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Patients undergoing complex free flap surgery are randomised to volatile or intravenous sedation in terms of subsequent intensive care sedation, based on the in-hospital standard of care. For study purposes, differences in management (set-up times, change of filters, etc.) will be investigated in relation to accelerated awakening and possibly improved neurocognition after the end of sedation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| volatile sedation | Active Comparator | Patients receive volatile sedation for the intended 72 hours of deep sedation after complex free flap surgery. |
|
| intravenous sedation | No Intervention | Patients receive intravenous sedation (e.g. propofol) for the intended 72 hours of deep sedation after complex free flap surgery. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| critical care management | Other | The different sedation methods result in considerable differences in terms of set-up costs and the management of the patient, which will be examined in a direct comparison. |
| Measure | Description | Time Frame |
|---|---|---|
| Material consumption | Required equipment and disposable materials related to the treatment interval as well as their monetary value in euros or US dollars. | Inventory of the required materials until the end of sedation (90 hours) |
| Working time expenditure | Time spent by nurses or physicians on the specific sedation procedure, as well as the corresponding financial value based on nationally applicable collective wage agreements in euros or US dollars. | Inventory of the required time until the end of sedation (90 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Delir | Occurrence of delirium in the intensive care setting | Within the intensive care stay (5 days) |
| Time to awake | Time required beyond the intended 72 hours of sedation for the patient to awaken |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Frankfurt | Frankfurt am Main | Hesse | 60590 | Germany |
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| Within the intensive care stay (5 days) |