To evaluate the efficacy and safety of appropriate postoperative sedation with dexmedetomidine for patients after gastrectomy. Prospective randomised controlled study was conducted from October 2015 and December 2015 among patients after gastrectomy. The investigators are going to 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 follow up for 3 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Institute of General Surgery of Jinling Hospital
Nanjing, Jiangsu, China
RECRUITINGpostoperative pain assessed by Prince Henry Pain Scale
assessed by Prince Henry Pain Scale by investigators at 8:00 am after surgeries until discharge from ICU
Time frame: 1-3d after gastrectomy
recovery of gastrointestinal function assessed by time to first defecation after surgery
assessed by time to first defecation after surgery
Time frame: 30 days after gastrectomy
white blood cell count (10^9/L)
evaluate postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after gastrectomy
Time frame: 1-3d after gastrectomy
C-reactive protein (mg/L)
evaluate postoperative inflammatory response, blood sample collected at 6:00am for 1-3d after gastrectomy
Time frame: 1-3d after gastrectomy
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, the target range is -2 to +1
Time frame: 1-3d after gastrectomy
risk of bradycardia requiring interventions
heart rate \<40/min is considered bradycardia
Time frame: 1-3d after gastrectomy
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 gastrectomy
use of opioids and use of benzodiazepins
Time frame: 1-3d after gastrectomy
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