Gastrointestinal tumors
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 65 years, regardless of gender; 2. ASA physical status classification I-IV; 3. Scheduled for elective laparoscopic gastrointestinal surgery with an anticipated duration >1 hour; 4. Voluntarily participated and provided written informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with known hypersensitivity to fospropofol disodium or propofol; 2. BMI >30 kg/m^2 or 2× upper limit of normal); 11. Preoperative systolic blood pressure <90 mmHg; 12. Severe coagulation disorders, endocrine diseases, or other conditions compromising hemodynamic stability; 13. Current participation in other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rate of general anesthesia maintenance; | — |
Secondary
| Measure | Time frame |
|---|---|
| Systolic blood pressure (SBP) variability during anesthesia maintenance;Incidence of hypotension during general anesthesia maintenance;Area under the curve (AUC) of SBP below baseline values;Incidence of SBP <90 mmHg within the first hour of maintenance;Vasoactive drug usage rate, total dosage, and dose per unit time;Absolute blood pressure at key timepoints: pre-induction, post-intubation, skin incision, pneumoperitoneum establishment, end of surgery, immediately after extubation;BIS maintenance rate (40-60) from skin incision to surgery completion (%);Time to full awakening (from surgery end until MOAA/S=5 in three consecutive assessments);PACU stay duration;Adverse Events: pruritus and paresthesia, postoperative nausea and vomiting (PONV), dizziness;Total administered doses of fospropofol disodium, propofol, and remifentanil; | — |
Countries
China
Contacts
Wannan Medical College Yijishan Hospital