Status:

TERMINATED

Low-Dose Dexmedetomidine for Delirium Prevention in Mechanically Ventilated Septic Patients

Lead Sponsor:

Peking University First Hospital

Collaborating Sponsors:

China-Japan Friendship Hospital

Beijing Hospital

Conditions:

Adult

Intensive Care Unit

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Delirium is common in septic patients, especially those receiving mechanical ventilation in the intensive care unit (ICU). Dexmedetomidine is a highly selective α2 adrenoreceptor agonist with anxiolyt...

Detailed Description

Delirium is an acutely occurred and fluctuating disorder of consciousness, attention, and cognition. The occurrence of delirium is associated with worse outcomes including prolonged mechanical ventila...

Eligibility Criteria

Inclusion

  • Aged 18 years or older;
  • Admitted to the ICU;
  • With expected mechanical ventilation duration ≥12 hours;
  • Meet the diagnostic criteria of sepsis (sepsis 3.0; patient with infection and a sequential organ failure assessment score ≥2).

Exclusion

  • Refuse to participate in;
  • Pregnancy;
  • History of schizophrenia, epilepsy, parkinsonism, or myasthenia gravis;
  • Inability to communicate (coma, profound dementia, or language barrier);
  • Brain injury or neurosurgery;
  • Left ventricular ejection fraction (LVEF) less than 30%, sick sinus syndrome, severe sinus bradycardia (\<50 beats per min \[bpm\]), or second degree or greater atrioventricular block without pacemaker;
  • Serious hepatic dysfunction (Child-Pugh class C);
  • Serious renal dysfunction (undergoing dialysis);
  • With expected survival for no more than 24 hours;
  • Allergic to dexmedetomidine;
  • Other conditions that were considered unsuitable for study participation.

Key Trial Info

Start Date :

May 28 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 2 2024

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT04876937

Start Date

May 28 2021

End Date

March 2 2024

Last Update

August 5 2025

Active Locations (1)

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1

Peking University First Hospital

Beijing, Beijing Municipality, China, 100034