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Esketamine + dexmedetomidine is a drug combination being evaluated by Peking University Shenzhen Hospital for its effects on postoperative sleep quality, pain management, and cognitive function in elderly patients undergoing hip fracture surgery. Esketamine, the S-enantiomer of ketamine, functions as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist, providing potent analgesia and anesthetic effects. Dexmedetomidine is a highly selective alpha-2 adrenergic receptor agonist known for its sedative, analgesic, and sympatholytic properties without causing significant respiratory depression. The combination is administered intravenously via a loading dose followed by a continuous infusion to leverage the synergistic effects of both agents while potentially reducing the required dosage and side effect profile of each component.
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