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The impact of lateral position extubation guided by multimodal monitoring on cerebral oxygen homeostasis and quality of recovery in elderly patients undergoing general anesthesia

The impact of lateral position extubation guided by multimodal monitoring on cerebral oxygen homeostasis and quality of recovery in elderly patients undergoing general anesthesia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600125068
Enrollment
Unknown
Registered
2026-05-20
Start date
2026-05-20
Completion date
Unknown
Last updated
2026-05-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None

Interventions

A group:The patients received a standardized general anesthesia protocol (induction: propofol, rocuronium, sufentanil
maintenance: sevoflurane/propofol, remifentanil), and were routinely administered a patient-controlled analgesia (PCA) pump postoperatively. Upon entering the post-anesthesia care unit (PACU), they we
B group:The patients received a standardized general anesthesia protocol (induction: propofol, rocuronium, and sufentanil
maintenance: sevoflurane/propofol and remifentanil) and were routinely equipped with a patient-controlled analgesia (PCA) pump postoperatively. After entering the post-anesthesia care unit (PACU), the
C group:The patients received a standardized general anesthesia protocol (induction: propofol, rocuronium, and sufentanil
maintenance: sevoflurane/propofol and remifentanil) and were routinely equipped with a patient-controlled analgesia (PCA) pump postoperatively. Upon entering the post-anesthesia care unit (PACU), they

Sponsors

Hainan General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age = 60 years, any gender 2. ASA classification I-II 3. Planned elective general anesthesia surgery (surgery duration 2-4 hours) 4. BMI 18.5-30 kg/m^2 5. Preoperative MMSE score >= 24 points (no cognitive impairment) 6. Signed written informed consent, able to understand and cooperate with the study procedures

Exclusion criteria

Exclusion criteria: 1. Known or suspected difficult airway (Mallampati class IV, thyromental distance 1.5, platelets <50×10^9/L); 6. Participation in other clinical trials within the past 3 months; 7. Other conditions deemed unsuitable for participation in this study by the investigator.

Design outcomes

Primary

MeasureTime frame
rSO2;The minimum value of rSO2;The area under the rSO2curve;

Secondary

MeasureTime frame
Diaphragmatic mobility;SpO2;BIS;Awakening Score sheet;Riker Sedative-Restlessness score;The duration from the end of anesthesia to extubation;

Countries

China

Contacts

Public ContactWang Na

Hainan General Hospital

wnlzqg@163.com+86 155 0171 7173

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: May 30, 2026