Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: normotensive patients aged 18-60 years (ASA physical status I or II, BMI 18-35 Kg/m2) scheduled for elective day case surgeries under general anaesthesia
Exclusion criteria
Exclusion criteria: • Pregnant patients, • Breastfeeding • Severe visual or auditory impairment • Mental disorders or cognitive dysfunction. • Cardiac, liver, neuromuscular, endocrine or kidney diseases, • abnormal electrocardiogram findings • Peptic ulcer disease, gastroesophageal reflux disease or malabsorption diseases. • Severe anxiety. • History of epilepsy, antipsychotic, antidepressant medications or any other neurological problem. • Sensitivity to caffeine. • Use of caffeine and other caffeine containing tablets or beverages or methyl xanthines within 2 days prior to the study. • Cigarette smokers and alcohol and/or drug abusers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the elapsed time after T0 until opening the eyes either spontaneously or upon verbal request repeated every 60 seconds by a blinded investigator. | — |
Secondary
| Measure | Time frame |
|---|---|
| • The ET isoflurane, BIS level and minute volume will be observed continuously starting with isoflurane switching off till extubation. The last values before extubation will be recorded. ;• Mean arterial pressure, and heart rate ;• extubation time ;• The elapsed time from T0 to the time the patient stated his/her full name (commands will be given every 20 s by a blinded investigator).;Adverse events: the occurrence of pain, nausea and/or vomiting, shivering, seizures, agitation, and any other adverse event. The visual analog scale (VAS), grading 0 to 10 cm, will be used to evaluate pain (0 = no pain to 10= the most pain I have ever felt) and nausea (0 = no nausea to 10 = as nauseous as I have ever been) during recovery. Pain requiring rescue medications (VAS>4) will be recorded. Agitation will be screened by modified Richmond sedation score | — |
Countries
Egypt
Contacts
lecturer of anesthesia