Postoperative Recovery
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The age of the female or male at the time of ICF signing is >= 65 years old; 2. FFP >= 3; 3. ASA I-III; 4. Elective shoulder arthroscopic surgery; 5. The expected operation time is < 3 hours; 6. BMI 18 - 25 kg/m2; 7. Signed the informed consent form; 8. Has a high school education or above.
Exclusion criteria
Exclusion criteria: 1. Patients with mental disorders who cannot cooperate; 2. Individuals with anxiety, depression or cognitive impairments, with a preoperative Montreal Cognitive Assessment (MoCA) score of less than 26; 3. History of delirium; 4. Severe cardiovascular/liver/kidney diseases; 5. History of drug allergy or contraindication to anesthesia; 6. History of chronic opioid or benzodiazepine abuse or chronic alcohol abuse within the last 90 days; 7. Abnormal coagulation function; 8. Emergency surgery; 9. Unable to obtain informed consent; 10. Refuses surgery;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The mean number of hypotensive episodes per individual during the period of anesthesia maintenance; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative regional cerebral oxygenation;Arterial oxygen pressure and carbon dioxide pressure;Cognitive function;Fried’s frailty phenotype (FFP);Intraoperative hemodynamics;Opioid dosage;The incidence of hypotension during the period of anesthesia maintenance;The incidence of severe hypotension during the period of anesthesia maintenance;Duration of hypotension and times of rescues during anesthesia induction;Intra-operative and postoperative arrhythmia;Postoperative pulmonary complications (PPCs);Level of pain;Postoperative adverse events (sedation, postoperative nausea and vomiting, pain, intraoperative awareness recall);The incidence of (serious) adverse events at any study time point;The nurse staff focus time (min) in PACU;Number of "call attention" of anesthesiologists in charge in PACU;The duration of PACU (Post anesthesia care unit) and hospital stay, the cost for anesthesia and hospitalization; | — |
Countries
China
Contacts
The Second Affiliated Hospital of Harbin Medical University