The aim of this study is to determine the effect of pregabalin versus dexmedetomidine on the treatment and lasting duration of delirium in fast tracking elderly patients after Coronary Artery Bypass Grafting.
Delirium is an acute brain disorder that involves changes in consciousness, attention, cognition, and perception.The incidence of postoperative delirium (POD) is high among patients undergoing cardiac surgery, ranging from 20 to 50%, and the risk is even higher in the elderly.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
70
Patients will receive pregabalin capsules (75 mg) every 12 h for 24 hours by nasogastric tube.
Patients will receive a bolus dose of 0.4 μg/kg dexmedetomidine (over a period of 10 to 20 min)
Islam Morsy
Tanta, El-Gharbia Governorate, Egypt
RECRUITINGPercent of delirium treatment
Assessment of delirium will be performed preoperatively and postoperatively at 12-h intervals or as needed according to the patient's condition using the confusion assessment method (CAM)
Time frame: 24 hour postoperatively
Level of sedation
Sedation level will be assessed by using the Ramsey sedation scale.
Time frame: 24 hour postoperatively
Incidence of weaning from mechanical ventilation
percent of patients who weaned from mechanical ventilation
Time frame: 1 week postoperatively
Length of hospital stay
Time frame: 1 month postoperatively
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