Hypoxemia during anesthesia recovery in elderly patients undergoing laparoscopic surgery
Conditions
Interventions
TAP Block Group:Ultrasound-guided bilateral TAP block
TAP plus Posture Group:Ultrasound-guided bilateral TAP block combined with head-up positioning
Control Group:Standard perioperative management
Head-up Position Group:30° head-up positioning
Sponsors
Fengxian People's Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age >=65 years; 2. American Society of Anesthesiologists (ASA) physical status I–III; 3. Undergoing laparoscopic abdominal surgery under general anesthesia; 4. Able to understand the study and sign the written informed consent form.
Exclusion criteria
Exclusion criteria: 1. BMI >30; 2. Patients requiring emergency surgery; 3. Previous or current pulmonary disease, such as chronic obstructive pulmonary disease or asthma; 4. Previous pulmonary surgery or history of pneumothorax, pulmonary tuberculosis, or pleural effusion; 5. Anticipated difficult intubation; 6. Respiratory failure; 7. Severe cardiac disease, such as sinus node dysfunction, cardiac conduction block, or congestive heart failure; 8. Pregnancy; 9. Refusal to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Hypoxemia During PACU Stay;Incidence of Severe Hypoxemia During PACU Stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of PACU Stay;PSQI Score on Postoperative Day 1;Incidence of Airway Intervention During PACU Stay;Resting VAS Pain Score at PACU Discharge;Resting VAS Pain Score on Postoperative Day 2;Incidence of Postoperative Rescue Analgesia;QoR-15 Score on Postoperative Day 1;Resting VAS Pain Score on Postoperative Day 1;Extubation Time; | — |
Countries
China
Contacts
Public ContactQi Kong
Fengxian People's Hospital
Outcome results
None listed