Is Dexmedetomidine Associated With a Lower Incidence of Postoperative Delirium When Compared to Propofol or Midazolam in Cardiac Surgery Patients

Not Recruiting

Trial ID: NCT00417664


The purpose of this chart review study is to determine whether the use of dexmedetomidine, a selective α2-adrenergic receptor agonist with sedative, analgesic, and antinociceptive properties, would be associated with a lower incidence of delirium when compared to propofol and midazolam. We hypothesize that sedation with dexmedetomidine following cardiac surgery with CPB will be associated with a lower incidence of postoperative delirium.

Official Title

ICU Delirium: Can Dexmedetomidine Reduce Its Incidence?

Stanford Investigator(s)

Jose R. Maldonado, MD, FACLP, FACFE
Jose R. Maldonado, MD, FACLP, FACFE

John and Terry Levin Family Professor of Medicine and Professor, by courtesy, of Emergency Medicine and of Medicine


Inclusion Criteria:

   1. Diagnosis of a coronary artery disease, cardiac valve disease, or vascular problems
   requiring elective surgical intervention

   2. Age older than 18 years of age, less than 90 years of age

   3. Fluency in English, and willingness to participate in the study

   4. No history of recent (< 3 months) of alcohol or drug abuse

   5. No pre-operative evidence of heart block

   6. No history of dementia, schizophrenia, or post-traumatic stress disorder

Exclusion Criteria:

   1. A preexisting diagnoses of dementia, schizophrenia, active or recent alcohol or drug
   abuse/dependence; post-traumatic stress disorder; acute intoxication (i.e., positive
   urine drug and/or alcohol test at the time of initial evaluation or upon
   hospitalization for surgery)

   2. Age younger than 18, or older than 89 years of age

   3. Inability to understand enough English to complete required diagnostic testing

   4. Unwillingness to participate in the study

   5. Inability of subject or surrogate to consent.

   6. Pregnancy


drug: dexmedetomidine

drug: midazolam

drug: propofol

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305