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The Impact of Esketamine-Dominated Opioid-Free Anesthesia on Postoperative Delirium in Elderly Patients Following TULIP Surgery

The Impact of Esketamine-Dominated Opioid-Free Anesthesia on Postoperative Delirium in Elderly Patients Following TULIP Surgery

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500112637
Enrollment
Unknown
Registered
2025-11-17
Start date
2025-12-01
Completion date
Unknown
Last updated
2025-11-24

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

Conditions

Benign Prostatic Hyperplasia

Interventions

OFA:Anesthesia Induction:Midazolam: 0.05 mg/kg IV
Esketamine: 0.5 mg/kg IV
Propofol: 1.5-2.0 mg/kg IV
Rocuronium: 0.6 mg/kg IV Anesthesia Maintenance:Dexmedetomidine: 0.1-0.3 µg/kg/min IV
Propofol: 5-7 mg/kg/h IV Esketamine: 0.3-0.5 mg/kg/h IV
Control Group:Anesthesia Induction:Midazolam: 0.05 mg/kg IV
Sufentanil: 0.2-0.4 µg/kg IV
Propofol: 1.5-2.0 mg/kg IVRocuronium: 0.6 mg/kg IV
Anesthesia Maintenance:Propofol: 5-7 mg/kg/h IV
Remifentanil: 8-10 µg/kg/h IV

Sponsors

Huaihe Hospital of Henan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to 85 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria:? aged 65-85 years, body mass index (BMI) of 18-30 kg/m^2, and American Society of Anesthesiologists (ASA) physical status classification of II-III.

Exclusion criteria

Exclusion criteria: 1.Patients with preoperative unconsciousness, inability to provide informed consent, or communication difficulties. 2.Patients with a history of allergy to the investigational drugs. 3.Patients who refused to cooperate. 4.Patients with severe cardiac or pulmonary diseases, craniocerebral injury, or psychiatric disorders. 5.Patients with uncontrolled hypertension

Design outcomes

Primary

MeasureTime frame
Occurrence of postoperative delirium;

Secondary

MeasureTime frame
MAP;Heart rate;Opioid dosage;Utilization rate of vasoactive drugs;Emergence time;Rescue analgesia rate;VAS score;

Countries

China

Contacts

Public ContactQing YANG

Huaihe Hospital of Henan University, Gulou District, Kaifeng City, Henan Province, China

xwq_mzk@163.com+86 182 3786 5133

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026