The Effect of Dexmedetomidine on Neuroendocrine Stress Hormone Release and Heart Rate Variability in Patients Undergoing Major Spinal Surgery
1 other identifier
interventional
52
1 country
1
Brief Summary
Surgical stress induces stress hormone release and sympathetic hyperactivation. Dexmedetomidine has sympatholytic effect and attenuates stress responses. This study investigate the effect of dexmedetomidine on stress responses and autonomic nervous system balance in patients undergoing major spine surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2016
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 6, 2016
CompletedFirst Posted
Study publicly available on registry
September 15, 2016
CompletedStudy Start
First participant enrolled
September 27, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2017
CompletedFebruary 28, 2018
February 1, 2018
9 months
September 6, 2016
February 27, 2018
Conditions
Outcome Measures
Primary Outcomes (5)
Stress hormone level
The levels of stress hormone including epinephrine, norepinephrine, cortisol, and glucose will be measured during spinal surgery.
immediately after anesthetic induction
Stress hormone level
The levels of stress hormone including epinephrine, norepinephrine, cortisol, and glucose will be measured during spinal surgery.
1 hour after start of surgery
Stress hormone level
The levels of stress hormone including epinephrine, norepinephrine, cortisol, and glucose will be measured during spinal surgery.
2-hour after start of surgery
Stress hormone level
The levels of stress hormone including epinephrine, norepinephrine, cortisol, and glucose will be measured during spinal surgery.
1 second after the end of surgery
Stress hormone level
The levels of stress hormone including epinephrine, norepinephrine, cortisol, and glucose will be measured during spinal surgery.
1 hour after the end of surgery
Study Arms (2)
Dexmedetomidine Group
EXPERIMENTALdexmedetomidine infusion (0.4 mcg/kg/h) from immediately after anesthetic induction to end of surgery
Control Group
PLACEBO COMPARATOR0.9% saline infusion
Interventions
dexmedetomidine infusion (0.4 mcg/kg/h) from immediately after anesthetic induction to end of surgery
Eligibility Criteria
You may qualify if:
- patient between 20 and 70 of age with ASA physical status Ⅰ-Ⅲ
- patient scheduled for major spine surgery
You may not qualify if:
- ASA physical status Ⅳ
- congestive heart failure
- severe hepatorenal disease
- insulin dependent DM(diabetes mellitus)
- cancer or metastasis
- pregnancy
- problem with communication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine
Seoul, 03722, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 6, 2016
First Posted
September 15, 2016
Study Start
September 27, 2016
Primary Completion
July 1, 2017
Study Completion
July 1, 2017
Last Updated
February 28, 2018
Record last verified: 2018-02
Data Sharing
- IPD Sharing
- Will not share