To evaluate the efficacy and safety of appropriate postoperative sedation with dexmedetomidine for patients after abdominal surgeries.Prospective randomised controlled study was conducted among patients after abdominal surgeries began in October 2015.The investigators enroll patients who received abdominal surgeries. One group receive sedative along with analgesic and the other group analgesic only for the other group on the first 24 hours after surgeries and will follow up for 3 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
154
Institute of General Surgery of Jinling Hospital
Nanjing, Jiangsu, China
postoperative pain
assessed by Prince Henry Pain Scale by investigators at 8:00 am after surgeries until discharge from ICU
Time frame: 1-3d after abdominal surgeries
recovery of gastrointestinal function
assessed by time to first defecation
Time frame: from admission to 30 days after abdominal surgeries
white blood cell count(10^9 /L)
evaluation of postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after surgeries
Time frame: 1-3d after abdominal surgeries
C-reactive protein(mg/L)
evaluation of postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after surgeries
Time frame: 1-3d after abdominal surgeries
percentage of time within target sedation range
assessed by Richmond Agitation-Sedation Scale by investigators at 8:00 am after surgeries until discharge from ICU, target range is -2 to +1
Time frame: 1-3d after abdominal surgeries
risk of hypotension requiring interventions
systolic blood pressure \<80 mmHg or/and diastolic blood pressure \<50 mmHg is considered hypotension
Time frame: 1-3d after abdominal surgeries
risk of bradycardia requiring interventions
heart rate \<40/min is considered bradycardia
Time frame: 1-3d after abdominal surgeries
use of opioids and use of benzodiazepins
Time frame: 1-3d after abdominal surgeries
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