Depth of Anesthesia/ Postoperative Cognitive dysfunvtion
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Part I (Cohort study design): 1. The patients agreed to take part in the study and signed informed consent; 2. ASA grading I-II; 3. Aged 18 to 80 years; 4. Undergiong elective unilateral total knee replacement (TKA) because of knee osteoarthritis. Part II (Randomized controlled trial design): 1. ASA grading I-II; 2. Aged 65 to 80 years; 3. Undergiong elective unilateral total knee replacement (TKA) because of knee osteoarthritis.
Exclusion criteria
Exclusion criteria: Part I: 1. Not suitable for nerve block (infection on puncture sites, coagulopathy disorders, allergy to local anesthetics, neurological diseases, motor or sensory disturbance); 2. Allergy to a2 adrenergic receptor agonist; 3. Psychiatric history, Parkinson's disease, hearing disorder; 4. Refuse to nerve block anesthesia with or without sedation. Part II: 1. Not suitable for nerve block (infection on puncture sites, coagulopathy disorders, allergy to local anesthetics, neurological diseases, motor or sensory disturbance); 2. Allergy to a2 adrenergic receptor agonist, propofol; 3. Psychiatric history, Parkinson's disease, hearing disorder; 4. Refuse to nerve block anesthesia with or without sedation; 5. Preoperative mini-mental state examination (MMSE) score <25; 6. Underwent operation within 1 year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| OAA/S score;Bispectral Index;Postoperative Cognitive Dysfunction Scale;Serum C-reactive protein;Serum Interleukin-6;Serum Adrenocorticotropic Hormone;Serum Cortisol;Delium CAM Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood Pressure;Heart Rate;visual analogue pain scale;Beck Depression Inventory;Iowa anesthesia satisfaction scale; | — |
Countries
China
Contacts
Chinese PLA General Hospital