patient with mechanical ventilation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 65 years; 2. Patients admitted to the ICU who require invasive mechanical ventilation; 3. Expected sedation duration exceeds >= 24 hours; 4. The target Richmond Agitation-Sedation Scale (RASS) score for sedation of the patient is +1 to -2 points; 5. BMI is 18 - 30 kg/m^2; 6. The patient or their family member has signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Have contraindications or allergies to the studied drugs; 2. Have acute severe neurological diseases and any other conditions that interfere with the RASS assessment; 3. Cardiovascular system diseases: bradycardia requiring medication and/or heart rate = 50 beats per minute, II-III degree atrioventricular block (excluding patients using pacemakers), acute or chronic myocarditis; 4. Acute hepatitis or severe liver dysfunction (Child-Pugh C grade); 5. Chronic kidney disease patients with a glomerular filtration rate (GFR) of = 30 mL/(min * 1.73 m2); 6. Patients with high-level paraplegia and total paralysis; 7. Patients considered by the study to have uncontrolled hemodynamics; 8. Have a history of abuse of neuroactive drugs and anesthetic drugs; During the screening period, have a history of alcohol abuse within the previous 3 months, or have been taking long-term psychotropic drugs, etc.; 9. Pregnant or lactating; 10. Participating in other clinical trials of drugs; 11. Other situations where the investigator determines that the patient is not suitable for inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of achieving sedation without hypotension within 30 minutes; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sedation Target Achievement Rate;Recovery Time;Duration of Invasive Mechanical Ventilation;Length of ICU Stay (ICU LOS); | — |
Countries
China
Contacts
Ningbo Medical Center Lihuili Hospital