Extended Emergence Strategy on Post-Anesthesia Care Unit Events After Outpatient Orthopedic Surgery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHarrison Shong-Wen Chow
About this trial
The goal of this clinical trial is to learn if an extended emergence from anesthesia can improve recovery room (Post-Anesthesia Care Unit or PACU) outcomes in lower-leg or foot surgery with nerve blocks. The primary questions it aims to answer are:
* Does a longer wake-up help participants think more clearly soon after surgery compared with usual approaches? * Does it lower pain scores, lower the amount of pain medications used, and shorten the time it takes to go home from recovery room?
Researchers will compare 2 groups of adults who are having similar lower-extremity orthopaedic surgeries with regional and propofol anesthesia.
Eligibility criteria
Qualifiers
Participants with American Society of Anesthesiologists (ASA) physical status I-III
Scheduled for Elective Foot/Ankle Orthopaedic surgery at Stanford Health under planned propofol-based intravenous anesthesia and regional nerve block for preoperative analgesia
Able and willing to complete all cognitive assessments and Brice Interview in PACU
Disqualifiers
ASA physical status IV or V
Chronic opioid therapy
Chronic benzodiazepine use or ongoing treatment with strongly anticholinergic medications within 30 days prior to surgery.
Known major neuro-cognitive disorder, active psychotic disorder, or other severe psychiatric condition that, in the opinion of the investigator, would interfere with valid cognitive testing.
Trial design
Treatments tested in this trial
- Standard of Care EEG-Guided Emergence
- Extended EEG Emergence Trajectory
Treatment groups
300 Participants
are divided into 2 treatment groupsSponsors and collaborators
Harrison Shong-Wen Chow
Lead sponsor
Stanford University
Sponsor institution
Source ClinicalTrials.gov