Modified Deep Extubation vs. Standard Awake Extubation

Launched by SAMUEL LUNENFELD RESEARCH INSTITUTE, MOUNT SINAI HOSPITAL · Mar 15, 2024

Keywords

ClinConnect Summary

This clinical trial is comparing two methods of safely waking patients up from anesthesia after laparoscopic surgery: a modified deep extubation (mDE) and a standard awake extubation (AE). The modified deep extubation allows patients to remain slightly under anesthesia with a lower dose of gas, which may help them recover more quickly. Researchers believe that using the modified technique could reduce the time it takes for patients to be ready to leave the operating room by at least 5 minutes compared to the standard method.

To participate in this trial, patients must be ASA physical status I-III, meaning they are generally healthy to moderately ill, and are undergoing laparoscopic surgery under general anesthesia. However, those with specific high-risk factors, such as a difficult airway history or being pregnant, will not be eligible. Participants can expect careful monitoring throughout the process, and the study aims to improve recovery experiences for patients undergoing similar surgeries in the future. If you're considering joining the trial, it could be a great opportunity to contribute to advancements in anesthesia care.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • ASA I-III
• • laparoscopic surgery under general anesthesia
• Exclusion Criteria:
• * High-risk patients:
• • Documented difficult airway during intubation or developed intraoperatively.
• • Full stomach
• • Pregnant women
• • Emergency surgery
• • BMI\>30
• • Intraoperative bleeding leading to transfusion
• • Use of remifentanil during extubation
• • Requirement for prone position for surgical approach (i.e., spine surgery, anal fistulectomy, tumor resection of the back, etc)
• • Absolute indication for awake or deep extubation
• • Use of opioids in chronic pain patients