Anesthesia Quality Improvement and Patients With Planned ICU Admission
NCT05626153 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1500
Last updated 2025-02-26
Summary
Intensive care unit (ICU) is an important part of perioperative management for high-risk patients but is associated with higher medical costs. Improper ICU admission may produce overtreatment without beneficial effects. In clinical practice, delayed recovery after general anesthesia is a common indication for ICU admission after surgery. The concept of Enhanced Recovery After Surgery recommends early extubation. The investigators suppose that, for patients with planned ICU admission after elective surgery, implementing anesthesia quality improvement including extubation in the operating room will reduce the rate of ICU admission after surgery without increasing complications.
Conditions
- Anesthesia
- Extubation
- Intensive Care Unit
- Postoperative Complications
Interventions
- OTHER
-
Routine anesthesia care
• Implementing anesthesia management according to current routine practice.
- OTHER
-
Improved anesthesia care
* Encourage regional anesthesia or combined regional-general anesthesia. * Encourage goal-directed fluid therapy, lung-protective ventilation, and active warming during surgery. * Encourage extubation in the operating room at the end of surgery. * Encourage multimodal analgesia after surgery. * Encourage strict indication for ICU admission after surgery.
Sponsors & Collaborators
-
Peking University First Hospital
lead OTHER
Principal Investigators
-
Dong-Xin Wang, MD, PhD · Peking University First Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-01
- Primary Completion
- 2024-07-31
- Completion
- 2024-08-31
Countries
- China
Study Locations
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