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1.Screening
1.1.Inclusion Criteria

Patients planning to undergo elective intraspinal anesthesia for prostate resection surgery

YES

Age 60 and above (including 60 years old)

YES

Body mass index (BMI) 18.5-30kg/m^2

YES

ASA grade I-III

YES

YES

1.2.Exclusion Criteria

Individuals with hearing and visual impairments

NO

BMI ≥ 30

NO

Individuals with contraindications for spinal anesthesia

NO

Severe hypertension (controlled with medication, still in stage III or above hypertension), heart failure (NYHA > II)

NO

Severe bradycardia (requiring pacemaker, <60bpm)

NO

Individuals with neurological or muscular system diseases, mental illness

NO

History of sedative, antidepressant medication use, alcoholism, and drug abuse

NO

History of severe cerebrovascular disease or complication after craniocerebral trauma (e.g., emotional disorders, language disorders)

NO

Individuals with dexmedetomidine use contraindications

NO

Individuals who are unwilling or unable to communicate

NO

1.3.Detachment Criteria

loss to follow-up

NO

Subject withdraws informed consent form

NO

Intraoperative use of other sedative drugs

NO

Change the anesthesia method to general anesthesia for patients

NO

Patients transferred to ICU after surgery

NO

2.Baseline
2.1.Age

Age

71 years old

2.2.Weight

Weight

62 kg

2.3.Height

Height

1.72 m

2.4.BMI

BMI

21.6 kg/m2

2.5.Degree of education

Degree of education

Middle school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

None

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

149 mmHg

Systolic pressure T2

150 mmHg

Systolic pressure T3

151 mmHg

Systolic pressure T4

149 mmHg

Systolic pressure T5

141 mmHg

Systolic pressure T6

117 mmHg

Systolic pressure T7

111 mmHg

Systolic pressure T8

107 mmHg

Systolic pressure T9

97 mmHg

Systolic pressure T10

90 mmHg

Systolic pressure T11

101 mmHg

Systolic pressure T12

100 mmHg

Systolic pressure T13

105 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

69 mmHg

Diastolic pressure T2

70 mmHg

Diastolic pressure T3

83 mmHg

Diastolic pressure T4

86 mmHg

Diastolic pressure T5

82 mmHg

Diastolic pressure T6

70 mmHg

Diastolic pressure T7

70 mmHg

Diastolic pressure T8

66 mmHg

Diastolic pressure T9

58 mmHg

Diastolic pressure T10

60 mmHg

Diastolic pressure T11

78 mmHg

Diastolic pressure T12

80 mmHg

Diastolic pressure T13

79 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

96 mmHg

Mean arterial pressure T2

97 mmHg

Mean arterial pressure T3

104 mmHg

Mean arterial pressure T4

106 mmHg

Mean arterial pressure T5

106 mmHg

Mean arterial pressure T6

85 mmHg

Mean arterial pressure T7

79 mmHg

Mean arterial pressure T8

77 mmHg

Mean arterial pressure T9

65 mmHg

Mean arterial pressure T10

65 mmHg

Mean arterial pressure T11

86 mmHg

Mean arterial pressure T12

87 mmHg

Mean arterial pressure T13

88 mmHg

3.4.Heart rate

Heart rate T1

53 times/min

Heart rate T2

58 times/min

Heart rate T3

54 times/min

Heart rate T4

52 times/min

Heart rate T5

52 times/min

Heart rate T6

47 times/min

Heart rate T7

46 times/min

Heart rate T8

45 times/min

Heart rate T9

44 mmHg

Heart rate T10

50 times/min

Heart rate T11

52 times/min

Heart rate T12

56 times/min

Heart rate T13

54 times/min

3.5.Respiratory rate

Respiratory rate T1

19 times/min

Respiratory rate T2

18 times/min

Respiratory rate T3

20 times/min

Respiratory rate T4

18 times/min

Respiratory rate T5

18 times/min

Respiratory rate T6

17 times/min

Respiratory rate T7

19 times/min

Respiratory rate T8

18 times/min

Respiratory rate T9

17 times/min

Respiratory rate T10

18 times/min

Respiratory rate T11

17 times/min

Respiratory rate T12

19 times/min

Respiratory rate T13

16 times/min

3.6.Oxygen saturation

Oxygen saturation T1

100 %

Oxygen saturation T2

100 %

Oxygen saturation T3

100 %

Oxygen saturation T4

100 %

Oxygen saturation T5

100 %

Oxygen saturation T6

99 %

Oxygen saturation T7

99 %

Oxygen saturation T8

99 %

Oxygen saturation T9

99 %

Oxygen saturation T10

99 %

Oxygen saturation T11

99 %

Oxygen saturation T12

98 %

Oxygen saturation T13

99 %

3.7.BIS

BIS T1

94

BIS T2

95

BIS T3

93

BIS T4

98

BIS T5

92

BIS T6

90

BIS T7

46

BIS T8

45

BIS T9

47

BIS T10

48

BIS T11

84

BIS T12

85

BIS T13

92

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L3-4

4.2.Dosage of ropivacaine

Dosage of ropivacaine

20 mg

4.3.Sensory blockade plane

Sensory blockade plane

T10

4.4.Improved Bromage score

Improved Bromage score

3

4.5.

A-VAS

0

4.6.Operation duration

Operation duration

103 min

4.7.Time-on

Time-on

12:17

4.8.End time

End time

14:00

4.9.Departure time

Departure time

14:20

4.10.Total dosage of dexmedetomidine

Total dosage of dexmedetomidine

40.92 mg

4.11.Satisfaction
4.4.11.4.11.1、Operator satisfaction

Operator satisfaction

5

4.4.11.4.11.2、Patient satisfaction

Patient satisfaction

5

4.12.Special circumstances during surgery
4.4.12.4.12.1、Physical movement

Physical movement

NO

4.4.12.4.12.2、Hypoxemia

Hypoxemia

NO

4.4.12.4.12.3、Bradycardia

Bradycardia

YES

5.Follow-up
5.1.
5.5.1.5.1.1、1 day preoperative STAI-S

1 day preoperative STAI-S

20

5.5.1.5.1.2、Postoperative day STAI-S

Postoperative day STAI-S

21

5.2.
5.5.2.5.2.1、1 day preoperative MMSE

1 day preoperative MMSE

29

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

29

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

30

5.3.Postoperative adverse reactions
5.5.3.5.3.1、Nausea

Nausea

NO

5.5.3.5.3.2、Vomit

Vomit

NO

5.5.3.5.3.3、Dizzy

Dizzy

NO

5.5.3.5.3.4、Headache

Headache

NO

5.5.3.5.3.5、Respiratory suppression

Respiratory suppression

NO