Pressure Supporting Ventilation and EEG-guided Emergence for Free of Unwanted Complications
Trial Parameters
Brief Summary
This study aims to assess whether pressure supporting ventilation and electroencephalogram (EEG)-guided emergence can reduce airway complications after thyroid surgery compared with conventional emergence. Patients will be randomly assigned to either pressure supporting ventilation and EEG-guided emergence group (intervention group) or conventional emergence group (control group). Co-primary outcomes are the incidence of emergence coughing and lowest percutaneous oxygen saturation (SpO2) after emergence. Secondary outcomes included severity of emergence cough, emergence time, blood pressure and heart rate during emergence, Richmond Agitation-Sedation Scale (RASS) immediately after extubation and upon post-anesthesia care unit (PACU) arrival, incidence of desaturation during PACU stay, hoarseness, sore throat during PACU stay, duration of PACU stay, surgeon satisfaction regarding emergence process, postoperative pain score, and patient satisfaction score regarding emergence process.
Eligibility Criteria
Inclusion Criteria: * Adult patients aged under 40 years who are scheduled to undergo thyroid surgery. Exclusion Criteria: * Patients scheduled for radical neck dissection * Patients scheduled for lymph node biopsy * Patients with an anticipated difficult airway * Patients experiencing difficulty during intubation * Patients with a fasting time not meeting institutional policy * Patients with a body mass index (BMI) greater than 30 kg/m² * Patients with sleep apnea * Pregnant or breastfeeding women * Patients unable to communicate