Effect of Different Doses of Dexmedetomidine on Cerebral Oxygen Saturation and Postoperative Anxiety in Elderly Patients

The First Hospital of Qinhuangdao105 enrolled

Overview

To investigate the effect of different doses of dexmedetomidine on Cerebral Oxygen Saturation and Postoperative anxiety in elderly patients undergoing laparoscopic surgery

A total of 105 patients who were admitted to The First Hospital of Qinhuangdao for laparoscopic surgery and divided into control group (group C), dexmedetomidine doses of 0.2 μg/kg (group D1), dexmedetomidine doses of 0.5 μg/kg (group D2). 105 patients were randomized equally into 3 groups. 35 cases in each group. Group C received general anesthesia without dexmedetomidine, groups D1 received general anesthesia with intravenous pump of 0. 2μg/kg/h dexmedetomidine, groups D2 received general anesthesia with intravenous pump of 0. 5μg/kg/h dexmedetomidine.SBP(Systolic Blood Pressure),DP(Diastolic Pressure),HR(Heart Rate) and rScO2(Regional cerebral oxygen saturation) of the three groups were recorded before anesthesia induction (T1), at the time of intubation (T2), five minutes after induction(T3),at the beginning of surgery (T4), immediately after surgery (T5), and five minutes after extubation (T6). The cognitive function of the three groups was assessed with the Mini Mental State Scale (MMSE) on the day before surgery. the anxiety of the three groups was assessed with Self-rating Anxiety Scale (SAS) on the day before surgery,one day after and three days after surgery, comparing the incidence of anxiety between the three groups. Analyze whether dexmedetomidine reduced the incidence of anxiety by increasing cerebral oxygen saturation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

105

Conditions

Anxiety

Interventions

DexmedetomidineDRUG

Groups D1 received general anesthesia with intravenous pump of 0. 2μg/kg/h dexmedetomidine to 30min before the end of the operation.Groups D2 received general anesthesia with intravenous pump of 0. 5μg/kg/h dexmedetomidine to 30min before the end of the operation.

normal salineDRUG

The same capacity of 0.9% normal saline was used in group C

Eligibility

Sex: ALLMin age: 65 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 65 years or older who underwent elective laparoscopic surgery under general anesthesia * BMI less than 30 kg/m2 * American Society of Anesthesiologists (ASA) grades I-III * The score of Mini Mental state examination≥24 Exclusion Criteria: * Patients with heart, lung and other vital organ disorders * The score of Mini Mental state examination≤23 * Preoperative psychiatric disorders or long-term use of drugs affecting the psychiatric system * Have severe visual, hearing, speech impairment or other inability to communicate with the visitor * Refuse to sign informed consent * known preoperative left ventricular ejection fraction less than 30%, sick sinus syndrome, severe sinus bradycardia (\<50 beats per min \[bpm\]), or second-degree or greater atrioventricular block without pacemaker

Locations (1)

The First hosptial of Qinhuangdao

Qinhuangdao, Hebei, China

Outcomes

Primary Outcomes

Incidence of anxiety at one day after surgery

The three groups of patients were scored on the Self-rating Anxiety Scale on the first day after surgery, and if the Self-rating Anxiety Scale score was ≥ 50 points, the patients developed anxiety, and whether the incidence of anxiety on the first day after surgery in the three groups was statistically significant.

Time frame: One day after surgery

Incidence of anxiety at three days after surgery

The three groups of patients were scored on the Self-rating Anxiety Scale on the third day after surgery, and if the Self-rating Anxiety Scale score was ≥ 50 points, the patients developed anxiety, and whether the incidence of anxiety on the third day after surgery in the three groups was statistically significant.

Time frame: Three days after surgery

Secondary Outcomes

Anesthetic drug

The dosage of remifentanil and propofol in different groups were recorded.

Time frame: Time Frame: during the surgery

The change of SBP

The change of Systolic blood pressure (SBP) among the three groups.

Time frame: before anesthesia induction, at the time of intubation, at the beginning of surgery, immediately after surgery , and five minutes after extubation

The change of rScO2

The change of regional cerebral oxygen saturation(rScO2) among the three groups.

Time frame: during the surgery

Data from ClinicalTrials.gov

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