Extubation site–related complications
Conditions
Interventions
Intervention group (PACU extubation group):Following completion of surgery, patients were transferred to the PACU with the endotracheal tube in situ for recovery and subsequent extubation.
Control Group (Operating Room Extubation Group):Recovery and extubation in the operating room (OR), followed by routine monitoring in the post-anesthesia care unit (PACU).
Sponsors
Peking University First Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: (1)Age >= 18 years; (2)Scheduled to undergo elective robot-assisted laparoscopic surgery under general anesthesia; (3)Tracheal extubation feasible within the anesthesiologist’s daytime working hours (before 4:00 PM).
Exclusion criteria
Exclusion criteria: (1)Refusal to participate in the study; (2)Morbid obesity (body mass index >=35 kg/m²); (3)Preoperative diagnosis of obstructive sleep apnea, or patients with a STOP-Bang score >=3 in combination with serum bicarbonate (HCO3?) >= 28 mmol/L; (4)Patients identified during preoperative assessment as having a risk of difficult airway (anticipated difficult intubation and/or extubation); (5)Preexisting sick sinus syndrome, severe sinus bradycardia (heart rate = III; (6)Significant pulmonary function impairment (FEV1/FVC ratio = IV; (8)Preoperative diagnoses of schizophrenia, epilepsy, Parkinson’s disease, or myasthenia gravis; (9)Inability to communicate preoperatively due to coma, severe dementia, or language impairment; (10)Planned postoperative admission to the intensive care unit; (11)Any other condition deemed by the investigators or attending physicians to render the patient unsuitable for study participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from the end of surgery to discharge from the operating room; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Emergence Delirium;Incidence of adverse events from the end of surgery to discharge from the PACU;Time from the end of surgery to achieving an Aldrete score of =9;Time from the end of surgery to discharge from the PACU;Time from the end of surgery to extubation;Interval between patient discharge and the entry of the subsequent patient (Room Turnover Time);Interval from the end of the current surgery to the start of the subsequent surgery;Quality of recovery on postoperative day 1 (POD 1), assessed using the QoR-15 scale;Length of hospital stay (LOS);Total hospitalization costs;Incidence of complications within 30 days after surgery;30-day all-cause mortality; | — |
Countries
China
Contacts
Public ContactDing Ting
Peking University First Hospital
Outcome results
None listed