About this trial
In intensive care, sleep disturbances are extremely common and represent a major source of discomfort for patients. Restorative sleep is very limited. Beyond being the primary source of discomfort reported by patients, these sleep disturbances are associated with difficulties in weaning from mechanical ventilation, an increased risk of delirium, and potentially higher mortality. Traditional treatments artificially increase the total duration of sleep but lead to disrupted sleep architecture.
Gamma-hydroxybutyrate (GHB) is currently used for several sleep disorders, such as narcolepsy, due to its ability to increase restorative sleep. This medication has been used for years as a sedative in intensive care. Despite these potential benefits, the efficacy of GHB has never been evaluated for sleep disturbances in intensive care settings.
This study focuses on evaluating the effectiveness of intravenous Gamma-hydroxybutyrate (GHB) in the treatment of sleep disorders in intensive care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18 years or older
Hospitalized in the ICU for more than 48 hours
Informed consent obtained from the patient
Disqualifiers
Unstable patient
Known allergy to Gamma-Hydroxybutyrate or any of the excipients
Technical impossibility of performing polysomnography
Childbearing or Positive pregnancy test for women of childbearing age or breastfeeding
Trial design
Parallel
Treatments tested in this trial
GHB
DrugAdministration of GHB intravenously with a induction followed by a maintenance dose for 8 hours.
Placebo
DrugAdministration of a placebo in the form of 0.9% NaCl intravenously, with a induction followed by a maintenance infusion for 8 hours.
Treatment groups
Trial outcomes
Primary outcomes
Deep slow-wave sleep
The primary endpoint is the duration (in minutes) of deep slow-wave sleep (N3 stage) based on polysomnographic recordings.
Secondary outcomes
Sleep onset latency
Total sleep time
Duration of N1 stage
Percentage of N1 stage
Sponsors and contacts
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