Reducing Delirium After Cardiac Surgery: A Multifaceted Approach Of Perioperative Care
NCT01378741 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 185
Last updated 2015-04-21
Summary
The objective of this study is to reduce the incidence of postoperative delirium after cardiac surgery in the elderly patient. This proposal is a clinical trial designed to reduce delirium in patients undergoing cardiac surgery by replacing standard postoperative sedation protocols (propofol, midazolam, opioids) with a new alpha2-adrenergic receptor agonist (dexmedetomidine) possessing sedative, analgesic, and antinociceptive properties. Resource utilization analysis will be performed to determine cost effectiveness of the new treatment modality.
Conditions
- Delirium
- Cardiac Disease
Interventions
- DRUG
-
Propofol
Upon arrival to ICU patients will receive a propofol 2-6mg/kg infusion until tracheal extubation
- DRUG
-
Dexmedetomidine
Upon arrival to ICU patients will receive dexmedetomidine bolus of 0.4mcg/kg followed by an infusion of 0.2-0.7mcg/kg per hour for a maximum period of 24 hours.
Sponsors & Collaborators
-
Hospira, now a wholly owned subsidiary of Pfizer
collaborator INDUSTRY -
University Health Network, Toronto
lead OTHER
Principal Investigators
-
George Djaiani, MD · Toronto General Hospital, UHN
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-04-30
- Primary Completion
- 2014-07-31
- Completion
- 2015-04-30
Countries
- Canada
Study Locations
More Related Trials
-
Dexmedetomidine and IV Acetaminophen for the Prevention of Postoperative Delirium Following Cardiac Surgery
NCT02546765 ·Status: COMPLETED ·Phase: PHASE4
-
Dexmedetomidine Versus Morphine and Midazolam in Prevention and Treatment of Delirium After Adult Cardiac Surgery
NCT03078946 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Sedative Agent on Reducing the Frequency of Arrhythmia in the Patients After Cardiac Surgery
NCT05450497 ·Status: COMPLETED ·Phase: NA
-
The PATHFINDER Study: A Feasibility Trial
NCT04016740 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Dexmedetomidine and Delirium in Patients After Cardiac Surgery
NCT02267538 ·Status: COMPLETED ·Phase: PHASE4
-
Pregabalin Versus Dexmedetomidine for Delirium Prevention After Cardiac Surgery
NCT05640479 ·Status: COMPLETED ·Phase: PHASE4
-
Impact of Various Sedation Regimens on the Incidence of Delirium
NCT02117726 ·Status: UNKNOWN ·Phase: PHASE4
-
Dexmedetomidine in Reducing Postoperative Delirium in Cardiac Surgery Patients
NCT06619912 ·Status: RECRUITING ·Phase: PHASE3
-
Dexmedetomidine vs Propofol Sedation Reduces Postoperative Delirium in Patients Receiving Hip Arthroplasty.
NCT02793986 ·Status: COMPLETED ·Phase: NA
-
The Deep Sedation for Ablation Study
NCT03844841 ·Status: COMPLETED ·Phase: PHASE4
-
Cognitive Outcomes After Dexmedetomidine Sedation in Cardiac Surgery Patients
NCT04289142 ·Status: RECRUITING ·Phase: PHASE4
-
Dexmetomedine for Post Operative Delirium in Elderly Patients Undergoing Elective Total Knee Replacement Under Spinal Anesthesia
NCT05707741 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine Dosage for Postoperative Delirium and Cognitive Function in Elderly TKA Patients
NCT06614881 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine vs. Propofol for Cataract Surgery
NCT00786370 ·Status: COMPLETED ·Phase: PHASE4
-
Ketamine Versus Dexmedetomidine for Prevention of Postoperative Delirium
NCT05341154 ·Status: COMPLETED ·Phase: NA
-
Influence of Dexmedetomidine or Propofol on ICU Delirium
NCT02807467 ·Status: TERMINATED ·Phase: PHASE4
-
Dexmedetomidinine in the Prevention of Postoperative Delirium in the Intensive Care Unit After Cardiac Surgery
NCT05849597 ·Status: RECRUITING ·Phase: PHASE3
-
A Research Study to Evaluate the Effectiveness of Dexmedetomidine in Preventing Delirium After Hip Fracture Repair Surgery
NCT00460473 ·Status: TERMINATED ·Phase: PHASE3
-
Dexmedetomidine for the Treatment of Delirium After Heart Surgery
NCT01140529 ·Status: TERMINATED ·Phase: PHASE3
-
Ancillary Effects of Dexmedetomidine Sedation After Cardiac Surgery
NCT02004613 ·Status: COMPLETED ·Phase: PHASE4
-
Dexmedetomidine on Postoperative Delirium and Quality of Recovery in Geriatric Patients
NCT01283412 ·Status: UNKNOWN ·Phase: PHASE3
-
Dexmedetomidine Versus Propofol for Continuous Sedation in the Intensive Care Unit (ICU)
NCT00479661 ·Status: COMPLETED ·Phase: PHASE3
-
The Mechanism of Dexmedetomidine in Improving Delirium After Cardiac Surgery
NCT04127500 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Dexmedetomidine Versus Clonidine to Control Delirium in Patients Undergoing CABG
NCT03477994 ·Status: COMPLETED ·Phase: NA
-
The Effect of Desflurane on Myocardial Function in Patients Undergoing Coronary Artery Bypass Grafting
NCT02213718 ·Status: UNKNOWN ·Phase: PHASE4