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CompletedPhase 3

Dexmedetomidine in Reducing Postoperative Delirium in Cardiac Surgery Patients

Key facts

Who runs it
Xijing Hospital
Where
China1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
Phase
Phase 3
People taking part
686 people enrolled
Started
3 Mar 2025
Ended
8 Sept 2026
Type of study
Interventional, 2 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • Dexmedetomidine nasal spray
Record updated
13 November 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • Aged 18 years or older
  • Cardiac surgery with cardiopulmonary bypass
  • Ability to provide consent

Who cannot take part

  • Unable to communicate due to coma, severe dementia, or language barriers prior to surgery
  • Deep hypothermic circulatory arrest surgery
  • Preoperative schizophrenia, epilepsy, Parkinson's disease, myasthenia gravis, history of neurosurgery, or Mini-mental State Examination(MMSE) score: illiteracy<17, primary school level<20, high school level <24
  • Patients with sick sinus syndrome, severe sinus bradycardia (heart rate<50 beats/minute), grade II or above atrioventricular block, and no pacemaker implanted
  • Heart transplant surgery
  • Surgery for congenital heart disease
  • Patients with severe liver dysfunction (Child Pugh C grade), renal dysfunction (preoperative dialysis), ASA grade V or expected survival ≤ 24 hours
  • Already enrolled in other study patients
  • Refuse to participate

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

Delirium is a common consequence of cardiac surgery and associates with poor outcomes. Multiple causes can trigger delirium occurence, and it has been hypothesised that sleep disturbances can be one of them. Dexmedetomidine may be effective in reducing delirium. The aim of this study was to demonstrate preoperative dexmedetomidine nasal spray in cardiac surgery patients can reduce postoperative delirium by improving preoperative sleep.

The 2 groups in the trial

  • Dexmedetomidine groupTreatment being tested

    The Dexmedetomidine group will receive dexmedetomidine nasal spray (1.5ug/kg, ideal body weight) at the night before surgery and 15 minutes before induction.

    Treatment: Dexmedetomidine nasal spray

  • Control groupNo study treatment, for comparison

    In the control group, the treatment is sodium chloride 0.9% nasal spray. Follows the same rules as in the experimental group.

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Dexmedetomidine in Reducing Postoperative Delirium in Cardiac Surgery Patients:a Single-center, Double- Blind, Controlled Trial
Record updated
13 November 2026