Cardiac Surgery, Neurocognitive Disorder
Conditions
Brief summary
The goal of this observational study is to explore the effect of remimazolam-based total intravenous anesthesia on postoperative neurocognitive function in patients who undergo cardiovascular surgery. The main question this study tries to answer is: Does remimazolam influence the incidence of postoperative delirium in cardiovascular surgery? Participants already apply remimazolam-based total intravenous anesthesia as part of their regular medical treatment for general anesthesia to perform cardiac surgery will answer questionnaires about cognitive function after surgery.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or female adult patients aged 60 years or older 2. Receiving elective cardiovascular surgery with cardiopulmonary bypass 3. Written Informed consent provided
Exclusion criteria
1. Deep hypothermia circulatory arrest 2. Breastfeeding or pregnancy 3. Mental or legal disability 4. Terminal illness with a life expectancy of less than 3 months 5. Unable to receive neuro-cognitive evaluation due to language, vision, or hearing impairments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the 5-day incidence of postoperative delirium | within five days postoperatively | the incedence of delirium evaluated by CAM/CAM-ICU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to extubation | Perioperative | Time to extubation postoperatively |
| Length of stay (LOS) in intensive care unit (ICU) | Perioperative | Length of stay (LOS) in intensive care unit (ICU) postoperatively |
| Length of stay (LOS) in hospital | Perioperative | Length of stay (LOS) in hospital postoperatively |
| the 30-day composite incidence of major adverse events | within 30 days postoperatively | Major adverse events refer to transient ischemic attack, stroke, renal insufficiency, myocardial infarction, pulmonary embolism, seizure and all-cause mortality. |
Countries
China