Diseases of the pancreas and the biliary tract
Conditions
Interventions
MAC group:Intravenous anesthesia without endotracheal intubation
IGA group:general endotracheal anaesthesia
Sponsors
Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. ERCP is planned, and the estimated operation time is >= 30min; 2. Sign informed consent; 3. Patients with one of the following cardiovascular risk factors: ASA >= grade 3; liver function child Pugh >= C; aged >= 75 years; weakness index >= 0.25; Bilirubin >= 50.
Exclusion criteria
Exclusion criteria: 1.STOP-BANG >= 3 points; 2.BMI >= 30; 3.Complicated with respiratory diseases (including asthma, COPD, ARDS, respiratory failure and respiratory tract infection); 4.Mask difficulty or airway difficulty is expected; 5.Satiety; 6.Tracheotomy; 7.Digestive tract obstruction; 8.Moderate and severe ascites (patients often have abdominal distension, positive mobile voiced sound, abdominal water submerges the intestinal canal under ultrasound, and the depth is > 3cm); 9.Hepatic encephalopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of composite SRCAEs; | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of SRRAEs;total procedure duration;room-in to room-out time in the ERCP suite;Number of body movements;Number of premature terminations due to sedation-related events;PACU resuscitation quality;Length of hospital stay; | — |
Countries
China
Contacts
Public ContactJiangang Song
Department of Anesthesiology, Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Outcome results
None listed