Effect of Opioid-free Anaesthesia on Postoperative Delirium in Elderly Patients Undergoing Gastrointestinal Surgery

PHASE4Not yet recruitingINTERVENTIONAL
Enrollment

406

Participants

Timeline

Start Date

May 20, 2025

Primary Completion Date

January 5, 2026

Study Completion Date

May 12, 2026

Conditions
Delirium - PostoperativeOpioid-Free Anaesthesia
Interventions
DRUG

Dexmedetomidine

Continuous infusion at 0.5-1.0 μg/kg/h during surgery

DRUG

Esketamine

Induction dose 0.3-0.5 mg/kg; maintenance 0.2-0.5 mg/kg/h; 0.02 mg/kg at closure; PCIA: 1.5 mg/kg in 100 mL saline

DRUG

Esmolol

Maintenance 20-100 μg/kg/min during surgery

DRUG

Sufentanil

0.3-0.5 μg/kg induction; 0.15 μg/kg at closure; 2 μg/kg in 100 mL for PCIA

DRUG

Remifentanil

0.2-1.0 μg/kg/min maintenance

Trial Locations (1)

250014

The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan

All Listed Sponsors
lead

Qianfoshan Hospital

OTHER