Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged >60 years of both sexes. Postoperative patients admitted to the ICU within 24 hours of surgery, before 8:00 PM. Patients who are not mechanically ventilated. Patients who can tolerate enteral feeding.
Exclusion criteria
Exclusion criteria: Pre-existing cognitive impairment or diagnosed dementia. History of psychiatric illness requiring ongoing treatment. Severe hepatic or renal impairment (e.g., Child-Pugh C liver disease, CKD stage 5). Known allergy or contraindication to melatonin. Patients receiving sedative-hypnotics or antipsychotics prior to ICU admission. Expected ICU stay <48 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of delirium during the first 5 days of ICU stay, assessed twice daily (10:00 AM and 10:00 PM) using the CAM-ICU. | — |
Secondary
| Measure | Time frame |
|---|---|
| Need for and total dose of haloperidol.;Length of ICU stay (days).;ICU mortality. | — |
Countries
Egypt
Contacts
ICU Resident