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This prospective randomized controlled trial evaluates whether intraoperative binaural beats reduce the remimazolam dose required for general anesthesia in 88 adults undergoing breast surgery. Patients are assigned to binaural beats or silent earphones, and the primary outcome is total intraoperative remimazolam consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| biaural beat | Experimental | Participants receive binaural beats via earphones from OR entry until end of surgery. |
|
| control | Active Comparator | Participants wear identical earphones but receive no audio stimulation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| biaural beat | Device | Participants receive binaural beats via earphones from OR entry until end of surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total intraoperative remimazolam dose | Total amount of remimazolam administered during general anesthesia | From induction of anesthesia to end of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Total intraoperative remifentanil dose | Total remifentanil administered using target-controlled infusion. | Intraoperative period |
| BIS | BIS levels measured continuously. |
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Inclusion Criteria:
Exclusion Criteria:
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| control | Device | Participants wear identical earphones but receive no audio stimulation. |
|
| Intraoperative period |
| Postoperative analgesic use | Amount of opioids, non-opioid analgesics administered. | PACU until Postoperative day 1 |
| Heart rate | Heart rate during operation | intraoperative |
| blood pressure | blood pressure during surgery | intraoperative |
| SpO₂ | saturation during surgery | intraoperative |
| Postoperative antiemetic use | Amount of antiemetics administered. | PACU until Postoperative day 1 |