Impact of tracheal extubation location after surgical procedures on peri-operative times: a prospective dual-centre observational study.
Thomas Godet, Charlotte Wajew, Morgane Fabrizi...
https://pubmed.ncbi.nlm.nih.gov/40351134Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID07332806
Impact of Site of Tracheal Extubation on Operating Room Efficiency During Robot-assisted Surgery: a Randomized Trial
Led by Peking University First Hospital · Updated on 2026-01-15
218
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate how the location of tracheal extubation affects operating room (OR) efficiency and patient recovery after robotic-assisted surgery. The study compares extubation performed either in the post-anesthesia care unit (PACU) or in the OR itself. The goal is to see if extubating in the PACU can reduce OR occupancy time without increasing complications or lowering recovery quality in the early period after surgery. Participants will be randomly assigned to one of two groups: one group will be transferred from the OR to the PACU with the breathing tube in place and extubated in the PACU, while the other group will be extubated in the OR before being moved to the PACU. This approach aims to assess the impact of extubation site on perioperative efficiency and safety during robot-assisted laparoscopic surgeries. During the study, researchers will monitor the time the operating room is occupied up to 2 hours after surgery as the primary outcome. Secondary outcomes include tracking adverse events, emergence delirium, recovery scores, and discharge times from the PACU within a few hours post-surgery. The study involves detailed observation of recovery quality and safety, with participants expected to be adults scheduled for elective robotic surgery under general anesthesia.
CONDITIONS
Brief Title
Site of Tracheal Extubation and Operating Room Efficiency During Robot-assisted Surgery
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Aged 18 years or older
- Scheduled for elective robot-assisted laparoscopic surgery under general anesthesia
- Expected tracheal extubation during daytime working hours (before 4:00 PM)
You will not qualify if you...
- Refusal to participate in the study
- Morbid obesity (body mass index 35 kg/m² or higher)
- Preoperative diagnosis of obstructive sleep apnea or STOP-Bang score 3 or higher with serum bicarbonate 28 mmol/L or more
- High risk of difficult airway based on preoperative assessment
- Preexisting serious heart conditions such as sick sinus syndrome, severe bradycardia, atrioventricular block without pacemaker, congenital heart disease with arrhythmia, or severe cardiovascular disease (NYHA class III or higher)
- Significant pulmonary function impairment
- Severe liver or kidney dysfunction or ASA physical status classification 4 or higher
- Preoperative diagnosis of schizophrenia, epilepsy, Parkinson's disease, or myasthenia gravis
- Inability to communicate due to coma, severe dementia, or language impairment
- Planned postoperative admission to intensive care unit
- Any other conditions deemed inappropriate for study participation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Surgery
Duration - Day of surgery
Participants undergo elective robot-assisted laparoscopic surgery under general anesthesia with endotracheal intubation.
1 visit (in-person) on surgery day
Treatment
Duration - Up to 3 hours after surgery
Participants are extubated either in the operating room (OR) immediately after surgery or in the post-anesthesia care unit (PACU) after transfer, according to their assigned group.
1 to 2 visits within 3 hours after surgery depending on extubation site
Trial Site Locations
Total: 1 location
1
Peking University Fist Hospital
Beijing, Beijing Municipality, China, 100034
Actively Recruiting
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Research Team
D
Dong-Xin Wang, MD, PhD
T
Ting Ding, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Difficult intubation and extubation in adult anaesthesia.
O Langeron, J-L Bourgain, D Francon...
https://pubmed.ncbi.nlm.nih.gov/298029032023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: A Report by the American Society of Anesthesiologists Task Force on Neuromuscular Blockade.
Stephan R Thilen, Wade A Weigel, Michael M Todd...
https://pubmed.ncbi.nlm.nih.gov/365200732022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway.
Jeffrey L Apfelbaum, Carin A Hagberg, Richard T Connis...
https://pubmed.ncbi.nlm.nih.gov/34762729Incidence and Mortality Rate of Perioperative Reintubation: Case Series of 196 Patients.
Ratan K Banik, Kate Honeyfield, Sana Qureshi...
https://pubmed.ncbi.nlm.nih.gov/34809752Risk factors for unplanned reintubation caused by acute airway compromise after general anesthesia: a case-control study.
Si Chen, Yuelun Zhang, Lu Che...
https://pubmed.ncbi.nlm.nih.gov/33435881Respiratory complications associated with tracheal extubation. Timing of tracheal extubation and use of the laryngeal mask during emergence from anaesthesia.
K Koga, T Asai, R S Vaughan...
https://pubmed.ncbi.nlm.nih.gov/9709138