Dexmedetomidine Hydrochloride is a kind of high selectivity alpha 2 agonists adrenaline, can inhibit the activity of sympathetic nerve, and reduce the adverse effects of stress reaction in anesthesia recovery period.Literatures have been reported that Dex can reduce the rate of emergence agitation of children and adults,especially in elderly patients(\>64 years) after using sevoflurane anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
inhale Sevoflurane
intravenous pumping Dexmedetomidine 0.2µg/kg/h
normal saline mimic Dexmedetomidine, intravenous pumping 0.05ml/kg/h
Tangdu Hospital
Xi’an, Shanxi, China
RECRUITINGevaluation of agitation
stay in the PACU room after operation,measure the score of Aono's four-point scale(AFPS) every two minutes.
Time frame: the duration of PACU room stay,expect 30 minutes
evaluation of pain
stay in the PACU room after operation,measure the score of numeric rating scale(NRS) every two minutes.
Time frame: the duration of PACU room stay,expect 30 minutes
the amount of drugs
when stay in the hospital,measure the total doses of Nalbuphine and Fentanyl using
Time frame: the duration of hospital stay,expect 5 weeks
number of agitation
when stay in the hospital, measure the number of agitation.
Time frame: the duration of hospital stay,expect 5 weeks
the mean arterial pressure
measure the mean arterial pressure at 6 time points including after pump injection of Dexmedetomidine or normal saline 10 minutes, 20 minutes,30 minutes,before pulling out the endotracheal tube,at the time of pulling out the endotracheal tube,and after pulling out the endotracheal tube 5 minutes
Time frame: from the beginning of induction to skin closure, up to 1 hour
heart rate
measure the heart rate at 6 time points including after pump injection of Dexmedetomidine or normal saline 10 minutes, 20 minutes,30 minutes,before pulling out the endotracheal tube,at the time of pulling out the endotracheal tube,and after pulling out the endotracheal tube 5 minutes
Time frame: from the beginning of induction to skin closure, up to 1 hour
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