Can a common anesthesia drug shield the brain after heart surgery?
NCT ID NCT07759297
First seen Aug 12, 2026 · Last updated Sep 10, 2026 · Updated 3 times
Summary
This observational study looks at whether giving dexmedetomidine during cardiac surgery is linked to a lower chance of postoperative delirium—a state of confusion that can occur after surgery. Researchers will analyze medical records from over 5,000 adults who had heart surgery with a heart-lung machine, comparing those who received the drug with those who did not. They will also test stored blood samples for a protein linked to inflammation to explore a possible biological connection. The goal is to understand if this drug might help protect the brain after major heart surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine
- What this could lead to
- If dexmedetomidine is linked to a lower risk of postoperative delirium, it could guide anesthesia choices to protect brain health after cardiac surgery.
- What could go wrong
- This is an observational study, so it can only show associations, not cause and effect. The drug's use was decided by doctors, not randomly assigned, so other factors may influence the results.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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5,688 people
The number who actually took part.
- Started
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Apr 2023
- Finished
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Oct 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consisted of adults aged 18 years or older who underwent cardiac surgery with cardiopulmonary bypass. The retrospective cohort included eligible patients treated at three campuses of Tongji Hospital between January 2015 and December 2022. The prospective biomarker cohort consisted of participants enrolled between April 2023 and September 2024 for whom archived perioperative plasma samples and linked clinical data were available.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 years or older. * Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). * For the retrospective cohort, eligible patients undergoing cardiac surgery with CPB at the three participating campuses of Tongji Hospital between January 2015 and December 2022. * For the prospective biomarker cohort, eligible participants enrolled between April 2023 and September 2024 with archived plasma samples collected preoperatively, at the end of surgery, and 24 h postoperatively, together with linked clinical data. Exclusion Criteria: * Conditions precluding dexmedetomidine use, including second- or third-degree atrioventricular block without a pacemaker, uncontrolled hypotension, acute cerebrovascular disease, or known hypersensitivity to dexmedetomidine. * Severe neurological or psychiatric disorders, including a history of treatment for severe mental illness. * Inability to communicate effectively because of severe hearing, visual, or speech impairments. * Pregnancy or breastfeeding. * Emergency surgery.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030, China
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Other studies related to the condition(s) this trial covers.
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