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Clinical trial

Effect of Subanesthetic Dose of Esketamine on Sleep Quality and Recovery of Gastrointestinal Function in Patients Undergoing General Anesthesia Laparoscopic Uterine Surgery in the Early Postoperative Period

Zhuan ZhangCompletedStarted Mar 25, 2023138 enrolledChinaNCT05715671

Abstract

Patients undergoing gynecological surgery are at high risk of developing postoperative sleep disorders. Intraoperative opioid use is detrimental to the patient's postoperative recovery of gastrointestinal function. Esketamine has sedative, hypnotic, analgesic, inflammatory response suppression, and antidepressant effects. Its hypnotic mechanism may be related to its rapid blockade of NMDA receptors and hyperpolarization-activated cyclic nucleotide-gated cation channels. Also can reduce the application of perioperative opioids, which in turn promotes the recovery of gastrointestinal function in patients after surgery.

Topics & conditions

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Ketamine

Keywords

EsketamineGeneral anesthesia laparoscopic uterine surgerySleep qualityRecovery of gastrointestinal functionPatients Undergoing General Anesthesia Laparoscopic Uterine Surgery

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