Prognosis for patients undergoing elective surgery in neurosurgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective neurosurgery under general anesthesia; 2. ASA grade I ~ III; 3. Age 18-80 years old, clear mind; 4. Agree to participate in this study and sign the informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients who are participating or planning to participate in any interventional clinical trial; 2. Patients with severe hepatic and renal insufficiency; 3. Contraindications to the use of a2-adrenergic agonists; 4. Dexmedetomidine allergy; 5. Severe bradycardia (heart rate <40 beats/min), sick sinus syndrome or second to third degree atrioventricular block; 6. Severe mental illness and communication difficulties; 7. Use amiodarone or dexmedetomidine within 30 days; 8. Ejection fraction < 30% or severe heart failure, myocardial infarction within 7 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative recovery time and quality of recovery; | — |
Secondary
| Measure | Time frame |
|---|---|
| The incidence of intraoperative hypotension, the type of vasopressor used and the amount of drugs;Adverse reactions during awakening;The incidence and severity of pain on the day after surgery and within 3-5 consecutive days after surgery, the type and amount of intervention drugs, and the effect after intervention;duration of stay in the postanesthesia care unit;Incidence and severity of delirium on the day after surgery and within 3 to 5 consecutive days after surgery;Recovery on the day after surgery and within 3-5 consecutive days after surgery;Anxiety score on the day after surgery and for 3-5 consecutive days after surgery;Depression score on the postoperative day and for 3-5 consecutive days postoperatively;Sleep quality on the day after surgery and for 3-5 consecutive days after surgery;The incidence, severity and grade of epilepsy, as well as the type and dosage of intervention drugs during postoperative to discharge and within 1 month of postoperative follow-up; | — |
Countries
China
Contacts
Huzhou Central Hospital, The Affiliated Central Hospital of Huzhou University (The Fifth School of Clinical Medicine of Zhejiang Chinese Medical University)