Dexmedetomidine-Esketamine Combination and Sleep Disturbances After Major Noncardiac Surgery

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University First Hospital

About this trial

Sleep disturbances are common early after major surgery, and are associated with delayed recovery. A previous study showed that dexmedetomidine-esketamine combination as a supplement to patient-controlled intravenous analgesia improved postoperative analgesia and subjective sleep quality in patients after scoliosis correction surgery. The purpose of this trial is to test the hypothesis that dexmedetomidine-esketamine combination used as a supplement during general anesthesia and postoperative intravenous analgesia may reduce sleep disturbances in adult after major noncardiac surgery.

Eligibility criteria

Qualifiers

Aged ≥18 years.

Scheduled for major noncardiac surgery (≥60 minutes) under general anesthesia with an expected end of surgery no later than 18:00 pm.

Required patient-controlled intravenous analgesia after surgery.

Disqualifiers

Emergency surgery, transurethral surgery, organ transplantation.

Pregnant or lactating women.

Patients who need hypnotics for sleep disturbance or antidepressants for depression prior to surgery.

History of schizophrenia, epilepsy, Parkinson's disease, or myasthenia gravis.

Trial design

Treatments tested in this trial

  • Dexmedetomidine-esketamine combination
  • Placebo

Treatment groups

476 Participants
are divided into 2 treatment groups