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The study designed to explore the efficacy and safety of the closed loop of target controlled infusion dexmedetomidine combined with propofol for anesthesia with intraoperative wake up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexmedetomidine group | Experimental |
|
|
| Control group | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anesthesia induction,propofol, remifentanil ,cisatracurium | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate of awaken test | The whole time of surgery,about 8 hours | |
| The time from starting to awaken test to patient wakes up | From starting to awaken test to patient wakes up,about 3 hours | |
| Blood sugar concentration | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test | |
| Cortisol concentration | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test | |
| Epinephrine concentration | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test | |
| Norepinephrine concentration | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test |
| Measure | Description | Time Frame |
|---|---|---|
| The duration of anesthesia from baseline to patient wake up | From baseline to patient wake up ,about 3 hours | |
| The dosage of Cisatracurium before patient wakes up | From starting to awaken test to patient wakes up,about 3 hours |
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Inclusion Criteria:
Exclusion Criteria:
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|
| Anesthesia maintenance , propofol,remifentanil,cisatracurium | Drug |
|
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| Awaken test | Procedure |
|
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| The dosage of propofol before patient wakes up | From starting to awaken test to patient wakes up,about 3 hours |
| The dosage of remifentanil before patient wakes up | From starting to awaken test to patient wakes up,about 3 hours |
| Heart rate | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test |
| Mean arterial pressure | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test |
| Bispectral electroencephalogram index | 30 minutes prior to awaken test,the moment of awake,5 minutes after awake,the moment after finish awaken test,10minutes after finish awaken test |
| ID | Term |
|---|---|
| D015742 | Propofol |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
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