Status:

RECRUITING

Different Dose Esketamine and Dexmedetomidine Combination for Supplemental Analgesia After Scoliosis Correction Surgery

Lead Sponsor:

Peking University First Hospital

Conditions:

Scoliosis Correction

Esketamine

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Scoliosis correction surgery is associated with severe pain. Patients after scoliosis correction surgery usually require high dose opioids and long duration analgesia, which may increase side effects ...

Detailed Description

Spinal surgery is associated with severe pain, with a median pain score of 7 (interquartile range, 4 to 8) on the first postoperative day, and requires long duration analgesia. The total dose of opioi...

Eligibility Criteria

Inclusion

  • Aged ≥18 years and body weight ≥40 kg;
  • Scheduled to undergo scoliosis correction with pedicle screw fixation;
  • Required patient-controlled intravenous analgesia after surgery.

Exclusion

  • Preoperative sick sinus syndrome, severe sinus bradycardia (heart rate \<50 beats/min), atrioventricular block grade II or above without pacemaker; or comorbid with congenital heart disease, arrhythmia, or other serious cardiovascular diseases with a cardiac function grade ≥III;
  • Patients with moderate and severe obstructive sleep apnea diagnosed preoperatively or according to the STOP-Bang score;
  • History of hyperthyroidism and pheochromocytoma;
  • History of schizophrenia, epilepsy, myasthenia gravis, or delirium;
  • Severe liver dysfunction (child Pugh grade C), severe renal dysfunction (preoperative dialysis), or American Society of Anesthesiologists grade ≥IV;
  • Barrier in communication;
  • Other conditions that are considered unsuitable for study participation.

Key Trial Info

Start Date :

October 24 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2025

Estimated Enrollment :

312 Patients enrolled

Trial Details

Trial ID

NCT06062550

Start Date

October 24 2023

End Date

October 1 2025

Last Update

July 31 2025

Active Locations (1)

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1

Beijing University First Hospital

Beijing, Beijing Municipality, China, 100034