Tracheal extubation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective thoracoscopic lobectomy (two or three holes) under combined general-epidural anesthesia or general anesthesia, requiring one-lung ventilation with double-lumen endotracheal intubation; 2. Patients aged 18 to 65 years; 3. The American Society of Anesthesiologists (ASA) graded I-II; 4. Patients willing to sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with severe respiratory diseases, COPD, asthma, airway hyperresponsiveness, and upper respiratory tract infection within 2 weeks; 2. Patients with severe cardiovascular diseases, such as coronary heart disease, severe valvular disease, etc., and preoperative electrocardiogram indicating sinus bradycardia HR < 50 bpm; 3. Patients with contraindications for epidual block; 4. Patients with history of antitussive drugs, or long-term use of opioids due to chronic pain; 5. Patients with history of remifentanil allergy; 6. Pregnant or lactating women; 7. Patients who have participated in any drug clinical trial within 30 days before the start of the study; 8. Other conditions that the researchers think are not suitable for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| EC90; | — |
Secondary
| Measure | Time frame |
|---|---|
| EC95;EC99;Differences in mean arterial pressure (MAP), heart rate (HR), pulse oxygen saturation (SpO2), respiratory rate, BIS value, MAC between the two groups at each time point;The incidence of adverse events in the peri-awake period: bradycardia, hypotension, hypoxemia, laryngospasm, hoarseness;Ramsay pulse oxygen saturation (SpO2), respiratory rate, Aldrete sedation score, VAS (Visual Analogue Scale) score, PONV (post-operative nausea and vomiting), hoarseness or throat discomfort in PACU; | — |
Countries
China
Contacts
Zhongshan Hospital Affiliated to Fudan University