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This study is to observe whether transcutaneous electrical stimulation at specific acupoints could improve the quality of emergence in patients undergoing robotic laparoscopic gynecologic surgery.
During robotic laparoscopic gynecologic surgery, the patients are put in an extremely trendelenburg positon. And a long duration of this position could lead to delayed emergence or agitation. Stimulation at some acupoints were reported to improve homeostasis. In this study we tend to observe whether transcutaneous electrical stimulation at specific acupoints could improve the quality of emergence in patients undergoing robotic laparoscopic gynecologic surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupoint stimulation | Experimental | Electrical stimulation is given through electrodes attached to acupoints |
|
| Non-acupoint stimulation | Placebo Comparator | Electrical stimulation is given through electrodes attached to non-acupoints |
|
| Control stimulation | Sham Comparator | Electrode attached but no stimulation is given |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acupoint stimulation | Other | stimulation is given at acupoints |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to awake | time to open eyes to verbal command | from end of inhaling sevoflurane to departing from postanesthesia care unit(PACU),an anticipated average of 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Richmond Score | status of the patients during emergence | from end of inhaling sevoflurane to departing from PACU,an anticipated average of 1 hour |
| Time to extubation | from end of inhaling sevoflurane to departing from PACU,an anticipated average of 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hailong Dong, PhD | Air Force Military Medical University, China | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xijing Hospital | Xi'an | Shaanxi | 710032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24256501 | Result | Schramm P, Treiber AH, Berres M, Pestel G, Engelhard K, Werner C, Closhen D. Time course of cerebrovascular autoregulation during extreme Trendelenburg position for robotic-assisted prostatic surgery. Anaesthesia. 2014 Jan;69(1):58-63. doi: 10.1111/anae.12477. Epub 2013 Nov 20. | |
| 21268573 | Result | Pandey R, Garg R, Darlong V, Punj J, Chandralekha, Kumar A. Unpredicted neurological complications after robotic laparoscopic radical cystectomy and ileal conduit formation in steep trendelenburg position: two case reports. Acta Anaesthesiol Belg. 2010;61(3):163-6. |
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| ID | Term |
|---|---|
| D004566 | Electrodes |
| D004558 | Electric Stimulation |
| ID | Term |
|---|---|
| D055615 | Electrical Equipment and Supplies |
| D004864 | Equipment and Supplies |
| D010812 | Physical Stimulation |
| D008919 | Investigative Techniques |
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| non-acupoint stimulation |
| Other |
stimulation is given at acupoints |
|
| electrode attached | Other | electrodes are attached to skin |
|
|
| electrical stimulation | Device | electrical stimulation is given through electrodes attached to th skin |
|
| QoR-15 | Score of quality of recovery using a 15 items questionaire | from end of inhaling sevoflurane to 24h after surgery,an anticipated average of 24 hour |
| residual sedation | from arriving at PACU to departing from PACU,an anticipated average of 30min |
| PONV | postoperative nausea and vomiting in the PACU | from arriving at PACU to departing from PACU,an anticipated average of 30min |
| VAS score | visual analogue score of pain in the PACU, scored 0-10 | from arriving at PACU to departing from PACU,an anticipated average of 30min |
| serum Aquaporin 4 | level of serum Aquaporin 4 before anesthesia and at the end of the surgery | from before anesthesia to after surgery, an anticipated average of 4 hours |
| serum MMP9 | level of serum Matrix metallop roteinase before anesthesia and at the end of the surgery | from before anesthesia to after surgery, an anticipated average of 4 hours |
| serum S100β | level of serum S100β before anesthesia and at the end of the surgery | from before anesthesia to after surgery, an anticipated average of 4 hours |