Clinical Study of Perioperative Sleep Disorders in Cardiac Surgery

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age40-75
SponsorNanjing First Hospital, Nanjing Medical University

About this trial

The aim of this clinical trial is to understand the effects of dexmedetomidine and esketamine on postoperative sleep in patients undergoing cardiac surgery. The main questions it aims to answer are:

Does dexmedetomidine or esketamine prevent the development of postoperative sleep disturbances? Which one works better? The researchers compared dexmedetomidine and esketamine with saline (a drug-free solvent) to see if dexmedetomidine and esketamine prevented the development of postoperative sleep disturbances.

Participants will:

1. Intraoperative continuous infusion of dexmedetomidine, esketamine or saline until the end of surgery 2. Postoperative sleep was assessed on the first and third postoperative days using a sleep rating scale

Eligibility criteria

Qualifiers

ASA class II-III, NYHA class I-III, EF ≥ 50%

Intended to perform cardiac surgery under extracorporeal circulation

Disqualifiers

Patients undergoing second heart surgery

Patients with mental retardation, deafness, or other conditions that interfere with normal communication

Previous neurological or psychiatric disorders

Patients with a history of sleep disorders

Trial design

Treatments tested in this trial

  • Intraoperative infusion of dexmedetomidine
  • Intraoperative infusion of esketamine
  • Saline control

Treatment groups

180 Participants
are divided into 3 treatment groups