ICU sedation, delirium & recovery

Effects of intraoperative sodium oxybate infusion on post-operative sleep quality in patients undergoing gynecological laparoscopic surgery: A randomized clinical trial

J Clin AnesthPublished Randomised controlled trial

Primary result · Total RCSQ scoreResult — go to the resultMean difference 9 95% CI 2–16

Authors' conclusion

Intraoperative sodium oxybate infusion improved post-operative sleep in patients who underwent gynecological laparoscopic surgery.

Study context

Population
Adults undergoing elective gynecological laparoscopic surgery, Shengjing Hospital of China Medical University, China178 analysed
Participants
180 adults
Comparison
Sodium oxybate vs Saline
  • Sodium oxybaten = 90
  • Salinen = 90reference
Primary endpoint
Sleep quality (Richards-Campbell Sleep Questionnaire, Richards-Campbell Sleep Questionnaire (RCSQ))
Follow-up
POD one and three
Methodological detailssingle-center, prospective, two-arm, double-blinded
  • Single-center
  • Prospective
  • Two-arm
  • Double-blinded

Primary result

Total RCSQ score · over PODs one and three

Mean difference

9

95% CI 2–16

P = 0.010

Sodium oxybate vs Saline
mean difference 9 (95% CI 2–16); P = 0.010

As reported in the abstract

Secondary outcomes

Post-operative pain (VAS) · post-operative days (PODs) one and three

No difference between the two groups

Post-operative sleep quality (Pittsburgh Sleep Quality Index) · one and three months post-operatively

No difference between the two groups

Factors associated with post-operative sleep quality

Age, surgery type, start time of surgery, and use of sufentanil-based patient-controlled intravenous analgesia significantly associated with post-operative sleep quality

Original publication

Effects of intraoperative sodium oxybate infusion on post-operative sleep quality in patients undergoing gynecological laparoscopic surgery: A randomized clinical trial. J Clin Anesth. Published 1 December 2023. doi:10.1016/j.jclinane.2023.111349

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