Patients undergoing knee osteoarthritis surgery under general anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing knee osteoarthritis surgery under general anesthesia at North Medical Center Kyoto Prefectural University of Medicine, or Fukuchiyama City Hospital. Patients aged over 65 years at the time of surgery. Patients with an ASA physical status (PS) classification of 1 or 2. Patients who have provided informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: Patients who cannot speak Japanese Patients with obvious hearing loss Patients with severe liver dysfunction (Child-Pugh score B or C) Patients with renal dysfunction (serum creatinine levels >=4.0 mg/dL) Patients with obesity (BMI >=35) Patients with symptomatic neurological disorders Patients who regularly use psychotropic drugs Patients with alcohol dependence or abuse Patients with allergies to the study drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from the end of anesthetic administration to the emergence of the patient | — |
Secondary
| Measure | Time frame |
|---|---|
| Time from the end of anesthetic administration to BIS values of 60, 70, and 80 Time from the end of anesthetic administration to extubation and discharge from the operating room Blood pressure and heart rate at the time of anesthetic cessation, when BIS value >70, at emergence, at extubation, and upon discharge from the operating room BIS value at the time of anesthetic cessation Predicted effect-site concentrations and plasma concentrations of propofol and remifentanil at the time of anesthetic cessation Predicted effect-site concentrations and plasma concentrations of propofol at the time of induction and emergence Riker Sedation-Agitation Scale scores from emergence to discharge The pain score (using the Numerical Rating Scale) and the presence or absence of nausea and vomiting upon return to the general ward The pain score (using the Numerical Rating Scale) and the presence or absence of nausea and vomiting on the following day | — |
Contacts
Kyoto Prefectural University of Medicine