Effects of Different Administration Routes of Dexmedetomidine on Postoperative Sleep Quality in Patients Undergoing Thyroidectomy
NCT07622355 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-06-11
Summary
Patients undergoing thyroid surgery often experience significant preoperative anxiety and show high concern about voice changes, scar formation and other related issues. Postoperative neck discomfort and dysphagia also tend to disrupt normal sleep. Dexmedetomidine activates α₂ receptors in the mesencephalic-pontine-medullary reticular formation, inhibits the release of norepinephrine, and induces a sleep state similar to non-rapid eye movement (NREM) sleep, particularly the N2 stage, which is closer to physiological sleep. This study aimed to explore the effects of intranasal spray versus intravenous administration of dexmedetomidine on postoperative sleep quality in patients undergoing thyroidectomy. By optimizing preoperative pharmacological intervention, it intends to improve patients' postoperative sleep quality, relieve pain and reduce postoperative adverse reactions, enhance recovery quality, and optimize patients' satisfaction and comfort level.
Conditions
- Thyroid Diseases
Interventions
- DRUG
-
Dexmedetomidine (DEX)
Thirty minutes before surgery, 100 μg dexmedetomidine nasal spray was administered via alternating bilateral nostrils, with an equal volume of 0.9% normal saline pumped intravenously simultaneously.
- DRUG
-
Dexmedetomidine (DEX)
Thirty minutes before surgery, dexmedetomidine 0.5 μg/kg is administered intravenously as a 10-minute loading dose, with an equal volume of 0.9% normal saline given via nasal spray simultaneously.
- DRUG
-
Saline
An equal volume of 0.9% normal saline is administered via both nasal spray and intravenous route.
Sponsors & Collaborators
-
The Second People's Hospital of Huai'an
lead OTHER
Principal Investigators
-
Jun Wang · The Second People's Hospital of Huai'an
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-01
- Primary Completion
- 2026-06-30
- Completion
- 2026-07-31
Countries
- China
Study Locations
More Related Trials
-
Use of Prophylactic Steroids in the Prevention of Post-thyroidectomy Hypocalcaemia and Voice Dysfunction
NCT04752852 ·Status: COMPLETED ·Phase: NA
-
Nausea and Pain Prophylaxis During Thyroid Surgery
NCT00569920 ·Status: COMPLETED ·Phase: NA
-
The Effect of Preoperative Oral Dexamethasone Supplementation on the Outcome of Thyroidectomised Patients.
NCT04412694 ·Status: UNKNOWN ·Phase: PHASE4
-
The Effectiveness of Intracuff Dexmedetomidine in Preventing Postoperative Sore Throat Following Prone Surgery
NCT07202624 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Esketamine on Cough Reflex During Tracheal Extubation in Patients Undergoing Open Thyroid Surgery
NCT07625826 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Single Dose Steroid Before Thyroidectomy for Benign Disease to Improve Postoperative Nausea, Pain, and Vocal Function
NCT00888303 ·Status: UNKNOWN ·Phase: PHASE2
-
EFFECT OF DEXMEDETOMİDİNE ON RECURRENT LARYNGEAL NERVE MONİTORİNG: A COMPARATİVE STUDY WİTH MİDAZOLAM
NCT07195214 ·Status: COMPLETED
-
Comparison of Anesthesia Effects of Sevoflurane and Propofol Combined With Dexmedetomidine in Intraoperative Neuromonitoring During Thyroidectomy
NCT04680650 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Dexamethasone on Cortisol Levels in Patients Undergoing Thyroid Surgery
NCT01045876 ·Status: WITHDRAWN ·Phase: PHASE4
-
Superficial Cervical Plexus Block With Dexmedetomidine Versus Without Adjuvant in Thyroid Surgery
NCT07274670 ·Status: COMPLETED ·Phase: NA
-
The Improvement of Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve
NCT03911232 ·Status: COMPLETED ·Phase: NA
-
The Use of Dexamethasone in Total Thyroidectomy to Improve Voice Outcome and Hypocalcaemia
NCT05732883 ·Status: RECRUITING ·Phase: PHASE2
-
Postoperative Sleep Quality of Patients Anesthesia With Propofol or Sevoflurane Undergoing Thyroidectomy
NCT02146976 ·Status: COMPLETED ·Phase: PHASE4
-
Opioid-free Anesthesia in Thyroidectomies
NCT05243940 ·Status: UNKNOWN ·Phase: NA
-
Preoperative Single-dose Steroid Application for the Treatment of Nausea and Vomiting After Thyroid Surgery
NCT01189292 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Different Drugs for Glottic Atomization on Postoperative Sore Throat After Thyroid Surgery
NCT07491991 ·Status: COMPLETED ·Phase: PHASE4
-
Steroid Before Thyroidectomy
NCT00619086 ·Status: COMPLETED ·Phase: NA
-
The Effect of Esketamine on Cough Reflex During Tracheal Extubation in Patients Undergoing Non-inflatable Transoral Endoscopic Thyroid Surgery
NCT07641673 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Mecobalamin in Promoting Recurrent Laryngeal Nerve Function Recovery After Thyroid Surgery
NCT07274696 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Adequate Dosage of Sugammadex on Thyroid Surgery
NCT03689413 ·Status: COMPLETED ·Phase: NA
-
Comparison of the Effects of Total Intravenous Anaesthesia With Target-Controlled Infusion (TCI) and Inhalation Anaesthesia on Airway Complications During Extubation and in the Early Postoperative Period in Thyroidectomy Surgery
NCT07325669 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Bilateral Superficial Cervical Plexus Block in Thyroid/Parathyroid Surgery
NCT04051099 ·Status: UNKNOWN ·Phase: NA
-
Feasibility of Neostigmine for Intraoperative Neuromonitoring in Thyroid Surgery
NCT04873531 ·Status: COMPLETED ·Phase: NA
-
Effect of Modified Endotracheal Intubation Protocol Combined With Early Oral Intake on Postoperative Recovery Quality in Thyroid and Parathyroid Surgery
NCT05624463 ·Status: COMPLETED ·Phase: NA
-
Dexamethasone for the Prevention of Recurrent Laryngeal Nerve Palsy
NCT01690806 ·Status: COMPLETED