aortic disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Plan for elective aortic surgery; 2. Age >=18 years old; 3.ASA grade I-III; 4.NYHA classification below Level III; 4. Preoperative awareness was clear, no cognitive dysfunction MoCA score >26 points.
Exclusion criteria
Exclusion criteria: 1. Off-pump surgery; 2. Emergency surgery; 3. Obese patients with BMI>=40kg/m2 and significant clinical manifestations of upper airway obstruction before surgery; 4. Patients with significant airway malformation or severe respiratory disease indicated by preoperative fiberoptic bronchoscopy or pulmonary CT; 5. Patients with preoperative tracheal intubation or ventilator support; 6. Patients with severe pulmonary hypertension; 7. Patients with severe heart failure, EF<30%, and unstable vital signs; 8. Suffer from severe neurological diseases, such as cerebrovascular disease, epilepsy, Parkinson's disease or Alzheimer's disease; 9. Suffering from serious mental system diseases, such as cognitive dysfunction, depression, schizophrenia, etc; 10. Special conditions occurred during the operation, such as delayed chest closure, perioperative IABP, ECMO placement, etc; 11. Patients with long-term use of psychotropic drugs or opioids before surgery; 12. Patients with a history of alcohol abuse or drug withdrawal in the past 6 months; 13. Patients who are unable to cooperate with cognitive assessment tests due to blindness, deafness, dementia, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| post operative delirium; | — |
Secondary
| Measure | Time frame |
|---|---|
| post operative cognitive dysfunction ;ICU length of stay;post operative length of stay;mortality;reintubation;reoperation;prolonged ventilation;renal failure;stroke;myocardial infarction;pneumonia ;new-onset postoperatory atrial fibrillation;infection;lactic acid; | — |
Countries
China
Contacts
Beijing Anzhen Hospital, Capital Medical University