Is Dexmedetomidine Associated With a Lower Incidence of Postoperative Delirium When Compared to Propofol or Midazolam in Cardiac Surgery Patients

Trial ID or NCT#

NCT00417664

Status

not recruiting iconNOT RECRUITING

Purpose

The purpose of this chart review study is to determine whether the use of dexmedetomidine, a selective α2-adrenergic receptor agonist with sedative, analgesic, and antinociceptive properties, would be associated with a lower incidence of delirium when compared to propofol and midazolam. We hypothesize that sedation with dexmedetomidine following cardiac surgery with CPB will be associated with a lower incidence of postoperative delirium.

Official Title

ICU Delirium: Can Dexmedetomidine Reduce Its Incidence?

Eligibility Criteria

Ages Eligible for Study: 18 Years to 89 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: Yes
Inclusion Criteria:
  1. 1. Diagnosis of a coronary artery disease, cardiac valve disease, or vascular problems requiring elective surgical intervention2. Age older than 18 years of age, less than 90 years of age3. Fluency in English, and willingness to participate in the study4. No history of recent (\< 3 months) of alcohol or drug abuse5. No pre-operative evidence of heart block6. No history of dementia, schizophrenia, or post-traumatic stress disorder
Exclusion Criteria:
  1. 1. A preexisting diagnoses of dementia, schizophrenia, active or recent alcohol or drug abuse/dependence; post-traumatic stress disorder; acute intoxication (i.e., positive urine drug and/or alcohol test at the time of initial evaluation or upon hospitalization for surgery)2. Age younger than 18, or older than 89 years of age3. Inability to understand enough English to complete required diagnostic testing4. Unwillingness to participate in the study5. Inability of subject or surrogate to consent.6. Pregnancy

Investigator(s)

Jose R. Maldonado, MD, FACLP, FACFE
Jose R. Maldonado, MD, FACLP, FACFE
Psychiatrist, Transplant psychiatrist, Neuropsychiatrist
John and Terry Levin Family Professor of Medicine and Professor, by courtesy, of Emergency Medicine and of Medicine