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Optimization of anesthesia managements for gastrointestinal endoscopy in old patients: prospective, randomized, controlled clinical study

Effects of low dose dexmedetomidine versus ketamine or sulfentanyl on propofol infusion based anesthesia for gastrointestinal endoscopy in old patients

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR-INR-17013710
Enrollment
Unknown
Registered
2017-12-05
Start date
2017-12-25
Completion date
Unknown
Last updated
2017-12-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

gastrointestinal disease and anesthesia in old patients

Interventions

G(S+P):sufentanyl+propofol
G(D+P):dexmedetomidine+propofol
G(K+P):katamine+propofol
G(N+P):Physiological saline+propofol

Sponsors

Anesthesiology Dept. Shenzhen Hospital, Southern Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to 85 Years

Inclusion criteria

Inclusion criteria: 1. Aged between 60 and 80 years old; 2. ASA class for II-III; 3. BMI18kg/m^2-30 kg/m^2; 4. Planing to receive gastroscopy From September 2017 to October 2017; 5. The patient or family member fully understood the purpose and significance of this experiment, volunteered to participate in this clinical trial, and signed informed consent.

Exclusion criteria

Exclusion criteria: 1. Neurological dysfunction, Glasgow coma score (GCS) was less than 12 points; 2. Diabetic patients with no satisfactory control of blood glucose and blood pressure (random blood glucose in the screening period is greater than 11.1 mmlol/L) and hypertension patients (blood pressure is higher than 160mmHg). 3. There was a history of myocardial infarction and unstable angina in 6 months; 4, screening period exist bradycardia (heart rate 50 times per minute or less), III degree atrioventricular block (use of pacemaker patients), and other serious arrhythmia history; 5. Systolic pressure is less than 90 mmHg or patients with vasoactive drugs; 6. Patients with mental disorders (such as schizophrenia, depression, etc.) and cognitive dysfunction patients with a history of epilepsy, as well as patients with history of psycho-drug abuse and drug abuse; 7. the coagulation function abnormality (PT or INR, APTT>1.5 times normal value upper limit), has bleeding tendency (such as the active digestive tract ulcer) or is receiving thrombolytic or anticoagulant therapy; 8. abnormal liver function, ALT or AST>2 times normal value upper limit;Total bilirubin >1.5 times normal value upper limit; 9. Renal function abnormality, blood creatinine (cr) and/or urea nitrogen (BUN) >1.5 times normal value upper limit;Dialysis patients; 10. Patients with severe snoring or sleep apnea syndrome; 11. Patients who are allergic to the drugs used in this study or in the range of drug contraindications; To participate in clinical trials of other drugs within 12 or 3 months; 13. The researchers judged that the patient was not suitable for other situations in the clinical trial.

Design outcomes

Primary

MeasureTime frame
heart rate;blood pressure;Oxygen saturation;

Secondary

MeasureTime frame
The BIS value;ETCO2;Ramsay sedation scores;

Countries

China

Contacts

Public ContactYoutan Liu

Shenzhen Hospital, Southern Medical University

youtanliuhao@163.com+86 13902448143

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Mar 2, 2026