Sleeping problems in mechanical ventilated critical ill patients in ICU MedDRA version: 20.0 Level: PT Classification code 10053319 Term: Sleep study System Organ Class: 10022891 - Investigations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Admitted to an ICU • = 18 years • Anticipated stay in the ICU for another day after sleep recording including patients in mechanically ventilated •Hemodynamically stable •Concious non sedated patients with Danish language Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: • Patients who are awake and conscious with a SOFA score over 12 • Post operative patients • Trauma patients • Structual neurologic diseases (e.g. stroke, tumor), degenerative (e.g.Parkinsons disease, dementias), seizure, infectios or other disorders affecting the brain based on critical history of epilepsi • Major psychiatric disorder: schizophrenia, severe depression • Second or third degree atrionventricular block (unless pacemaker inplanted) • Positive pregnancy test or currently lactating/ known pregnancy or lactation • Severe agitated delirium at the time of inclusion • High risk of death in the study period due to concomitant disease. • Use of other alpha-2 agonists (clonidine) during ICU stay • Patients with limitations in therapy • Participation in other study involving use of a pharmacologically active compound • Otherwise unable to fulfill the study, according to investigator´s opinion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Does dexmedetomidine improve deep sleep/sleep quality compared to placebo. ;Secondary Objective: Does dexmedetomidine compared with placebo affect on a) sleep phases, b) daytime function, including anxiety and delirium, ;Primary end point(s): Improvement of deep sleep/sleep quality of clinical significance will be determined by slow wave activities using PolySomnoGraphy (PSG);Timepoint(s) of evaluation of this end point: Continues measurement of sleep deept with a PolySomnoGraphy (PSG) during the study | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): d) Sleep phases will be determined by PSG e) Daytime function including anxiety and delirium determined by Cam ICU and alertness and wakeness determined by RASS ;Timepoint(s) of evaluation of this end point: Continues measurement during the study | — |
Countries
Denmark
Contacts
Region Hovedstaden