Evaluation if physostigmine reduces symptoms in patients who has developed a delirium in Intensive care after a surgery
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
Department of Anesthesiology, Intensive-Care Medicine and Pain Therapy
Frankfurt, Hessia, Germany
RECRUITINGchange of vigilance or symptoms of the delirium measured by Richmond Agitation Sedation Score (RASS)
Time frame: baseline to 48 hours after administration
reduction of weaning time at mechanical ventilator of patients with symptoms of delirium
Time frame: baseline to 48 hours after administration
change in the spontaneous EEG and auditory evoked potentials
for the spontaneous EEG, we expect a shift in the frequency characteristics, measure is the spectrogram, more precisely the amplitude per frequency (band) and the phase information derived via Fourier Transform and Wavelet transformation The paradigm of the auditory stimulation is a roving paradigm (Science 13 May 2011: Vol. 332 no. 6031 pp. 858-862 DOI: 10.1126/science.1202043 •Report Preserved Feedforward But Impaired Top-Down Processes in the Vegetative State Melanie Boly1,2,\*, Marta Isabel Garrido2, Olivia Gosseries1, Marie-Aurélie Bruno1, Pierre Boveroux3, Caroline Schnakers1, Marcello Massimini4, Vladimir Litvak2, Steven Laureys1, Karl Friston2) Measures will be differences in the mismatch negativity and in the phase synchronization between electrodes
Time frame: baseline to 48 hours after administration
impact of the variability of heart rate
heart rate variability is a dimensionless parameter, assessing the variability of the heart rate from ECG measures (Heart Rate Variability Conny M. A. van Ravenswaaij-Arts, MD; Louis A. A. Kollee, MD, PhD; Jeroen C. W. Hopman, MSc; Gerard B. A. Stoelinga, MD, PhD; and Herman P. van Geijn, MD, PhD \[+-\] Article and Author Information Ann Intern Med. 1993;118(6):436-447. doi:10.7326/0003-4819-118-6-199303150-00008 )
Time frame: baseline to 48 hours
change in development of muscular force
muscular force is measured with a force gauge, measured in \[Newton\]
Time frame: baseline up to 48 hours
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Occurence of Adverse events
Time frame: baseline to 4 weeks after treatment