RecruitingPhase 4NCT06575179

Dexmedetomidine Reduces Sevoflurane MAC-BAR During Pneumoperitoneum

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


Sponsor

Fujian Provincial Hospital

Enrollment

90 participants

Start Date

Sep 2, 2024

Study Type

INTERVENTIONAL

Conditions

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

Min Age: 18 YearsMax Age: 45 Years

Inclusion Criteria3

  • \. Aged 18-45 years.
  • \. American Society of Anesthesiologists (ASA) grade I - II.
  • \. Patients undergoing elective laparoscopic cholecystectomy.

Exclusion Criteria7

  • \. Inability to provide informed consent;
  • \. History of chronic pain or substance abuse;
  • \. Pregnancy;
  • \. Body mass index (BMI) ≥ 30 kg/m2;
  • \. Known allergies to the study medications;
  • \. Intake of medications within the last 72 hours that potential interfere with the determination of the MAC-BAR;
  • \. Any other condition deemed exclusionary by the investigators.

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Interventions

DRUGDexmedetomidine low-dose

The low-dose dexmedetomidine group received a 75 μg/h loading dose over 15 minutes, followed by 60 μg/h maintenance infusion intravenously.

DRUGnormal Saline

The control group received volume-matched 0.9% saline infusions at identical rates.

DRUGDexmedetomidine high-dose

The high-dose dexmedetomidine group received a 150 μg/h loading dose over 15 minutes, followed by 120 μg/h maintenance infusion intravenously.


Locations(1)

Fujian Provincial Hospital

Fuzhou, Fujian, China

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NCT06575179


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