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The portable PSG machine can not be available any more.
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The investigators are going to compare the sleep quality and quantity between dexmedetomidine group and midazolam group using 24 hour polysomnography in critically ill patients. And the investigators also compare the incidence of delirium between the two groups.
Sleep is very important for cognitive and immune function. However, patients in intensive care unit (ICU) have a very poor sleep.
Almost all ventilated patients in intensive care unit (ICU) take a sedative drug. In Korea, most commonly used sedative drugs are dexmedetomidine and midazolam.
The investigators are going to compare the sleep quality and quantity between dexmedetomidine group and midazolam group using 24 hour polysomnography. And the investigators also compare the incidence of delirium between the two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexmedetomidine group | Dexmedetomidine group is the patients who sedated with dexmedetomidine in intensive care unit. We will randomly allocate using www.randomizer.org. They will sedate at the level of RASS -2. The dose of dexmedetomidine will be 0.2-0.7ug/kg/hr. | ||
| Midazolam group | Midazolam group is the patients who sedated with midazolam in intensive care unit. We will randomly allocate using www.randomizer.org. They will sedate at the level of RASS -2. The dose of midazolam will be 0.05-0.1 mg/kg/hr. |
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| Measure | Description | Time Frame |
|---|---|---|
| The differences of sleep stage, sleep efficiency, arousal index and delirium between dexmedetomidine group and midazolam group | during ICU stay |
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Inclusion Criteria:
Exclusion Criteria:
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Critical patients who take a sedative drugs (dexmedetomidine or midazolam).
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| Name | Affiliation | Role |
|---|---|---|
| Young-Jae Cho, MPH | Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 463-707 | South Korea |
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| ID | Term |
|---|---|
| D012892 | Sleep Deprivation |
| D020921 | Sleep Arousal Disorders |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
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| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
| D020447 | Parasomnias |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D019965 | Neurocognitive Disorders |