Postoperative Gastrointestinal Function Recovery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 65 years or older; 2. Patients with ASA classification I–III; 3. Elective spinal surgeries of various types; 4. Anesthesia performed under general anesthesia.
Exclusion criteria
Exclusion criteria: 1. Patients with preoperative gastrointestinal dysfunction; 2. Patients with mental illnesses (including those with preoperative delirium) or those taking antipsychotic medications; 3. Patients determined to have preoperative cognitive dysfunction based on the MMSE scale; 4. Patients confirmed or suspected to abuse or have long-term use of anesthetic sedatives and analgesics; 5. Patients with infections, allergies, or other conditions at the site of EEG electrode placement (forehead) that make electrode adhesion unsuitable; 6. Patients with severe impairments in auditory, visual, or language functions; 7. Patients participating in other clinical studies concurrently.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first postoperative flatus; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative Gastrointestinal Function Score;Time to first postoperative defecation and time to first postoperative eating;Gastrointestinal function scores on the 2nd and 3rd days after surgery;Incidence of electroencephalographic burst suppression (BS), duration of electroencephalographic burst suppression (BS), maximum value of burst suppression ratio (BSR);Total intraoperative doses of propofol and remifentanil;Scores for postoperative pain, nausea and vomiting, as well as the usage of additional antiemetic drugs and analgesic drugs;Record the incidence of patients admitted to the ICU and the number of postoperative hospital days;The occurrence of postoperative delirium;The occurrence of postoperative POCD;30-day readmission rate, adverse complications, and quality of life; | — |
Countries
China
Contacts
Yiji Mountain Hospital, the First Affiliated Hospital of Wannan Medical College