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A Study on the Sedative Effect of Dexmedetomidine Nasal Spray Combined with Intrathecal Anesthesia in Elderly Patients Undergoing Joint Replacement Surgery

A Study on the Sedative Effect of Dexmedetomidine Nasal Spray Combined with Intrathecal Anesthesia in Elderly Patients Undergoing Joint Replacement Surgery

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600125786
Enrollment
Unknown
Registered
2026-06-01
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-06-08

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

Conditions

None

Interventions

Low-dose group:Dexmedetomidine 50 micrograms administered by nasal spray
High-dose group:Dexmedetomidine 100 micrograms administered by nasal spray

Sponsors

Suzhou Municipal Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age over 65 years old, with the same surgical and anesthesia team performing the surgery and anesthesia procedures; 2. American Society of Anesthesiologists (ASA) classification: I-III grade; 3. First-time spinal anesthesia for unilateral total hip or total knee arthroplasty; 4. No use of a2 receptor agonists in the past month.

Exclusion criteria

Exclusion criteria: 1. The patient has undergone multiple same-side total hip or total knee joint replacements; 2. Emergency surgery patients; 3. Missing clinical data; 4. Having severe internal medical conditions, such as liver and kidney dysfunction; 5. History of nasal surgery or diseases, such as rhinitis, nasal polyps and sinusitis; 6. Sinus bradycardia and atrioventricular block; 7. Coagulation dysfunction or history of lumbar spine surgery, etc.

Design outcomes

Primary

MeasureTime frame
Ramsay Sedation Score;

Secondary

MeasureTime frame
Self-rating Anxiety Scale (SAS) score;CAM scale score;

Countries

China

Contacts

Public ContactChengyong Gu

Suzhou Municipal Hospital

gcygcy1979@163.com+86 138 6216 9052

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026