About this trial
This clinical trial aims to help us understand how two drugs, Propofol and Remazoloam, affect when researchers remove a Participants' breathing tube after liver surgery (laparoscopic liver resection).The main research questions include: comparing the time to breathing tube removal between patients who receive each drug, comparing changes in heart rate and blood pressure during surgery, and comparing the rates of unwanted medical events after surgery. Researchers will give either Propofol or Remimazolam as a sedative medicine for anesthesia. This will allow the researchers to compare the time to breathing tube removal after surgery. Participants will complete their surgery according to a pre-planned surgical plan.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
1): Planned to undergo laparoscopic hepatectomy.
Disqualifiers
1): Severe cardiopulmonary dysfunction, or hepatic/renal dysfunction.
Trial design
Parallel
Treatments tested in this trial
Remimazolam
DrugAnesthesia induction: Intravenous injection of remimazolam 0.2-0.4 mg/kg. Anesthesia maintenance: Continuous infusion of remimazolam at 0.4-0.7mg/kg/h.
propofol
DrugAnesthesia induction: Intravenous injection of propofol 1.5-2.5 mg/kg. Anesthesia maintenance: Continuous infusion of propofol at 4-10 mg/kg/h.
Treatment groups
Trial outcomes
Primary outcomes
Extubation time (minutes)
The time (in minutes) from stopping intravenous sedative infusion to tracheal extubation.
Secondary outcomes
Incidence of Adverse Events During Anesthesia Emergence (per patient)
Incidence (per patient) of adverse events including nausea and vomiting, hypotension (MAP \< 60 mmHg or MAP \< 80% of baseline value), hypoxemia (SpO₂ \< 90%), emergence agitation, dizziness, sore throat, hoarseness, shivering, occurring from cessation of continuous intravenous sedative infusion until PACU discharge.
PACU Length of Stay (minutes)
The time (in minutes) from PACU admission to PACU discharge.
Postoperative Hospital Stay (days)
The time (in days) from the end of surgery to hospital discharge.
Incidence of Postoperative Complications (per patient)
Incidence (per patient) of postoperative complications including pleural effusion, ascites (or peritoneal effusion), atelectasis, pulmonary embolism, kidney injury, wound infection, etc., occurring from the end of surgery to hospital discharge.
Sponsors and contacts
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Xuyu Zhang
Lead sponsor
First Affiliated Hospital, Sun Yat-Sen University
Sponsor institution