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The alpha2 agonist dexmedetomidine is a new sedative agent combined with the analgesic qualities and lack of respiratory depression. Patients sedated with dexmedetomidine could be easily roused, these advances shows dexmedetomidine may be a effective and safe sedative agent. But some studies showed some adversely effects of dexmedetomidine on haemodynamics (such as bradycardia, hypotension), the investigators want to further research the effects of dexmedetomidine on haemodynamics, such as Cardiac Output (CO), Systemic Venous Resistance Index(SVRI), and so on. Propofol is widely used sedative agent in ICU, it also has adversely effects like bradycardia and hypotension, so the investigators want to compare the effect of dexmedetomidine with propofol on haemodynamics after major abdominal surgery. Expect to further research the mechanism of haemodynamics of dexmedetomidine.
When the patients can be roused, they will first receive analgesia with bolus of fentanyl 0.03mg, followed by a continuous infusion at a fixed dose of 0.3μg/kg/h during study period. Then patients will be randomly divided into two groups (Dexmedetomidine and Propofol). All of them will receive hemodynamic monitoring through "Vigileo"(Edwards Lifesciences) and cardiogram monitor. The study will continue for 6-24 hours.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dexmedetomidine,hemodynamics,injection | Group 1:when the patient can be roused after major abdominal surgery ,we will inject dexmedetomidine at 1μg/kg in 10 minutes as a loading dose, followed by a continuous infusion at 0.3μg/kg/h for 6 to 24hours.then adjust the infusion dose to maintain the ramsay scale at 3-4 scores. |
| |
| propofol,hemodynamics,injection | Group 2 :when the patient can be roused after major abdominal surgery ,we will inject propofol at 0.5mg/kg as a loading dose, followed by a continuous infusion at 0.5mg/kg.h for 6 to 24hours.then adjust the infusion dose to maintain the ramsay scale at 3-4 scores |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dexmedetomidine | Drug | dexmedetomidine: IV (in the vein)at 1μg/kg in 10 minutes as a loading dose, followed by a continuous infusion at 0.3μg/kg/h.then adjust the infusion dose to maintain the ramsay scale at 3-4 scores. |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac output | the study will start when the patient can be roused after major abdominal surgery and will continue for 6 to 24hours |
| Measure | Description | Time Frame |
|---|---|---|
| Stroke Volume | the study will start when the patient can be roused after major abdominal surgery and will continue for 6 to 24hours |
| Measure | Description | Time Frame |
|---|---|---|
| Systemic Venous Resistance Index | the study will start when the patient can be roused after major abdominal surgery and will continue for 6 to 24hours |
Inclusion Criteria:
Exclusion Criteria:
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Postoperative patients of major abdominal surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| mingyin chen, MD | Contact | 008613925019136 | chmy1969@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| minying chen, MD | study principal investigator | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First affiliated hostipal,Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | 510080 | China |
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| propofol | Drug | propofol: IV (in the vein)at 0.5mg/kg as a loading dose, followed by a continuous infusion at 0.5mg/kg/h.then adjust the infusion dose to maintain the ramsay scale at 3-4 scores. |
|
| ID | Term |
|---|---|
| D000008 | Abdominal Neoplasms |
| D007415 | Intestinal Obstruction |
| D005355 | Fibrosis |
| D007412 | Intestinal Fistula |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D016154 | Digestive System Fistula |
| D005402 | Fistula |
| D020763 | Pathological Conditions, Anatomical |
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| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D015742 | Propofol |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
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