Status:

NOT_YET_RECRUITING

Ketamine and Dexmedetomidine for Delirium in Joint Arthroplasty

Lead Sponsor:

Istinye University

Conditions:

Postoperative Delirium

Postoperative Cognitive Dysfunction

Eligibility:

All Genders

18-100 years

Phase:

NA

Brief Summary

This prospective, randomized, double-blind, placebo-controlled clinical trial aims to evaluate the effects of intraoperative ketamine and dexmedetomidine on the incidence of postoperative delirium (PO...

Eligibility Criteria

Inclusion

  • Scheduled for elective total joint arthroplasty (hip or knee)
  • ASA physical status I-III
  • Age between 18 and 100 years
  • Ability to provide informed consent and comply with cognitive assessments

Exclusion

  • Pre-existing cognitive dysfunction or diagnosed neurodegenerative disease
  • Hearing or language impairment interfering with MMSE/CAM evaluation
  • Known allergy to ketamine or dexmedetomidine
  • Significant cardiac arrhythmia (e.g., supraventricular tachycardia, 2nd or 3rd degree AV block)
  • Renal insufficiency (GFR \<30 mL/min/1.73 m²)
  • Severe hepatic dysfunction

Key Trial Info

Start Date :

May 5 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 15 2026

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT06963294

Start Date

May 5 2026

End Date

July 15 2026

Last Update

May 9 2025

Active Locations (1)

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Istinye Üniversity

Istanbul, Merkez Mahallesi, Turkey (Türkiye), 34250