Comparison of Modified Deep Extubation versus Standard Awake Extubation to Reduce Operating Room Time in Laparoscopic Surgery

What this Trial Is About

Researchers are comparing two methods of removing breathing tubes after laparoscopic surgery under general anesthesia in low-risk patients. The study evaluates a modified deep extubation (mDE) technique, performed while patients are still anesthetized but with a lower dose of anesthetic gas and balanced with long-acting opioids, against the standard awake extubation (AE) method. The goal is to see if mDE can shorten the time from the end of surgery to when patients are ready to leave the operating room by at least 5 minutes. Participants will be randomly assigned to either the mDE group, where anesthesia is reduced to a low level and patients are extubated while still anesthetized under specific respiratory criteria, or the AE group, where patients are extubated once awake and able to follow commands. Both groups will receive reversal of muscle relaxation confirmed by nerve stimulation, oral suctioning, and airway support as needed. The study includes detailed monitoring of anesthesia doses, ventilation settings, and opioid use during the extubation process. During surgery and recovery, researchers will observe and record times related to surgery end, extubation, and discharge readiness from the post-anesthesia care unit (PACU). They will also assess airway maneuvers used, vital signs before and after extubation, and patient experiences in recovery. Participants will be interviewed once fully awake, and any complications will be managed per usual care. The study aims to provide detailed timing and safety data comparing these two extubation methods.

Modified Deep Extubation vs. Standard Awake Extubation