Skip to content

Effects of Opioid-Sparing Strategy with Subanesthetic Dose of Esketamine on Postoperative Sleep Quality and Gastrointestinal Function in Elderly Patients Undergoing Gastrointestinal Tumor Surgery

Effects of Opioid-Sparing Strategy with Subanesthetic Dose of Esketamine on Postoperative Sleep Quality and Gastrointestinal Function in Elderly Patients Undergoing Gastrointestinal Tumor Surgery

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600122039
Enrollment
Unknown
Registered
2026-04-08
Start date
2026-04-15
Completion date
Unknown
Last updated
2026-04-14

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

Conditions

Gastrointestinal Tumor Surgery

Interventions

Esketamine Group:During anesthesia maintenance, esketamine was administered intravenously at a dose of 0.1 mg/(kg·h).
Normal saline group:Intraoperative continuous infusion of normal saline

Sponsors

Shanxi Bethune Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Aged 60–80 years; 2. American Society of Anesthesiologists (ASA) physical status class II–III; 3. Body mass index (BMI) 18.5–30 kg/m²; 4. Patients scheduled for elective laparoscopic gastrointestinal tumor resection under general anesthesia; 5. Patients who had signed the informed consent form.

Exclusion criteria

Exclusion criteria: 1. Patients with contraindications to esketamine; 2. Gastrointestinal motility disorders; 3. History of abdominal surgery; 4. Patients with a history of neurodegenerative diseases (such as Alzheimer’s disease and Parkinson’s disease); 5. Patients with a history of alcoholism, long-term use of antidepressants, mental disorders, or communication disorders; 6. Patients with severe arrhythmia or severe hypertension.

Design outcomes

Primary

MeasureTime frame
Athens Insomnia Scale;

Secondary

MeasureTime frame
I-FEED scoring system;Time to first postoperative flatus and defecation;VAS pain score;15-item Quality of Recovery Score;Intraoperative consumption of propofol and remifentanil;Time to awakening and time to extubation;Consumption of opioids in the postoperative analgesic pump;Incidence of adverse reactions, including postoperative delirium, nightmares, hallucinations, dizziness, drowsiness, nausea and vomiting, and pruritus.;

Countries

China

Contacts

Public ContactZhang Jianwen

Shanxi Bethune Hospital

zjw030001@126.com+86 139 9429 9284

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Apr 17, 2026