Perioperative sleep disorders
Conditions
Interventions
Sponsors
The First Affiliated Hospital of Naval Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Adult patients, aged 18 to 80 years old; 2.The patient is scheduled to undergo thoracoscopic anatomical lung resection under general anesthesia, with the estimated surgery completion time no later than 18:00; 3.ASA levels 1-3; 4.BMI 18.5~28kg/m^2; 5.Voluntarily participate in this study and sign the informed consent form;
Exclusion criteria
Exclusion criteria: 1.Patients with suspected or confirmed OSAS (STOP-BANG score >=3); 2.Restless Legs Syndrome (discomfort in both legs, occurs at rest, relieved by activity, no other neurological symptoms); 3.Chronic insomnia requiring long-term medication or a history of sleep disorders with a preoperative Pittsburgh Sleep Quality Index (PSQI) score above 7; 4.Secondary or multiple thoracic surgeries; 5.Metastatic tumor; 6.Severe organ dysfunction (cerebral infarction, angina pectoris, heart failure, moderate to severe pulmonary function decline, hepatic and renal insufficiency); 7.Ear dermatitis or trauma; 8.Preoperative impaired consciousness, inability to communicate or understand the trial content, or inability to provide informed consent;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of sleep disorders on the second day after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of ICU stay;48 hours postoperative salvage analgesia;Postoperative Day 30 Pittsburgh Sleep Quality Index (PSQI) Score;Postoperative Day 30 Pittsburgh Sleep Quality Index (PSQI) Score;Intraoperative opioid dosage (including cumulative intraoperative remifentanil dosage and sufentanil dosage);Postoperative 24h and 48h VAS pain scores at rest and during exercise;Quality of Recovery-15 on the 3rd day after surgery;Postoperative pulmonary complication rate;Postoperative nausea and vomiting incidence;Length of hospital stay;The incidence of sleep disorders 3 days after surgery;Postoperative 48-hour rescue analgesia (opioid consumption, non-opioid analgesic use);Mechanical ventilation time;Intraoperative parameters (operation duration, anesthesia duration, blood loss, urine output);Preoperative and postoperative blood test results: complete blood count, biochemistry (neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), platelet-to-white blood cell ratio (PWR;Perioperative sleep aid medication usage;Postoperative days 1-3 delirium assessment (CAM-ICU);Postoperative anxiety and depression scores (HADS) on days 1 and 3; | — |
Countries
China
Contacts
Public ContactWang Jiafeng
The First Affiliated Hospital of Naval Medical University
Outcome results
None listed