Elderly hip surgery patients Surgery
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Elderly patients (65-74 years) 2.BMI 18-27 kg/m² 3.ASA physical status I-III 4.Scheduled for hip surgery under general anesthesia requiring endotracheal intubation
Exclusion criteria
Exclusion criteria: 1. Refusal of general anesthesia 2. Allergy to general anesthetics 3. Preoperative cognitive impairment or significant hepatic/renal dysfunction 4. Baseline blood pressure =180/110 mmHg or =90/60 mmHg 5. Symptomatic cardiovascular, cerebrovascular, or respiratory diseases 6. Scheduled for bilateral joint surgery 7. Revision arthroplasty 8. Polytrauma 9. History of systemic or regional anesthesia within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to loss of consciousness, measured by recording the interval from drug injection until both disappearance of the eyelash reflex and failure to respond to verbal command on two consecutive attempts | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hemodynamic parameters including heart rate, systolic, diastolic, and mean arterial pressure are measured using noninvasive monitoring at before induction of anesthesia, loss of consciousness ,immediately after tracheal intubation ,surgical incision,20 minutes after surgical incision 2. Side effects including postoperative nausea and vomiting are documented based on clinical observation and medication use within the first 24 hours 3. Recovery Time is recorded based on the time to extubation time after surgery 4. postoperative delirium is measured using a Confusion Assessment Method scale at 48 hours postoperatively 5. Success rate of anesthesia induction is measured using counting successful inductions as a proportion of the total number of participants in each group 6. Incidence of injection pain and myoclonus within 30 seconds of initial dose administration are documented based on clinical observation 7. Total dosage of sufentanil, remifentanil, propofol, and vasoactive drugs used is measured using data obtained from the intravenous device | — |
Countries
China