Shaping Anesthetic Techniques to Reduce Post-operative Delirium

Completed · Not applicable

Conditions studied: Delirium, Lumbar Radiculopathy, Lumbar Osteoarthritis, Lumbar Spine Disc Degeneration

In brief

The purpose of this study is to determine if light sedation with spinal anesthesia reduces the incidence of delirium compared to receiving general anesthesia during spinal surgery in older adults.

Key facts

Study ID

NCT03133845

Run by

Johns Hopkins University

People needed

218

Starts

2015-10-01

Expected to finish

2020-05-25

Last updated by the study team

2020-06-18

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female patients age 65 and over.
• Patients undergoing lumbar fusion performed by Dr. Charles Edwards II, Dr. Charles Edwards, Dr. Clayton Dean , or Dr. Justin Park at Mercy Medical Center.
• Expected length of surgery <3 hours.
• Ability to understand study procedures and to comply with them for the entire length of the study

You may not qualify if…

• Contradictions to spinal anesthesia (severe aortic stenosis, anti-coagulant or antiplatelet medications, other)
• Body mass index > 40 kg/m2
• prior lumbar fusion from L2-L5 in entirety
• Communication issues precluding delirium assessment or sedation
• Dementia or mini-mental status exam score < 24
• Psychiatric disease that would preclude cooperation with sedation with spinal anesthesia
• Any other reason that the attending anesthesiologist or surgeon feels that clinical circumstances dictate a strong preference for either spinal or general anesthesia.
• Inability or unwillingness of individual or legal guardian/representative to give written informed consent.

Where it is running

• Mercy Medical Center — Baltimore, Maryland, United States

Full record on ClinicalTrials.gov

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