Colon Disease
Conditions
Keywords
colonoscopic polypectomy, elderly patients
Brief summary
To observe the sedative effect of continuous infusion of remidazolam in elderly patients undergoing colonoscopic polypectomy.
Detailed description
To observe the sedative effect of continuous infusion of remidazolam in elderly patients undergoing colonoscopic polypectomy, and to screen the optimal dose of remidazolam, in order to provide a more reasonable and safe sedative and analgesic drug regimen for elderly outpatients undergoing colonoscopic polypectomy.
Interventions
Using two different doses of remidazolam for continuous pumping to maintain anesthetic effect
propofol 2-3mg/kg/h
Sponsors
Study design
Masking description
Single blind
Intervention model description
Single blind, prospective, randomized controlled study
Eligibility
Inclusion criteria
* Age 60-80 years old; * ASA Level I - III; * Operation time: 15min\ 1h; * BMI18.0-29.9;
Exclusion criteria
* Emergency surgery; * Patients with high risk of gastric satiety and reflux aspiration; * Allergies to benzodiazepines and opioids; * Those who have taken sedative, analgesic, or antidepressant drugs within 24 hours; * Abnormal liver and kidney function; * Previous drug use history; * Recently participated in other clinical studies; * Patients who cannot cooperate with communication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sedation success rate | 1 day | Evaluating the success rate of sedation using the modified MOAA/S scoring table |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative time record | Intraoperative | Anesthesia time; Operation time; Wake up time; PACU time |
| Drug usage | 1 day | doses of propofol,remimazolam and other drugs used |
| The incidence of adverse reactions during surgery | 1 day | includes: body movements, hypoxemia, hypotension, bradycardia; Intraoperative awareness |
| Incidence of postoperative adverse reactions | 24 hours after surgery | Postoperative nausea and vomiting, postoperative pain, hypotension, bradycardia, dizziness |
Countries
China