Effect of Dexmedetomidine on Sevoflurane Minimum Alveolar Concentration for Attenuating Adrenergic Response to CO2 Pneumoperitoneum: A Randomized Controlled Trial

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 4
SUMMARY

This clinical trial aims to learn the impact of dexmedetomidine on the minimum alveolar concentration blunting the adrenergic response (MAC-BAR) of sevoflurane to carbon dioxide pneumoperitoneum in patients undergoing laparoscopic cholecystectomy. It will also learn about the effect of dexmedetomidine on hemodynamic parameters. The main questions are: * Does dexmedetomidine reduce the MAC-BAR of sevoflurane required to suppress the sympathetic response to carbon dioxide pneumoperitoneum? * Would dexmedetomidine administration dose-dependently reduce the minimum alveolar concentration blunting the adrenergic response of sevoflurane required to suppress the sympathetic response to carbon dioxide pneumoperitoneum? Researchers will compare low-dose dexmedetomidine to high-dose dexmedetomidine to see if dexmedetomidine works to treat postoperative negative behavior change and emergence delirium. Participants will: * Take intravenous dexmedetomidine or 0.9% saline (a look-alike substance that contains no drug) * Study drug infusions were initiated 15 minutes prior to anesthesia induction, allowing a minimum of 30 minutes to elapse before surgical incision to achieve steady-state plasma and brain concentrations.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 45
Healthy Volunteers: f
View:

• 1\. Aged 18-45 years.

• 2\. American Society of Anesthesiologists (ASA) grade I - II.

• 3\. Patients undergoing elective laparoscopic cholecystectomy.

Locations
Other Locations
China
Fujian Provincial Hospital
RECRUITING
Fuzhou
Contact Information
Primary
Yusheng Yao, MD&PhD
fjslyys@fjmu.edu.cn
13559939629
Backup
Sisi Chen, MD
css@fjmu.edu.cn
15080109541
Time Frame
Start Date: 2024-09-02
Estimated Completion Date: 2024-12-30
Participants
Target number of participants: 90
Treatments
Placebo_comparator: Control group
The control group received volume-matched 0.9% saline infusions at identical rates.
Experimental: Low-dose dexmedetomidine group
The low-dose dexmedetomidine group received a 75 μg/h loading dose over 15 minutes, followed by 60 μg/h maintenance infusion intravenously.
Experimental: High-dose dexmedetomidine group
The high-dose dexmedetomidine group received a 150 μg/h loading dose over 15 minutes, followed by 120 μg/h maintenance infusion intravenously.
Related Therapeutic Areas
Sponsors
Leads: Fujian Provincial Hospital

This content was sourced from clinicaltrials.gov

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