Patients undergoing lower extremity orthopaedic surgery under intravertebral anesthesia Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age = 60 years 2. Undergoing lower limbs orthopedic surgery under intravertebral anesthesia 3. Volunteer to participate in this study and sign the informed consent form
Exclusion criteria
Exclusion criteria: 1. Patients with a history of mental illness, hearing impairment, or contraindications to listening to music; 2. Passive position, completely unable to swing anaesthesia position; 3. Coagulation disorders, bleeding tendency and patients taking anticoagulant drugs 4. Patients with shock, circulatory function is unstable 5. Patients with infection of the skin at the puncture site of the corresponding segment 6. Patients with injuries of the spinal column, which cause changes in the position or patients with a history of trauma to the spinal column
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Levels of perioperative anxiety measured using The Visual Analog Scale for Anxiety (VAS-A), at pre-operation and post-operation. 2. Hemodynamic Parameters: Heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) measured using continuous monitoring during surgery to provide real-time information on autonomic response using standard medical monitoring equipment, at entry into the operating room (baseline T1), 5 minutes after entering the operating room (T2), before induction of anesthesia (T3), 5 minutes after anesthesia (T4), at the beginning of the operation (T5), 5 minutes after the operation (T6), 30 minutes (T7), 60 minutes of surgery (T8), end of surgery (T9), and one hour after surgery (T10). 3. Salivary Cortisol Levels which is an indicator of stress. Measured using saliva samples collected by the patients themselves using test tubes containing 0.2% trifluoroacetic acid (TFA), followed by centrifugation and measurement using an ELISA (AB154996 Cortisol ELISA kit, Abcam, Cambridge, UK) according to the kit instructions at 15 minutes after waking up on the day of surgery (pre-operation) and the next day (post-operation). 4. Patient Postoperative Satisfaction measured using a standardized homemade questionnaire that includes a question about the satisfaction of the surgery procedure with five answers: A. very satisfied; B. Satisfaction; C. undecided; D. Dissatisfied; E. Very dissatisfied at Post-operation | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
China