Dexmedetomidine Sedation and Cardiopulmonary Bypass
NCT02727621 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2016-09-27
Summary
Dexmedetomidine is a unique sedative anesthetic agent that allows accurate control of the depth of sedation and provides analgesia, cardio protection, renal protection, and neuroprotection without causing respiratory depression. It is an alpha 2-adrenoreceptor agonist that modulates the release of catecholamines from the central and autonomic nervous systems. When patients sedated by dexmedetomidine are allowed to become responsive, they are calm and cooperative (1). No other sedative agent has this feature, and sedated patients frequently awaken in a confused state. Investigators are conducting this study project to compare between dexmedetomidine based and propofol based anesthetic techniques with regard to hemodynamic changes, stress hormone release as well as cytokines in patients undergoing CPB for coronary revascularization.
Conditions
- Coronary Artery Bypass Grafting
Interventions
- DRUG
-
Dexmedetomidine
Anesthesia will be maintained with continuous infusion of dexmedetomidine 0.5-0.7 µg/kg/h in addition to sevoflurane supplementation as required, to maintain arterial blood pressure and heart rate within 20% of preoperative values. Muscle relaxation will be maintained with continuous rocuronium infusion 0.6 mg/kg/h.
- DRUG
-
propofol
Anesthesia will be maintained with continuous infusion of propofol 50-100 µg/kg/min in addition to sevoflurane supplementation as required, to maintain arterial blood pressure and heart rate within 20% of preoperative values. Muscle relaxation will be maintained with continuous rocuronium infusion 0.6 mg/kg/h.
Sponsors & Collaborators
-
Assiut University
lead OTHER
Principal Investigators
-
Sayed Abd-Elshafy, MD · Associate professor, anesthesia and critical care
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2016-09-30
- Completion
- 2016-09-30
Countries
- Egypt
Study Locations
More Related Trials
-
Effect of Dexmedetomidine on Left Ventricular Function in Coronary Artery Bypass Graft Surgery Outcome
NCT05778305 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Dexmedetomidine Infusion Dose Versus Rapid Bolus Dose Before Tracheal Intubation.
NCT06327399 ·Status: RECRUITING ·Phase: PHASE2
-
Cerebral Vascular Effects of Dexmedetomidine Versus Propofol Sedation in Intubated Mechanically Ventilated ICU Patients
NCT03285165 ·Status: SUSPENDED ·Phase: PHASE2/PHASE3
-
Effect of Dexmedetomidine on Propofol Requirement During Anesthesia
NCT02599168 ·Status: COMPLETED ·Phase: PHASE4
-
The Effects of Dexmedetomidine on Microcirculation and Surgical Outcomes After Cardiac Surgeries
NCT02786212 ·Status: COMPLETED ·Phase: NA
-
Effect of Dexmedetomidine Preconditioning on Myocardial Ischemia-reperfusion Injury in Patients Undergoing Open Heart Surgery With Cardiopulmonary Bypass
NCT05598177 ·Status: COMPLETED ·Phase: PHASE4
-
Perioperative Dexmedetomidine and 30-Day Outcomes After Adult Cardiac Surgery
NCT07249164 ·Status: COMPLETED
-
Dexmedetomidine's Cardiac and Cognitive Influence on Patients Undergoing Off-pump Coronary Artery Bypass Graft Surgery
NCT01704092 ·Status: UNKNOWN
-
Para-vertebral Dexmedetomidine and the Incidence of Postoperative Chronic Pain
NCT03632161 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine Versus Propofol for Prolonged Sedation in Poly Traumatized Mechanically Ventilated Patients
NCT02606409 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Dexmedetomidine Versus Midazolam-Fentanyl for Analgesia and Sedation
NCT06464263 ·Status: RECRUITING ·Phase: NA
-
Dexmedetomidine Infusion Effect on Hemodynamic Variables During Craniotomy
NCT04607525 ·Status: COMPLETED ·Phase: PHASE4
-
EFFECT OF DEXMEDETOMİDİNE AND MİDAZOLAM SEDATİON ON HEART RATE VARİABİLİTY AFTER CORONARY ARTERY BYPASS GRAFT SURGERY
NCT03601091 ·Status: UNKNOWN ·Phase: NA
-
Effect of Dexmedetomidine on Hemodynamics in Cardiac Surgery
NCT06958913 ·Status: COMPLETED ·Phase: NA
-
Effect of Remimazolam Versus Dexmedetomidine on the Incidence of Delirium After Elective Cardiac Surgery with Cardiopulmonary Bypass: a Prospective Randomized Controlled Trial
NCT06756178 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Comparison Between Dexmedetomidine and Propofol for Patients in the Intensive Care Unit After Abdominal Surgery
NCT02874768 ·Status: COMPLETED ·Phase: PHASE4
-
Dexmedetomidine and Myocardial Protection
NCT04871308 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine for Pain Reduction in CABG
NCT05534230 ·Status: UNKNOWN ·Phase: NA
-
Dexmedetomidine Versus Fentanyl Added to Levobupivacaine for Transversus Abdominis Plane (TAP) Block
NCT03778671 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Attenuation of Airway and Cardiovascular Responses to Extubation in Chronic Smokers
NCT04659642 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Dexmedetomidine for Sedation During Radiological Interventional Procedures
NCT02180737 ·Status: COMPLETED ·Phase: PHASE4
-
Dexmedetomidine and IV Acetaminophen for the Prevention of Postoperative Delirium Following Cardiac Surgery
NCT02546765 ·Status: COMPLETED ·Phase: PHASE4
-
Hemodynamic Responses of Dexmedetomidine, Lidocaine or Propofol Infusions During Laparoscopic Cholecystectomy
NCT05937282 ·Status: UNKNOWN ·Phase: PHASE4
-
The Sedative Effects of Dexmedetomidine VS Propofol During Peribulbar Anesthesia in Patients Undergoing Vitrectomy Surgery
NCT06369103 ·Status: RECRUITING ·Phase: PHASE4
-
Hemodynamic Effect of Dexmedetomidine Alone With Dexmedetomidine Plus Ketamine Combination in CABG
NCT05218161 ·Status: UNKNOWN ·Phase: NA