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1.Screening
1.2.Inclusion Criteria

American Society of Anesthesiologists (ASA) physical status I-III

II

Age

41 year

Body Surface Area

27.0 kg/m2

Scheduled to undergo sleeve gastrectomy

纳入

1.3.Exclusion Criteria

Neuromuscular disorders

Allergies to, or contraindication for muscle relaxants, neuromuscular reversing agents, nesthetics, narcotics

History of malignant hyperthermia

Pregnancy or lactation

Renal insufficiency

Chronic obstructive pulmonary disease GOLD classification 2 or higher

upper or lower airway infection

Congestive heart failure

Psychiatric illness inhibiting cooperation with study protocol or possibly obscuring results

Diaphragm with poor ultrasound visualization

2.base line
2.2.General information

Sex(male/female)

Age

41 year

Height

161 cm

Weight

70.0 kg

Lean body weight

42.2 kg

Ideal body weight

52.8 kg

Body Mass Index

27.0 kg/m2

Waistline

90 cm

Hypertension

mmHg

Diabetes

Dyslipidemia

2.3.Physical examination

Abdominal surgery history

Obstructive sleep apnea syndrome

2.4.follow-up 1
2.2.4.2.41、Diaphragm excursion

Diaphragm excursion

1.03 6.33 cm

2.2.4.2.42、QoR-15 score

Quality of Recovery Scores

46+20+20+20+36=142

3.In the process of the treatment
3.1.Treatment Record

fentanyl

250 ug

Rocuronium total dose

90 mg

Remifentanil dose

1215 μg

Bispectral index of the EEG

39.3

Frequency of rescue NMBA

0

Reported muscle movements

0

Entirely optimal (5) throughout pneumoperitoneum

Entirely good to optimal (4–5) throughout pneumoperitoneum

Surgical field condition score

5/5/5

Intra-abdominal pressure

11.0 mmHg

Duration of surgery

125 min

Mean arterial pressure

82.3 mmHg

Mean Heart rate

54.0 min-1

Compound sodium chloride

1000 ml

Bleeding

10 ml

Time to TOF=0.9

49 min

4.postoperation
4.1.Health Relative Quality of Life

SpO2<95% in the PACU

Duratin in the PACU

60 min

Time to out of bed

235 min

Time to gas passage

3835 min

Antiemetic

16 mg

Analgesic

100 mg

Post-Op complication

Hospital stay

95 h

Expenses of hospitalization

31669.88 yuan

4.2.follow-up 2

Shoulder pain

no

4.4.2.4.21、Diaphragm excursion

Diaphragm excursion

1.09 4.03 1.53 4.23 1.33 4.79 cm

4.4.2.4.22、QoR-15 score

Quality of Recovery Scores

30+13+20+20+35=118 46+15+20+20+37=138

4.4.2.4.23、VAS

Incision pain at rest

0/0/0

Incision pain at movement

0/0

Visceral pain at rest

4.0/2.0/0

Visceral pain at movement

3.0/0

4.4.2.4.24、Nausea and vomiting score

Postoperative nausea and vomiting grading

III