Different Doses of Dexmedetomidine Combined With Esketamine in Women Undergoing Cesarean Delivery

Launched by PEKING UNIVERSITY FIRST HOSPITAL · Sep 23, 2024

Keywords

ClinConnect Summary

Esketamine is a commonly used anesthetic and analgesic drug during the perioperative period. Recent studies found that low-dose esketamine has rapid onset antidepressant effects and reduces postpartum depression when administered during cesarean delivery. However, even low-dose esketamine produces transient neuropsychiatric symptoms.

Dexmedetomidine is a high selective alpha2-adrenoceptor agonist and has both sedative and analgesic effects. When used in combination with esketamine, dexmedetomidine reduces esketamine related neuropsychiatric adverse reactions in patients undergoing general ...

Gender

FEMALE

Eligibility criteria

• Inclusion criteria:
• • Pregnant women aged ≥18 years.
• • Scheduled for elective or emergency cesarean delivery under neuraxial anesthesia.
• Exclusion criteria:
• • A previous history of schizophrenia;
• • Severe complications of pregnancy, such as pre-eclampsia, placenta accreta spectrum, or HELLP (intravascular haemolysis, elevated liver enzymes, and low platelet count) syndrome; or American Society of Anesthesiologists classification III or higher;
• • Any contraindications to ketamine or esketamine, such as refractory hypertension, severe cardiovascular disease, or hyperthyroidism;
• • Any contraindications to dexmedetomidine, such as sick sinus syndrome, severe sinus bradycardia (\<50 beats per minute), or second-degree or above atrioventricular block without pacemaker;
• • Other conditions that are considered unsuitable for study participation.