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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
150
stimulation is given at acupoints
stimulation is given at acupoints
electrodes are attached to skin
Xijing Hospital
Xi'an, Shaanxi, China
Time to awake
time to open eyes to verbal command
Time frame: from end of inhaling sevoflurane to departing from postanesthesia care unit(PACU),an anticipated average of 1 hour
Richmond Score
status of the patients during emergence
Time frame: from end of inhaling sevoflurane to departing from PACU,an anticipated average of 1 hour
Time to extubation
Time frame: from end of inhaling sevoflurane to departing from PACU,an anticipated average of 1 hour
QoR-15
Score of quality of recovery using a 15 items questionaire
Time frame: from end of inhaling sevoflurane to 24h after surgery,an anticipated average of 24 hour
residual sedation
Time frame: from arriving at PACU to departing from PACU,an anticipated average of 30min
PONV
postoperative nausea and vomiting in the PACU
Time frame: 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
Time frame: 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
Time frame: from before anesthesia to after surgery, an anticipated average of 4 hours
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electrical stimulation is given through electrodes attached to th skin
serum MMP9
level of serum Matrix metallop roteinase before anesthesia and at the end of the surgery
Time frame: 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
Time frame: from before anesthesia to after surgery, an anticipated average of 4 hours