitral valve stenosis II-III, mitral regurgitation II-III)
- Age of patients from 18-80 years;
- Patient consent to participate in the study;
- Women who have a negative pregnancy test and use effective contraception throughout the study and for 3 weeks after its completion, or women who are unable to have children (women who have undergone a hysterectomy (removal of the uterus) or tubal ligation, women with a clinical diagnosis of infertility) or are menopausal for more than 1 year (absence of menstruation for at least 12 months). Adequate methods of contraception include: surgical sterilization, double barrier method of contraception, local contraception;
Exclusion Criteria:
- Refusal to participate;
- Hypersensitivity to propofol, dexmedetomidine;
- Prolonged mechanical ventilation in case of surgical complications (bleeding, inadequate perfusion of the myocardium);
- Occurred ischemic stroke;
- History of the ischemic stroke;
- History of the neurodegenerative diseases;
- History of the mental disorders;
- Use of neuroleptics, antidepressants for the last 5 years;
- History of the cardiac surgery in the past;
- Patients with chronic pulmonary disease (GOLD 3-4)
- Patients with asthma (moderate or severe),
- Participation in any other clinical trial;
- Gastric or duodenal ulcer with risk of bleeding;
- Chronic renal failure (ClCr less than 50 ml / h)
- Acute renal failure that occurred during surgery (ClCr less than 50 ml / h, or a decrease in the rate of diuresis to 0.1 ml / h in the first 4 hours after surgery and does not respond to diuretic therapy)
- Chronic hepatic insufficiency if there are laboratory signs of hypo coagulation without the use of anticoagulant therapy (INR> 1.5)
- If the patient has not stopped taking anticoagulants or antiplatelet agents in the preoperative period: warfarin 5 days before surgery, clopidogrel 5-7 days before surgery, xarelto / pradaxa 3 days before surgery),
- History of the hematological disease;
- Alcohol abuse in the anamnesis (3-4 times a week).
- Condition after chemotherapy;
- Pregnancy, lactation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Propofol group
Patient sedation after cardiac surgery at the intensive care unit. Sedation group (PR): continuous infusion of propofol using a syringe pump at the dose of 1-1.5 mg / kg / h |
sedation after cardiac surgery
Other Names:
|
Experimental: Dexmedetomidine group
Patient sedation after cardiac surgery at the intensive care unit. Sedation group Dexmedetomidine (DEX): continuous infusion of Dexmedetomidine using a syringe pump at the dose of 0.5-1.0 mcg/ kg / h |
sedation after cardiac surgery
Other Names:
|
Experimental: Dexmedetomidine and propofol group
Patient sedation after cardiac surgery at the intensive care unit. Sedation group DEX+PR: continuous infusion of propofol using a syringe pump at the dose of 0.5-1.5 mg / kg / h and dexmedetomidine 0.2-0.7 mcg\kg\h |
sedation after cardiac surgery
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
vasopressor requirements
Time Frame: every hour during sedation(up to 12 hours)
|
incidence of cases of using norepinephrine.
measurement tool is a fact of using that is marked as yes\no in the check-list
|
every hour during sedation(up to 12 hours)
|
dose of norepinephrine
Time Frame: every hour during sedation (up to 12 hours)
|
measure the maximum dose of norepinephrine in mcg\kg\min to achieve mean arterial pressure 70 mmHg
|
every hour during sedation (up to 12 hours)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of stay in the ICU
Time Frame: before discharging from ICU to the ward ( up to 3 days)
|
measure at days
|
before discharging from ICU to the ward ( up to 3 days)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Yelyzaveta Plechysta, MD, chief of the anesthesia department
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Dyskinesias
- Psychomotor Disorders
- Psychomotor Agitation
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Analgesics, Non-Narcotic
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Hypnotics and Sedatives
- Propofol
- Dexmedetomidine
Other Study ID Numbers
- 0120U100657
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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